Impact of impaired executive function on gait stability.

Background: Executive dysfunction contributes to gait changes, but the precise mechanisms are still poorly understood. Dual-task-related gait changes depend in part on the capacity to appropriately allocate attention between tasks performed simultaneously and are mainly related to executive deficits...

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Publicado en:Dementia & Geriatric Cognitive Disorders Vol. 26; no. 4; pp. 364 - 370
Autores principales: Allali G, Assal F, Kressig RW, Dubost V, Herrmann FR, Beauchet O
Formato: research tables/charts Journal Article
Publicado: Karger AG 2008
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Dementia & Geriatric Cognitive Disorders
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      dt: 2008
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      pub: Karger AG
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        atl: Impact of impaired executive function on gait stability.
      aug:
        au:
          Allali G
          Assal F
          Kressig RW
          Dubost V
          Herrmann FR
          Beauchet O
        affil: Department of Neurology, Geneva University Hospitals and University of Geneva, Geneva, Switzerland
      sug:
        subj:
          Dementia
          Gait Analysis
          Aged
          Analysis of Variance
          Clinical Assessment Tools
          Data Analysis Software
          Female
          Fisher's Exact Test
          Funding Source
          Kruskal-Wallis Test
          Linear Regression
          Male
          Scales
          Univariate Statistics
          Walking
          Wilcoxon Signed Rank Test
          Human
          Aged: 65+ years
          Female
          Male
      ab: Background: Executive dysfunction contributes to gait changes, but the precise mechanisms are still poorly understood. Dual-task-related gait changes depend in part on the capacity to appropriately allocate attention between tasks performed simultaneously and are mainly related to executive deficits. This study aimed to describe the impact of dysexecutive function on gait stability in subjects with dementia using dual tasking. Methods: Mean values and coefficients of variation of stride time while only walking and while walking and backward counting (dual tasking) were measured using the GAITRite® System in 18 subjects with dementia and impaired executive function (IEF), in 16 subjects with dementia and intact executive function, and in 22 nondemented subjects as controls. Results: Stride time, and particularly its variability, significantly increased while performing dual tasking (p < 0.05). IEF was related to both stride time and stride time variability during walking only and to even more gait changes, while dual tasking compared to nondemented subjects and demented subjects without IEF. Conclusions: These findings confirm the role of executive function in dual tasking, but also strongly suggest their importance for gait stability.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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