Cognitive-Motor Interference in Neurodegenerative Disease: A Narrative Review and Implications for Clinical Management.
Cognitive-Motor Interference in Neurodegenerative Disease: A Narrative Review and Implications for Clinical Management.
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DOI：
10.3389/fpsyg.2018.02061
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发表时间：
2018
影响因子：
3.8
通讯作者：
Muratori LM
中科院分区：
文献类型：
--
作者：
McIsaac TL;Fritz NE;Quinn L;Muratori LM
本文对神经退行性疾病中的认知运动干扰进行了叙述性综述，包括神经退行性疾病中干扰效应的脑成像结果，以及帕金森病（PD）、多发性硬化症（MS）和亨廷顿病（HD）的双重任务评估和干预。在健康的中枢神经系统中，处理信息的能力是有限的。选择和注意输入的能力有限，影响了准备和执行多项任务的能力。因此，系统会平衡需求，将注意力转移到与任务最相关的信息上。在PD、MS和HD中伴有系统特异性损伤的神经退行性疾病（ND）患者中，限制可能变得更加明显。这些ND影响认知和运动功能，因此特别容易受到双重任务干扰。执行者和任务的特点和影响，这些研究结果的标准评估的双重任务能力，以及开发和评估的干预措施，旨在提高双重任务能力的相关问题进行了讨论。此外，我们解决需要优化个性化的评估，干预和双重任务功能的评价，通过选择认知和运动任务和措施，是敏感的，并适合于个人的功能水平。最后，我们使用现有的证据来概述一个5步的临床决策过程，使用双任务分类作为评估和干预的框架。
This paper provides a narrative review of cognitive motor interference in neurodegeneration, including brain imaging findings specific to interference effects in neurodegenerative disease, and dual task assessment and intervention in Parkinson’s disease (PD), multiple sclerosis (MS), and Huntington’s disease (HD). In a healthy central nervous system the ability to process information is limited. Limitations in capacity to select and attend to inputs influence the ability to prepare and perform multiple tasks. As a result, the system balances demands, switching attention to the most task-relevant information as it becomes available. Limitations may become more apparent in persons with neurodegenerative diseases (ND) with system-specific impairments in PD, MS, and HD. These ND affect both cognitive and motor function and are thus particularly susceptible to dual task interference. Issues related to performer and task characteristics and implications of these findings for both the standard assessment of dual task abilities as well as development and evaluation of interventions aimed at improving dual task ability are discussed. In addition, we address the need for optimizing individualized assessment, intervention and evaluation of dual task function by choosing cognitive and motor tasks and measures that are sensitive to and appropriate for the individual’s level of function. Finally, we use current evidence to outline a 5-step process of clinical decision making that uses the dual task taxonomy as a framework for assessment and intervention.
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影响因子：
2.4
作者：
Fritz, Nora E.;Hamana, Katy;Quinn, Lori
通讯作者：
Quinn, Lori
DOI：
10.1097/npt.0000000000000090
发表时间：
2015-07
期刊：
Journal of neurologic physical therapy : JNPT
影响因子：
--
作者：
Fritz NE;Cheek FM;Nichols-Larsen DS
通讯作者：
Nichols-Larsen DS
影响因子：
3
作者：
Beurskens, Rainer;Helmich, Ingo;Bock, Otmar
通讯作者：
Bock, Otmar
影响因子：
4.4
作者：
Hernandez, Manuel E.;Holtzer, Roee;Motl, Robert W.
通讯作者：
Motl, Robert W.
影响因子：
1.4
作者：
Balsimelli, Silvia;Mendes, Maria Fernanda;Tilbery, Charles Peter
通讯作者：
Tilbery, Charles Peter