Evidence map›Paper›PMID 40756700›Full record

ArticleF1000Research2024

Dual tasking as a predictor of falls in post-stroke: A cross-sectional analysis comparing Walking While Talking versus Stops Walking While Talking.

Disha Lamba, Abraham M Joshua, Vijaya Kumar K, Akshatha Nayak, Prasanna Mithra, Rohit Pai, Shivananda Pai, Shyam Krishnan K, Vijayakumar Palaniswamy

Abstract readComparative Study
In one paragraph

Article in F1000Research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Disha LambaDepartment of Physiotherapy, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, 576 104, India.
Abraham M JoshuaDepartment of Physiotherapy, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, 576 104, India.ORCID https://orcid.org/0000-0001-8492-0661
Vijaya Kumar KDepartment of Physiotherapy, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, 576 104, India.ORCID https://orcid.org/0000-0003-4937-7442
Akshatha NayakDepartment of Physiotherapy, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, 576 104, India.
Prasanna MithraDepartment of Community Medicine, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, 576 104, India.ORCID https://orcid.org/0000-0002-7153-411X
Rohit PaiDepartment of Neurology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, 576 104, India.
Shivananda PaiDepartment of Neurology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, 576 104, India.
Shyam Krishnan KDepartment of Physiotherapy, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, 576 104, India.ORCID https://orcid.org/0000-0001-7046-8619
Vijayakumar PalaniswamyDepartment of Physiotherapy, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, 576 104, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Dual-task assessments, including Walking While Talking (WWT) and Stops Walking While Talking (SWWT) tests, predict fall risk in stroke survivors. However, their effectiveness relative to established predictors, such as the Berg Balance Scale (BBS) and Falls Efficacy Scale (FES), remains unclear. This study evaluated the comparative predictive value of WWT and SWWT tests alongside BBS and FES among stroke survivors. Methods: This cross-sectional study included 68 stroke survivors who completed WWT-Simple (WWT-S), WWT-Complex (WWT-C), and SWWT, as well as the BBS and FES. Spearman correlations assessed relationships between balance, fear of falling, and dual-task performance. Logistic regression identified fall risk predictors, and Receiver Operating Characteristic (ROC) analysis evaluated predictive accuracy. The study adhered to STROBE guidelines. Results: BBS scores were strongly negatively correlated with WWT-S (r = -0.734, p < 0.0001) and WWT-C (r = -0.737, p < 0.0001), indicating poorer balance with slower dual-task completion. Positive correlations were found between WWT-S and FES (r = 0.668, p < 0.0001) and WWT-C and FES (r = 0.610, p < 0.0001), linking slower completion times with higher fear of falling. SWWT was significantly negatively correlated with BBS (r = -0.625, p < 0.0001). WWT tests had higher sensitivity (97.8%) and specificity (99%) than SWWT (sensitivity = 68.9%; specificity = 91.3%). Logistic regression identified SWWT (Positive) as a significant predictor of fall risk (p = 0.009), and ROC analysis showed an AUC of 0.911, indicating excellent predictive power. Conclusions: Findings highlight the superior predictive value of WWT tests over SWWT in assessing fall risk among stroke survivors. Incorporating dual-task measures into clinical practice may enhance fall risk evaluation, supporting targeted stroke rehabilitation.

Indexed as

Accidental FallsSpeechStrokeWalkingAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleMiddle AgedPostural BalanceROC CurveTask Performance and Analysiscognitionexecutive function.focus of attentionpredictive value of testsrisk assessmentROC curvestrokewalking

Identifiers

PMID40756700
PMCPMC12317310

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.