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Journals / Ege Tıp Bilimleri Dergisi / 2026 / Cilt: 9 Sayı: 2

Dual-Task Effect in Adolescent Idiopathic Scoliosis and Correlation with Spinal Deformity

Adölesan İdiyopatik Skolyozda İkili Görev Etkisi ve Spinal Deformite ile Korelasyonu

Aynur Başaran(KARAMANOĞLU MEHMETBEY ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-2079-4867
Elif Dilara Durmaz(Karaman Eğitim ve Araştırma Hastanesi)0000-0001-5670-8890
Usame Ömer Osmanoğlu(KARAMANOĞLU MEHMETBEY ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-1198-2447
Ahmet Yesildag(KARAMANOĞLU MEHMETBEY ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-2425-6951
İbrahim Meral(KARAMANOĞLU MEHMETBEY ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-9216-4285
Yurdagül Bahran Muştu(KARAMANOĞLU MEHMETBEY ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-1452-0125
Süleyman Gül(KARAMANOĞLU MEHMETBEY ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-8621-7707
Pages
83–93
Publication Date
2026-08-31
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Thus, we believe that including dual-task gait and sensorimotor integration training in management protocols may be beneficial for achieving better outcomes.

📌 3 Key Takeaways

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Objective & Hypothesis:OBJECTIVE: Patients with adolescent idiopathic scoliosis (AIS) experience various difficulties with daily activities.
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Key Findings & Data:The purpose of this study was to compare the walking performance and dual-task effect (DTE), which requires the ability to perform two tasks concurrently, of AIS patients with those of healthy controls and to investigate their correlation with spinal deformity.
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Conclusion & Impact:Thus, we believe that including dual-task gait and sensorimotor integration training in management protocols may be beneficial for achieving better outcomes.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:Adölesan idiopatik skolyozu · ikili görev · tekli görev

Abstract

OBJECTIVE: Patients with adolescent idiopathic scoliosis (AIS) experience various difficulties with daily activities. Many such activities involve multitasking that consists of simultaneous motor and/or cognitive components. The purpose of this study was to compare the walking performance and dual-task effect (DTE), which requires the ability to perform two tasks concurrently, of AIS patients with those of healthy controls and to investigate their correlation with spinal deformity. MATERIALS and METHODS: Thirty-two AIS patients and 34 healthy controls were included in this cross-sectional case-control study. The Expanded Timed Up and Go (ETUG) test and the Tandem Gait (TG) were used to assess functional mobility. The motor-motor and cognitive-motor dual-task performances were recorded to determine the corresponding DTEs. Radiological assessments of the scoliosis group were extracted from the radiographs, while the angle of trunk rotation was measured using a scoliometer. These spinal parameters were analyzed to identify any correlations with DTEs. RESULTS: We found that patients with AIS were slower with single motor tasks, by TG, but not by ETUG, compared to healthy controls (p=0.001, p=0.501, respectively). They exhibited an increase in both cognitive-motor and motor-motor DTEs (p<0.001, p=0.010, respectively). Among the spinal parameters examined, lumbar lordosis measurements were moderately correlated with motor-motor DTE (r=-0.48, p=0.005), while angle of trunk rotation and apical vertebral translation were weakly correlated with cognitive-motor DTE (r=-0.35, p=0.05, r=-0.39, p=0.028, respectively). CONCLUSION: These findings suggest impaired dual tasking among AIS patients compared to healthy peers, and both biomechanical changes and increased cortical contribution may influence functional mobility. Thus, we believe that including dual-task gait and sensorimotor integration training in management protocols may be beneficial for achieving better outcomes.

Özet

AMAÇ: Adölesan idiyopatik skolyozu (AIS) olan hastalar günlük aktivitelerinde bazı zorluklar yaşamaktadırlar. Bu aktivitelerin çoğu, eş zamanlı motor ve/veya bilişsel bileşenlerden oluşan çoklu görev yapmayı içerir. Bu çalışmanın amacı, AIS hastalarının yürüme performansını ve aynı anda iki görevi yerine getirme yeteneğini gerektiren çift görev etkisini (DTE) sağlıklı kontrol grubuyla karşılaştırmak ve bunların omurga deformitesiyle ilişkisini incelemektir. GEREÇ ve YÖNTEM: Bu kesitsel vaka-kontrol çalışmasına 32 AIS hastası ve 34 sağlıklı kontrol dahil edildi. Fonksiyonel mobiliteyi değerlendirmek için Genişletilmiş Zamanlı Kalk ve Yürü (ETUG) Testi ve Tandem Yürüyüşü (TG) kullanıldı. Motor-motor ve bilişsel-motor çift görevli performansları kaydedilerek ilgili DTE’leri belirlendi. Skolyoz grubunun mevcut röntgen filmlerinden radyolojik parametreleri ölçüldü. Gövde rotasyon açısı skolyometre kullanılarak değerlendirildi. Spinal parametreler ile DTE’ler arasında korelasyon olup olmadığı analiz edildi. BULGULAR: AIS'li hastaların, sağlıklı kontrollere kıyasla, TG ile test edilen tek motor görevlerde daha yavaş oldukları, ancak ETUG ile böyle bir fark olmadığı bulundu (sırasıyla p=0,001, p=0,501). Hastaların hem bilişsel-motor hem de motor-motor DTE'lerinde artış görüldü (sırasıyla p<0,001, p=0,010). İncelenen spinal parametrelerden, lomber lordoz ölçümleri motor-motor DTE ile orta derecede korelasyon gösterirken (r=-0,48, p=0,005), gövde rotasyon açısı ve apikal vertebra translasyonu bilişsel-motor DTE ile zayıf korelasyon gösterdi (sırasıyla r=-0.35, p=0.05, r=-0,39, p=0,028). SONUÇ: Bu bulgular, AIS hastalarının sağlıklı yaşıtlarına kıyasla çift görevli becerilerinde bozulma olduğunu ve hem biyomekanik değişikliklerin hem de ikili görev sırasında artan kortikal katkının fonksiyonel mobiliteyi etkileyebileceğini düşündürmektedir. Bu nedenle, rehabilitasyon protokollerine çift görevli yürüyüş ve sensörimotor entegrasyon eğitiminin dahil edilmesinin faydalı olabileceğine inanıyoruz.

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Cite This Article

Başaran, A., Durmaz, E. D., Osmanoğlu, U. Ö., Yesildag, A., Meral, İ., Muştu, Y. B., Gül, S. (2026). Dual-Task Effect in Adolescent Idiopathic Scoliosis and Correlation with Spinal Deformity. Ege Tıp Bilimleri Dergisi, Cilt: 9 Sayı: 2, 83–93. https://ajindex.com/articles/1343626

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