Characterization of cognitive and motor performance during dual-tasking in healthy older adults and patients with Parkinson’s disease
The primary purpose of this study was to investigate the effect of dual-tasking on cognitive performance and gait parameters in patients with idiopathic Parkinson’s disease (PD) without dementia. The impact of cognitive task complexity on cognition and walking was also examined. Eighteen patients wi...
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| Veröffentlicht in: | Journal of neurology 2013-02, Vol.260 (2), p.580-589 |
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| creator | Wild, Lucia Bartmann de Lima, Daiane Borba Balardin, Joana Bisol Rizzi, Luana Giacobbo, Bruno Lima Oliveira, Henrique Bianchi de Lima Argimon, Irani Iracema Peyré-Tartaruga, Leonardo Alexandre Rieder, Carlos R. M. Bromberg, Elke |
| description | The primary purpose of this study was to investigate the effect of dual-tasking on cognitive performance and gait parameters in patients with idiopathic Parkinson’s disease (PD) without dementia. The impact of cognitive task complexity on cognition and walking was also examined. Eighteen patients with PD (ages 53–88, 10 women; Hoehn and Yahr stage I-II) and 18 older adults (ages 61–84; 10 women) completed two neuropsychological measures of executive function/attention (the Stroop Test and Wisconsin Card Sorting Test). Cognitive performance and gait parameters related to functional mobility of stride were measured under single (cognitive task only) and dual-task (cognitive task during walking) conditions with different levels of difficulty and different types of stimuli. In addition, dual-task cognitive costs were calculated. Although cognitive performance showed no significant difference between controls and PD patients during single or dual-tasking conditions, only the patients had a decrease in cognitive performance during walking. Gait parameters of patients differed significantly from controls at single and dual-task conditions, indicating that patients gave priority to gait while cognitive performance suffered. Dual-task cognitive costs of patients increased with task complexity, reaching significantly higher values then controls in the arithmetic task, which was correlated with scores on executive function/attention (Stroop Color-Word Page). Baseline motor functioning and task executive/attentional load affect the performance of cognitive tasks of PD patients while walking. These findings provide insight into the functional strategies used by PD patients in the initial phases of the disease to manage dual-task interference. |
| doi_str_mv | 10.1007/s00415-012-6683-3 |
| format | Article |
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M. ; Bromberg, Elke</creator><creatorcontrib>Wild, Lucia Bartmann ; de Lima, Daiane Borba ; Balardin, Joana Bisol ; Rizzi, Luana ; Giacobbo, Bruno Lima ; Oliveira, Henrique Bianchi ; de Lima Argimon, Irani Iracema ; Peyré-Tartaruga, Leonardo Alexandre ; Rieder, Carlos R. M. ; Bromberg, Elke</creatorcontrib><description>The primary purpose of this study was to investigate the effect of dual-tasking on cognitive performance and gait parameters in patients with idiopathic Parkinson’s disease (PD) without dementia. The impact of cognitive task complexity on cognition and walking was also examined. Eighteen patients with PD (ages 53–88, 10 women; Hoehn and Yahr stage I-II) and 18 older adults (ages 61–84; 10 women) completed two neuropsychological measures of executive function/attention (the Stroop Test and Wisconsin Card Sorting Test). Cognitive performance and gait parameters related to functional mobility of stride were measured under single (cognitive task only) and dual-task (cognitive task during walking) conditions with different levels of difficulty and different types of stimuli. In addition, dual-task cognitive costs were calculated. Although cognitive performance showed no significant difference between controls and PD patients during single or dual-tasking conditions, only the patients had a decrease in cognitive performance during walking. Gait parameters of patients differed significantly from controls at single and dual-task conditions, indicating that patients gave priority to gait while cognitive performance suffered. Dual-task cognitive costs of patients increased with task complexity, reaching significantly higher values then controls in the arithmetic task, which was correlated with scores on executive function/attention (Stroop Color-Word Page). Baseline motor functioning and task executive/attentional load affect the performance of cognitive tasks of PD patients while walking. These findings provide insight into the functional strategies used by PD patients in the initial phases of the disease to manage dual-task interference.</description><identifier>ISSN: 0340-5354</identifier><identifier>EISSN: 1432-1459</identifier><identifier>DOI: 10.1007/s00415-012-6683-3</identifier><identifier>PMID: 23052601</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Age ; Aged ; Aged, 80 and over ; Attention - physiology ; Cognition & reasoning ; Cognition - physiology ; Comprehension ; Executive Function ; Female ; Gait ; Humans ; Male ; Medicine ; Medicine & Public Health ; Mental Status Schedule ; Middle Aged ; Neurology ; Neuropsychological Tests ; Neuropsychology ; Neuroradiology ; Neurosciences ; Older people ; Original Communication ; Parkinson Disease - physiopathology ; Parkinson Disease - psychology ; Parkinson's disease ; Psychomotor Performance - physiology ; Task Performance and Analysis ; Walking ; Walking - physiology</subject><ispartof>Journal of neurology, 2013-02, Vol.260 (2), p.580-589</ispartof><rights>Springer-Verlag Berlin Heidelberg 2012</rights><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-a1ba19e7ad4dd56bf541447ac04e5583810389c5241e4e28385f2454d3a8ea713</citedby><cites>FETCH-LOGICAL-c405t-a1ba19e7ad4dd56bf541447ac04e5583810389c5241e4e28385f2454d3a8ea713</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00415-012-6683-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00415-012-6683-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23052601$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wild, Lucia Bartmann</creatorcontrib><creatorcontrib>de Lima, Daiane Borba</creatorcontrib><creatorcontrib>Balardin, Joana Bisol</creatorcontrib><creatorcontrib>Rizzi, Luana</creatorcontrib><creatorcontrib>Giacobbo, Bruno Lima</creatorcontrib><creatorcontrib>Oliveira, Henrique Bianchi</creatorcontrib><creatorcontrib>de Lima Argimon, Irani Iracema</creatorcontrib><creatorcontrib>Peyré-Tartaruga, Leonardo Alexandre</creatorcontrib><creatorcontrib>Rieder, Carlos R. M.</creatorcontrib><creatorcontrib>Bromberg, Elke</creatorcontrib><title>Characterization of cognitive and motor performance during dual-tasking in healthy older adults and patients with Parkinson’s disease</title><title>Journal of neurology</title><addtitle>J Neurol</addtitle><addtitle>J Neurol</addtitle><description>The primary purpose of this study was to investigate the effect of dual-tasking on cognitive performance and gait parameters in patients with idiopathic Parkinson’s disease (PD) without dementia. The impact of cognitive task complexity on cognition and walking was also examined. Eighteen patients with PD (ages 53–88, 10 women; Hoehn and Yahr stage I-II) and 18 older adults (ages 61–84; 10 women) completed two neuropsychological measures of executive function/attention (the Stroop Test and Wisconsin Card Sorting Test). Cognitive performance and gait parameters related to functional mobility of stride were measured under single (cognitive task only) and dual-task (cognitive task during walking) conditions with different levels of difficulty and different types of stimuli. In addition, dual-task cognitive costs were calculated. Although cognitive performance showed no significant difference between controls and PD patients during single or dual-tasking conditions, only the patients had a decrease in cognitive performance during walking. Gait parameters of patients differed significantly from controls at single and dual-task conditions, indicating that patients gave priority to gait while cognitive performance suffered. Dual-task cognitive costs of patients increased with task complexity, reaching significantly higher values then controls in the arithmetic task, which was correlated with scores on executive function/attention (Stroop Color-Word Page). Baseline motor functioning and task executive/attentional load affect the performance of cognitive tasks of PD patients while walking. These findings provide insight into the functional strategies used by PD patients in the initial phases of the disease to manage dual-task interference.</description><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Attention - physiology</subject><subject>Cognition & reasoning</subject><subject>Cognition - physiology</subject><subject>Comprehension</subject><subject>Executive Function</subject><subject>Female</subject><subject>Gait</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental Status Schedule</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Neuropsychological Tests</subject><subject>Neuropsychology</subject><subject>Neuroradiology</subject><subject>Neurosciences</subject><subject>Older people</subject><subject>Original Communication</subject><subject>Parkinson Disease - physiopathology</subject><subject>Parkinson Disease - psychology</subject><subject>Parkinson's disease</subject><subject>Psychomotor Performance - physiology</subject><subject>Task Performance and Analysis</subject><subject>Walking</subject><subject>Walking - physiology</subject><issn>0340-5354</issn><issn>1432-1459</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkcuKFDEUhoMoTjv6AG4k4MZNaS4ndVlKo6MwoAtdF6crp6YzViVtklLGlTufYV7PJzFljyKC4Opwku__Q_gYeyjFUylE8ywJAdJUQqqqrltd6VtsI0GrSoLpbrON0CAqow2csHspXQoh2nJxl50oLYyqhdywb9s9RhwyRfcFswueh5EP4cK77D4RR2_5HHKI_EBxDHFGPxC3S3T-ogycqozpw7o4z_eEU95f8TBZihztMuX0s-FQmsmX5bPLe_4WY0mk4L9_vU7cukSY6D67M-KU6MHNPGXvX754t31Vnb85e719fl4NIEyuUO5QdtSgBWtNvRsNSIAGBwFkTKtbKXTbDUaBJCBVDsyowIDV2BI2Up-yJ8feQwwfF0q5n10aaJrQU1hSL1UnawldDf-BtgZqozpR0Md_oZdhib58ZKXANMooXSh5pIYYUoo09ofoZoxXvRT9KrQ_Cu2L0H4V2q-ZRzfNy24m-zvxy2AB1BFIh1UKxT-e_mfrD8FvrO8</recordid><startdate>20130201</startdate><enddate>20130201</enddate><creator>Wild, Lucia Bartmann</creator><creator>de Lima, Daiane Borba</creator><creator>Balardin, Joana Bisol</creator><creator>Rizzi, Luana</creator><creator>Giacobbo, Bruno Lima</creator><creator>Oliveira, Henrique Bianchi</creator><creator>de Lima Argimon, Irani Iracema</creator><creator>Peyré-Tartaruga, Leonardo Alexandre</creator><creator>Rieder, Carlos R. 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M.</creatorcontrib><creatorcontrib>Bromberg, Elke</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wild, Lucia Bartmann</au><au>de Lima, Daiane Borba</au><au>Balardin, Joana Bisol</au><au>Rizzi, Luana</au><au>Giacobbo, Bruno Lima</au><au>Oliveira, Henrique Bianchi</au><au>de Lima Argimon, Irani Iracema</au><au>Peyré-Tartaruga, Leonardo Alexandre</au><au>Rieder, Carlos R. M.</au><au>Bromberg, Elke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Characterization of cognitive and motor performance during dual-tasking in healthy older adults and patients with Parkinson’s disease</atitle><jtitle>Journal of neurology</jtitle><stitle>J Neurol</stitle><addtitle>J Neurol</addtitle><date>2013-02-01</date><risdate>2013</risdate><volume>260</volume><issue>2</issue><spage>580</spage><epage>589</epage><pages>580-589</pages><issn>0340-5354</issn><eissn>1432-1459</eissn><abstract>The primary purpose of this study was to investigate the effect of dual-tasking on cognitive performance and gait parameters in patients with idiopathic Parkinson’s disease (PD) without dementia. The impact of cognitive task complexity on cognition and walking was also examined. Eighteen patients with PD (ages 53–88, 10 women; Hoehn and Yahr stage I-II) and 18 older adults (ages 61–84; 10 women) completed two neuropsychological measures of executive function/attention (the Stroop Test and Wisconsin Card Sorting Test). Cognitive performance and gait parameters related to functional mobility of stride were measured under single (cognitive task only) and dual-task (cognitive task during walking) conditions with different levels of difficulty and different types of stimuli. In addition, dual-task cognitive costs were calculated. Although cognitive performance showed no significant difference between controls and PD patients during single or dual-tasking conditions, only the patients had a decrease in cognitive performance during walking. Gait parameters of patients differed significantly from controls at single and dual-task conditions, indicating that patients gave priority to gait while cognitive performance suffered. Dual-task cognitive costs of patients increased with task complexity, reaching significantly higher values then controls in the arithmetic task, which was correlated with scores on executive function/attention (Stroop Color-Word Page). Baseline motor functioning and task executive/attentional load affect the performance of cognitive tasks of PD patients while walking. These findings provide insight into the functional strategies used by PD patients in the initial phases of the disease to manage dual-task interference.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>23052601</pmid><doi>10.1007/s00415-012-6683-3</doi><tpages>10</tpages></addata></record> |
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| subjects | Age Aged Aged, 80 and over Attention - physiology Cognition & reasoning Cognition - physiology Comprehension Executive Function Female Gait Humans Male Medicine Medicine & Public Health Mental Status Schedule Middle Aged Neurology Neuropsychological Tests Neuropsychology Neuroradiology Neurosciences Older people Original Communication Parkinson Disease - physiopathology Parkinson Disease - psychology Parkinson's disease Psychomotor Performance - physiology Task Performance and Analysis Walking Walking - physiology |
| title | Characterization of cognitive and motor performance during dual-tasking in healthy older adults and patients with Parkinson’s disease |
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