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The efficacy of cognitive-cycling dual-task training in patients with early-stage Parkinson's disease: A pilot study.
NeuroRehabilitation. 2020; 47(4):415-426.N

Abstract

BACKGROUND

Recent studies have suggested that cognitive-motor dual-task (DT) training might improve gait performance, locomotion automaticity, balance, and cognition in patients with Parkinson's disease (PD).

OBJECTIVE

We aimed to investigate the efficacy of cognitive-cycling DT training in patients with early-stage PD.

METHODS

Participants were scheduled to perform cognitive tasks simultaneously with the cycling training twice per week for eight weeks for a total of 16 sessions during their on-states. Clinical assessments were conducted using the unified Parkinson's disease rating scale (UPDRS), modified Hoehn and Yahr stage, Timed Up and Go (TUG) test, gait and cognitive performances under dual-task paradigm, the new freezing of gait questionnaire, Schwab and England Activities of Daily Living scale, 39-item Parkinson's disease questionnaire, and cognitive performance.

RESULTS

Thirteen eligible patients were enrolled in the study. The mean age was 60.64±5.32 years, and the mean disease duration was 7.02±3.23 years. Twelve PD patients completed 16 serial cognitive-cycling sessions for two months. After 16 sessions of training (T2), the UPDRS III scores improved significantly in both the off- and on-states, and TUG were significantly less than those at pretraining (T0). During both the single-task and the DT situations, gait performance and spatial memory cognitive performance significantly improved from T0 to T2.

CONCLUSION

The present study demonstrated that cognitive-cycling DT training improves the motor functions, gait and cognitive performances of PD patients.

Authors+Show Affiliations

Division of Movement Disorders, Department of Neurology, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan. School of Physical Therapy and Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, Taoyuan, Taiwan. Professor Lu Neurological Clinic, Taoyuan, Taiwan.Division of Movement Disorders, Department of Neurology, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan. Neuroscience Research Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan. School of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan.Division of Movement Disorders, Department of Neurology, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan. Neuroscience Research Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.School of Physical Therapy and Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, Taoyuan, Taiwan. Department of Physical Rehabilitation, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.Neuroscience Research Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan. School of Physical Therapy and Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, Taoyuan, Taiwan. Healthy Aging Research Center, Chang Gung University, Taoyuan, Taiwan.Neuroscience Research Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan. Professor Lu Neurological Clinic, Taoyuan, Taiwan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33136071

Citation

Chang, Hsiu-Chen, et al. "The Efficacy of Cognitive-cycling Dual-task Training in Patients With Early-stage Parkinson's Disease: a Pilot Study." NeuroRehabilitation, vol. 47, no. 4, 2020, pp. 415-426.
Chang HC, Chen CC, Weng YH, et al. The efficacy of cognitive-cycling dual-task training in patients with early-stage Parkinson's disease: A pilot study. NeuroRehabilitation. 2020;47(4):415-426.
Chang, H. C., Chen, C. C., Weng, Y. H., Chiou, W. D., Chang, Y. J., & Lu, C. S. (2020). The efficacy of cognitive-cycling dual-task training in patients with early-stage Parkinson's disease: A pilot study. NeuroRehabilitation, 47(4), 415-426. https://doi.org/10.3233/NRE-203090
Chang HC, et al. The Efficacy of Cognitive-cycling Dual-task Training in Patients With Early-stage Parkinson's Disease: a Pilot Study. NeuroRehabilitation. 2020;47(4):415-426. PubMed PMID: 33136071.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The efficacy of cognitive-cycling dual-task training in patients with early-stage Parkinson's disease: A pilot study. AU - Chang,Hsiu-Chen, AU - Chen,Chiung-Chu, AU - Weng,Yi-Hsin, AU - Chiou,Wei-Da, AU - Chang,Ya-Ju, AU - Lu,Chin-Song, PY - 2020/11/3/pubmed PY - 2021/3/24/medline PY - 2020/11/2/entrez KW - Parkinson’s disease KW - cognitive KW - cycling KW - dual-task KW - gait SP - 415 EP - 426 JF - NeuroRehabilitation JO - NeuroRehabilitation VL - 47 IS - 4 N2 - BACKGROUND: Recent studies have suggested that cognitive-motor dual-task (DT) training might improve gait performance, locomotion automaticity, balance, and cognition in patients with Parkinson's disease (PD). OBJECTIVE: We aimed to investigate the efficacy of cognitive-cycling DT training in patients with early-stage PD. METHODS: Participants were scheduled to perform cognitive tasks simultaneously with the cycling training twice per week for eight weeks for a total of 16 sessions during their on-states. Clinical assessments were conducted using the unified Parkinson's disease rating scale (UPDRS), modified Hoehn and Yahr stage, Timed Up and Go (TUG) test, gait and cognitive performances under dual-task paradigm, the new freezing of gait questionnaire, Schwab and England Activities of Daily Living scale, 39-item Parkinson's disease questionnaire, and cognitive performance. RESULTS: Thirteen eligible patients were enrolled in the study. The mean age was 60.64±5.32 years, and the mean disease duration was 7.02±3.23 years. Twelve PD patients completed 16 serial cognitive-cycling sessions for two months. After 16 sessions of training (T2), the UPDRS III scores improved significantly in both the off- and on-states, and TUG were significantly less than those at pretraining (T0). During both the single-task and the DT situations, gait performance and spatial memory cognitive performance significantly improved from T0 to T2. CONCLUSION: The present study demonstrated that cognitive-cycling DT training improves the motor functions, gait and cognitive performances of PD patients. SN - 1878-6448 UR - https://www.unboundmedicine.com/medline/citation/33136071/The_efficacy_of_cognitive_cycling_dual_task_training_in_patients_with_early_stage_Parkinson's_disease:_A_pilot_study_ L2 - https://content.iospress.com/openurl?genre=article&id=doi:10.3233/NRE-203090 DB - PRIME DP - Unbound Medicine ER -