title: Gait in amyotrophic lateral sclerosis: Is gait pattern differently affected in spinal and bulbar onset of the disease during dual task walking?
abstract: Amyotrophic lateral sclerosis (ALS) is characterized by weakness, fatigue, loss of balance and coordination. The purpose of the study was to examine gait in ALS patients. Gait was compared in ALS with spinal and bulbar onset, while performing dual mental and motor tasks. Dual-task walking was performed by 27 ALS patients, 13 with spinal- and 14 with bulbar-onset disease. Twenty-nine healthy subjects were used as a control group. The subjects performed a basic, simple walking task, dual-motor task, dual-mental task, and combined motor and mental tasks. Results showed that dual-task paradigm has an effect on gait in ALS patients. Gait was differently affected in spinal and bulbar onset of ALS by some of the given tasks. Mental tasks had a larger effect than motor tasks in all gait parameters. In conclusion, both ALS forms have impaired gait in dual tasks. Simple walk in patients with spinal onset shows higher variability of certain gait parameters compared to bulbar-onset patients and controls. Differences in gait could also indicate postural instability and possible falls in complex walking situations.
authors.affiliation: Clinic for Neurology, School of Medicine.
authors.forename: Sasa
authors.initials: S
authors.lastname: Radovanović
authors.forename: Milena
authors.initials: M
authors.lastname: Milićev
authors.forename: Stojan
authors.initials: S
authors.lastname: Perić
authors.forename: Ivana
authors.initials: I
authors.lastname: Basta
authors.forename: Vladimir
authors.initials: V
authors.lastname: Kostić
authors.forename: Zorica
authors.initials: Z
authors.lastname: Stević
mesh_terms: D000368:Aged; D000690:Amyotrophic Lateral Sclerosis / Q000150:complications*; D005260:Female; D005684:Gait / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D053580:Muscle Strength; D004856:Postural Balance / Q000502:physiology*; D011597:Psychomotor Performance / Q000502:physiology*; D018709:Statistics, Nonparametric; D013997:Time Factors; D016138:Walking / Q000502:physiology*
keywords: Cognitive task; GAITRite walkway; cycle time; posture; stride