Improving Executive Function and Dual-Task Cost in Parkinson Disease: A Randomized Controlled Trial.
Background and purpose: Dual-task walking is challenging for people with Parkinson disease (PD). Gait performance worsens while executing dual tasks, possibly due to a decline in executive function (EF). This study aimed to investigate the effects of dual-task training on EF and dual-task cost (DTC)...
| Publicado en: | Journal of Neurologic Physical Therapy Vol. 48; no. 4; pp. 188 - 198 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Oct2024
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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=180481822&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180481822 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15570576 1FUT jtl: Journal of Neurologic Physical Therapy issn: 15570576 maglogo: N pubinfo: dt: Oct2024 vid: 48 iid: 4 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 180481822 180481822 180481822 10.1097/NPT.0000000000000489 180481822 ppf: 188 ppct: 10 formats: tig: atl: Improving Executive Function and Dual-Task Cost in Parkinson Disease: A Randomized Controlled Trial. aug: au: Jun-Hong Zhou Ray-Yau Wang Yo-Tsen Liu Shih-Jung Cheng Hsin-Hsuan Liu Yea-Ru Yang affil: Department of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University, Taipei, Taiwan sug: subj: Parkinson Disease Task Performance and Analysis Executive Function Training Effect (Physiology) Evaluation Human Male Female Middle Age Aged Randomized Controlled Trials Random Assignment Single-Blind Studies Control Group Exercise Test, Cardiopulmonary Stretching Step Questionnaires Descriptive Statistics Data Analysis Software Paired T-Tests Chi Square Test Comparative Studies Two-Way Analysis of Variance Post Hoc Analysis Pearson's Correlation Coefficient Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background and purpose: Dual-task walking is challenging for people with Parkinson disease (PD). Gait performance worsens while executing dual tasks, possibly due to a decline in executive function (EF). This study aimed to investigate the effects of dual-task training on EF and dual-task cost (DTC) in people with PD and to explore whether training-induced changes in EF were associated with changes in DTC. Methods: This study was a randomized controlled trial. A total of 28 people with PD participated. Participants were randomly assigned to the experimental group (dual-task training) and the control group (treadmill training). Both groups received a total of 16 training sessions during the 8 weeks. Assessments were conducted at baseline and postintervention. Primary outcomes included EF and dual-task cost. Results: Significant time-by-group interactions were found in executive function and DTC. The experimental group showed significant improvement in frontal assessment battery (FAB), trail-making test (TMT) part A, Stroop color and word test (SCWT), and DTC on speed in cognitive dual-task walking. There was a moderate to high correlation between the change values of the FAB, TMT part A, SCWT, and the change values of DTC in cognitive dual-task walking. Discussion and conclusions: Compared to treadmill training, dual-task training resulted in greater improvements in EF and DTC. Training-induced changes in EF were linked to changes in DTC when walking while performing a cognitive task but not when walking while performing a motor task. Video abstract: For more insights from the authors Supplemental Digital Content available at http://links.lww.com/JNPT/A485. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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