The efficacy of cognitive-cycling dual-task training in patients with early-stage Parkinson's disease: A pilot study.

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 patien...

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Publicado en:NeuroRehabilitation Vol. 47; no. 4; pp. 415 - 427
Autores principales: Chang, Hsiu-Chen, Chen, Chiung-Chu, Weng, Yi-Hsin, Chiou, Wei-Da, Chang, Ya-Ju, Lu, Chin-Song
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2020
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: The efficacy of cognitive-cycling dual-task training in patients with early-stage Parkinson's disease: A pilot study.
      aug:
        au:
          Chang, Hsiu-Chen
          Chen, Chiung-Chu
          Weng, Yi-Hsin
          Chiou, Wei-Da
          Chang, Ya-Ju
          Lu, Chin-Song
        affil: Division of Movement Disorders, Department of Neurology, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan
      sug:
        subj:
          Parkinson Disease Therapy
          Cognition Evaluation
          Cycling
          Task Performance and Analysis
          Psychomotor Performance
          Treatment Outcomes
          Human
          Pilot Studies
          Taiwan
          Gait Analysis
          Exercise Intensity
          Memory
          Descriptive Statistics
          Motor Activity Evaluation
          Questionnaires
          Scales
      ab: 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.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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