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A training program to improve gait while dual tasking in patients with Parkinson's disease: a pilot study.
Arch Phys Med Rehabil. 2012 Jan; 93(1):176-81.AP

Abstract

Impairments in the ability to perform another task while walking (ie, dual tasking [DT]) are associated with an increased risk of falling. Here we describe a program we developed specifically to improve DT performance while walking based on motor learning principles and task-specific training. We examined feasibility, potential efficacy, retention, and transfer to the performance of untrained tasks in a pilot study among 7 patients with Parkinson's disease (PD). Seven patients (Hoehn and Yahr stage, 2.1±0.2) were evaluated before, after, and 1 month after 4 weeks of DT training. Gait speed and gait variability were measured during usual walking and during 4 DT conditions. The 4-week program of one-on-one training included walking while performing several distinct cognitive tasks. Gait speed and gait variability during DT significantly improved. Improvements were also seen in the DT conditions that were not specifically trained and were retained 1 month after training. These initial findings support the feasibility of applying a task-specific DT gait training program for patients with PD and suggest that it positively affects DT gait, even in untrained tasks. The present results are also consistent with the possibility that DT gait training enhances divided attention abilities during walking.

Authors+Show Affiliations

Movement Disorders Unit, Department of Neurology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

21849167

Citation

Yogev-Seligmann, Galit, et al. "A Training Program to Improve Gait While Dual Tasking in Patients With Parkinson's Disease: a Pilot Study." Archives of Physical Medicine and Rehabilitation, vol. 93, no. 1, 2012, pp. 176-81.
Yogev-Seligmann G, Giladi N, Brozgol M, et al. A training program to improve gait while dual tasking in patients with Parkinson's disease: a pilot study. Arch Phys Med Rehabil. 2012;93(1):176-81.
Yogev-Seligmann, G., Giladi, N., Brozgol, M., & Hausdorff, J. M. (2012). A training program to improve gait while dual tasking in patients with Parkinson's disease: a pilot study. Archives of Physical Medicine and Rehabilitation, 93(1), 176-81. https://doi.org/10.1016/j.apmr.2011.06.005
Yogev-Seligmann G, et al. A Training Program to Improve Gait While Dual Tasking in Patients With Parkinson's Disease: a Pilot Study. Arch Phys Med Rehabil. 2012;93(1):176-81. PubMed PMID: 21849167.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A training program to improve gait while dual tasking in patients with Parkinson's disease: a pilot study. AU - Yogev-Seligmann,Galit, AU - Giladi,Nir, AU - Brozgol,Marina, AU - Hausdorff,Jeffrey M, Y1 - 2011/08/17/ PY - 2011/04/20/received PY - 2011/06/03/accepted PY - 2011/8/19/entrez PY - 2011/8/19/pubmed PY - 2012/2/18/medline SP - 176 EP - 81 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 93 IS - 1 N2 - Impairments in the ability to perform another task while walking (ie, dual tasking [DT]) are associated with an increased risk of falling. Here we describe a program we developed specifically to improve DT performance while walking based on motor learning principles and task-specific training. We examined feasibility, potential efficacy, retention, and transfer to the performance of untrained tasks in a pilot study among 7 patients with Parkinson's disease (PD). Seven patients (Hoehn and Yahr stage, 2.1±0.2) were evaluated before, after, and 1 month after 4 weeks of DT training. Gait speed and gait variability were measured during usual walking and during 4 DT conditions. The 4-week program of one-on-one training included walking while performing several distinct cognitive tasks. Gait speed and gait variability during DT significantly improved. Improvements were also seen in the DT conditions that were not specifically trained and were retained 1 month after training. These initial findings support the feasibility of applying a task-specific DT gait training program for patients with PD and suggest that it positively affects DT gait, even in untrained tasks. The present results are also consistent with the possibility that DT gait training enhances divided attention abilities during walking. SN - 1532-821X UR - https://www.unboundmedicine.com/medline/citation/21849167/A_training_program_to_improve_gait_while_dual_tasking_in_patients_with_Parkinson's_disease:_a_pilot_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(11)00369-8 DB - PRIME DP - Unbound Medicine ER -