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Which cognitive dual-task walking causes most interference on the Timed Up and Go test in Parkinson's disease: a controlled study.
Neurol Sci. 2018 Dec; 39(12):2151-2157.NS

Abstract

BACKGROUND

There is evidence that cognitive load has a negative effect on the gait of patients with Parkinson's disease (PD). However, it is not clear which type of cognitive activities are more likely to affect dual-task abilities in this patient group.

AIMS

To compare the cognitive dual-task abilities in patients with PD and control subjects and to analyze the effect of different cognitive activities on the walking ability of patients with PD.

METHODS

The Hoehn and Yahr scale, the Freezing of Gait Questionnaire (FOGQ), Montreal Cognitive Assessment (MoCA), and the Functional Reach Test were used to include and exclude the patients. The Timed Up and Go (TUG) test was applied under single and dual-task conditions.

RESULTS

The completion time of TUG was found to be increased in the PD group compared with the healthy controls under single- and dual-task conditions (p < 0.05). The completion time of TUG was significantly increased in dual-task conditions with complex attention activity (serial subtractions test) compared with other dual-task conditions in patients with PD (p < 0.001).

DISCUSSION

The gait performance of both healthy subjects and patients with PD was impaired with cognitive activity during walking, and patients with PD showed more impairment under different cognitive dual tasks. Among the other cognitive tasks, the 'serial sevens' test, a measure of complex attention, significantly increased the completion time of TUG.

CONCLUSIONS

While assessing the dual-task ability of patients with early-stage PD, tasks that increase the demand for complex attention seem to be more sensitive to showing impaired dual-task ability.

Authors+Show Affiliations

Division of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Bingol University, Bingol, Turkey.Department of Neurological Physiotherapy and Rehabilitation, Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University-Cerrahpasa, Istanbul, Turkey. fztersoz@gmail.com.Behavioural Neurology and Movement Disorders Unit, Department of Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.Behavioural Neurology and Movement Disorders Unit, Department of Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.Behavioural Neurology and Movement Disorders Unit, Department of Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30232665

Citation

Zirek, E, et al. "Which Cognitive Dual-task Walking Causes Most Interference On the Timed Up and Go Test in Parkinson's Disease: a Controlled Study." Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, vol. 39, no. 12, 2018, pp. 2151-2157.
Zirek E, Ersoz Huseyinsinoglu B, Tufekcioglu Z, et al. Which cognitive dual-task walking causes most interference on the Timed Up and Go test in Parkinson's disease: a controlled study. Neurol Sci. 2018;39(12):2151-2157.
Zirek, E., Ersoz Huseyinsinoglu, B., Tufekcioglu, Z., Bilgic, B., & Hanagasi, H. (2018). Which cognitive dual-task walking causes most interference on the Timed Up and Go test in Parkinson's disease: a controlled study. Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 39(12), 2151-2157. https://doi.org/10.1007/s10072-018-3564-2
Zirek E, et al. Which Cognitive Dual-task Walking Causes Most Interference On the Timed Up and Go Test in Parkinson's Disease: a Controlled Study. Neurol Sci. 2018;39(12):2151-2157. PubMed PMID: 30232665.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Which cognitive dual-task walking causes most interference on the Timed Up and Go test in Parkinson's disease: a controlled study. AU - Zirek,E, AU - Ersoz Huseyinsinoglu,Burcu, AU - Tufekcioglu,Z, AU - Bilgic,B, AU - Hanagasi,H, Y1 - 2018/09/19/ PY - 2018/05/04/received PY - 2018/09/07/accepted PY - 2018/9/21/pubmed PY - 2019/1/3/medline PY - 2018/9/21/entrez KW - Balance KW - Dual-task KW - Error KW - Gait KW - Parkinson’s disease SP - 2151 EP - 2157 JF - Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology JO - Neurol Sci VL - 39 IS - 12 N2 - BACKGROUND: There is evidence that cognitive load has a negative effect on the gait of patients with Parkinson's disease (PD). However, it is not clear which type of cognitive activities are more likely to affect dual-task abilities in this patient group. AIMS: To compare the cognitive dual-task abilities in patients with PD and control subjects and to analyze the effect of different cognitive activities on the walking ability of patients with PD. METHODS: The Hoehn and Yahr scale, the Freezing of Gait Questionnaire (FOGQ), Montreal Cognitive Assessment (MoCA), and the Functional Reach Test were used to include and exclude the patients. The Timed Up and Go (TUG) test was applied under single and dual-task conditions. RESULTS: The completion time of TUG was found to be increased in the PD group compared with the healthy controls under single- and dual-task conditions (p < 0.05). The completion time of TUG was significantly increased in dual-task conditions with complex attention activity (serial subtractions test) compared with other dual-task conditions in patients with PD (p < 0.001). DISCUSSION: The gait performance of both healthy subjects and patients with PD was impaired with cognitive activity during walking, and patients with PD showed more impairment under different cognitive dual tasks. Among the other cognitive tasks, the 'serial sevens' test, a measure of complex attention, significantly increased the completion time of TUG. CONCLUSIONS: While assessing the dual-task ability of patients with early-stage PD, tasks that increase the demand for complex attention seem to be more sensitive to showing impaired dual-task ability. SN - 1590-3478 UR - https://www.unboundmedicine.com/medline/citation/30232665/Which_cognitive_dual_task_walking_causes_most_interference_on_the_Timed_Up_and_Go_test_in_Parkinson's_disease:_a_controlled_study_ L2 - https://link.springer.com/10.1007/s10072-018-3564-2 DB - PRIME DP - Unbound Medicine ER -