The Effect of Dual-Task Motor-Cognitive Training in Adults with Neurological Diseases Who Are at Risk of Falling

Falls are common in patients with neurological diseases and can be very problematic. Recently, there has been an increase in fall prevention research in people with neurological diseases; however, these studies are usually condition-specific (e.g., only MS, PD or stroke). Here, our aim was to evalua...

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Main Authors: Barbara Spanò, Massimo De Tollis, Sara Taglieri, Alice Manzo, Claudia Ricci, Maria G. Lombardi, Lorenzo Polidori, Ivo A. Griffini, Marta Aloisi, Vincenzo Vinicola, Rita Formisano, Carlo Caltagirone, Roberta Annicchiarico
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/12/9/1207
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author Barbara Spanò
Massimo De Tollis
Sara Taglieri
Alice Manzo
Claudia Ricci
Maria G. Lombardi
Lorenzo Polidori
Ivo A. Griffini
Marta Aloisi
Vincenzo Vinicola
Rita Formisano
Carlo Caltagirone
Roberta Annicchiarico
author_facet Barbara Spanò
Massimo De Tollis
Sara Taglieri
Alice Manzo
Claudia Ricci
Maria G. Lombardi
Lorenzo Polidori
Ivo A. Griffini
Marta Aloisi
Vincenzo Vinicola
Rita Formisano
Carlo Caltagirone
Roberta Annicchiarico
author_sort Barbara Spanò
collection DOAJ
description Falls are common in patients with neurological diseases and can be very problematic. Recently, there has been an increase in fall prevention research in people with neurological diseases; however, these studies are usually condition-specific (e.g., only MS, PD or stroke). Here, our aim was to evaluate and compare the efficacy of an advanced and innovative dual-task, motor-cognitive rehabilitation program in individuals with different neurological diseases who are at risk of falling. We recruited 95 consecutive adults with neurological diseases who are at risk of falling and divided them into four groups: 31 with cerebrovascular disease (CVD), 20 with Parkinson’s disease (PD), 23 with traumatic brain injury (TBI) and 21 with other neurological diseases (OND). Each patient completed a dual-task, motor-cognitive training program and underwent two test evaluations to assess balance, gait, fear of falling and walking performance at the pre-and post-intervention. We found that our experimental motor-cognitive, dual-task rehabilitation program was an effective method for improving walking balance, gait, walking endurance and speed, and fear of falling, and that it reduced the risk of falls in patients with different neurological diseases. This study presents an alternative approach for people with chronic neurological diseases and provides innovative data for managing this population.
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spelling doaj.art-64fcde45913a45e0823fb26ad011002c2023-11-23T15:21:02ZengMDPI AGBrain Sciences2076-34252022-09-01129120710.3390/brainsci12091207The Effect of Dual-Task Motor-Cognitive Training in Adults with Neurological Diseases Who Are at Risk of FallingBarbara Spanò0Massimo De Tollis1Sara Taglieri2Alice Manzo3Claudia Ricci4Maria G. Lombardi5Lorenzo Polidori6Ivo A. Griffini7Marta Aloisi8Vincenzo Vinicola9Rita Formisano10Carlo Caltagirone11Roberta Annicchiarico12Santa Lucia Foundation IRCCS, 00179 Rome, ItalySanta Lucia Foundation IRCCS, 00179 Rome, ItalySanta Lucia Foundation IRCCS, 00179 Rome, ItalySanta Lucia Foundation IRCCS, 00179 Rome, ItalySanta Lucia Foundation IRCCS, 00179 Rome, ItalySanta Lucia Foundation IRCCS, 00179 Rome, ItalySanta Lucia Foundation IRCCS, 00179 Rome, ItalySanta Lucia Foundation IRCCS, 00179 Rome, ItalySanta Lucia Foundation IRCCS, 00179 Rome, ItalySanta Lucia Foundation IRCCS, 00179 Rome, ItalySanta Lucia Foundation IRCCS, 00179 Rome, ItalySanta Lucia Foundation IRCCS, 00179 Rome, ItalySanta Lucia Foundation IRCCS, 00179 Rome, ItalyFalls are common in patients with neurological diseases and can be very problematic. Recently, there has been an increase in fall prevention research in people with neurological diseases; however, these studies are usually condition-specific (e.g., only MS, PD or stroke). Here, our aim was to evaluate and compare the efficacy of an advanced and innovative dual-task, motor-cognitive rehabilitation program in individuals with different neurological diseases who are at risk of falling. We recruited 95 consecutive adults with neurological diseases who are at risk of falling and divided them into four groups: 31 with cerebrovascular disease (CVD), 20 with Parkinson’s disease (PD), 23 with traumatic brain injury (TBI) and 21 with other neurological diseases (OND). Each patient completed a dual-task, motor-cognitive training program and underwent two test evaluations to assess balance, gait, fear of falling and walking performance at the pre-and post-intervention. We found that our experimental motor-cognitive, dual-task rehabilitation program was an effective method for improving walking balance, gait, walking endurance and speed, and fear of falling, and that it reduced the risk of falls in patients with different neurological diseases. This study presents an alternative approach for people with chronic neurological diseases and provides innovative data for managing this population.https://www.mdpi.com/2076-3425/12/9/1207fallneurological diseasedual-taskmotorcognitivegait
spellingShingle Barbara Spanò
Massimo De Tollis
Sara Taglieri
Alice Manzo
Claudia Ricci
Maria G. Lombardi
Lorenzo Polidori
Ivo A. Griffini
Marta Aloisi
Vincenzo Vinicola
Rita Formisano
Carlo Caltagirone
Roberta Annicchiarico
The Effect of Dual-Task Motor-Cognitive Training in Adults with Neurological Diseases Who Are at Risk of Falling
Brain Sciences
fall
neurological disease
dual-task
motor
cognitive
gait
title The Effect of Dual-Task Motor-Cognitive Training in Adults with Neurological Diseases Who Are at Risk of Falling
title_full The Effect of Dual-Task Motor-Cognitive Training in Adults with Neurological Diseases Who Are at Risk of Falling
title_fullStr The Effect of Dual-Task Motor-Cognitive Training in Adults with Neurological Diseases Who Are at Risk of Falling
title_full_unstemmed The Effect of Dual-Task Motor-Cognitive Training in Adults with Neurological Diseases Who Are at Risk of Falling
title_short The Effect of Dual-Task Motor-Cognitive Training in Adults with Neurological Diseases Who Are at Risk of Falling
title_sort effect of dual task motor cognitive training in adults with neurological diseases who are at risk of falling
topic fall
neurological disease
dual-task
motor
cognitive
gait
url https://www.mdpi.com/2076-3425/12/9/1207
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