Cognition and motor function: The gait and cognition pooled index

Kueper, Jacqueline K; Lizotte, Daniel J.; Montero‐Odasso, Manuel; Speechley, Mark

doi:10.1371/journal.pone.0238690

Cited by 16 publications

(19 citation statements)

References 66 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These results highlight the higher predictive value of DT gait over simple task gait to discriminate between different stages of cognitive impairment (Montero-odasso et al, 2014;Bahureksa et al, 2017;Macaulay et al, 2017). DT model is consistent with the multidimensional analysis of gait (Aoki et al, 2019;Ehsani et al, 2019) or combining gait variables with cognitive tests, which allows gait to improve the sensitivity of detection of cognitive impairment during DT gait (Speechley et al, 2020).…”

Section: Discussionsupporting

confidence: 56%

Dual-Task Gait as a Predictive Tool for Cognitive Impairment in Older Adults: A Systematic Review

Ramírez

Gutiérrez

2021

Front. Aging Neurosci.

View full text Add to dashboard Cite

The use of the dual-task model as a cognitive-motor interface has been extensively investigated in cross-sectional studies as a training task in cognitive impairment. However, few existing longitudinal studies prove the usefulness of this tool as a clinical marker of cognitive impairment in older people. What is the evidence in prospective studies about dual-task gait as a predictor of cognitive impairment in older adults? This study aims to review and discuss the current state of knowledge in prospective studies on the use of dual-task gait as a predictive tool for cognitive impairment in older adults. The methodology used was a systematic review, according to the PRISMA criteria for the search, summarize and report. A search in 3 databases (Pubmed, Web of Science, and Scopus) was carried out until April 2021. The search terms used were: “(gait OR walking) AND (cognitive decline) AND (dual-task) AND (follow-up OR longitudinal OR long-term OR prospective OR cohort OR predict).” We included prospective research articles with older people with cognitive evaluation at the beginning and the end of the follow-up and dual-task gait paradigm as initial evaluation associated with the presentation of cognitive impairment prediction using any dual-task gait parameters. After exclusion criteria, 12 studies were reviewed. The results indicate that eight studies consider dual-task gait parameters a useful cognitive-motor tool, finding that some of the evaluated parameters of dual-task gait significantly correlate with cognitive impairment over time. The most promising DT parameters associated with cognitive impairment prediction seem to be gait speed, speed cost, DT time, numbers of words during DT, among others. In sum, this study reviews the variety of dual-task gait parameters and their relevance as a simple tool for early cognitive impairment screening, opening a diagnostic window for the screening of cognitive impairment in older people.

show abstract

Section: Discussionsupporting

confidence: 56%

Dual-Task Gait as a Predictive Tool for Cognitive Impairment in Older Adults: A Systematic Review

Ramírez

Gutiérrez

2021

Front. Aging Neurosci.

View full text Add to dashboard Cite

show abstract

“…Our results are consistent with other analyses, which show the association of dualtask tests with cognitive function [20][21][22]. Participants walked the standard TUG for the dual-task animals while subtracting serial 7s from 100 aloud or enumerating animals aloud.…”

Section: Discussionsupporting

confidence: 91%

“…A total of 155 (62%) cases TUG manual; 23 (9.2%) had cognitive and 72 (28.2%) physical problems while performing tasks. The median score was 16 (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23) seconds, stride number during the test-23 (19)(20)(21)(22)(23)(24)(25)(26)(27)(28), and while turning around-6 (5)(6)(7)(8). DTC was 11 (0-25)%.…”

Section: Single Task and Dual-task Gait Test Resultsmentioning

confidence: 99%

The Performance of Dual-Task Tests Can Be a Combined Neuro-Psychological and Motor Marker of Mild Cognitive Impairment, Depression and Dementia in Geriatric Patients—A Cross-Sectional Study

Kasiukiewicz

Magnuszewski

Swietek

et al. 2021

JCM

View full text Add to dashboard Cite

The study aims to assess the performance of dual-task tests in the geriatric population and their association with the cognitive status of the patients. Methods: Patients admitted to the Department of Geriatrics, Hospital of the Ministry of Interior and Administration on Bialystok, Poland, in 2019 and 2020 were enrolled in the study. Data on the patients’ clinical, functional, and cognitive status were collected based on the comprehensive geriatric assessment. Dual-task tests included Timed Up and Go (TUG) test while counting backward (CB7), enumerating animals (EA), and holding a cup (TUG M). Results: 250 patients were included in the study, with a median age of 81.5 years (IQR 76–86) and most above 75 years of age (80.8%). Only 29 (11.6%) of study participants had no cognitive or mood disorders. Depression was diagnosed in 30.4%, MCI in 12%, and dementia in 38.4% of cases with median Mini-Mental Score Evaluation (MMSE) 17 (12–20) points. Dual-task TUG CB7 results did not differ between cognitive conditions of patients. TUG EA differed between healthy controls and other cognitive groups and TUG between healthy controls and depression and dementia, but not mild cognitive impairment (MCI). The performance of all dual-task tests differed in patients with and without dementia. Ability to finish TUG CB7 was low even in the group without dementia. There were statistically significant differences in median scores of MMSE and Clock Drawing Test (CDT) between patients who were able or not to finish single and dual-task gait tests. Conclusion: Dual-task test results and the performance of these tasks can differentiate patients with depression, MCI and dementia compared to healthy controls in the geriatric population.

show abstract

“…The presence of associations between cognition and poor physical function performance was observed even using an ultra-fast screening tool, the 10-CS, corroborating previous studies in the literature that observed the association between cognition and physical function using the MMSE or MoCA as cognitive screening (Montero et al, 2017;Kueper et al, 2020).…”

Section: Discussionsupporting

confidence: 87%

Association of the cognition with grip strength and functional clinical tests in community-dwelling older adults

Santana

Abreu

Porto

et al. 2022

RSD

View full text Add to dashboard Cite

Objective: Explore the association of cognitive decline with handgrip strength and performance in clinical functional tests of Brazilian older adults living in the community. Methodology: Cross-sectional study community-dwelling, 101 community-dwelling older adults (45 men and 56 woman) aged 60 years or older with no mobility limitation. Cross-sectional study involving 101 individuals (45 men and 56 woman) aged 60 years or older with no mobility limitation. Cognition was assessed by the 10-point Cognitive Screener (10-CS). Grip strength was assessed using a manual dynamometer. Functional performance was assessed using gait speed (single and double task) and the Timed Up and Go (TUG) test (single and double task). Results: A significant positive association was found between cognition and handgrip strength, gait speed (single and double task), TUG (single and double task), maintaining the association even after adjustments for confounding variables. Conclusion: Decline in cognitive function is associated with low handgrip strength and worse performance in clinical tests of gait speed and TUG with a single and dual task. Prevention of cognitive decline is an important modifiable condition that must be addressed in clinical practice through cognitive-motor training to prevent functional loss and promote healthy aging.

show abstract

Cognition and motor function: The gait and cognition pooled index

Cited by 16 publications

References 66 publications

Dual-Task Gait as a Predictive Tool for Cognitive Impairment in Older Adults: A Systematic Review

Dual-Task Gait as a Predictive Tool for Cognitive Impairment in Older Adults: A Systematic Review

The Performance of Dual-Task Tests Can Be a Combined Neuro-Psychological and Motor Marker of Mild Cognitive Impairment, Depression and Dementia in Geriatric Patients—A Cross-Sectional Study

Association of the cognition with grip strength and functional clinical tests in community-dwelling older adults

Contact Info

Product

Resources

About