Gait profile score and movement analysis profile in patients with Parkinson’s disease during concurrent cognitive load



Título del documento: Gait profile score and movement analysis profile in patients with Parkinson’s disease during concurrent cognitive load
Revista: Brazilian journal of physical therapy
Base de datos: PERIÓDICA
Número de sistema: 000376019
ISSN: 1809-9246
Autores: 1
2
3
4
5
4
Instituciones: 1Hospital Israelita Albert Einstein, Laboratorio de Estudos do Movimento, Sao Paulo. Brasil
2Associacao de Assistencia a Crianca Deficiente, Sao Paulo. Brasil
3Universidade Estadual de Londrina, Laboratorio de Biomecanica, Londrina, Parana. Brasil
4Universidade Nove de Julho, Programa de Pos-graduacao em Ciencias da Reabilitacao, Sao Paulo. Brasil
5University of Salford, Salford Gait Analysis Service, Salford, Lancashire. Reino Unido
Año:
Periodo: Jul-Ago
Volumen: 18
Número: 4
Paginación: 315-322
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Experimental, aplicado
Resumen en inglés Gait disorders are common in individuals with Parkinson’s Disease (PD) and the concurrent performance of motor and cognitive tasks can have marked effects on gait. The Gait Profile Score (GPS) and the Movement Analysis Profile (MAP) were developed in order to summarize the data of kinematics and facilitate understanding of the results of gait analysis. Objective: To investigate the effectiveness of the GPS and MAP in the quantification of changes in gait during a concurrent cognitive load while walking in adults with and without PD. Method: Fourteen patients with idiopathic PD and nine healthy subjects participated in the study. All subjects performed single and dual walking tasks. The GPS/MAP was computed from three-dimensional gait analysis data. Results: Differences were found between tasks for GPS (P<0.05) and Gait Variable Score (GVS) (pelvic rotation, knee flexion-extension and ankle dorsiflexionplantarflexion) (P<0.05) in the PD group. An interaction between task and group was observed for GPS (P<0.01) for the right side (Cohen’s ¯d=0.99), left side (Cohen’s ¯d=0.91), and overall (Cohen’s ¯d=0.88). No interaction was observed only for hip internal-external rotation and foot internal-external progression GVS variables in the PD group. Conclusions: The results showed gait impairment during the dual task and suggest that GPS/MAP may be used to evaluate the effects of concurrent cognitive load while walking in patients with PD
Disciplinas: Medicina
Palabras clave: Neurología,
Terapéutica y rehabilitación,
Enfermedad de Parkinson,
Marcha,
Análisis de movimiento,
Carga cognitiva
Keyword: Medicine,
Neurology,
Therapeutics and rehabilitation,
Parkinson disease,
Gait,
Motion analysis,
Cognitive load
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