Here are some cognitive dual tasking ideas that you can try. These have been used in research studies and we often use these ideas in our clinic to train dual tasking, particularly in balance and walking training.
Randomly naming numbers between 100 and 500 (without repetition or consecutively)
Randomly naming odd (or even) numbers between 1 and 100 (without repetition or consecutively)
What is it?
Peripheral neuropathy refers to the many conditions that result in impairment to the peripheral nervous system (PNS). The role of the PNS, which is a vast communication network within our body, is to relay information between the central nervous system (the brain and spinal cord) and all other parts of the body. Peripheral nerves send different types of information to the central nervous system, including pain, temperature, touch, proprioception and pressure, to name a few.
There are 3 main types of nerves that can be affected in the PNS:
When we are working on balance in the clinic we are always trying to get someone to challenge their balance to make change.
In fact we know that to really improve your balance fast you need to be off balance about 50% of the time. When we are working on balance the aim for us is not to always make you still.
We often are trying to get you practising recovering your balance or integrating your sensors to makes sure all the systems are working well together.
Here Belinda describes how she has been challenging her balance.
"Decided to mix up my daily walk a few days ago (in sunnier times) and challenge my brain and body to do something more novel and out of my normal comfort zone.
It’s amazing how many systems were at play to help me negotiate these rocks safely. Our brains are remarkable, integrating all the information and sensory inputs in order to give an efficient and appropriate output = BALANCE
.... vestibular, vision, depth perception, balance reactions, postural adjustments, proprioception, motor control, coordination, planning, concentration... just to name a few.
Some conscious and many subconsciously working
I was definitely loosing my balance 50% of the time which was putting me in an ideal training zone for balance retraining.
The best part was that this was fun.
If you want to have better balance you need to train all the systems. Train the inputs to improve the output.
When ever we train balance however we do weigh up safety and confidence. But remember no challenge no change.
Owner/operator and Senior Physiotherapist of Hibiscus Neuro Rehab.