Effects of motor-cognitive training on dual-task performance in people with Parkinson's disease: a systematic review and meta-analysis.

Effects of motor-cognitive training on dual-task performance in people with Parkinson's disease: a systematic review and meta-analysis.
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DOI:
10.1007/s00415-023-11610-8
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发表时间:
2023-06
影响因子:
6
通讯作者:
Leavy, Breiffni
Leavy, Breiffni
中科院分区:
医学2区
文献类型:
--
作者:
Johansson, Hanna;Folkerts, Ann-Kristin;Hammarstrom, Ida;Kalbe, Elke;Leavy, Breiffni

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帕金森病(PD)的运动-认知训练可以积极影响步态和平衡,但运动-认知(双任务)表现是否改善尚不清楚。因此,本荟萃分析旨在建立运动-认知训练对PD双任务表现影响的现有证据。系统检索了5个数据库,纳入了11项研究,共597人(平均年龄:68.9岁,平均PD持续时间:6.8年)。我们发现,与对照组相比,双任务步态速度(0.12 m/s (95% CI 0.08, 0.17))、双任务节奏(2.91步/分钟(95% CI 0.08, 5.73))、双任务步幅(10.12 cm (95% CI 4.86, 15.38))和双任务步态速度成本(- 8.75% (95% CI - 14.57, - 2.92))的平均差异有利于运动认知训练。GRADE分析显示,这些发现是基于高确定性的证据。因此,我们可以首次系统地证明PD患者可以通过运动-认知训练来提高他们的双任务能力。在线版本包含补充材料,可在10.1007/s00415-023-11610-8获得。
Motor–cognitive training in Parkinson’s disease (PD) can positively affect gait and balance, but whether motor–cognitive (dual-task) performance improves is unknown. This meta-analysis, therefore, aimed to establish the current evidence on the effects of motor–cognitive training on dual-task performance in PD. Systematic searches were conducted in five databases and 11 studies with a total of 597 people (mean age: 68.9 years; mean PD duration: 6.8 years) were included. We found a mean difference in dual-task gait speed (0.12 m/s (95% CI 0.08, 0.17)), dual-task cadence (2.91 steps/min (95% CI 0.08, 5.73)), dual-task stride length (10.12 cm (95% CI 4.86, 15.38)) and dual-task cost on gait speed (− 8.75% (95% CI − 14.57, − 2.92)) in favor of motor–cognitive training compared to controls. The GRADE analysis revealed that the findings were based on high certainty evidence. Thus, we can for the first time systematically show that people with PD can improve their dual-task ability through motor–cognitive training. The online version contains supplementary material available at 10.1007/s00415-023-11610-8.
目标与临床平衡领域结果的反应性,用于帕金森氏病的运动干预。
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