Dual Task Performance in Rheumatic Diseases
Condition: Rheumatic Diseases
MeSH terms: Rheumatic Diseases; Collagen Diseases
Study type: Observational

Summary: 
      Chronic pain is pain that exceeds the duration of the injury or trigger stimulus and lasts
      for at least three months. Recent studies show that chronic pain has devastating effects on
      cognitive functions by causing emotional stress, anxiety, and depression.The studies show
      that chronic pain affects certain cognitive areas. These areas are; processing speed,
      short-term memory, longterm memory, inhibitory control and working memory. In addition,
      task-oriented studies show that chronic pain affects not single tasks, but rather dual tasks
      that require the use of complex cognitive function (executive function). 40-60% of
      rheumatologic patients do not have sufficient relief in their pain. For this reason, dual
      task performance may be affected in individuals diagnosed with rheumatological disease,
      secondary to the impairment of cognition. In the literature, there are only limited studies
      showing dual-task performance effects in individuals diagnosed with fibromyalgia and
      osteoarthritis. However, chronic pain is the main health problem that prevents mobility
      restriction and participation in all rheumatic diseases. In addition, there is no study
      investigating the dual task performance effect in rheumatic diseases in a comprehensive way.
      Therefore, the aim of the study is to investigate the effect of rheumatic diseases on
      dual-task performance by comparing it with the control group.
    

Detailed description: 
      Pain is an unpleasant sensory or emotional experience associated with actual or potential
      tissue damage and is classified as acute or chronic. Acute pain is felt for a short time
      after an injury or harmful stimulus and is considered part of a defense strategy; It points
      to an active danger to the organism. Chronic pain that exceeds the duration of the injury or
      trigger stimulus and lasts for at least three months. Recent studies show that chronic pain
      has devastating effects on cognitive functions by causing emotional stress, anxiety, and
      depression. Studies show that chronic pain affects certain cognitive areas. These areas are;
      processing speed, short-term memory, long-term memory, inhibitory control and working memory.
      In addition, task-oriented studies show that chronic pain affects not simple tasks, but
      rather dual tasks that require the use of complex cognitive function (executive function).

      Task; it is a behavior, skill or ability that needs to be done. The simple (single) task
      contains only one alert or task. For example, walking. Dual task requires the simultaneous
      performance of two different tasks that can be measured independently and have different
      goals. For example, calculating while walking at the same time. In rehabilitation approaches,
      single or dual task trainings are applied. Among physiotherapy and rehabilitation approaches,
      single task training consists only of exercises involving motor performance; Dual task
      trainings can consist of different exercise combinations that require two different tasks to
      be performed at the same time as motor + motor, cognitive + cognitive or motor + cognitive
      performances. The clinical benefit of dual task training is that most of the daily living
      activities are done in dual task conditions.

      Chronic pain is a common health problem associated with most rheumatic diseases. It is pain
      that lasts for at least 3 months and cannot be completely relieved with standard pain
      medication. 40-60% of rheumatologic patients do not have sufficient relief in their pain. For
      this reason, dual-task performance may be affected in individuals diagnosed with
      rheumatological disease, secondary to the impairment of cognition. In the literature, there
      are only limited studies showing dual-task performance effects in individuals diagnosed with
      fibromyalgia and osteoarthritis. However, chronic pain is the main health problem that
      prevents mobility restriction and participation in all rheumatic diseases. In addition, there
      is no study investigating the dual task performance effect in rheumatic diseases in a
      comprehensive way. Therefore, the aim of thestudy is to investigate the effect of rheumatic
      diseases on dual-task performance by comparing it with the control group.
    

Intervention name(s): Gait Assessments; Arthritis Impact Measurement Scales 2; Visual Analogue Scale; Standardized Mini Mental Test
Intervention type(s): Other; Other; Other; Other
Intervention description(s): 10 Meter Walking Test: It is applied by walking at a normal walking speed (like walking in a shopping mall) without any assistance at a marked distance of 10 meters.
1- Evaluation of walking under single task conditions is done with the 10 Meter Walk Test and without any cognitive or motor second task. Evaluation of walking under dual task conditions is applied in two different ways: 2-adding a cognitive task to the walking motor task (motor + cognitive dual task) 3-adding one more motor task to the walking motor task (motor + motor dual task). While performing dual tasks, the time-distance (walking speed, cadence, stride length) characteristics of the gait are recorded using with wearable gait device.; It is a multidimensional, disease-specific, self-administered questionnaire designed to measure health status outcomes in patients with arthritis.; The Visual Analogue Scale is a reliable and easily applicable scale used to measure the pain intensity of patients, accepted in the world literature.; Although the test has limited specificity in terms of differentiating clinical syndromes, it is a short, useful and standardized method that can be used to determine the cognitive level globally.
Other intervention name(s): 10 meter Walking Test
Observational model: Case-Control
Time perspective: Prospective
Sampling method: Non-Probability Sample
Study population: 
        For case group: Patients who come to Afyonkarahisar Health Sciences University Hospital
        Rheumatology Outpatient Clinic for treatment will constitute the case group of the study.

        For control group: Healthy individuals working in Afyonkarahisar Health Sciences University
        will constitute the control group of the study.