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Cognitive Motor Interference in Multiple Sclerosis: Insights From a Systematic Quantitative Review
Journal article   Peer reviewed

Cognitive Motor Interference in Multiple Sclerosis: Insights From a Systematic Quantitative Review

Y.C. Learmonth, I. Ensari and R.W. Motl
Archives of Physical Medicine and Rehabilitation, Vol.98(6), pp.1229-1240
2017
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Abstract

OBJECTIVE: To synthesize the evidence for differences in cognitive motor interference (CMI) between persons with multiple sclerosis (MS) and those without MS by using systematic review and meta-analysis. DATA SOURCES: EMBASE, PubMed, ScienceDirect, Scopus, SPORTDiscus, and Web of Science. Our focused literature search was informed by past systematic reviews of CMI during walking in MS. STUDY SELECTION: The key terms searched included Multiple sclerosis and synonyms of motor function (eg, Gait disorders, Gait, Walking, Balance, or Fall) and motor and cognitive functions (eg, Cognitive motor interference or Thinking). DATA EXTRACTION: From the 116 abstract-identified articles, 13 experimental studies were selected for the final analysis and were rated using the Quality Assessment of Diagnostic Accuracy Studies tool. A meta-analysis was performed for all considered outcomes. DATA SYNTHESIS: The results yielded a small overall effect size (ES) of .08 (SE=.17; 95% confidence interval, -.25 to .40; z=.49; P>.05), which indicated a nonsignificant minimal difference in CMI between persons with MS and those without MS. The moderator analysis for motor task (mobility task: ES, .22; postural task: ES, -.11) was not significantly different between persons with MS and those without MS. The moderator analysis for cognitive task (verbal fluency task: ES, .66; mental tracking task: ES, .04; discrimination and decision-making task: ES, -.30) resulted in a significant difference in CMI between persons with MS and those without MS (P<.05). CONCLUSIONS: We provide evidence that overall there is a minimal difference in CMI between persons with MS and those without MS.

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Source: InCites

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Collaboration types
Domestic collaboration
Citation topics
1 Clinical & Life Sciences
1.203 Neuromuscular Disorders
1.203.147 Multiple Sclerosis
Web Of Science research areas
Rehabilitation
Sport Sciences
ESI research areas
Clinical Medicine
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