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Int J Sports Med 2023; 44(10): 744-750
DOI: 10.1055/a-2085-1429
Clinical Sciences

Determinants of Dual-task Gait Speed in Older Adults with and without Parkinson’s Disease

André Ivaniski-Mello 
1   LaBiodin Biodynamics Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
,
Vivian Torres Müller
1   LaBiodin Biodynamics Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
,
Lucas de Liz Alves
1   LaBiodin Biodynamics Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
,
Marcela Zimmermann Casal
1   LaBiodin Biodynamics Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
,
Aline Nogueira Haas
1   LaBiodin Biodynamics Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
2   Atlantic Fellow for Equity in Brain Health, Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland
,
Luca Correale
3   Department of Public Health, Experimental Medicine and Forensic Sciences, University of Pavia, Pavia, Italy
,
Ana Carolina Kanitz
1   LaBiodin Biodynamics Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
,
Valéria Feijó Martins
1   LaBiodin Biodynamics Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
,
Andréa Kruger Gonçalves
1   LaBiodin Biodynamics Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
,
Flávia Gomes Martinez
1   LaBiodin Biodynamics Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
,
Leonardo Alexandre Peyré-Tartaruga
4   LaBiodin Biodynamics Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
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Abstract

Mobility difficulties for people with Parkinson’s disease (PwPD) are more pronounced when they perform a simultaneous cognitive task while walking. Although it is known that neurodegeneration results in widespread motor and brain impairments, few studies have comprehensively examined possible physical and mental determinants of dual task walking in PwPD. In this cross-sectional study, we aimed to investigate if and how muscle strength (sit-to-stand 30-sec test), cognition (mini-mental state examination) and functionality (timed up and go test) affect walking performance (10-meter walking test) with and without arithmetic dual task from older adults with and without Parkinson’s disease. Walking speed was reduced by 16% and 11% with arithmetic dual task for PwPD (from 1.07±0.28 to 0.91±0.29 m.s−1, p<0.001) and older adults (from 1.32±0.28 to 1.16±0.26 m.s−1, p=0.002) compared to essential walking. The cognitive state was similar among the groups, but it was only associated with the dual-task walking speed in PwPD. In PwPD, lower limb strength was the better predictor of speed, whereas mobility was more related to it in older adults. Therefore, future exercise interventions aiming to improve walking in PwPD should consider these findings to maximize their effectiveness.

Key words

locomotion - task performance - executive function - walking speed - multitasking behavior - physical fitness

Supplementary Material



Publikationsverlauf

Eingereicht: 01. Februar 2023

Angenommen: 02. Mai 2023

Accepted Manuscript online:
02. Mai 2023

Artikel online veröffentlicht:
10. Juli 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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