Effects of Dual-Task Group Training on Gait, Cognitive Executive Function, and Quality of Life in People With Parkinson Disease: Results of Randomized Controlled DUALGAIT Trial

Valenzuela, Constanza San Martín; Dueñas, Lirios; López-Pascual, Juan; Serra-Añó, Pilar; Tomás, José M.

doi:10.1016/j.apmr.2020.07.008

Cited by 35 publications

(127 citation statements)

References 26 publications

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“…Related to training duration, a training scheme of 1–3 h weekly for 12–16 weeks (or more) has been suggested to be more likely to lead to detectable improvements in cognitive performance than shorter training schemes ( Colcombe and Kramer, 2003 ; Lauenroth et al, 2016 ). Low-frequency and short-duration training (10 weeks, two sessions in a week), including gait training performed in single or DT, failed to show any significant change in cognition ( San Martín Valenzuela et al, 2020 ). One such example is the SHARP-P trial, which failed to show significant improvements in an overall cognitive composite measure or in EF ( Legault et al, 2011 ).…”

Section: Discussionmentioning

confidence: 99%

Motor–Cognitive Treadmill Training With Virtual Reality in Parkinson’s Disease: The Effect of Training Duration

Pelosin

Ponte

Putzolu

et al. 2022

Front. Aging Neurosci.

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Treadmill training with virtual reality (TT + VR) has been shown to improve gait performance and to reduce fall risk in Parkinson’s disease (PD). However, there is no consensus on the optimal training duration. This study is a sub-study of the V-TIME randomized clinical trial (NCT01732653). In this study, we explored the effect of the duration of training based on the motor–cognitive interaction on motor and cognitive performance and on fall risk in subjects with PD. Patients in Hoehn and Yahr stages II–III, aged between 40 and 70 years, were included. In total, 96 patients with PD were assigned to 6 or 12 weeks of TT + VR intervention, and 77 patients completed the full protocol. Outcome measures for gait and cognitive performance were assessed at baseline, immediately after training, and at 1- and 6-month follow-up. The incident rate of falls in the 6-month pre-intervention was compared with that in the 6-month post-intervention. Dual-task gait performance (gait speed, gait speed variability and stride length under cognitive dual task and obstacle negotiation, and the leading foot clearance in obstacle negotiation) improved similarly in both groups with gains sustained at 6-month follow-up. A higher decrease in fall rate and fear of falling were observed in participants assigned to the 12-week intervention than the 6-week intervention. Improvements in cognitive functions (i.e., executive functions, visuospatial ability, and attention) were seen only in participants enrolled in 12-week training up to 1-month follow-up but vanished at the 6-month evaluation. Our results suggest that a longer TT + VR training leads to greater improvements in cognitive functions especially those directly addressed by the virtual environment.

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Section: Discussionmentioning

confidence: 99%

Motor–Cognitive Treadmill Training With Virtual Reality in Parkinson’s Disease: The Effect of Training Duration

Pelosin

Ponte

Putzolu

et al. 2022

Front. Aging Neurosci.

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“…Em relação aos exercícios de dupla tarefa, foram encontrados quatro estudos [17,19,24,31]. Esses estudos aplicaram sessões de treinamento que consistiam em exercícios de marcha como: comprimento do passo/passada com distância objetiva de 0,4-0,8 m de forma progressiva e adaptada, treinamento de cadência/velocidade por metrônomo digital, exercícios posturais; extensão do pescoço, adução escapular, retroversão dos ombros e anteversão pélvica [31], caminhada com maior velocidade de marcha, enfatizando o golpe do calcanhar [19].…”

Section: Discussionunclassified

Os efeitos da reabilitação baseada em exercícios sobre a marcha de pacientes com doença de Parkinson: uma revisão sistemática

Brito¹,

Santos²,

Magalhães³

2022

Fisioter Bras

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Introdução: Mais de 85% das pessoas com Doença de Parkinson (DP) desenvolvem dificuldades de locomoção dentro de 3 anos após o diagnóstico, sendo os distúrbios da marcha considerados os sintomas motores mais incapacitantes da DP, levando a um declínio substancial na mobilidade e independência. Objetivo: Realizar uma revisão sistemática sobre os efeitos encontrados após reabilitação baseada em exercícios na marcha em pacientes com DP. Métodos: Foi realizada uma revisão sistemática buscando artigos nas bases de dados Pubmed, Lilacs, PEDro, Scielo e Scopus, com estudos publicados nos últimos dez anos. Os termos usados para pesquisa foram selecionados de acordo com o DeCS/MeSH (Descritores em Ciências da Saúde/ Medical Subject Headings). Resultados: A busca resultou em 514 estudos e 58 desses estudos foram apropriados para inclusão. Após avaliação metodológica dos 58 estudos, apenas trabalhos classificados como de alta qualidade metodológica foram incluídos. Foi verificado que programa com treinamento de marcha, fortalecimento, dupla tarefa, equilíbrio e resistência demonstram em sua maioria efeitos positivos na velocidade, cadência, comprimento da passada, comprimento do passo, capacidade e resistência da marcha. Conclusão: Os estudos apresentados nesta revisão demonstram em sua maioria efeitos positivos após reabilitação baseada em exercícios na marcha de pacientes com DP.

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“…In this type of exercise, the patients have to shift attention from one task to another in order to achieve the objective of both, e.g. walking and saying aloud a shopping list [15]. In this way, the dual-task in physical rehabilitation imitates a habitual functional context within the therapy itself, where people practice a motor exercise subjected to the usual demands of the environments in activities of daily living.…”

Section: Can Physical Therapy Improve the Cognitive Performance?mentioning

confidence: 99%

“…The studies so far that analyze the effectiveness of dual-cognitive task training assess the performance of the secondary cognitive task itself, but not the cognitive function through a standardized test. Even so, studies have been published indicating that dual motor and cognitive tasks improve executive functions measured through the Trail Making Test [15].…”

Section: Can Physical Therapy Improve the Cognitive Performance?mentioning

confidence: 99%

Dementia and Physical Therapy

Valenzuela¹

2022

Dementia in Parkinson’s Disease - Everything You Need to Know

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Cognitive functions allow us to perform complex tasks on a day-to-day basis. When we move or want to perform a functional task, not only the integrity of the motor systems is needed, but also those cognitive functions that help plan and execute movement in challenging environments. Currently, the physical therapy of people with Parkinson’s disease, little by little, integrates the cognitive abilities of patients to the motor rehabilitation of the disease. Most studies to date have proven the effectiveness of this dual-task integration in mild or moderate stages of the disease. However, in more serious stages, we do not fully know the effectiveness of physical rehabilitation in patients who already have dementia or cognitive impairment. This chapter aims to review the latest findings in this regard, to know what are the implications of dementia in Parkinson’s disease on the motor performance, and to unravel the new lines of study that researchers and clinicians should follow in the area of physical rehabilitation in advanced stages of Parkinson’s disease.

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Effects of Dual-Task Group Training on Gait, Cognitive Executive Function, and Quality of Life in People With Parkinson Disease: Results of Randomized Controlled DUALGAIT Trial

Cited by 35 publications

References 26 publications

Motor–Cognitive Treadmill Training With Virtual Reality in Parkinson’s Disease: The Effect of Training Duration

Motor–Cognitive Treadmill Training With Virtual Reality in Parkinson’s Disease: The Effect of Training Duration

Os efeitos da reabilitação baseada em exercícios sobre a marcha de pacientes com doença de Parkinson: uma revisão sistemática

Dementia and Physical Therapy

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