Effects of dual-task interventions on gait performance of patients with Parkinson’s Disease: A systematic review

Santos, Luís; Campos, Carlos Eduardo Aguilera; Bento, Teresa; Lattari, Eduardo; Nardi, Antônio Egídio; Rocha, Nuno; Machado, Sérgio

doi:10.5935/medicalexpress.2016.04.01

Cited by 7 publications

(7 citation statements)

References 41 publications

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“…In addition, the performance of simultaneous tasks, such as walking while talking with friends and watching the world around us, is necessary during daily activities. Therefore, motor and cognitive tasks do not always require conscious attention and can be performed automatically [47]. Further study is needed to investigate the effects of dual-task performance on postural stability in individuals with CMS.…”

Section: Discussionmentioning

confidence: 99%

Effects of head motion on postural stability in healthy young adults with chronic motion sensitivity

et al. 2020

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Background: Motion sensitivity, or motion sickness, is common in modern vehicular and visually stimulating environments. Several studies have shown a relationship between motion sensitivity and decreased postural stability. We aimed to evaluate the effects of head motion (horizontal and vertical) on postural stability in healthy adults with and without chronic motion sensitivity (CMS). Methods: Sixty healthy adult men and women (age, 20-40 years) with CMS (CMS group, n = 30) and without CMS (non-CMS group, n = 30) participated in the study. Postural stability was assessed during three conditions (static, horizontal head motion, and vertical head motion) using computerized dynamic posturography. Group and condition-related differences in equilibrium scores were evaluated. Results: There was no significant group x condition interaction (F 2,114 = 0.9, partial ƞ 2 = 0.04, p = 0.35). However, significant condition-related differences in equilibrium scores were observed (F 2,114 = 26.4, partial ƞ 2 = 0.31, p < 0.001). Equilibrium scores were significantly worse in the horizontal and vertical head motion conditions compared to those in the static condition (p < 0.001), but were comparable in vertical and horizontal head motion conditions (p = 0.27). Conclusions: Postural stability was lower in the horizontal and vertical conditions compared to the static condition. However, horizontal and vertical head motions had comparable effects on postural stability in both CMS and non-CMS groups, contrary to our expectations.

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Section: Discussionmentioning

confidence: 99%

Effects of head motion on postural stability in healthy young adults with chronic motion sensitivity

et al. 2020

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“…This illness is characterized by both motor and no motor symptoms that produce some challenges to activities of daily living and quality of life (1). The main motor symptoms include tremor, rigidity, bradykinesia, and postural instability (3). Patients with PD usually present with cognitive impairments including deficits in executive function, attention, working memory and visuospatial domains that can interfere with mobility (4).…”

Section: Introductionmentioning

confidence: 99%

The Effects of Cognitive and Motor Dual-Task Training on Improvement of Balance, Quality of Life, and Fear of Falls in People with Idiopathic Parkinson’s Disease

Pourkhani¹,

Daneshmandi²,

Norasteh³

et al. 2020

Ann Appl Sport Sci

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Background. Parkinson's disease (PD) is characterized by motor and non-motor symptoms that affect patients' functional performances, especially while performing dual tasks which is a critical factor in connection with everyday living. There are many controversies about the benefits. Objectives. This study assessed the efficacy of motor and cognitive dual-task training programs for improving of balance, quality of life, and fear of falls in people with idiopathic Parkinson's disease. Methods. About 30 PD patients (Hoehn and Yahr stage II-III while ON medication) were assigned to a cognitive dual-task training group (n = 10), a motor dual-task training group (n = 10), or a single task control group (n = 10). All groups received 30 sessions of different exercises for ten consecutive weeks. Balance, quality of life, and fear of falls respectively assessed with Time Up and Go Test (TUG) and Trial Walk Test (TWT), Parkinson's Disease Questionnaire-39 (PDQ-39), and FES-I, before and after training and after one-month followup. Results. No significant time by group interaction were found, suggesting both dual-task and single-task training had a similar effect on outcome measures (p > 0.05). A significant post-training improvement in TUG (F = 535.54, p < 0.00), PDQ-39 (F = 463.52, p < 0.001), TWT (F = 284.89, p < 0.001), and FES-I (F = 266.4, p < 0.001) was found after single and dual-task training. These improvements were maintained at follow-up, although the effect was slightly reduced (p < 0.05). Conclusion. Motor/cognitive dual-task training and single-task training were found to be moderately effective in improvement of balance, quality of life, and decrease of fear of falls in people with PD.

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“…This illness is characterized by both motor and non-motor symptoms that disrupt activities of daily living [1]. The main motor symptoms include tremor, rigidity, bradykinesia, and postural instability [3]. Patients with PD usually experience cognitive impairments, including deficits in executive function, attention, working memory, and visuospatial domains that can interfere with their mobility [4].…”

Section: Introductionmentioning

confidence: 99%

“…Santos et al in a systematic review, reported that different types of dual-task interventions could improve some gait parameters in patients with PD [3]. As mentioned above, since the people in their activities of daily living face with DT conditions a lot, DT training could be beneficial, especially in patients with balance and gait disorders like PD.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Cognitive and Motor Dual-task Training on Improvement of Balance and Some Spatiotemporal Gait Parameters in People With Idiopathic Parkinson's Disease

Pourkhani

Daneshmandi

Norasteh

et al. 2019

Caspian J Neurol Sci

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Background: Parkinson disease (PD) is characterized by motor and non-motor symptoms that affect patients’ functions, especially while performing dual-tasks a critical factor in everyday living. However, many controversies exist about the benefits of dual-task training in patients with PD. Objectives: This study assessed the efﬁcacy of motor and cognitive dual-task training in improving balance and gait parameters in people with idiopathic PD. Materials & Methods: A single-blind controlled trial was conducted on PD patients living in Guilan Province of Iran, in 2018-2019. A total of 30 PD patients (Hoehn and Yahr stage II-III while on medication) were assigned to the cognitive dual-task training group (n=10), motor dual-task training group (n=10), and single-task control group (n=10). All groups received 30 sessions of different exercises for 10 consecutive weeks. The patients’ balance and some spatiotemporal gait parameters were respectively assessed with timed up and go test and HD VideoCam-Kinovea before and after training and then 1 month later. Results: Both dual-task and single-task trainings improved the outcome measures (timed up and go test (F=535.54; P=0.000), stride length (F=87.41; P=0.00), stride time (F=102.11; P=0.00), cadence (F=286.36; P=0.00), swing time (F=48.90; P=0.00), and stance time (F=40.56; P=0.00)). These improvements were maintained at 1-month follow-up, although the effect slightly reduced. No signiﬁcant differences were found between the study groups (P>0.05). Conclusion: Motor/cognitive dual-task training and single-task training were found to be significantly and equally effective in improving balance and gait parameters in people with PD.

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Effects of dual-task interventions on gait performance of patients with Parkinson’s Disease: A systematic review

Cited by 7 publications

References 41 publications

Effects of head motion on postural stability in healthy young adults with chronic motion sensitivity

Effects of head motion on postural stability in healthy young adults with chronic motion sensitivity

The Effects of Cognitive and Motor Dual-Task Training on Improvement of Balance, Quality of Life, and Fear of Falls in People with Idiopathic Parkinson’s Disease

The Effect of Cognitive and Motor Dual-task Training on Improvement of Balance and Some Spatiotemporal Gait Parameters in People With Idiopathic Parkinson's Disease

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