Motor-Cognitive Dual-Task Training in Persons With Neurologic Disorders: A Systematic Review.
Motor-Cognitive Dual-Task Training in Persons With Neurologic Disorders: A Systematic Review.
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DOI：
10.1097/npt.0000000000000090
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发表时间：
2015-07
期刊：
影响因子：
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通讯作者：
Nichols-Larsen DS
中科院分区：
文献类型：
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作者：
Fritz NE;Cheek FM;Nichols-Larsen DS
运动认知双重任务的缺陷（例如，边走边说）在患有神经疾病的个体中很常见。本综述旨在确定运动认知双任务训练（DTT）与常规护理相比对神经系统疾病患者的运动和认知的有效性。检索的数据库包括Biosis、CINAHL、ERIC、PsychInfo、EBSCO Psychological & Behavioral、PubMed、Scopus和Web of Knowledge。入选标准是对患有神经系统疾病的成年人进行的研究，包括DTT和步态或平衡结局。14项研究符合纳入标准。参与者是患有脑损伤、帕金森病（PD）和阿尔茨海默病（AD）的个体。干预方案包括暗示行走，认知任务与步态，平衡和力量训练以及虚拟现实或游戏配对。采用标准化临床相关性评定量表评价纳入试验的质量。结果表明，DTT改善PD和AD的单任务步态速度和步长，改善PD、AD和脑损伤的双任务步态速度和步长，并可能改善PD和AD的平衡和认知。纳入标准限制了纳入的诊断组。现有研究中的训练方案和结果评估范围限制了研究结果的比较。改善神经系统疾病患者的双重任务能力具有改善步态，平衡和认知的潜力。运动认知双任务缺陷的神经系统疾病的个人可能是服从于训练。视频摘要可获取作者的更多见解（请参阅补充数字内容）。
Deficits in motor-cognitive dual-tasks (e.g., walking while talking) are common in individuals with neurological conditions. This review was conducted to determine the effectiveness of motor-cognitive dual-task training (DTT) compared to usual care on mobility and cognition in individuals with neurologic disorders. Databases searched were Biosis, CINAHL, ERIC, PsychInfo, EBSCO Psychological & Behavioral, PubMed, Scopus, and Web of Knowledge. Eligibility criteria were studies of adults with neurologic disorders that included DTT and outcomes of gait or balance were included. Fourteen studies met inclusion criteria. Participants were individuals with brain injury, Parkinson’s disease (PD) and Alzheimer’s disease (AD). Intervention protocols included cued walking, cognitive tasks paired with gait, balance, and strength training and virtual reality or gaming. Quality of the included trials was evaluated with a standardized rating scale of clinical relevance. Results show that DTT improves single-task gait velocity and stride length in PD and AD, dual-task gait velocity and stride length in PD, AD and brain injury, and may improve balance and cognition in PD and AD. The inclusion criteria limited the diagnostic groups included. The range of training protocols and outcome assessments in available studies limited comparison of the results across studies. Improvement of dual-task ability in individuals with neurologic disorders holds potential for improving gait, balance and cognition. Motor-cognitive dual-task deficits in individuals with neurologic disorders may be amenable to training. Video Abstract available for additional insights from the authors (See Supplemental Digital Content).