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Visual but not verbal working memory interferes with balance in patients after optic neuritis suggestive of multiple sclerosis.

Identifieur interne : 000181 ( Main/Exploration ); précédent : 000180; suivant : 000182

Visual but not verbal working memory interferes with balance in patients after optic neuritis suggestive of multiple sclerosis.

Auteurs : Gregor Brecl Jakob [Slovénie] ; Tamara Remšak [Slovénie] ; Jernej Olenšek [Slovénie] ; Ruben Perell N-Alfonso [Slovénie] ; Saša Šega Jazbec [Slovénie] ; Uroš Rot [Slovénie]

Source :

RBID : pubmed:31163227

Descripteurs français

English descriptors

Abstract

BACKGROUND

Subtle cognitive deficits are present in almost half of the patients with clinically isolated syndrome (CIS) suggestive of multiple sclerosis (MS). Similarly, subtle balance deficits can be detected at the earliest stages of the disease. To assess cognitive-motor interference (CMI) in nondisabled CIS patients, we studied postural performance using dual task paradigm in CIS patients presenting with optic neuritis.

METHODS

We prospectively included 20 patients with visual acuity of 0.8 or more within the 3 months from unilateral ON. We also included 20 age, weight, height and education matched healthy subjects. Baseline cognitive performance of the patients was assessed using neuropsychological tests. Balance was studied by posturography (Po) and center of pressure (CoP) measures (maximal medio-lateral, maximal antero-posterior amplitudes, maximal CoP velocity and total CoP path. CMI between static balance and WM was investigated using a dual-task paradigm in three conditions: Po alone, Po+Brooks' visual working memory (WM) task and Po+2-back verbal WM task.

RESULTS

The two most commonly affected cognitive domains in the patients were attention (52% of the patients) and executive functions (45% of the patients). Static balance as measured by higher maximal CoP velocity while standing alone (p = 0.02) was impaired in patients. Significantly lower maximal m-l CoP amplitude (p = 0.01) and total CoP path (p = 0.004) in the Po + Brooks' task condition compared to Po alone were observed in the group of ON patients but not in healthy subjects. The cost of dualtasking was highest in the ON patients under Po + Brooks' task (p = 0.04 for the total CoP path parameter).

CONCLUSION

Static balance and cognition are impaired in the earliest MS. CMI between static balance and working memory is higher in the patients and while loading visual working memory. Dual-task paradigms should be used in rehabilitation programmes for patients at the very beginning of the disease.


DOI: 10.1016/j.neulet.2019.134288
PubMed: 31163227


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Adult (MeSH)</term>
<term>Attention (MeSH)</term>
<term>Executive Function (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Memory, Short-Term (MeSH)</term>
<term>Multiple Sclerosis (psychology)</term>
<term>Optic Neuritis (psychology)</term>
<term>Postural Balance (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Psychomotor Performance (MeSH)</term>
<term>Verbal Behavior (MeSH)</term>
<term>Visual Perception (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte (MeSH)</term>
<term>Attention (MeSH)</term>
<term>Comportement verbal (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Fonction exécutive (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Mémoire à court terme (MeSH)</term>
<term>Névrite optique (psychologie)</term>
<term>Perception visuelle (MeSH)</term>
<term>Performance psychomotrice (MeSH)</term>
<term>Sclérose en plaques (psychologie)</term>
<term>Équilibre postural (MeSH)</term>
<term>Études prospectives (MeSH)</term>
</keywords>
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<term>Névrite optique</term>
<term>Sclérose en plaques</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Multiple Sclerosis</term>
<term>Optic Neuritis</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Attention</term>
<term>Executive Function</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Memory, Short-Term</term>
<term>Postural Balance</term>
<term>Prospective Studies</term>
<term>Psychomotor Performance</term>
<term>Verbal Behavior</term>
<term>Visual Perception</term>
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<term>Adulte</term>
<term>Attention</term>
<term>Comportement verbal</term>
<term>Femelle</term>
<term>Fonction exécutive</term>
<term>Humains</term>
<term>Mâle</term>
<term>Mémoire à court terme</term>
<term>Perception visuelle</term>
<term>Performance psychomotrice</term>
<term>Équilibre postural</term>
<term>Études prospectives</term>
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<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>Subtle cognitive deficits are present in almost half of the patients with clinically isolated syndrome (CIS) suggestive of multiple sclerosis (MS). Similarly, subtle balance deficits can be detected at the earliest stages of the disease. To assess cognitive-motor interference (CMI) in nondisabled CIS patients, we studied postural performance using dual task paradigm in CIS patients presenting with optic neuritis.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>We prospectively included 20 patients with visual acuity of 0.8 or more within the 3 months from unilateral ON. We also included 20 age, weight, height and education matched healthy subjects. Baseline cognitive performance of the patients was assessed using neuropsychological tests. Balance was studied by posturography (Po) and center of pressure (CoP) measures (maximal medio-lateral, maximal antero-posterior amplitudes, maximal CoP velocity and total CoP path. CMI between static balance and WM was investigated using a dual-task paradigm in three conditions: Po alone, Po+Brooks' visual working memory (WM) task and Po+2-back verbal WM task.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>The two most commonly affected cognitive domains in the patients were attention (52% of the patients) and executive functions (45% of the patients). Static balance as measured by higher maximal CoP velocity while standing alone (p = 0.02) was impaired in patients. Significantly lower maximal m-l CoP amplitude (p = 0.01) and total CoP path (p = 0.004) in the Po + Brooks' task condition compared to Po alone were observed in the group of ON patients but not in healthy subjects. The cost of dualtasking was highest in the ON patients under Po + Brooks' task (p = 0.04 for the total CoP path parameter).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>Static balance and cognition are impaired in the earliest MS. CMI between static balance and working memory is higher in the patients and while loading visual working memory. Dual-task paradigms should be used in rehabilitation programmes for patients at the very beginning of the disease.</p>
</div>
</front>
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<AbstractText Label="BACKGROUND">Subtle cognitive deficits are present in almost half of the patients with clinically isolated syndrome (CIS) suggestive of multiple sclerosis (MS). Similarly, subtle balance deficits can be detected at the earliest stages of the disease. To assess cognitive-motor interference (CMI) in nondisabled CIS patients, we studied postural performance using dual task paradigm in CIS patients presenting with optic neuritis.</AbstractText>
<AbstractText Label="METHODS">We prospectively included 20 patients with visual acuity of 0.8 or more within the 3 months from unilateral ON. We also included 20 age, weight, height and education matched healthy subjects. Baseline cognitive performance of the patients was assessed using neuropsychological tests. Balance was studied by posturography (Po) and center of pressure (CoP) measures (maximal medio-lateral, maximal antero-posterior amplitudes, maximal CoP velocity and total CoP path. CMI between static balance and WM was investigated using a dual-task paradigm in three conditions: Po alone, Po+Brooks' visual working memory (WM) task and Po+2-back verbal WM task.</AbstractText>
<AbstractText Label="RESULTS">The two most commonly affected cognitive domains in the patients were attention (52% of the patients) and executive functions (45% of the patients). Static balance as measured by higher maximal CoP velocity while standing alone (p = 0.02) was impaired in patients. Significantly lower maximal m-l CoP amplitude (p = 0.01) and total CoP path (p = 0.004) in the Po + Brooks' task condition compared to Po alone were observed in the group of ON patients but not in healthy subjects. The cost of dualtasking was highest in the ON patients under Po + Brooks' task (p = 0.04 for the total CoP path parameter).</AbstractText>
<AbstractText Label="CONCLUSION">Static balance and cognition are impaired in the earliest MS. CMI between static balance and working memory is higher in the patients and while loading visual working memory. Dual-task paradigms should be used in rehabilitation programmes for patients at the very beginning of the disease.</AbstractText>
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<Month>6</Month>
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<ArticleId IdType="pii">S0304-3940(19)30360-X</ArticleId>
<ArticleId IdType="doi">10.1016/j.neulet.2019.134288</ArticleId>
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<li>Slovénie</li>
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<name sortKey="Brecl Jakob, Gregor" sort="Brecl Jakob, Gregor" uniqKey="Brecl Jakob G" first="Gregor" last="Brecl Jakob">Gregor Brecl Jakob</name>
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<name sortKey="Olensek, Jernej" sort="Olensek, Jernej" uniqKey="Olensek J" first="Jernej" last="Olenšek">Jernej Olenšek</name>
<name sortKey="Perell N Alfonso, Ruben" sort="Perell N Alfonso, Ruben" uniqKey="Perell N Alfonso R" first="Ruben" last="Perell N-Alfonso">Ruben Perell N-Alfonso</name>
<name sortKey="Remsak, Tamara" sort="Remsak, Tamara" uniqKey="Remsak T" first="Tamara" last="Remšak">Tamara Remšak</name>
<name sortKey="Rot, Uros" sort="Rot, Uros" uniqKey="Rot U" first="Uroš" last="Rot">Uroš Rot</name>
<name sortKey="Sega Jazbec, Sasa" sort="Sega Jazbec, Sasa" uniqKey="Sega Jazbec S" first="Saša" last="Šega Jazbec">Saša Šega Jazbec</name>
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