ArticleBMC musculoskeletal disorders2026
Effects of cognitive dual tasking and tandem walking on gait parameters in chronic neck pain people: a preliminary cross-sectional study.
Article in BMC musculoskeletal disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThe purpose of the current study was to compare gait characteristics under cognitive dual-tasking and tandem walking in people with and without chronic neck pain.
methodsTwenty-one adults with a history of non-specific neck pain and twenty-two matched control adults walked on a motorized treadmill under normal and tandem walking with and without a cognitive task. Gait spatiotemporal variables including cadence, stride length, and stride velocity were obtained using the motion analysis system.
resultsIn cognitive dual-task condition, people with neck pain had significantly higher dual-task costs (DTC) of cadence (p <.01, ηp2=.45), stride length (p <.01, ηp2=.67), and stride velocity (p <.01, ηp2=.96) compared to controls. The pattern of change was not different between the two groups. All participants showed a shorter stride length, and lower stride length variability in dual-task walking (p <.01, ηp2>.10). Tandem walking resulted in lower cadence in the chronic neck pain group compared to controls (p=.02, ηp2=.11).
conclusionsThis study showed that people with neck pain rely more than healthy subjects on executive-attentional resources to control gait parameters; however, to better understand the dual-task-related gait changes in people with neck pain, further research is required to examine the dual-task gait in more challenging cognitive and walking tasks. Tandem walking should be considered in gait assessment and training of people with neck pain.
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