The Walking Trail-Making Test is an early detection tool for mild cognitive impairment

Anaick Perrochon, Gilles Kemoun Laboratoire Mobilité, Vieillissement, Exercice (MOVE), EA 6314, Faculté des Sciences du Sport, Université de Poitiers, 8 Allée Jean Monnet, 86000 Poitiers, France; ISIS, Research Institute on Handicap and Aging, Paris, Franc...

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Autores principales:	Perrochon A, Kemoun G
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	spatial navigation walking trail making test detection mild cognitive impairment Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/ba4e73071b3c4e23936ea5e1b1175429
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spelling	oai:doaj.org-article:ba4e73071b3c4e23936ea5e1b11754292021-12-02T04:41:57ZThe Walking Trail-Making Test is an early detection tool for mild cognitive impairment1178-1998https://doaj.org/article/ba4e73071b3c4e23936ea5e1b11754292014-01-01T00:00:00Zhttps://www.dovepress.com/the-walking-trail-making-test-is-an-early-detection-tool-for-mild-cogn-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Anaick Perrochon, Gilles Kemoun Laboratoire Mobilité, Vieillissement, Exercice (MOVE), EA 6314, Faculté des Sciences du Sport, Université de Poitiers, 8 Allée Jean Monnet, 86000 Poitiers, France; ISIS, Research Institute on Handicap and Aging, Paris, France Background: Executive function impairment (in particular, mental flexibility) in the elderly, and in patients with mild cognitive impairment (MCI), is strongly correlated with difficulties in performing complex walking tasks. The aim of this study was to determine if the adaptation of a neuropsychological test (the Trail-Making Test), to evaluate executive functions during walking, can be an early detection tool for cognitive impairment. Methods: Fifty subjects (15 young, 20 older, presumably healthy, and 15 MCI) were first evaluated for cognitive functions (Mini-Mental State Examination, Frontal Assessment Battery, and Trail-Making Test) and motor functions (10-meter walking test). All subjects then performed a spatial navigation, or a complex walking test (the Walking Trail-Making Test: [WTMT]), and their spatiotemporal walking variables were analyzed using cluster analysis. Results: Following evaluation of WTMT locomotor performance, cluster analysis revealed three groups that were distinctly different in age and cognitive abilities: a group of young subjects, a group of healthy older subjects, MCI subjects with amnestic impairment, and a group of MCI subjects with executive function impairment. The WTMT enabled early detection, (ie, borderline MCI) of dysexecutive impairment, with 78% sensitivity and 90% specificity. Conclusion: The WTMT is of interest in that it can help provide early detection of dysexecutive cognitive impairment. Keywords: spatial navigation, walking, trail making test, detection, mild cognitive impairmentPerrochon AKemoun GDove Medical Pressarticlespatial navigationwalkingtrail making testdetectionmild cognitive impairmentGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 111-119 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	spatial navigation walking trail making test detection mild cognitive impairment Geriatrics RC952-954.6
spellingShingle	spatial navigation walking trail making test detection mild cognitive impairment Geriatrics RC952-954.6 Perrochon A Kemoun G The Walking Trail-Making Test is an early detection tool for mild cognitive impairment
description	Anaick Perrochon, Gilles Kemoun Laboratoire Mobilité, Vieillissement, Exercice (MOVE), EA 6314, Faculté des Sciences du Sport, Université de Poitiers, 8 Allée Jean Monnet, 86000 Poitiers, France; ISIS, Research Institute on Handicap and Aging, Paris, France Background: Executive function impairment (in particular, mental flexibility) in the elderly, and in patients with mild cognitive impairment (MCI), is strongly correlated with difficulties in performing complex walking tasks. The aim of this study was to determine if the adaptation of a neuropsychological test (the Trail-Making Test), to evaluate executive functions during walking, can be an early detection tool for cognitive impairment. Methods: Fifty subjects (15 young, 20 older, presumably healthy, and 15 MCI) were first evaluated for cognitive functions (Mini-Mental State Examination, Frontal Assessment Battery, and Trail-Making Test) and motor functions (10-meter walking test). All subjects then performed a spatial navigation, or a complex walking test (the Walking Trail-Making Test: [WTMT]), and their spatiotemporal walking variables were analyzed using cluster analysis. Results: Following evaluation of WTMT locomotor performance, cluster analysis revealed three groups that were distinctly different in age and cognitive abilities: a group of young subjects, a group of healthy older subjects, MCI subjects with amnestic impairment, and a group of MCI subjects with executive function impairment. The WTMT enabled early detection, (ie, borderline MCI) of dysexecutive impairment, with 78% sensitivity and 90% specificity. Conclusion: The WTMT is of interest in that it can help provide early detection of dysexecutive cognitive impairment. Keywords: spatial navigation, walking, trail making test, detection, mild cognitive impairment
format	article
author	Perrochon A Kemoun G
author_facet	Perrochon A Kemoun G
author_sort	Perrochon A
title	The Walking Trail-Making Test is an early detection tool for mild cognitive impairment
title_short	The Walking Trail-Making Test is an early detection tool for mild cognitive impairment
title_full	The Walking Trail-Making Test is an early detection tool for mild cognitive impairment
title_fullStr	The Walking Trail-Making Test is an early detection tool for mild cognitive impairment
title_full_unstemmed	The Walking Trail-Making Test is an early detection tool for mild cognitive impairment
title_sort	walking trail-making test is an early detection tool for mild cognitive impairment
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/ba4e73071b3c4e23936ea5e1b1175429
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The Walking Trail-Making Test is an early detection tool for mild cognitive impairment

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