The use of Motor and Cognitive Dual-Task quantitative assessment on subjects with mild cognitive impairment: A systematic review

Mancioppi, Gianmaria; Fiorini, Laura; Rovini, Erika; Cavallo, Filippo

doi:10.1016/j.mad.2020.111393

Cited by 19 publications

(12 citation statements)

References 66 publications

(64 reference statements)

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“…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%

“…In recent years an increasing interest in dual-task interference has been evaluated. In a systematic review provided by Mancioppi G et al, 1939 records were identified through database searching years 2010-2020, with 347 full-text articles and 38 studies included in the meta-analysis [19]. The use of single and dual gait speeds was recommended in Canadian guidelines on non-cognitive markers of dementia [17].…”

Section: Discussionmentioning

confidence: 99%

“…Depression was diagnosed in 76 (30.4%) and mild cognitive impairment in 30 (12%) of patients. Dementia was diagnosed in 38.4% of cases with median MMSE 17 (12)(13)(14)(15)(16)(17)(18)(19)(20) points and CDT 0 (0-3) points. A total of 44 (17.6%) patients were diagnosed with mild stage, 30 (12%) with moderate, and 22 (8.8%) with a severe stage of dementia.…”

Section: Mental State Of the Patientsmentioning

confidence: 99%

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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

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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.

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Section: Single Task and Dual-task Gait Test Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Mental State Of the Patientsmentioning

confidence: 99%

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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

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“…Based on this, dual-task performance depends on mobility, cognitive function and the interplay between cognition and motor control [ 59 ]. The cognitive dual-task testing paradigm was thus considered as a valuable tool for the early detection of mobility and cognitive decline [ 17 , 60 ]. In this study, although no between-group statistical differences were found in 8UG CT and DTC CT , the MCI group tended to have a longer 8UG time and higher DTC value under CT than ST.…”

Section: Discussionmentioning

confidence: 99%

Do the dual-task “8-foot up and go” tests provide additional predictive value for early detection of cognitive decline in community-dwelling older women?

et al. 2022

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Background The 8-Foot Up and Go (8UG) test is a widely used mobility assessment. Some dual-task mobility assessments have been developed to help detect cognitive decline. Aims This study developed a dual-task version of 8UG test to investigate the dual-task 8UG performance and to evaluate the ability of dual-task 8UG test in detecting cognitive decline. Methods A total of 101 eligible community-dwelling women aged 60–74 years were grouped into the mild cognitive impairment group (MCI, n = 49) and the non-cognitive impairment group (NCI, n = 52). The 8UG tests under single-task (ST), manual dual-task (MT), and cognitive dual-task (CT) conditions were performed respectively. The dual-task cost (DTC) and the correct response rate (CRR) were calculated to quantify the dual-task interference. Results Participants spent more time in performing the 8UG test under dual-task conditions. No differences were observed between NCI and MCI groups for 8UG parameters under ST and MT conditions (p > 0.05). When executing CT, significant differences were found in the number of correct answers and CRR (p < 0.05). CRR showed the strongest ability to predict MCI with a cut-off point of 0.50 (71.2% sensitivity and 61.2% specificity). Discussion Both manual and cognitive dual-task were found to interfere with the 8UG performance. CRR with cutoff point of 0.50 could be a potential predictor of MCI in community-dwelling older women. Conclusions The CRR of the cognitive dual-task 8UG test could be recommended as a potential predictor for the early detection of MCI in community-dwelling older women.

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“…The activities of daily life usually involve simultaneous cognitive and motor performance or dual-tasking. Such activities like walking while talking and avoiding obstacles or making turns, become challenging with advancing age ( Mancioppi et al, 2020 ). Dual-task performance can predict the deterioration of gait and cognitive decline in people with neurological deficits.…”

Section: Introductionmentioning

confidence: 99%

A novel dual-task paradigm with story recall shows significant differences in the gait kinematics in older adults with cognitive impairment: A cross-sectional study

Ali

Liu

Tian

et al. 2022

Front. Aging Neurosci.

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ObjectiveCognitive and motor dysfunctions in older people become more evident while dual-tasking. Several dual-task paradigms have been used to identify older individuals at the risk of developing Alzheimer’s disease and dementia. This study evaluated gait kinematic parameters for dual-task (DT) conditions in older adults with mild cognitive impairment (MCI), subjective cognitive decline (SCD), and normal cognition (NC).MethodThis is a cross-sectional, clinical-based study carried out at the Zhongshan Rehabilitation Branch of First Affiliated Hospital of Nanjing Medical University, China.ParticipantsWe recruited 83 community-dwelling participants and sorted them into MCI (n = 24), SCD (n = 33), and NC (n = 26) groups based on neuropsychological tests. Their mean age was 72.0 (5.55) years, and male–female ratio was 42/41 (p = 0.112). Each participant performed one single-task walk and four DT walks: DT calculation with subtracting serial sevens; DT naming animals; DT story recall; and DT words recall.Outcome and measuresKinematic gait parameters of speed, knee peak extension angle, and dual-task cost (DTC) were obtained using the Vicon Nexus motion capture system and calculated by Visual 3D software. A mixed-effect linear regression model was used to analyze the data.ResultsThe difference in gait speed under DT story recall and DT calculation was −0.099 m/s and − 0.119 m/s (p = 0.04, p = 0.013) between MCI and SCD, respectively. Knee peak extension angle under DT story recall, words recall, and single task was bigger in the MCI group compared to the NC group, respectively (p = 0.001, p = 0.001, p = 0.004). DTC was higher in the DT story recall test than all other DT conditions (p < 0.001).ConclusionKinematic gait parameters of knee peak extension angle for the DT story recall were found to be sensitive enough to discriminate MCI individuals from NC group. DTC under DT story recall was higher than the other DT conditions.

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The use of Motor and Cognitive Dual-Task quantitative assessment on subjects with mild cognitive impairment: A systematic review

Cited by 19 publications

References 66 publications

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

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

Do the dual-task “8-foot up and go” tests provide additional predictive value for early detection of cognitive decline in community-dwelling older women?

A novel dual-task paradigm with story recall shows significant differences in the gait kinematics in older adults with cognitive impairment: A cross-sectional study

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