A feasibility study of dual-task strategy training to improve gait performance in patients with Parkinson’s disease

Abstract Gait disorders in patients with Parkinson’s disease (PD) impact their mobility and self-dependence. Gait training and dual-task (DT)-training improve gait quality. This study aims to assess the feasibility of a specific, gradually intensified DT-training for PD patients with a special focus...

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Autores principales:	Bettina Wollesen, Silvan Rudnik, Alessandro Gulberti, Thomas Cordes, Christian Gerloff, Monika Poetter-Nerger
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3f44bf67f5da4a748bba347eb3252786
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spelling	oai:doaj.org-article:3f44bf67f5da4a748bba347eb32527862021-12-02T17:41:33ZA feasibility study of dual-task strategy training to improve gait performance in patients with Parkinson’s disease10.1038/s41598-021-91858-02045-2322https://doaj.org/article/3f44bf67f5da4a748bba347eb32527862021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-91858-0https://doaj.org/toc/2045-2322Abstract Gait disorders in patients with Parkinson’s disease (PD) impact their mobility and self-dependence. Gait training and dual-task (DT)-training improve gait quality. This study aims to assess the feasibility of a specific, gradually intensified DT-training for PD patients with a special focus on gait performance under single task (ST) and DT conditions. Correlations to Freezing of Gait (FoG) were examined. 17 PD patients (70.1 ± 7.4 years, H&Y Stadium 2–3, FoG-Q 9.0 ± 5.5) participated in a four-week DT-training (1x/week, 60 min) with progressively increasing task difficulty and number of tasks. Gait performance (spatiotemporal parameters) was assessed during ST and DT conditions. The training improved DT gait performance, especially gait velocity + 0.11 m/s; (F(2,16) = 7.163; p = .0171; η2part = .309) and step length (+ 5.73 cm). Also, physical well-being and absolved walking distance improved significantly. Correlation analyses of the FoG score at baseline with relative change of gait metrics post-training revealed significant correlations with training-induced changes of step length and improvement of gait velocity. Overall, the developed DT-training was feasible and effective. Further studies should examine the long-term benefits and the optimal setting to achieve the highest impact. The study was registered in the DRKS (ID DRKS00018084, 23.1.20).Bettina WollesenSilvan RudnikAlessandro GulbertiThomas CordesChristian GerloffMonika Poetter-NergerNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Bettina Wollesen Silvan Rudnik Alessandro Gulberti Thomas Cordes Christian Gerloff Monika Poetter-Nerger A feasibility study of dual-task strategy training to improve gait performance in patients with Parkinson’s disease
description	Abstract Gait disorders in patients with Parkinson’s disease (PD) impact their mobility and self-dependence. Gait training and dual-task (DT)-training improve gait quality. This study aims to assess the feasibility of a specific, gradually intensified DT-training for PD patients with a special focus on gait performance under single task (ST) and DT conditions. Correlations to Freezing of Gait (FoG) were examined. 17 PD patients (70.1 ± 7.4 years, H&Y Stadium 2–3, FoG-Q 9.0 ± 5.5) participated in a four-week DT-training (1x/week, 60 min) with progressively increasing task difficulty and number of tasks. Gait performance (spatiotemporal parameters) was assessed during ST and DT conditions. The training improved DT gait performance, especially gait velocity + 0.11 m/s; (F(2,16) = 7.163; p = .0171; η2part = .309) and step length (+ 5.73 cm). Also, physical well-being and absolved walking distance improved significantly. Correlation analyses of the FoG score at baseline with relative change of gait metrics post-training revealed significant correlations with training-induced changes of step length and improvement of gait velocity. Overall, the developed DT-training was feasible and effective. Further studies should examine the long-term benefits and the optimal setting to achieve the highest impact. The study was registered in the DRKS (ID DRKS00018084, 23.1.20).
format	article
author	Bettina Wollesen Silvan Rudnik Alessandro Gulberti Thomas Cordes Christian Gerloff Monika Poetter-Nerger
author_facet	Bettina Wollesen Silvan Rudnik Alessandro Gulberti Thomas Cordes Christian Gerloff Monika Poetter-Nerger
author_sort	Bettina Wollesen
title	A feasibility study of dual-task strategy training to improve gait performance in patients with Parkinson’s disease
title_short	A feasibility study of dual-task strategy training to improve gait performance in patients with Parkinson’s disease
title_full	A feasibility study of dual-task strategy training to improve gait performance in patients with Parkinson’s disease
title_fullStr	A feasibility study of dual-task strategy training to improve gait performance in patients with Parkinson’s disease
title_full_unstemmed	A feasibility study of dual-task strategy training to improve gait performance in patients with Parkinson’s disease
title_sort	feasibility study of dual-task strategy training to improve gait performance in patients with parkinson’s disease
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/3f44bf67f5da4a748bba347eb3252786
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A feasibility study of dual-task strategy training to improve gait performance in patients with Parkinson’s disease

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