The effects of dual task gait and balance training in Parkinson’s disease: a systematic review

Freitas, PT Tatiana Beline De; Bs, Paulo Henrique Wong Leite; Doná, Flávia; Pompeu, José Eduardo; Swarowsky, Alessandra; Torriani‐Pasin, Camila

doi:10.1080/09593985.2018.1551455

Cited by 54 publications

(42 citation statements)

References 44 publications

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“…Some studies suggest that dual task training has a positive effect on objective gait measures (e.g. dual task gait velocity, step length and cadence) in people with PD 41,42 . Those who seems to bene t the most of dual task training are those with low initial gait speed when dual tasking and those with better cognitive functioning 41 .…”

Section: Discussionmentioning

confidence: 99%

Perceived walking difficulties in Parkinson’s disease – predictors and changes over time

Lindh-Rengifo

Jonasson

Ullén

et al. 2021

Preprint

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Background: People with Parkinson’s disease (PD) have described their walking difficulties as linked to activity avoidance, social isolation, reduced independence and quality of life. There is a knowledge gap regarding predictive factors of perceived walking difficulties in people with PD. Such knowledge could be useful when designing intervention studies. This study aimed to investigate how perceived walking difficulties evolve over a 3-year period in people with PD. A specific aim was to identify predictive factors of perceived walking difficulties.Methods: 148 people with PD (mean age 67.9 years) completed the Walk-12G questionnaire (which assesses perceived walking difficulties) at both baseline and the 3-year follow-up. Paired samples t-test was used for comparing baseline and follow-up mean scores. Multivariable linear regression analyses were used to identify predictive factors of perceived walking difficulties. Results: Perceived walking difficulties increased after 3 years: mean Walk-12G score 14.8 versus 18.7, p <0.001. Concerns about falling was the strongest predictor (β=0.445) of perceived walking difficulties, followed by perceived balance problems while dual tasking (β=0.268) and pain (β=0.153). Perceived balance problems while dual tasking was the strongest predictor (β=0.180) of a change in perceived walking difficulties, followed by global cognitive functioning (β=-0.107). Conclusions: Perceived walking difficulties increase over time in people with PD. Both personal factors (i.e. concerns about falling) and motor aspects (i.e. balance problems while dual tasking) seem to have a predictive role. Importantly, our study indicates that also non-motor symptoms (e.g. pain and cognitive functioning) seem to be of importance for future perceived walking difficulties. Future intervention studies that address these factors need to confirm their preventative effect on perceived walking difficulties.

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Section: Discussionmentioning

confidence: 99%

Perceived walking difficulties in Parkinson’s disease – predictors and changes over time

Lindh-Rengifo

Jonasson

Ullén

et al. 2021

Preprint

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“…9 The effects of dual-task training on gait and postural instability in Parkinson's disease have been supported by an increasing number of reported trials. 10,11 Cognitive-coupled intensive-balance training is a proven and cost-effective therapy for improving balance and reducing falls in patients with neurological disorders. 12 A meta-analysis has suggested a positive impact of dual-task training for enhancing postural stability among the fall-prone elderly population and those suffering from stroke.…”

Section: Introductionmentioning

confidence: 99%

Dual-task training on gait, motor symptoms, and balance in patients with Parkinson’s disease: a systematic review and meta-analysis

Liu

Jiang

et al. 2020

Clin Rehabil

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Objective: The aim of the present study was to systematically evaluate and quantify the effectiveness of dual-task training on gait parameters, motor symptoms and balance in individuals diagnosed with Parkinson’s disease. Data resources: A systematic review of published literature was conducted until May 2020, using PubMed, EMBASE, Cochrane Library, Web of Science, EBSCO and CNKI databases. Methods: We included randomized controlled trials (RCTs) and non-RCTs to evaluate the effects of dual-task training compared with those of non-intervention or other forms of training. The measurements included gait parameters, motor symptoms and balance parameters. Methodological quality was assessed using the PEDro scale. Outcomes were pooled by calculating between-group mean differences using fixed- or random-effects models based on study heterogeneity. Results: A total of 11 RCTs comprising 322 subjects were included in the present meta-analysis. Results showed that dual-task training significantly improved gait speed (standardized mean difference [SMD], −0.23; 95% confidence interval [CI], −0.38 to −0.08; P = 0.002), cadence (SMD, −0.25; 95% CI, −0.48 to −0.02; P = 0.03), motor symptoms (SMD, 0.56; 95% CI, 0.18 to 0.94; P = 0.004) and balance (SMD, −0.44; 95% CI, −0.84 to −0.05; P = 0.03). However, no significant changes were detected in step length or stride length. Conclusion: Dual-task training was effective in improving gait performance, motor symptoms and balance in patients with Parkinson’s disease relative to other forms of training or non-intervention.

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“…Some studies suggest that dual task training has a positive effect on objective gait measures (e.g. dual task gait velocity, stride length and cadence) in people with PD 39,40 . Those who seems to bene t the most of dual task training are those with low initial gait speed when dual tasking and those with better cognitive functioning 39 .…”

Section: Discussionmentioning

confidence: 99%

Perceived walking difficulties in Parkinson’s disease – predictors and changes over time

Lindh-Rengifo

Jonasson

Ullén

et al. 2020

Preprint

View full text Add to dashboard Cite

Background People with Parkinson’s disease (PD) have described their walking difficulties as linked to activity avoidance, social isolation, reduced independence and quality of life. There is a knowledge gap regarding predictive factors of perceived walking difficulties in people with PD. Such knowledge could be useful when designing intervention studies. This study aimed to investigate how perceived walking difficulties evolve over a 3-year period in people with PD. A specific aim was to identify predictive factors of perceived walking difficulties. Methods 149 people with PD (mean age 67.9 years) completed the Walk-12G questionnaire (which assesses perceived walking difficulties) at both baseline and the 3-year follow-up. Paired samples t-test was used for comparing baseline and follow-up mean scores. Multivariable linear regression analyses were used to identify predictive factors of perceived walking difficulties. Results Perceived walking difficulties increased after 3 years: mean Walk-12G score 14.7 versus 18.6, p < 0.001. Concerns about falling was the strongest predictor (β = 0.467) of perceived walking difficulties, followed by problems maintaining balance while dual tasking (β = 0.265), pain (β = 0.137) and postural instability (β = 0.116). Problems maintaining balance while dual tasking was the strongest predictor (β = 0.180) of a change in perceived walking difficulties, followed postural instability (β = 0.098). Conclusions Perceived walking difficulties increase over time in people with PD. The predictive factors identified in this study (concerns about falling, problems maintaining balance while dual tasking, pain, postural instability) are modifiable. Future intervention studies that address these factors need to confirm their preventative effect on perceived walking difficulties.

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The effects of dual task gait and balance training in Parkinson’s disease: a systematic review

Cited by 54 publications

References 44 publications

Perceived walking difficulties in Parkinson’s disease – predictors and changes over time

Perceived walking difficulties in Parkinson’s disease – predictors and changes over time

Dual-task training on gait, motor symptoms, and balance in patients with Parkinson’s disease: a systematic review and meta-analysis

Perceived walking difficulties in Parkinson’s disease – predictors and changes over time

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