Dual-task intervention based on trail making test: Effects on Parkinson's disease

Silva, Renata do Nascimento; Afonso, Sabrina Vilela; Felipe, Luana Rosseto; Oliveira, Rafael A.; Patrizzi, Lislei Jorge; Souza, Luciane Aparecida Pascucci Sande de

doi:10.1016/j.jbmt.2021.04.013

Cited by 18 publications

(20 citation statements)

References 38 publications

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“…Evidence suggests that an intervention which integrates cognitive training with standard motor training is the best approach to ensure that patients are more autonomous in their everyday motor activities, thus reducing the risk of falling and its consequences [ 6 , 16 , 22 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of Dual-Task Motor-Cognitive Training in Preventing Falls in Vulnerable Elderly Cerebrovascular Patients: A Pilot Study

et al. 2022

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Falling is a frequent and major clinical problem among older adults, as well as in patients with chronic cerebrovascular diseases (CVD). At present, sequential (mixed) and simultaneously (dual-task) motor-cognitive trainings are the best approaches to affording patients more autonomy in their everyday motor independence while reducing fall risks and consequences. The objective of this study was to evaluate the efficacy of an advanced and innovative dual-task motor-cognitive rehabilitation program on fall risks in vulnerable older persons with chronic CVD. To this purpose, 26 consecutive older fallers with chronic CVD were recruited, and completed a mixed motor-cognitive or a dual-task motor-cognitive training program. Each patient also underwent two test evaluations to assess balance, gait, fear of falling, and walking performance at pre-and post-intervention. We found that our experimental motor-cognitive dual-task rehabilitation program could be an effective method to improve walking balance, gait, walking speed, and fear of falling, while reducing the risk of falls in older people with chronic CVD. Furthermore, results show that the simultaneous motor-cognitive training is more effective than the sequential motor-cognitive training. Therefore, our study brings innovative data, which can contribute positively to the management of this population.

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Section: Introductionmentioning

confidence: 99%

Effect of Dual-Task Motor-Cognitive Training in Preventing Falls in Vulnerable Elderly Cerebrovascular Patients: A Pilot Study

et al. 2022

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“…Regarding the analysis of Model II, a statistically significant regression model was also found for gait speed in the single-task condition (F (3,36) = 165.14, p < 0.01) and visual (F (2,34) = 5.41, p < 0.01), verbal (F (2,35) = 307.49, p < 0.01), auditory (F (4,35) = 37.39, p < 0.01), and motor (F (2,37) = 197.58, p < 0.01) dual-task conditions. The single-task speed model accounted for 93% of the variance, while in the visual, verbal, auditory, and motor dualtasks conditions, the models explained 24%, 94%, 81%, and 91% of the variance, respectively.…”

Section: Formatting Of Mathematical Componentsmentioning

confidence: 90%

“…Both parts of the TMT reflect the visual search function and motor speed, while the TMTb also captures set shifting, attention switching, simultaneous maintenance of two sequences, and the working memory. The Trail Making Test is a reliable [34] and valid tool [35] when assessing an adult population, and has been broadly used in research on people with PD [36,37].…”

Section: • Executive Cognitive Functionsmentioning

confidence: 99%

Relevance of Sociodemographics and Clinical Tests in Single- and Dual-Task Conditions as Gait Speed Predictors of Parkinson’s Disease

Valenzuela

Dueñas

Tomás

et al. 2022

JCM

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This cross-sectional study aimed to identify the patient characteristics and clinical test results that predict the functional gait speed of people with Parkinson’s disease (PD). The impact of dual tasks on gait in Parkinson’s disease (PD) reveals a lack of automaticity and increased cognitive demands. We explored which characteristics explained walking speed with and without dual-task interference and if they reflected the cognitive demands of the task. The preferred gait speed, stride length, and cadence were measured in individuals with PD through five conditions: single-task (ST) and visual, verbal, auditory, and motor dual-tasks (DTs). Sociodemographic and disease characteristics and the results from clinical tests such as the Dynamic Parkinson’s Disease Gait Scale (DYPAGS), Frontal Assessment Battery (FAB), and Parkinson’s Disease Questionnaire-39 (PDQ-39), among others, were also recorded. Two models of multiple regression analysis were used to explore the predictive value of outcomes concerning speed. In Model I, clinical results were included, and in Model II, spatiotemporal variables were added to the significant predictors of Model I. Forty PD patients (aged 66.72 (7.5) years) completed the assessments. All the models generated were significant (p < 0.01). Models I and II accounted for 47% and 93% of the variance, respectively, in the single-task condition. A patient’s gender, prescribed medication (drugs), academic level, and Hoehn and Yahr (H&Y) stage, along with the FAB, DYPAGS, and PDQ-39 scores, were significant predictors of gait speed in Model I for the ST and DT conditions. In Model II, the H&Y stage and prescribed medication (drugs), along with the FAB and DYPAGS scores, remained significant predictors. This research found that sociodemographics, the patient’s stage disease, and their clinical test results contribute to their walking speed, highlighting the multifactorial nature of gait in demanding environments.

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“…For example, intervention programs for static balance, lower-limb function, and mobility are widely used to improve older people's function ( 11 , 17 , 45 ). The Trail Making tests for cognitive training in this system are often used to assess cognitive function, but at the same time, they can be used as the intervention program because they train attention, sequencing, and cognitive flexibility ( 46 ). Furthermore, our system not only provided intervention programs with customized difficulty levels based on the results of the embedded multifactorial fall risk assessment, but also adjusted difficulty levels dynamically with scientific principles depending on user performance.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness and Usability of a Novel Kinect-Based Tailored Interactive Fall Intervention System for Fall Prevention in Older People: A Preliminary Study

Kim

Xiong

2022

Front. Public Health

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Falls are prevalent among older people and can lead to serious health problems. We newly developed a novel Kinect-based tailored interactive fall intervention system, which seamlessly integrates multifactorial fall risk assessment and tailored intervention programs to prevent falls in older people. This preliminary study aimed to examine the effectiveness and usability of this developed system for fall prevention in older people. Thirty community-dwelling older women participated in this experiment; they were allocated to an intervention group (IG) or a control group (CG) for a quasi-randomized trial (15 people each). Participants in IG followed an 8-week tailored intervention (40 min/session × 2 sessions/week × 8 weeks) using the Kinect-based interactive fall intervention system, while participants in CG maintained their habitual activities. Various outcome measures were evaluated at baseline (Week 0), interim (Week 4), and post-intervention (Week 8). Experimental results showed that IG led to significant improvements in TUG-Timed Up and Go (p = 0.010), BBS-Berg Balance Scale (p = 0.011), and Montreal Cognitive Assessment-MoCA (p = 0.022) between baseline and post-intervention. In comparison to the baseline, TUG and BBS were even significantly improved at interim (p = 0.004 and 0.047, respectively). There were no significant changes in static balance-related performance outcomes and the Short Falls Efficacy Scale-SFES after the intervention. Whereas in CG, most performance measures did not show significant changes during the 8-week period, TUG completion time became significantly longer at post-intervention in comparison to interim (p = 0.028) and fear of falling was also significantly higher at post-intervention than baseline (p = 0.021). These findings suggest that the Kinect-based 8-week tailored interactive fall interventions effectively improved older people's physical and cognitive abilities. Regarding the usability of the developed system, the average System Usability Scale (SUS) score was 83.5 out of 100, indicating excellent system usability. The overall mean Computer Literacy Scale (CLS) score was 2.5 out of 26, showing that older participants in this study had very limited experience with computers. No significant correlation between SUS and CLS scores demonstrated that newly developed Kinect-based tailored interactive fall intervention system was easy to use for older people, regardless of their computer experience. This novel system should help health professionals and older people proactively manage the risk of falls.

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Dual-task intervention based on trail making test: Effects on Parkinson's disease

Cited by 18 publications

References 38 publications

Effect of Dual-Task Motor-Cognitive Training in Preventing Falls in Vulnerable Elderly Cerebrovascular Patients: A Pilot Study

Effect of Dual-Task Motor-Cognitive Training in Preventing Falls in Vulnerable Elderly Cerebrovascular Patients: A Pilot Study

Relevance of Sociodemographics and Clinical Tests in Single- and Dual-Task Conditions as Gait Speed Predictors of Parkinson’s Disease

Effectiveness and Usability of a Novel Kinect-Based Tailored Interactive Fall Intervention System for Fall Prevention in Older People: A Preliminary Study

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