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A feasibility study of dual-task strategy training to improve gait performance in patients with Parkinson's disease.
Sci Rep. 2021 06 14; 11(1):12416.SR

Abstract

Gait disorders in patients with Parkinson's disease (PD) impact their mobility and self-dependence. Gait training and dual-task (DT)-training improve gait quality. This study aims to assess the feasibility of a specific, gradually intensified DT-training for PD patients with a special focus on gait performance under single task (ST) and DT conditions. Correlations to Freezing of Gait (FoG) were examined. 17 PD patients (70.1 ± 7.4 years, H&Y Stadium 2-3, FoG-Q 9.0 ± 5.5) participated in a four-week DT-training (1x/week, 60 min) with progressively increasing task difficulty and number of tasks. Gait performance (spatiotemporal parameters) was assessed during ST and DT conditions. The training improved DT gait performance, especially gait velocity + 0.11 m/s; (F(2,16) = 7.163; p = .0171; η2part = .309) and step length (+ 5.73 cm). Also, physical well-being and absolved walking distance improved significantly. Correlation analyses of the FoG score at baseline with relative change of gait metrics post-training revealed significant correlations with training-induced changes of step length and improvement of gait velocity. Overall, the developed DT-training was feasible and effective. Further studies should examine the long-term benefits and the optimal setting to achieve the highest impact. The study was registered in the DRKS (ID DRKS00018084, 23.1.20).

Authors+Show Affiliations

Faculty of Psychology and Human Movement Science, Department of Health Science, University Hamburg, Mollerstr. 10, 20148, Hamburg, Germany. bettina.wollesen@uni-hamburg.de.Faculty of Psychology and Human Movement Science, Department of Health Science, University Hamburg, Mollerstr. 10, 20148, Hamburg, Germany.Department of Neurophysiology and Pathophysiology, University Medical Center Hamburg - Eppendorf, Hamburg, Germany. Department of Neurology, University Medical Center Hamburg - Eppendorf, Hamburg, Germany.Faculty of Psychology and Human Movement Science, Department of Health Science, University Hamburg, Mollerstr. 10, 20148, Hamburg, Germany.Department of Neurology, University Medical Center Hamburg - Eppendorf, Hamburg, Germany.Department of Neurology, University Medical Center Hamburg - Eppendorf, Hamburg, Germany.

Pub Type(s)

Clinical Trial
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

34127721

Citation

Wollesen, Bettina, et al. "A Feasibility Study of Dual-task Strategy Training to Improve Gait Performance in Patients With Parkinson's Disease." Scientific Reports, vol. 11, no. 1, 2021, p. 12416.
Wollesen B, Rudnik S, Gulberti A, et al. A feasibility study of dual-task strategy training to improve gait performance in patients with Parkinson's disease. Sci Rep. 2021;11(1):12416.
Wollesen, B., Rudnik, S., Gulberti, A., Cordes, T., Gerloff, C., & Poetter-Nerger, M. (2021). A feasibility study of dual-task strategy training to improve gait performance in patients with Parkinson's disease. Scientific Reports, 11(1), 12416. https://doi.org/10.1038/s41598-021-91858-0
Wollesen B, et al. A Feasibility Study of Dual-task Strategy Training to Improve Gait Performance in Patients With Parkinson's Disease. Sci Rep. 2021 06 14;11(1):12416. PubMed PMID: 34127721.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A feasibility study of dual-task strategy training to improve gait performance in patients with Parkinson's disease. AU - Wollesen,Bettina, AU - Rudnik,Silvan, AU - Gulberti,Alessandro, AU - Cordes,Thomas, AU - Gerloff,Christian, AU - Poetter-Nerger,Monika, Y1 - 2021/06/14/ PY - 2020/12/03/received PY - 2021/05/26/accepted PY - 2021/6/15/entrez PY - 2021/6/16/pubmed PY - 2021/6/16/medline SP - 12416 EP - 12416 JF - Scientific reports JO - Sci Rep VL - 11 IS - 1 N2 - Gait disorders in patients with Parkinson's disease (PD) impact their mobility and self-dependence. Gait training and dual-task (DT)-training improve gait quality. This study aims to assess the feasibility of a specific, gradually intensified DT-training for PD patients with a special focus on gait performance under single task (ST) and DT conditions. Correlations to Freezing of Gait (FoG) were examined. 17 PD patients (70.1 ± 7.4 years, H&Y Stadium 2-3, FoG-Q 9.0 ± 5.5) participated in a four-week DT-training (1x/week, 60 min) with progressively increasing task difficulty and number of tasks. Gait performance (spatiotemporal parameters) was assessed during ST and DT conditions. The training improved DT gait performance, especially gait velocity + 0.11 m/s; (F(2,16) = 7.163; p = .0171; η2part = .309) and step length (+ 5.73 cm). Also, physical well-being and absolved walking distance improved significantly. Correlation analyses of the FoG score at baseline with relative change of gait metrics post-training revealed significant correlations with training-induced changes of step length and improvement of gait velocity. Overall, the developed DT-training was feasible and effective. Further studies should examine the long-term benefits and the optimal setting to achieve the highest impact. The study was registered in the DRKS (ID DRKS00018084, 23.1.20). SN - 2045-2322 UR - https://www.unboundmedicine.com/medline/citation/34127721/A_feasibility_study_of_dual_task_strategy_training_to_improve_gait_performance_in_patients_with_Parkinson's_disease_ L2 - https://doi.org/10.1038/s41598-021-91858-0 DB - PRIME DP - Unbound Medicine ER -