The Executive-Function-Related Cognitive–Motor Dual Task Walking Performance and Task Prioritizing Effect on People with Parkinson’s Disease
To safely walk in a community environment requires dual cognitive–walking ambulation ability for people with Parkinson’s disease (PD). A past study showed inconsistent results on cognitive–walking performance for PD patients, possibly due to the various cognitive tasks used and task priority assignm...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-02-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/4/567 |
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| author | Yen-Po Lin I-I Lin Wei-Da Chiou Hsiu-Chen Chang Rou-Shayn Chen Chin-Song Lu Ya-Ju Chang |
| author_facet | Yen-Po Lin I-I Lin Wei-Da Chiou Hsiu-Chen Chang Rou-Shayn Chen Chin-Song Lu Ya-Ju Chang |
| author_sort | Yen-Po Lin |
| collection | DOAJ |
| description | To safely walk in a community environment requires dual cognitive–walking ambulation ability for people with Parkinson’s disease (PD). A past study showed inconsistent results on cognitive–walking performance for PD patients, possibly due to the various cognitive tasks used and task priority assignment. This study designed cognitive–walking tests that used executive-related cognitive tasks to evaluate patients with early-stage Parkinson’s disease who did not have obvious cognitive deficits. The effect of assigning task prioritization was also evaluated. Sixteen individuals with PD (PD group) and 16 individuals without PD (control group) underwent single cognitive tests, single walking tests, dual walking tests, and prioritizing task tests. Three types of cognitive, spatial memory, Stroops, and calculation tasks were employed. The cognitive performance was evaluated by response time, accuracy, and speed–accuracy trade off composite score. The walking performance was evaluated by the temporal spatial gait characteristics and variation in gait. The results showed that the walking performance of the PD group was significantly worse than the control group in both single and dual walking conditions. The group difference in cognitive performance was shown in composite score under the dual calculation walking task but not under the single task. While assigning priority to walking, no group difference in walking was observed but the response accuracy rate of PD groups declined. This study concluded that the dual task walking test could sharpen the cognitive deficits for early-stage PD patients. The task priority assignment might not be recommended while testing gait deficits since it decreased the ability to discriminate group differences. |
| first_indexed | 2024-03-11T08:46:25Z |
| format | Article |
| id | doaj.art-ef8f9c6375e14efcacb73b22c7931608 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T08:46:25Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-ef8f9c6375e14efcacb73b22c79316082023-11-16T20:47:02ZengMDPI AGHealthcare2227-90322023-02-0111456710.3390/healthcare11040567The Executive-Function-Related Cognitive–Motor Dual Task Walking Performance and Task Prioritizing Effect on People with Parkinson’s DiseaseYen-Po Lin0I-I Lin1Wei-Da Chiou2Hsiu-Chen Chang3Rou-Shayn Chen4Chin-Song Lu5Ya-Ju Chang6Department of Medical Education, National Cheng Kung University Hospital, Tainan 704, TaiwanSchool of Physical Therapy and Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, Taoyuan 333, TaiwanSchool of Physical Therapy and Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, Taoyuan 333, TaiwanSchool of Physical Therapy and Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, Taoyuan 333, TaiwanDepartment of Neurology, Chang Gung Memorial Hospital Linkou, Taoyuan 333, TaiwanProfessor Lu Neurological Clinic, Taoyuan 333, TaiwanSchool of Physical Therapy and Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, Taoyuan 333, TaiwanTo safely walk in a community environment requires dual cognitive–walking ambulation ability for people with Parkinson’s disease (PD). A past study showed inconsistent results on cognitive–walking performance for PD patients, possibly due to the various cognitive tasks used and task priority assignment. This study designed cognitive–walking tests that used executive-related cognitive tasks to evaluate patients with early-stage Parkinson’s disease who did not have obvious cognitive deficits. The effect of assigning task prioritization was also evaluated. Sixteen individuals with PD (PD group) and 16 individuals without PD (control group) underwent single cognitive tests, single walking tests, dual walking tests, and prioritizing task tests. Three types of cognitive, spatial memory, Stroops, and calculation tasks were employed. The cognitive performance was evaluated by response time, accuracy, and speed–accuracy trade off composite score. The walking performance was evaluated by the temporal spatial gait characteristics and variation in gait. The results showed that the walking performance of the PD group was significantly worse than the control group in both single and dual walking conditions. The group difference in cognitive performance was shown in composite score under the dual calculation walking task but not under the single task. While assigning priority to walking, no group difference in walking was observed but the response accuracy rate of PD groups declined. This study concluded that the dual task walking test could sharpen the cognitive deficits for early-stage PD patients. The task priority assignment might not be recommended while testing gait deficits since it decreased the ability to discriminate group differences.https://www.mdpi.com/2227-9032/11/4/567Parkinson’s diseasedual taskwalkingStroopscognitive testspatial memory |
| spellingShingle | Yen-Po Lin I-I Lin Wei-Da Chiou Hsiu-Chen Chang Rou-Shayn Chen Chin-Song Lu Ya-Ju Chang The Executive-Function-Related Cognitive–Motor Dual Task Walking Performance and Task Prioritizing Effect on People with Parkinson’s Disease Healthcare Parkinson’s disease dual task walking Stroops cognitive test spatial memory |
| title | The Executive-Function-Related Cognitive–Motor Dual Task Walking Performance and Task Prioritizing Effect on People with Parkinson’s Disease |
| title_full | The Executive-Function-Related Cognitive–Motor Dual Task Walking Performance and Task Prioritizing Effect on People with Parkinson’s Disease |
| title_fullStr | The Executive-Function-Related Cognitive–Motor Dual Task Walking Performance and Task Prioritizing Effect on People with Parkinson’s Disease |
| title_full_unstemmed | The Executive-Function-Related Cognitive–Motor Dual Task Walking Performance and Task Prioritizing Effect on People with Parkinson’s Disease |
| title_short | The Executive-Function-Related Cognitive–Motor Dual Task Walking Performance and Task Prioritizing Effect on People with Parkinson’s Disease |
| title_sort | executive function related cognitive motor dual task walking performance and task prioritizing effect on people with parkinson s disease |
| topic | Parkinson’s disease dual task walking Stroops cognitive test spatial memory |
| url | https://www.mdpi.com/2227-9032/11/4/567 |
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