Sousa Nariana Mattos Figueiredo, Macedo Roberta Correa
Rede SARAH de Hospitais de Reabilitação Ringgold standard institution - Reabilitação Neurológica, Salvador, BA, Brazil.
Dement Neuropsychol. 2019 Oct-Dec;13(4):403-409. doi: 10.1590/1980-57642018dn13-040006.
Gait disorders may be associated with cognitive impairment, and slow speed predicts cognitive impairment and dementia.
To investigate the relationships between cognitive function and gait performance in patients with Parkinson's disease (PD) who attended a hospital neurorehabilitation program.
Descriptive and inferential statistics (Pearson's correlation) were used for data analysis. The cognitive functions were evaluated through Digit Span, Mental Control, Trail Making Test, Phonemic Verbal Fluency Task, and Addenbrooke's Cognitive Examination III. The motor function was assessed through 10-meter walk test, Mini BESTest and Timed Up and Go Test.
A total of 65 patients were included in this study. Of these, 66.15% were males, mean age was 61.14 (8.39) years, mean educational was 12 (8) years, disease progression time was 5.45 (4.37) years. 64.61% were in stages I and II of the Hoehn and Yahr stage. The correlation analyses showed that balance skills are significantly correlated with the ability to switch attention between two tasks and visuospatial function. The function mobility showed a significant correlation with cognitive tests.
Data suggest the importance of the aspects of switch attention and mental flexibility in gait, evidencing the greater difficulty for double tasks.
步态障碍可能与认知障碍有关,步速缓慢可预测认知障碍和痴呆。
探讨参加医院神经康复项目的帕金森病(PD)患者认知功能与步态表现之间的关系。
采用描述性和推断性统计(Pearson相关性分析)进行数据分析。通过数字广度、心理控制、连线测验、语音流畅性任务和Addenbrooke认知检查III评估认知功能。通过10米步行测试、Mini BESTest和起立行走测试评估运动功能。
本研究共纳入65例患者。其中,66.15%为男性,平均年龄为61.14(8.39)岁,平均受教育年限为12(8)年,疾病进展时间为5.45(4.37)年。64.61%处于Hoehn和Yahr分期的I期和II期。相关性分析表明,平衡技能与在两项任务之间转换注意力的能力以及视觉空间功能显著相关。功能移动性与认知测试显著相关。
数据表明注意力转换和心理灵活性在步态方面的重要性,证明了执行双重任务的更大困难。