Neurology Clinic, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, University of Health Sciences, Ankara, Turkey.
Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Eskişehir Osmangazi University, Eskişehir, Turkey.
Acta Neurol Belg. 2023 Dec;123(6):2221-2227. doi: 10.1007/s13760-023-02271-5. Epub 2023 Apr 10.
Many of the activities in daily living require different walking skills such as straight walking (SW), walking with turning (WwT), curved walking (CW) or backward walking (BW) in a dual-task condition. However, there is a lack of evidence regarding the dual task cost (DTC) during different types of walking. Therefore, this study was planned to compare the DTC during different types of walking in people with Parkinson's disease (PwPD) and healthy controls.
Thirty-one PwPD and 31 healthy controls were included. Different types of walking were assessed using the 10-Meter Walk Test for SW, the Timed Up and Go Test for WwT, the Figure-of-Eight Walk Test for CW, and the Three-Meter Backward Walk Test for BW. Walking assessments were performed in a single-task and a dual-task condition.
The DTC on SW was the lowest in both groups. The DTC on WwT, BW, and CW were similar in healthy controls, whereas the order of the DTC on remaining walking types from lowest to highest was; WwT, BW, and CW in PwPD. Also, the DTC on WwT, BW, and CW were higher in PwPD than healthy controls. However, the DTC on SW was similar in PwPD and healthy controls.
The DTC is different during SW, WwT, BW, and CW in PwPD. Therefore, walking type should be considered in studies investigating dual task walking in PwPD. Also, dual task exercises consisting of different types of walking should be included in rehabilitation programs of PwPD.
日常生活中的许多活动都需要不同的步行技能，例如在双重任务条件下进行直线行走（SW）、转弯行走（WwT）、曲线行走（CW）或倒退行走（BW）。然而，关于不同类型行走时的双重任务代价（DTC）缺乏证据。因此，本研究旨在比较帕金森病患者（PwPD）和健康对照者在不同类型行走时的 DTC。
纳入 31 名 PwPD 和 31 名健康对照者。使用 10 米步行测试进行 SW、计时起立行走测试进行 WwT、八字形行走测试进行 CW 和 3 米倒退行走测试进行 BW 评估不同类型的行走。行走评估在单任务和双重任务条件下进行。
在两个组中，SW 的 DTC 最低。健康对照组中 WwT、BW 和 CW 的 DTC 相似，而 PwPD 中剩余行走类型的 DTC 从低到高的顺序为；WwT、BW 和 CW。此外，PwPD 中 WwT、BW 和 CW 的 DTC 高于健康对照组。然而，PwPD 和健康对照组的 SW 的 DTC 相似。
PwPD 进行 SW、WwT、BW 和 CW 时，DTC 不同。因此，在研究 PwPD 的双重任务行走时应考虑行走类型。此外，应在 PwPD 的康复计划中纳入包含不同类型行走的双重任务练习。
