Xiao Yi, Yang Tianmi, Shang Huifang
Department of Neurology, Laboratory of Neurodegenerative Disorders, National Clinical Research Center for Geriatric, West China Hospital, Sichuan University, Chengdu 610017, China.
Brain Sci. 2023 Mar 3;13(3):437. doi: 10.3390/brainsci13030437.
Rehabilitation is a high-potential approach to improving physical and cognitive functions in Parkinson's disease (PD). Dual-task training innovatively combines motor and cognitive rehabilitation in a comprehensive module. Patients perform motor and cognitive tasks at the same time in dual-task training. The previous studies of dual-task training in PD had high heterogeneity and achieved controversial results. In the current review, we aim to summarize the current evidence of the effect of dual-task training on motor and cognitive functions in PD patients to support the clinical practice of dual-task training. In addition, we also discuss the current opinions regarding the mechanism underlying the interaction between motor and cognitive training. In conclusion, dual-task training is suitable for PD patients with varied disease duration to improve their motor function. Dual-task training can improve motor symptoms, single-task gait speed, single-task steep length, balance, and objective experience of freezing of gait in PD. The improvement in cognitive function after dual-task training is mild.
康复治疗是改善帕金森病(PD)患者身体和认知功能的一种极具潜力的方法。双重任务训练以一种综合模式创新性地将运动康复和认知康复结合起来。在双重任务训练中,患者同时执行运动和认知任务。先前关于PD双重任务训练的研究具有高度异质性,且结果存在争议。在本次综述中,我们旨在总结目前关于双重任务训练对PD患者运动和认知功能影响的证据,以支持双重任务训练的临床实践。此外,我们还讨论了目前关于运动训练和认知训练之间相互作用机制的观点。总之,双重任务训练适用于病程各异的PD患者,以改善其运动功能。双重任务训练可以改善PD患者的运动症状、单任务步态速度、单任务步幅长度、平衡能力以及步态冻结的客观体验。双重任务训练后认知功能的改善较为轻微。