A review of dual-task walking deficits in people with Parkinson's disease: motor and cognitive contributions, mechanisms, and clinical implications.

A review of dual-task walking deficits in people with Parkinson's disease: motor and cognitive contributions, mechanisms, and clinical implications.
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DOI:
10.1155/2012/918719
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发表时间:
2012
期刊:
Parkinson's disease
影响因子:
--
通讯作者:
Shumway-Cook A
Shumway-Cook A
中科院分区:
其他
文献类型:
--
作者:
Kelly VE;Eusterbrock AJ;Shumway-Cook A

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帕金森氏病(PD)的步态障碍在需要同时执行认知或运动任务的双重任务条件下加剧。双任务行走缺陷会影响功能移动性,这通常需要在执行并发任务(如说话或搬运物体)时行走。PD中步态障碍的后果是显著的,包括残疾增加、跌倒风险增加和生活质量降低。然而,有效的治疗干预双任务步行缺陷是有限的。本叙述性综述的目的是描述PD患者的双任务行走缺陷,讨论可能导致这些缺陷的运动和认知因素,回顾双任务缺陷的潜在机制,并讨论治疗干预对PD患者双任务行走缺陷的影响。
Gait impairments in Parkinson's disease (PD) are exacerbated under dual-task conditions requiring the simultaneous performance of cognitive or motor tasks. Dual-task walking deficits impact functional mobility, which often requires walking while performing concurrent tasks such as talking or carrying an object. The consequences of gait impairments in PD are significant and include increased disability, increased fall risk, and reduced quality of life. However, effective therapeutic interventions for dual-task walking deficits are limited. The goals of this narrative review are to describe dual-task walking deficits in people with PD, to discuss motor and cognitive factors that may contribute to these deficits, to review potential mechanisms underlying dual-task deficits, and to discuss the effect of therapeutic interventions on dual-task walking deficits in persons with PD.
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