The Influence of Cognitive Factors on Balance and Gait

Varalta, Valentina; Fonte, Cristina; Munari, Daniele

doi:10.1007/978-3-319-72736-3_7

Cited by 1 publication

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“…While motor manifestations have long been investigated, nonmotor symptoms are now recognized as the main components that interfere with functionality in PD [ 6 ]. Cognitive deficits seem to be related to motor abilities [ 7 , 8 ]. Basal ganglia functional connectivity, which is compromised in PD by dopaminergic reduction, may have an important role in modulating both cognitive and motor functions [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Physiotherapy versus Consecutive Physiotherapy and Cognitive Treatment in People with Parkinson’s Disease: A Pilot Randomized Cross-Over Study

Varalta

Poiese²,

Recchia³

et al. 2021

JPM

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Background: Parkinson’s disease (PD) is characterized by motor and cognitive dysfunctions that can usually be treated by physiotherapy or cognitive training, respectively. The effects of consecutive physiotherapy and cognitive rehabilitation programs on PD deficits are less investigated. Objective: We investigated the effects of 3 months of physiotherapy (physiotherapy treatment group) or consecutive physiotherapy and cognitive (physiotherapy and cognitive treatment group) rehabilitation programs on cognitive, motor, and psychological aspects in 20 PD patients. Methods: The two groups switched programs and continued rehabilitation for another 3 months. The outcomes were score improvement on cognitive (Montreal Cognitive Assessment, Frontal Assessment Battery, Trail Making Test, Verbal Phonemic Fluency, Digit Span, and Rey Auditory Verbal Learning), motor (Unified Parkinson’s Disease Rating Scale-III, Berg Balance Scale, Two-Minute Walking Test, and Time Up and Go), and psychological (Beck Depression Inventory and State-Trait Anxiety Inventory) scales. Results: Between-group comparison revealed a significant difference in functional mobility between the two rehabilitation programs. Improvements in walking abilities were noted after both interventions, but only the patients treated with consecutive training showed better performance on functional mobility and memory tasks. Conclusion: Our findings support the hypothesis that consecutive physiotherapy plus cognitive rehabilitation may have a greater benefit than physiotherapy alone in patients with PD.

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