Spatial navigation and dual-task performance in patients with Dementia that present partial dependence in instrumental activity of daily living

Silva, Felipe de Oliveira; Ferreira, José Vinícius; Plácido, Jéssica; Deslandes, Andréa Camaz

doi:10.1016/j.ibror.2020.06.006

Cited by 12 publications

(6 citation statements)

References 50 publications

(26 reference statements)

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“…Dual tasks were previously evaluated in patients in different stages of activities of daily living (ADL). There were differences among groups during cognitivemotor tests, but not the motor and cognitive tests separately [30]. In a large percentage, our patients were not able to finish dual-task tests, especially while counting backward for 7.…”

Section: Discussioncontrasting

confidence: 53%

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: Discussioncontrasting

confidence: 53%

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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show abstract

“…These authors also observed a longer reaction time during the dual task and also with significant individual variability, which reached a deterioration of almost 40% in some individuals [38]. De Oliveira Silva et al [39] suggest that poor DT and spatial navigation abilities are present in partial functional de-pendence in instrumental activities of daily living, and these tasks should be considered as a functionality screening tool in patients with dementia.…”

Section: Discussionmentioning

confidence: 88%

Effects of Cycling Dual-Task on Cognitive and Physical Function in Parkinson’s Disease: A Randomized Double-Blind Pilot Study

Pedro

Oliveira

Cardalda

et al. 2022

IJERPH

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(1) Background: Those with Parkinson’s disease (PD) may present difficulties in performing dual tasks (DT). The use of DT during training can improve different abilities. Therefore, the objective of this study is to verify the influence of a cycling exercise program combined with a cognitive task on cognitive and physical PD aspects; (2) Methods: A double-blind, randomized pilot study was undertaken. Participants performed a DT intervention composed of cycling and a cognitive task. The cycling parameters, MDS-UPDRS, PDQ-39, TUG Test, 30 s Chair Sit to Stand test and Stroop were used to measure outcomes; (3) Results: DT generated impairment in performing the cycling task, with significant differences in cycling parameters, active and passive distance (m), total work (W) and active speed (rpm). At the cognitive level, there was a trend of improvement in the group that performed the training with DT, which improved by 211%; (4) Conclusions: Combining cycling with a cognitive task caused impairment in the performance of the physical task and an improvement at the cognitive level. Therefore, combining cycling with a cognitive task in a presumably safer environment for patients with PD can be a good way to train these patients for the dual-task challenges with practical applications.

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“…Similarly, Mancioppi and colleagues stated that a dual-task assessment incorporating cognitive and motor tasks is effective for MCI diagnosis [ 23 ]. Finally, de Oliveira Silva and colleagues suggested that poor dual-task gait performance should be considered as a functional screening tool for dementia [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

Single-Task or Dual-Task? Gait Assessment as a Potential Diagnostic Tool for Alzheimer’s Dementia

2021

JAD

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Background: A person’s gait performance requires the integration of sensorimotor and cognitive systems. Therefore, a person’s gait may be influenced by concurrent cognitive load such as simultaneous talking. Although it has been known that gait performance of people with Alzheimer’s dementia (AD) is compromised when they attempt a dual-task walking task, it is unclear if using a dual-task gait performance during an AD assessment yields higher diagnostic accuracy. Objective: This study was designed to investigate the predictive power for AD of dual-task gait performance in an AD assessment. Methods: Participants (14 with AD and 15 healthy controls) walked across the GAITRite© Portable Walkway mat under three different cognitive load conditions: no simultaneous cognitive load, walking while counting numbers by ones, and walking while completing category naming. Results: Multiple logistic regression revealed that the high cognitive load (i.e., category naming) with or without the low cognitive load (i.e., concurrent counting) increased the proportion of variance explained by the FAP, SL, and DST. Conclusion: Dual-task walking and talking may be a more effective diagnostic feature than single-task walking in a comprehensive AD diagnostic assessment.

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Spatial navigation and dual-task performance in patients with Dementia that present partial dependence in instrumental activity of daily living

Abstract: Highlights Cognitive-motor function affects the functionality from initial dependency in IADL. Walk plus cognitive demand impacts IADL more than only physical or cognitive tasks. Dual-task and spatial navigation can be useful for screening IADL ability in Dementia.

Cited by 12 publications

References 50 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

Effects of Cycling Dual-Task on Cognitive and Physical Function in Parkinson’s Disease: A Randomized Double-Blind Pilot Study

Single-Task or Dual-Task? Gait Assessment as a Potential Diagnostic Tool for Alzheimer’s Dementia

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