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Int J Sports Med 2023; 44(04): 286-291
DOI: 10.1055/a-1982-9978
Orthopedics & Biomechanics

Serial Subtraction Alters Lateral Step-down Tibiofemoral Kinematics in Healthy Adults

Jacob Thomas 
1   School of Health Professions, University of Missouri, Columbia, United States
,
Samantha Weiss
2   Department of Engineering, University of Missouri, Columbia, United States
,
Rebecca Bliss
3   Department of Physical Therapy, University of Missouri, Columbia, United States
,
Trent Guess
3   Department of Physical Therapy, University of Missouri, Columbia, United States
4   Department of Orthopaedic Surgery, University of Missouri, Columbia, United States
› Author Affiliations Funding This study was funded, in part, by the University of Missouri Coulter Biomedical Accelerator Program.
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Abstract

This study evaluated the effects of two types of cognitive dual-tasking on three-dimensional knee kinematics during the lateral step-down. 19 healthy individuals (22.05±1.61 yrs., 173.92±9.21 cm, 67.99±12.65 kg) participated in this study. Participants completed 5 repetitions of a lateral step-down task for each leg and each testing condition (control, Stroop, and serial subtraction by seven). An electromagnetic motion sensor was attached to the femur via compression clamp placed about the medial and lateral epicondyles. Another sensor was attached 2 cm below the ipsilateral tibial tuberosity. A custom MATLAB algorithm located the knee joint axis of rotation from dynamic knee flexion and extension. Discrete kinematics at peak flexion were used in this study. Paired samples t-tests were used to compare average frontal, transverse, and sagittal plane knee position at maximum flexion between conditions for each leg. No significant differences were found for either limb between control and Stroop conditions. Comparisons revealed significant differences in frontal and transverse plane knee angles at peak flexion between the control and serial subtraction by seven conditions. These findings indicate serial subtraction by seven requires different cognitive processing abilities which may cause greater interference with some aspects of motor control.

Key words

dual-task - stroop - biomechanics - cognitive - motor


Publication History

Received: 30 August 2022

Accepted: 31 October 2022

Article published online:
20 January 2023

© 2023. Thieme. All rights reserved.

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  • References

  • 1 Larson J, Roper J, Murrah W. et al. Cognitive dual-task alters Local Dynamic Stability of lower extremity during common movements. J Biomech 2022; 137: 111077 DOI: 10.1016/j.jbiomech.2022.111077.
    CrossrefPubMedGoogle Scholar
  • 2 Lempke LB, Oh J, Johnson RS. et al. Single-versus dual-task functional movement paradigms: A biomechanical analysis. J Sport Rehabil 2021; 30: 774-785
    CrossrefPubMedGoogle Scholar
  • 3 Zirek E, Ersoz Huseyinsinoglu B, Tufekcioglu Z. et al. Which cognitive dual-task walking causes most interference on the Timed Up and Go test in Parkinson’s disease: a controlled study. Neurol Sci 2018; 39: 2151-2157 DOI: 10.1007/s10072-018-3564-2.
    CrossrefPubMedGoogle Scholar
  • 4 Kleiner AFR, Pagnussat AS, Prisco GD. et al. Analyzing gait variability and dual-task interference in patients with Parkinson’s disease and freezing by means of the word-color Stroop test. Aging Clin Exp Res 2018; 30: 1137-1142
    CrossrefPubMedGoogle Scholar
  • 5 Hiyamizu M, Morioka S, Shomoto K. et al. Effects of dual task balance training on dual task performance in elderly people: a randomized controlled trial. Clin Rehabil 2012; 26: 58-67
    CrossrefPubMedGoogle Scholar
  • 6 Periáñez JA, Lubrini G, García-Gutiérrez A. et al. Construct validity of the stroop color-word test: influence of speed of visual search, verbal fluency, working memory, cognitive flexibility, and conflict monitoring. Arch Clin Neuropsychol 2020; 36: 99-111 DOI: 10.1093/arclin/acaa034.
    CrossrefPubMedGoogle Scholar
  • 7 Strauss E, Sherman EM, Spreen O. A Compendium of Neuropsychological Tests: Administration, Norms, and Commentary. 3rd Edition. Oxford University Press, New York. 2006
    Google Scholar
  • 8 Wang W, Qi M, Gao H. An ERP investigation of the working memory stroop effect. Neuropsychologia 2021; 152: 107752 DOI: 10.1016/j.neuropsychologia.2021.107752.
    CrossrefPubMedGoogle Scholar
  • 9 Montero-Odasso M, Verghese J, Beauchet O. et al. Gait and cognition: a complementary approach to understanding brain function and the risk of falling. J Am Geriatr Soc 2012; 60: 2127-2136 DOI: 10.1111/j.1532-5415.2012.04209.x.
    CrossrefPubMedGoogle Scholar
  • 10 Bristow T, Jih C-S, Slabich A. et al. Standardization and adult norms for the sequential subtracting tasks of serial 3’s and 7’s. Appl Neuropsychol Adult 2016; 23: 372-378
    CrossrefPubMedGoogle Scholar
  • 11 Kajiwara M, Kanamori A, Kadone H. et al. Knee biomechanics changes under dual task during single-leg drop landing. J Exp Orthop 2019; 6: 5 DOI: 10.1186/s40634-019-0170-z.
    CrossrefPubMedGoogle Scholar
  • 12 Dallinga JM, Benjaminse A, Lemmink KA. Which screening tools can predict injury to the lower extremities in team sports?: a systematic review. Sports Med 2012; 42: 791-815 DOI: 10.1007/bf03262295.
    CrossrefPubMedGoogle Scholar
  • 13 C Herman D, Zaremski JL, Vincent HK et al. Effect of neurocognition and concussion on musculoskeletal injury risk. Curr Sports Med Rep 2015; 14: 194-199 DOI: 10.1249/jsr.0000000000000157.
    CrossrefPubMedGoogle Scholar
  • 14 Araújo D, Hristovski R, Seifert L. et al. Ecological cognition: expert decision-making behaviour in sport. Int Rev Sport Exerc Psychol 2019; 12: 1-25
    CrossrefPubMedGoogle Scholar
  • 15 Schmidt RA. A schema theory of discrete motor skill learning. Psychol Rev 1975; 82: 225-260 DOI: 10.1037/h0076770.
    CrossrefPubMedGoogle Scholar
  • 16 Klostermann A, Vater C, Kredel R. et al. Perception and action in sports. on the functionality of foveal and peripheral vision. Front Sports Act Living 2019; 1: 66 DOI: 10.3389/fspor.2019.00066.
    CrossrefPubMedGoogle Scholar
  • 17 Mostaed MF, Werner DM, Barrios JA. 2D and 3D kinematics during lateral step-down testing in individuals with anterior cruciate ligament reconstruction. Int J Sports Phys Ther 2018; 13: 77-85
    CrossrefPubMedGoogle Scholar
  • 18 Norcross MF, Halverson SD, Hawkey TJ. et al. Evaluation of the lateral step-down test as a clinical assessment of hip musculature strength. Athl Train Sports Health Care 2009; 1: 272-278
    CrossrefPubMedGoogle Scholar
  • 19 Hall JB, Guess TM. The effect of an ankle – foot orthosis on tibiofemoral motion during step-up and step-down in healthy adults. Prosthet Orthot Int 2022; 46: 148-154
    CrossrefPubMedGoogle Scholar
  • 20 Grood ES, Suntay WJ. A joint coordinate system for the clinical description of three-dimensional motions: application to the knee. J Biomech Eng 1983; 105: 136-144 DOI: 10.1115/1.3138397.
    CrossrefPubMedGoogle Scholar
  • 21 Al-Yahya E, Dawes H, Smith L. et al. Cognitive motor interference while walking: a systematic review and meta-analysis. Neurosci Biobehav Rev 2011; 35: 715-728
    CrossrefPubMedGoogle Scholar
  • 22 Bayot M, Dujardin K, Tard C. et al. The interaction between cognition and motor control: A theoretical framework for dual-task interference effects on posture, gait initiation, gait and turning. Neurophysiol Clin 2018; 48: 361-375
    CrossrefPubMedGoogle Scholar
  • 23 Patel P, Lamar M, Bhatt T. Effect of type of cognitive task and walking speed on cognitive-motor interference during dual-task walking. Neuroscience 2014; 260: 140-148
    CrossrefPubMedGoogle Scholar
  • 24 Ribeiro TS, de Sousa AC, de Lucena LC. et al. Does dual task walking affect gait symmetry in individuals with Parkinson’s disease?. Eur J Physiother 2019; 21: 8-14
    CrossrefPubMedGoogle Scholar
  • 25 Markström JL, Grip H, Schelin L. et al. Dynamic knee control and movement strategies in athletes and non-athletes in side hops: implications for knee injury. Scand J Med Sci Sports 2019; 29: 1181-1189
    CrossrefPubMedGoogle Scholar
  • 26 Lopes TJA, Simic M, Myer GD. et al. The effects of injury prevention programs on the biomechanics of landing tasks: a systematic review with meta-analysis. Am J Sports Med 2018; 46: 1492-1499
    CrossrefPubMedGoogle Scholar
  • 27 Diermann N, Schumacher T, Schanz S. et al. Rotational instability of the knee: internal tibial rotation under a simulated pivot shift test. Arch Orthop Trauma Surg 2009; 129: 353-358 DOI: 10.1007/s00402-008-0681-z.
    CrossrefPubMedGoogle Scholar
  • 28 Carroll LA, Kivlan BR, Martin RL. et al. The single leg squat test: a “top-down” or “bottom-up” functional performance test?. Int J Sports Phys Ther 2021; 16: 360-370 DOI: 10.26603/001c.21317.
    CrossrefPubMedGoogle Scholar
  • 29 Imai S, Harato K, Morishige Y. et al. Effects of dual task interference on biomechanics of the entire lower extremity during the drop vertical jump. J Hum Kinet 2022; 81: 5-14
    CrossrefPubMedGoogle Scholar