A Training Program to Improve Gait While Dual Tasking in Patients With Parkinson's Disease: A Pilot Study

Yogev‐Seligmann, Galit; Giladi, Nir; Brozgol, Marina; Hausdorff, Jeffrey M.

doi:10.1016/j.apmr.2011.06.005

Cited by 121 publications

(113 citation statements)

References 29 publications

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“…Exclusion criteria: 1) any physical or psychiatric condition that would prohibit the participant from completing the intervention or full battery of assessments, 2) inability to independently use an exercise bike, 3) unable to understand or communicate in spoken English (UK sites), 4) currently involved in any intervention trial or within four weeks of completing one, 5) current, regular participation in a structured exercise program five times per week or more.…”

Section: Methodsmentioning

confidence: 99%

“…Declines in cognition are a notable feature of the disease process, and people with HD often have difficulty holding, shifting [2] and dividing attention [3]. Difficulty with divided attention, or simultaneously monitoring two tasks, is particularly significant given that automaticity can change with damage to the nervous system; previously automatic movements, such as walking or balancing in standing may become attention demanding [4] and place an increased load on cognitive resources.…”

Section: Introductionmentioning

confidence: 99%

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Motor-cognitive dual-task deficits in individuals with early-mid stage Huntington disease

et al. 2016

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Motor-cognitive dual-task deficits in individuals with early-mid stage Huntington disease

et al. 2016

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“…Moreover the outcome results did not explicitly focus on functional improvements in motor-cognitive DT situations (two of the DT studies did not report DT performance as an outcome measurement [62,63] or the influence of the task characteristics of the cognitive task on motor-cognitive DT performance. A review by SegevJacubovski and colleagues [60] summarized studies that evaluated the effects of cognitive therapy on fall risks referring to eight motor-cognitive [12,29,59,60,67,101,102,104] and two cognitive DT interventions [39,85]. The samples were heterogeneous, since healthy older adults (n=5) and patients (n=5; Stroke, Parkinson's disease, Dementia) were included.…”

Section: Introductionmentioning

confidence: 99%

Training effects on motor–cognitive dual-task performance in older adults

Wollesen

Voelcker‐Rehage

2013

Eur Rev Aging Phys Act

159

152

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This systematic review investigated whether healthy older adults benefit from training interventions in motor-cognitive dual-task (DT) situations and which specific aspects of the intervention and/or task selection contribute to training benefits. Training effects were analysed with regard to the training programme (e.g., general ST or DT training) and task conditions (e.g., standing or walking, complexity of secondary cognitive task). Literature was searched via OVIDsp (Medline, EMBASE, PsycINFO). DT studies were included by the following criteria: (1) investigation of at least one motor task, (2) assessment of DT performance outcomes on standing or walking, (3) conduction of an intervention, and (4) investigation of older adults in an experimental-control group design or an old-young comparison. Thirteen studies met all inclusion criteria. Four types of interventions were identified: (1) general single-task (ST) motor training, (2) specific ST motor training, (3) general DT training, and (4) task-related (specific) DT training. For DT standing conditions only DT interventions improved motor performance, whereas DT walking also benefits by ST training. Most benefits on motor and cognitive performance seem to be reached by DT training interventions whereas a GST produced lowest effects. Thus, balance orientated motor and cognitive DT performance in healthy older adults can be improved by performance related exercises. Furthermore, to reach beneficial effects, it seems necessary that the training intervention includes a certain level of exercise load such as rising difficulties, appropriate intensity and duration, a certain level of task specificity, and variable task prioritization. The transfer of training effects into everyday situations needs to be further investigated.

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“…[4][5][6] Several studies have demonstrated the presence of dual task interference in individuals with a neurological disease or injury, such as Parkinson's, Alzheimer's, Huntington's Disease, multiple sclerosis, traumatic brain injury (TBI), or stroke (CVA). [5][6][7][8][9][10] It can be expressed in the gait as a decrease in the speed, in the length of the stride, and in the cadence and as an increase in the time of double support. 5,11,12 The interference can also occur in the form of a worse performance of the upper limb, a decrease in the number of words spoken, and an increase in body oscillation, among other things.…”

Section: Introductionmentioning

confidence: 99%

“…Similar results were found in studies conducted with individuals who have suffered stroke, brain injury, and Parkinson's disease. 2,8,10,35 Other alterations also experienced by this population, due to dual task interference, are the increase in the time of step, 36 step length, 37,38 step variability, 38,39 gait symmetry, 40 and stride length and cadence. 6 Yang et al 27 assessed the impact of a motor dual task program in the gait parameters of 25 patients after a stroke.…”

mentioning

confidence: 99%

Dual task training as a therapeutic strategy in neurologic physical therapy: a literature review

Mendel

Barbosa²,

Sasaki

2015

Acta Fisiátrica

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Objective: Discuss the possibilities of dual task in the ambit of neurological rehabilitation. Methods: A survey was conducted in PUBMED, MEDLINE, LILACS, and PEDro, using the keywords "dual task" associated with each of the following terms separately: treatment, physical therapy, rehabilitation, exercise, training, divided attention, executive functions, and attentional demands. We selected only clinical trials that used dual task training in adults with neurological disease. Results: From the 2,024 articles found, 1,017 were excluded because they are duplicate. Among the remaining 1,007 articles, 998 were excluded after reviewing the abstracts. Nine articles were selected that included patients with stroke, brain injuries, Alzheimer's, and Parkinson's disease. Most articles used gait as the primary task, and in six studies the second task was cognitive. The training programs ranged between a total of 9 and 48 hours of training. Conclusion: Dual task training appears to improve gait, cognition, automation skills, and transference of learning, suggesting that this may be a valuable strategy for neurological rehabilitation. Nevertheless, it is still necessary to explain which tasks are more efficient and how long the learning retention lasts.

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A Training Program to Improve Gait While Dual Tasking in Patients With Parkinson's Disease: A Pilot Study

Cited by 121 publications

References 29 publications

Motor-cognitive dual-task deficits in individuals with early-mid stage Huntington disease

Motor-cognitive dual-task deficits in individuals with early-mid stage Huntington disease

Training effects on motor–cognitive dual-task performance in older adults

Dual task training as a therapeutic strategy in neurologic physical therapy: a literature review

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