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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MDPI AG
2022-09-01
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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. |
first_indexed | 2024-03-10T00:33:25Z |
format | Article |
id | doaj.art-64fcde45913a45e0823fb26ad011002c |
institution | Directory Open Access Journal |
issn | 2076-3425 |
language | English |
last_indexed | 2024-03-10T00:33:25Z |
publishDate | 2022-09-01 |
publisher | MDPI AG |
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series | Brain Sciences |
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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