针对神经退行性疾病患者认知-运动干扰的干预方式:一项系统综述

Intervention modalities for targeting cognitive-motor interference in individuals with neurodegenerative disease: a systematic review.

作者信息

Wajda Douglas A, Mirelman Anat, Hausdorff Jeffrey M, Sosnoff Jacob J

机构信息

a Department of Kinesiology and Community Health , University of Illinois at Urbana-Champaign , Urbana , IL , USA.

b Center for the Study of Movement, Cognition, and Mobility, Neurological Institute , Tel Aviv Sourasky Medical Center , Tel Aviv , Israel.

出版信息

Expert Rev Neurother. 2017 Mar;17(3):251-261. doi: 10.1080/14737175.2016.1227704. Epub 2016 Sep 12.

Abstract

Individuals with neurodegenerative disease (NDD) commonly have elevated cognitive-motor interference, change in either cognitive or motor performance (or both) when tasks are performed simultaneously, compared to healthy controls. Given that cognitive-motor interference is related to reduced community ambulation and elevated fall risk, it is a target of rehabilitation interventions. Areas covered: This review details the collective findings of previous dual task interventions in individuals with NDD. A total of 21 investigations focusing on 4 different neurodegenerative diseases and one NDD precursor (Parkinson's disease, multiple sclerosis, Alzheimer's disease (AD), dementia other than AD, and mild cognitive impairment) consisting of 721 participants were reviewed. Expert commentary: Preliminary evidence from interventions targeting cognitive-motor interference, both directly and indirectly, show promising results for improving CMI in individuals with neurodegenerative diseases. Methodological limitations, common to pilot investigations preclude firm conclusions. Well-designed randomized control trials targeting cognitive motor interference are warranted.

摘要

与健康对照组相比,神经退行性疾病(NDD)患者通常存在较高的认知-运动干扰,即在同时执行任务时,认知或运动表现(或两者)会发生变化。鉴于认知-运动干扰与社区行走能力下降和跌倒风险升高有关,它是康复干预的一个目标。涵盖领域:本综述详细介绍了先前针对NDD患者进行的双重任务干预的总体研究结果。共回顾了21项研究,这些研究聚焦于4种不同的神经退行性疾病和一种NDD前驱疾病(帕金森病、多发性硬化症、阿尔茨海默病(AD)、非AD痴呆症和轻度认知障碍),涉及721名参与者。专家评论:直接和间接针对认知-运动干扰的干预的初步证据显示,在改善神经退行性疾病患者的认知-运动干扰方面有令人鼓舞的结果。试点研究常见的方法学局限性使得无法得出确凿结论。有必要开展设计良好的针对认知-运动干扰的随机对照试验。

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