Bridenbaugh Stephanie A
Felix Platter-Spital, Universitäre Altersmedizin, Basel Mobility Center, Basel, Schweiz.
Ther Umsch. 2015 Apr;72(4):219-24. doi: 10.1024/0040-5930/a000668.
Felix Platter Hospital, University Center for Medicine of Aging, Basel, Switzerland; There is a strong association between cognition and mobility. Older adults with gait deficits have an increased risk of developing cognitive deficits, even dementia. Cognitive deficits, on the other hand, are associated with worsening gait. Cognitive as well as mobility deficits are associated with an increased fall risk. Assessments of cognition, particularly the executive functions, and functional mobility should therefore be an integral part of every comprehensive geriatric assessment. Some quick screening tests for mobility disorders can be performed in a clinical praxis. If those assessments provide pathological results, then consider patient referral for an in-depth gait analysis. Gait analyses that utilize dual task paradigms (walking and simultaneously performing a second task) are particularly meaningful for early detection of mobility and cognitive deficits. Early detection permits timely implementation of targeted interventions to improve gait and brain function.
瑞士巴塞尔费利克斯·普拉特医院,大学衰老医学中心;认知与行动能力之间存在紧密关联。步态有缺陷的老年人出现认知缺陷甚至痴呆的风险会增加。另一方面,认知缺陷与步态恶化有关。认知和行动能力缺陷都与跌倒风险增加有关。因此,对认知尤其是执行功能以及功能性行动能力的评估应成为每次综合老年评估的一个组成部分。在临床实践中可以进行一些针对行动障碍的快速筛查测试。如果这些评估得出病理性结果,那么考虑将患者转诊以进行深入的步态分析。利用双重任务范式(行走并同时执行第二项任务)的步态分析对于早期发现行动能力和认知缺陷特别有意义。早期发现能够及时实施有针对性的干预措施以改善步态和脑功能。