Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Effects of Dual-Task Group Training on Gait, Cognitive Executive Function, and Quality of Life in People With Parkinson Disease: Results of Randomized Controlled DUALGAIT Trial (2020) |
Auteurs : | Constanza San Martín Valenzuela ; Lirios Dueñas Moscardó ; Juan López-Pascual ; Pilar Serra-Añó ; José M. Tomás |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 11, 2020) |
Article en page(s) : | p. 1849-1856 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.07.008 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Cognition ; Maladie de Parkinson ; Marche à pied ; Qualité de vie ; Réadaptation |
Résumé : |
Objectives
The aims of this study were to analyze the effects of a dual-task group program, to compare it with the effects of a single-task group program, and to analyze the effects of functional secondary tasks. Design Single-blind randomized controlled trial. Setting University laboratory and a rehabilitation gym at a health center. Participants Patients (N=40) with a diagnosis of Parkinson disease (mean age, 66.72y; age range, 44-79y) with Hoehn and Yahr stage I to III who were on medication were randomized to either a group with dual-task training or a group with single-task training (only gait). Intervention Both interventions involved 20 sessions lasting 1 hour each and conducted twice a week. Dual-task training included walking exercises and cognitive or motor tasks carried out separately, then later performed together as a dual-task according to a progressive protocol in the same training session. Main Outcome Measures Velocity and spatiotemporal parameters of gait were measured without a secondary task and during dual-task gait combined with a visual, verbal, auditory, and motor task. In addition, executive cognitive function and quality of life were measured. Assessments were conducted at baseline, postrehabilitation, and at the 8-week follow-up. Results The dual-task group demonstrated improved velocity and stride length time in all assessment conditions after training (P<.05 as well perceived quality of life the single-task group experienced improvements in same outcomes for only motor condition after training but failed to improve>.05). Likewise, the dual-task group showed higher velocity and stride length after treatment than the single-task group across conditions. No significant changes were observed in cognitive performance (P>.05), although the dual-task group tended to improve performance during the executive function test. Conclusions Dual-task training in functional contexts is associated with greater improvements in velocity and stride length in patients with PD compared with regular physiotherapy without secondary tasks. Dual-task training also improves perceived quality of life. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320305104#! |