Daily function, not motor or cognitive status, relates stronger with mobility in people with Parkinson's disease.
INTRODUCTION: Gait engages motor and cognitive neural pathways. However, progressive deterioration of motor and cognitive function is characteristic in Parkinson's disease (PD). We explored relationships between motor impairment, cognitive function, daily functioning, and gait in people with PD. We...
| Publicado en: | Physiotherapy Practice & Research Vol. 41; no. 1; pp. 59 - 68 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141878776&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141878776 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 22130683 FTHV jtl: Physiotherapy Practice & Research issn: 22130683 maglogo: N pubinfo: dt: 2020 vid: 41 iid: 1 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 141878776 141878776 141878776 10.3233/PPR-190146 141878776 ppf: 59 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Daily function, not motor or cognitive status, relates stronger with mobility in people with Parkinson's disease. aug: au: Swank, Chad Criminger, Christina affil: Baylor Scott & White Institute for Rehabilitation, Dallas, TX, USA sug: subj: Parkinson Disease Movement Disorders Cognition Activities of Daily Living Gait Analysis Human Community Living Scales Clinical Assessment Tools Spearman's Rank Correlation Coefficient Multiple Linear Regression Male Female Aged Data Analysis Software Descriptive Statistics Aged: 65+ years Male Female ab: INTRODUCTION: Gait engages motor and cognitive neural pathways. However, progressive deterioration of motor and cognitive function is characteristic in Parkinson's disease (PD). We explored relationships between motor impairment, cognitive function, daily functioning, and gait in people with PD. We hypothesized there would be a stronger relationship between walking and cognitive function as gait task complexity increased. METHODS: Community-dwelling participants with PD were assessed on motor impairment [United Parkinson's Disease Rating Scale Motor Subscale (UPDRSm)], cognitive function [Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)], daily function [Schwab & England (S&E) ADL scale] and mobility [Timed Up and Go (TUG)] under single and dual task conditions. Analyses included Spearmans' rank correlations coefficient to determine relational strengths between outcomes and separate forward stepwise multiple linear regressions to predict dual task gait performance. RESULTS: Forty-five participants [age Mean (M) = 68.93±7.78 years; 32 male/13 female; UPDRSm, M = 25.24±11.93] completed this study. RBANS was poorly related to TUGmotor and TUGcognitive. UPDRSm (rho = 0.524; p < 0.001) and S&E (rho = –0.589; p < 0.001) were moderately related to TUGmotor ; S&E (rho = –0.581; p < 0.001) to TUGcognitive. S&E (R2 = 0.234; F (1,43) = 13.14) and RBANS Language subscale (R2 = 0.071; F (1,42) = 4.31) were predictive of TUGmotor performance; S&E of TUGalone (R2 = 0.150; F (1,43) = 7.56) and TUGcognitive performance (R2 = 0.375; F (1,43) = 25.81). CONCLUSIONS: Daily function appears more closely related to dual task mobility than separate assessments of motor and cognitive function in this population. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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