The effects of dual-task in patients with Parkinson’s disease performing cognitive-motor paradigms

Chang, Hsiu-Chen; Chen, Chiung-Chu; Liaw, Jiunn-Woei; Chiou, Wei-Da; Weng, Yi-Hsin; Chang, Ya-Ju; Lu, Chin‐Song

doi:10.1016/j.jocn.2020.01.024

Cited by 15 publications

(12 citation statements)

References 39 publications

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“…[16][17][18] Carrying out two tasks simultaneously is difficult for these individuals. 19 Executive function deficit, mainly inhibitory control and mental flexibility, has been associated with gait impairment and freezing of gait (FOG). 11,20,21 Another study revealed that gait and balance are related to specific cognitive skills, suggesting similar cerebral cortical circuitry for mobility and cognitive function.…”

Section: Introductionmentioning

confidence: 99%

Cross-sectional associations between cognition and mobility in Parkinson’s disease

Sousa

Macedo²,

Brucki

2021

Dement. neuropsychol.

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ABSTRACT. Cross-sectional studies show an association of decline in mental flexibility and inhibitory control with reduced gait speed and falls, as well as divided attention deficit and difficulty in initiating gait. Objective: To investigate the relationships between cognitive function and gait performance in patients with Parkinson’s disease (PD) who participated in a hospital neurorehabilitation program. Methods: A total of 107 patients (79 males, 28 females; mean age 61.00±8.2 years; mean schooling 11.7±4.1 years) with idiopathic PD (mean disease duration 5.5±4.1 years) were recruited for this study. Among them, 78.50% were in stages I and II of the Hoehn & Yahr Scale. Cognitive functions were evaluated through the Digit Span test, Trail Making Test, and Addenbrooke’s Cognitive Examination III. Motor function was assessed with the 10-Meter Walk Test, the short version of the Balance Evaluation Systems Test (Mini-BESTest), and the Timed Up and Go Test. Results: Balance skills were significantly correlated with global cognition and specific domains, including divided attention, verbal fluency, and visuospatial function. Functional mobility showed a significant association with all cognitive tests, except for the number of errors on TMT-A. Gait speed presented a significant correlation with global cognition scores, memory, and attention, including divided attention. Conclusions: These findings might help early identification of cognitive deficits or motor dysfunctions in PD patients who may benefit from rehabilitation strategies, as well as facilitate fall risk assessments and strategies to prevent falls. Future prospective studies are needed to investigate the effects of cognitive training on motor performance, since the difficulty in motor rehabilitation may be more related to cognitive loss than to motor damage.

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Section: Introductionmentioning

confidence: 99%

Cross-sectional associations between cognition and mobility in Parkinson’s disease

Sousa

Macedo²,

Brucki

2021

Dement. neuropsychol.

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“…proposed that DT could interfere with motor function and cognitive performance, and this interference was likely caused by the types of motor tasks completed. 35 Therefore, dual tasks such as cognition-walking and cognition-bicycle were evaluated for motor and cognition function. Hsiu-Chen et al.…”

Section: Research Results and Analysismentioning

confidence: 99%

Dual-task training to improve cognitive impairment and walking function in Parkinson's disease patients: A brief review

Zheng

Meng

Xiao

et al. 2021

Sports Medicine and Health Science

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“…It has been reported that practice had an influence on the walking time component of a cognitive dual-task performance, while it had no effect on a motor dual-task activity [15]. In addition, the cognitive ability of PD patients was improved by cycling with cognitive tasks [27, 28]. Not only did training for several weeks have an impact on the motor outcome, but training with dual-tasks for one session also influenced the spatiotemporal walking parameters of PD patients [29].…”

Section: Discussionmentioning

confidence: 99%

Cognitive improvement after dual-task training in Parkinson’s disease: a follow-up study

Szögedi

Stone

Dinya

et al. 2022

Preprint

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The reaction times of patients with Parkinson’s disease (PD) in tests of simultaneous dual-task accuracy are dependent on the subjects’ cognitive ability. We now report that one week training on dual-task tests improved cognitive function. Forty-six PD patients were compared with 47 age matched healthy controls and 26 patients were followed for one year. Five dual-task tests consisting of a primary cognitive task to be performed simultaneously with a secondary motor task were repeated for five consecutive days. Testing was repeated after 6 and 12 months. Participants’ reaction times, including Hits and Misses, were quantified. Initial tests indicated slower reaction times in patients compared to controls, with fewer Hits and more Misses, especially in PD patients over 65 years of age. Training by daily repeated dual-task tests improved performance within 3 days (p < 0. 01 or p < 0.001), with no deterioration after 6 months. We conclude that dual-tasks are objective and sensitive tests for detecting early cognitive difficulties in PD, with improvements in both by repeated exposure to testing. A few days of testing produced cognitive improvement lasting many months. It is recommended that the use of simultaneous, dual-task testing is used to produce long-lasting improvement of cognitive function in PD patients.

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The effects of dual-task in patients with Parkinson’s disease performing cognitive-motor paradigms

Cited by 15 publications

References 39 publications

Cross-sectional associations between cognition and mobility in Parkinson’s disease

Cross-sectional associations between cognition and mobility in Parkinson’s disease

Dual-task training to improve cognitive impairment and walking function in Parkinson's disease patients: A brief review

Cognitive improvement after dual-task training in Parkinson’s disease: a follow-up study

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