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The dual task (walking and cognitive task at the same time) is increasingly used in geriatrics in protocols for detecting people who are falling and/or for highlighting cognitive disorders. However, frail elderly people tend to get tired quickly and a lack of awareness of the effects of fatigue on dual-task performance could alter the diagnosis.
There are two types of fatigue: mental fatigue and peripheral muscle fatigue. Each participant will do both types of fatigue over 2 appointments spaced by 7 days so that the subject can recover from induced fatigue. The sequence of fatigue tasks will be randomized.
At the first appointment (day 0):
Pre-fatigue assessment :
mental fatigue task or muscle fatigue task (randomized)
post-fatigue assessment (the same as pre-fatigue assessment)
7 resting days
Second appointment (day 7)
Pre-fatigue assessment :
mental fatigue task or muscle fatigue task (randomized)
post-fatigue assessment (the same as pre-fatigue assessment)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mental Fatigue Task first | Experimental |
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| Muscle fatigue task first | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fatigability assessment | Other | Each participant will do both types of fatigue over 2 appointments spaced by 7 days so that the subject can recover from induced fatigue. The sequence of fatigue tasks will be randomized. |
| Measure | Description | Time Frame |
|---|---|---|
| Dual task performance after muscular fatigue | Dual task performance (DTEspeed motor performance; DTEcog cognitive performance) will be compared before and after a protocol of peripheral mental and muscular fatigue. For Dual Task Performance, the cognitive task performance (maximum count count - error count) performed alone (single ST task) and performed while walking (double ST task) will be compared. | at inclusion (day 0) |
| Dual task performance after cognitive fatigue | Dual task performance (DTEspeed motor performance; DTEcog cognitive performance) will be compared before and after a protocol of peripheral mental and muscular fatigue. For Dual Task Performance, the cognitive task performance (maximum count count - error count) performed alone (single ST task) and performed while walking (double ST task) will be compared. | at day 7 |
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Young group
Inclusion Criteria:
Exclusion Criteria:
Old group
Inclusion Criteria:
Exclusion Criteria:
Old frail group
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Olivier GUERIN | Nice University Hospital, Gerontology Department | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Nice | Nice | 06000 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37535312 | Result | Piche E, Gerus P, Zory R, Jaafar A, Guerin O, Chorin F. Effects of muscular and mental fatigue on spatiotemporal gait parameters in dual task walking in young, non-frail and frail older adults. Aging Clin Exp Res. 2023 Oct;35(10):2109-2118. doi: 10.1007/s40520-023-02506-8. Epub 2023 Aug 3. |
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