Artículos de revistas
Cognitive Processes Affect The Gait Of Subjects With Parkinson’s And Alzheimer’s Disease In Dual Tasks [processos Cognitivos Afetam A Marcha De Sujeitos Com Doença De Parkinson E De Alzheimer Em Duplas Tarefas]
Registration in:
Jornal Brasileiro De Psiquiatria. Editora Cientifica Nacional Ltda, v. 64, n. 2, p. 154 - 159, 2015.
472085
10.1590/0047-2085000000071
2-s2.0-84938267246
Institutions
Abstract
Objective: To investigate the relation between gait parameters and cognitive impairments in subjects with Parkinson’s disease (PD) and Alzheimer’s disease (AD) during the performance of dual tasks. Methods: This was a cross-sectional study involving 126 subjects divided into three groups: Parkinson group (n = 43), Alzheimer group (n = 38), and control group (n = 45). The subjects were evaluated using the Timed Up and Go test administered with motor and cognitive distracters. Gait analyses consisted of cadence and speed measurements, with cognitive functions being assessed by the Brief Cognitive Screening Battery and the Clock Drawing Test. Statistical procedures included mixed-design analyses of variance to observe the gait patterns between groups and tasks and the linear regression model to investigate the influence of cognitive functions in this process. A 5% significant level was adopted. Results: Regarding the subjects’ speed, the data show a significant difference between group vs task interaction (p = 0.009), with worse performance of subjects with PD in motor dual task and of subjects with AD in cognitive dual task. With respect to cadence, no statistical differences was seen between group vs task interaction (p = 0.105), showing low interference of the clinical conditions on such parameter. The linear regression model showed that up to 45.79%, of the variance in gait can be explained by the interference of cognitive processes. Conclusion: Dual task activities affect gait pattern in subjects with PD and AD. Differences between groups reflect peculiarities of each disease and show a direct interference of cognitive processes on complex tasks. © 2015, Editora Cientifica Nacional Ltda. All rights reserved. 64 2 154 159 Scaglioni-Solano, P., Aragón-Vargas, L.F., Age-related differences when walking downhill on different sloped terrains (2015) Gait Posture, 41 (1), pp. 153-158 Christofoletti, G., Oliani, M.M., Gobbi, L., Gobbi, S., Stella, F., Risco de quedas em idosos com doença de Parkinson e demência de Alzheimer: Um estudo transversal (2006) Rev Bras Fisioter, 10 (4), pp. 429-433 Stevenson, A.J., Geertsen, S.S., Sinkjaer, T., Nielsen, J.B., Mrachacz-Kersting, N., Interlimb communication following unexpected changes in treadmill velocity during human walking (2015) J Neurophysiol Richard, M.A., Spaich, E.G., Serrao, M., Ersen, O.K., Stimulation site and phase modulation of the withdrawl reflex during gait imitation (2015) Clin Neurophysiol Kandel, E.R., Schwartz, J.H., Jessel, T.M., (2000) Principles of Neural Science, , 4th ed. New York: McGraw Hill Kandel, E.R., Schwartz, J.H., Jessel, T.M., (2000) Principles of Neural Science, , 4th ed. New York: McGraw Hill Kandel, E.R., Schwartz, J.H., Jessel, T.M., (1996) Essentials of Neural Science and Behavior, , Stamford: Appleton & Lange Strobach, T., Soutschek, A., Antonenko, D., Flöel, A., Schubert, T., Modulation of executive control in dual tasks with transcranial direct current stimulation (TDCS) (2015) Neuropsychologia, 68, pp. 8-20 Muir, S.W., Beauchet, O., Montero-Odasso, M., Annweiler, C., Fantino, B., Speechley, M., Association of executive function impairment, history of falls and physical performance in older adults: A cross-sectional population-based study in eastern France (2013) J Nutr Health Aging, 17 (8), pp. 661-665 Montero-Odasso, M., Verghese, J., Beauchet, O., Hausdorff, J.M., Gait and cognition: A complementary approach to understanding brain function and the risk of falling (2012) J am Geriatr Soc, 60 (11), pp. 2127-2136 Vink, M., Kleerekooper, I., Van Den Wildenberg, W.P., Kahn, R.S., Impact of aging on frontostriatal reward processing (2015) Hum Brain Mapp, 36 (6), pp. 2305-2317 Beurskens, R., Bock, O., Age-related deficits of dual-task walking: A review (2012) Neural Plast, 2012 Jové, M., Portero-Otín, M., Naudí, A., Ferrer, I., Pamplona, R., Metabolomics of human brain aging and age-related neurodegenerative diseases (2014) J Neuropathol Exp Neurol, 73 (7), pp. 640-657 Christofoletti, G., Rade, L.P., Beinotti, F., Borges, G., Cognition and dual-task performance in older adults with Parkinson’s and Alzheimer’s disease (2014) Int J Gen Med, 7, pp. 383-388 Chu, Y.H., Tang, P.F., Peng, Y.C., Chen, H.Y., Meta-analysis of type and complexity of a secondary task during walking on the prediction of elderly falls (2013) Geriatr Gerontol Int, 13 (2), pp. 289-297 Hughes, A.J., Daniel, S.E., Kilford, L., Lees, A.J., Accuracy of clinical diagnosis of idiopathic Parkinson’s disease: A clinicopathological study of 100 cases (1992) J Neurol Neurosurg Psychiatry, 55 (3), pp. 181-184 Hoehn, M.H., Yahr, M.D., Parkinsonism: Onset, progression and mortality (1967) Neurology, 17 (5), pp. 427-442 Fahn, S., Elton, R.L., Unified Parkinson’s Disease Rating Scale (1987) Recent Developments in Parkinson’s Disease, pp. 153-163. , Fahn S, Marsden CD, Goldstein M, Calne DB, New York: MacMillan McKhann, G., Drachman, D., Folstein, M., Katzman, R., Price, D., Stadlan, E.M., Clinical diagnosis of Alzheimer’s disease: Report of this NINCDS-ADRDA work group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s disease (1984) Neurology, 34 (7), pp. 934-944 Hughes, C.P., Berg, L., Danziger, W.L., Coben, L.A., Martin, R.L., A new clinical scale for the staging of dementia (1982) Br J Psychiatry, 140, pp. 566-572 Von Elm, E., Altman, D.G., Egger, M., Pocock, S.J., Gøtzsche, P.C., Vandenbroucke, J.P., STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies (2008) J Clin Epidemiol, 61 (4), pp. 344-349 Podsiadlo, D., Richardson, S., The ‘Timed Up and Go’: A test of basic functional mobility for frail elderly persons (1991) J am Geriatr Soc, 39 (2), pp. 142-148 Ries, J.D., Ecternach, J.L., Nof, L., Gagnon Blodgett, M., Test-retest reliability and minimal detectable change scores for the timed “up & go” test, the six-minute walk test, and gait speed in people with Alzheimer’s disease (2009) Phys Ther, 89 (6), pp. 569-579 Pfeffer, R.I., Kurosaki, T.T., Harrah, C.H., Chance, J.M., Filos, S., Measurement of functional activities in older adults in the community (1982) J Gerontol, 37 (3), pp. 323-329 Nitrini, R., Lefèvre, B.H., Mathias, S.C., Caramelli, P., Carrilho, P.E., Sauaia, N., Neuropsychological tests of simple application for diagnosing dementia (1994) Arq Neuropsiquiatr, 52 (4), pp. 457-465 Sunderland, T., Hill, J.L., Mellow, A.M., Lawlor, B.A., Gundersheimer, J., Newhouse, P.A., Clock drawing in Alzheimer’s disease. A novel measure of dementia severity (1989) J am Geriatr Soc, 37 (8), pp. 725-729 Chiba, H., Ebihara, S., Tomita, N., Sasaki, H., Butler, J.P., Differential gait kinematics between fallers and non-fallers in community-dwelling elderly people (2005) Geriatr Gerontol Int, 5 (2), pp. 127-134 Fernández, M., Arias, P., Cudeiro-Mazaira, F.J., Facilitación de la actividad motora por estímulos sensoriales en la enfermedad de Parkinson (2004) Rev Neurol, 39 (9), pp. 841-847 Yogev-Seligmann, G., Hausdorff, J.M., Giladi, N., The role of executive function and attention on gait (2007) Mov Disord, 23 (3), pp. 329-342 Felippe, L.A., Oliveira, R.T., Silva-Hamu, T., Santos, S., Christofoletti, G., Funções executivas, atividades da vida diária e habilidade motora de idosos com doenças neurodegenerativas (2014) J Bras Psiquiatr, 63 (1), pp. 39-47 Marshall, G.A., Monserratt, L., Harwood, D., Mandelkern, M., Cummings, J.L., Sultzer Dl. Positron emission tomography metabolic correlates of apathy in Alzheimer’s disease (2007) Arch Neurol, 64 (7), pp. 1015-1020 Schroeter, M.L., Stein, T., Maslowswki, N., Neumann, J., Neural correlates of Alzheimer’s disease and mild cognitive impairment: A systematic and quantitative meta-analysis involving 1351 patients (2009) Neuroimage, 47 (4), pp. 1196-1206 Mirelman, A., Herman, T., Brozgol, M., Dorfman, M., Sprecher, E., Schweiger, A., Executive function and falls in older adults: New findings from a five-year prospective study link fall risk to cognition (2012) Plos One, 7 (6) Nordin, E., Moe-Nilssen, R., Ramnemark, A., Lundin-Olsson, L., Changes in step-width during dual-task walking predicts falls (2010) Gait Posture, 32 (1), pp. 92-97