Everyday functioning of people with Parkinson’s disease and impairments in executive function: a qualitative investigation

Kudlicka, Aleksandra; Hindle, John V.; Spencer, Laura E; Clare, Linda

doi:10.1080/09638288.2017.1334240

Cited by 39 publications

(37 citation statements)

References 54 publications

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“…Specifically, results indicated difficulty with strategies used to plan complex task performance, solve problems during task performance, and monitor and evaluate ongoing performance. These results support prior research that suggests that people with PD report problems with executive functions in daily life (23,24).…”

Section: Discussionsupporting

confidence: 89%

Applied cognitive strategy behaviours in people with Parkinson´s disease during daily activities: A cross-sectional study

Sturkenboom

Nott²,

Bloem

et al. 2020

J Rehabil Med

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When performing daily activities, people use internally generated cognitive strategies, or ways of thinking, to plan and execute appropriate actions. This is known as applied cognition. This article describes a study that sought to measure the efficiency of applied cognition of 190 persons with non-dementing Parkinson's disease who were living at home. Participants were asked to perform a usual activity in their own homes. Their performance was videotaped and scored by assessors. The standardized observation instrument measured the effective use of 34 applied cognitive strategy behaviours. These behaviours represent 4 information-processing domains: attention and sensory processing (Perceive), accessing task-related knowledge (Recall), planning and evaluation (Plan), and performance control (Perform). The results indicated that applied cognitive strategies used to plan, evaluate and control performance were the least efficient. The most efficient were those used for sensory discrimination and recalling facts. The subgroup with the more advanced Parkinson's disease had the least efficient use of applied cognition. The results may inform further development of suitable interventions to optimize activity performance. Objective: To explore the use of applied cognitive strategy behaviours during performance of daily activities in people with Parkinson's disease. Design: Quantitative cross-sectional design. Methods: A total of 190 persons living at home with non-dementing Parkinson's disease were videotaped while performing a self-chosen activity in their natural environment. The videotaped performance was scored using the "Perceive, Recall, Plan & Perform System of Task Analysis" to measure: (i) performance mastery; and (ii) effective use of 34 cognitive strategy behaviours covering: attention and sensory processing (Perceive), accessing taskrelated knowledge (Recall), response planning and evaluation (Plan) and performance control (Perform). Mean performance mastery and a hierarchy of least to most effective applied cognitive strategy behaviours were determined for the total group and for 2 subgroups based on disease severity. A multifaceted Rasch model was used for data analysis. Results: Mean performance mastery was 56% (standard deviation 28%). Least efficient cognitive strategy behaviours were those used for planning, evaluating and controlling performance and most efficient strategies were those used for sensory discrimination and recalling factual information. More advanced disease indicated less efficient use of applied cognition. Conclusion: The results suggest that the efficiency of applied cognitive strategy behaviours is compromised in a certain pattern in people with Parkinson's disease, and that it declines with disease progression.

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Section: Discussionsupporting

confidence: 89%

Applied cognitive strategy behaviours in people with Parkinson´s disease during daily activities: A cross-sectional study

Sturkenboom

Nott²,

Bloem

et al. 2020

J Rehabil Med

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“…These high-level functions governing goal-directed action are highly vulnerable in neurodegenerative diseases, 19 -23 and their impairment impacts patients’ daily life. 24,25 Based on a large cohort of patients, Godefroy and colleagues reported that the dysexecutive syndrome is a significant predictor of loss of autonomy. 19 Executive impairments have been described in several neurodegenerative diseases involving the frontal lobes and/or the striatofrontal circuits, such as frontotemporal dementia, 26 -28 Parkinson’s disease, 29,30 Lewy body dementia, 31 progressive supranuclear palsy, 32 corticobasal degeneration, 33,34 or vascular dementia.…”

Section: Introductionmentioning

confidence: 99%

How to Assess Executive Functions in a Low-Educated and Multicultural Population Using a Switching Verbal Fluency Test (the TFA-93) in Neurodegenerative Diseases?

Narme

Maillet

Palisson³

et al. 2019

Am J Alzheimers Dis Other Demen

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Few neuropsychological tests are available to assess executive dysfunction in low-educated and multicultural populations. To address this issue, the TFA-93, a switching verbal fluency test to assess cognitive flexibility, was administered to 70 healthy controls, 57 patients with a clinical diagnosis of Alzheimer’s disease, and 21 with a clinical diagnosis of a neurodegenerative disease associated with frontal disorders. Most of the participants were low-educated and nonnative French speakers. The TFA-93 comprises 2 categorical fluency tasks (animals and fruits) and a fluency task in which participants have to switch between animals and fruits. Correct responses and errors were collected, and a flexibility index expressed the switching cost. Results showed that correct responses were lower, and the switching cost was greater in both patient groups. In low-educated and multicultural populations, the TFA-93 seems to be a good alternative to assess flexibility compared to the standard neuropsychological tools based on academic abilities.

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“…Executive function deficits are usually the most predominant (deficits in planning, abstract reasoning, and verbal fluency), along with memory deficits and visual-spatial deficits [ 16 ]. Similarly, cognitive impairments have an emotional impact on patients, which adds to the burden of physical symptoms of PD [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Falls Prevention and Quality of Life Improvement by Square Stepping Exercise in People with Parkinson’s Disease: Project Report

Mayoral-Moreno

Chimpén‐López

Rodríguez-Santos

et al. 2021

JPM

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Parkinson’s disease (PD) is a chronic neurodegenerative disorder that affects physical, psychological, and social quality of life. Square Stepping Exercise (SSE) is an effective balance training program to prevent falls and to stimulate cognitive function in the elderly; however, no study has analyzed the effect of SSE in people with PD. The main objective is to investigate whether the application of SSE is safe, applicable, and can improve balance, and is effective in preventing falls, improving cognitive and psychological aspects and thus maximize quality of life in people with PD. Methods/Design: SSE will be performed three times per week for 8 weeks with an additional month follow-up after the intervention. Sixty people with PD will participate, randomly distributed into two groups: experimental group (SSE: n = 30) and control group (Usual care: n = 30). The primary measurements will be: (1) Applicability, (2) Safety, (3) Balance, and (4) Annual number of falls. Secondary measurements will be: (1) Sociodemographic information, (2) Physical condition, (3) Health-related quality of life, (4) Depressive symptoms, (5) Cognitive aspects, (6) Perceived functional social support, and (7) Anticipatory cognition.

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Everyday functioning of people with Parkinson’s disease and impairments in executive function: a qualitative investigation

Cited by 39 publications

References 54 publications

Applied cognitive strategy behaviours in people with Parkinson´s disease during daily activities: A cross-sectional study

Applied cognitive strategy behaviours in people with Parkinson´s disease during daily activities: A cross-sectional study

How to Assess Executive Functions in a Low-Educated and Multicultural Population Using a Switching Verbal Fluency Test (the TFA-93) in Neurodegenerative Diseases?

Falls Prevention and Quality of Life Improvement by Square Stepping Exercise in People with Parkinson’s Disease: Project Report

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