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Dual-task intervention based on trail making test: Effects on Parkinson's disease
Renata do Nascimento Silva1, Sabrina Vilela Afonso2, Luana Rosseto Felipe1
1Residente Pelo Programa de Residência Integrada Multiprofissional e em Área Profissional da Saúde, Universidade Federal do Triângulo Mineiro (UFTM), Brazil.
Journal of Bodywork and Movement Therapies
|August 15, 2021
Summary
Dual-task training using the Trail Making Test improved cognition and daily activities in Parkinson's disease (PD) patients. Gait and fall efficacy showed no significant changes after the intervention.
Area of Science:
- Neurorehabilitation
- Movement Disorders
- Geriatric Medicine
Background:
- Parkinson's disease (PD) significantly impacts gait, cognition, and daily activity execution.
- Interventions targeting dual-tasking show promise for improving motor and cognitive functions in PD.
Purpose of the Study:
- To evaluate the effectiveness of a dual-task intervention based on the Trail Making Test (TMT) for individuals with Parkinson's disease.
- To assess the intervention's impact on gait, cognitive function, and execution of daily activities.
Main Methods:
- A randomized controlled trial was conducted with 10 individuals with PD, divided into a dual-task group (DTG) and a control group (CG).
- The DTG underwent 16 dual-task training sessions using the TMT, while the CG followed a conventional protocol.
- Assessments included the 6-minute walk test (T6), TMT, Katz Index, and Falls Efficacy Scale (FES) pre- and post-intervention.
Main Results:
- The DTG showed significant improvement in TMT performance (p=0.03), indicating faster completion times.
- Significant improvements were observed in daily activities as measured by the Katz Index for the DTG (P=0.02).
- No significant differences were found in gait (T6) or fall efficacy (FES) between groups or within groups post-intervention.
Conclusions:
- Dual-task training based on the TMT effectively enhanced cognitive function and daily activity performance in individuals with PD.
- The intervention facilitated learning adaptations and retention of motor and cognitive skills.
- These improvements may lead to increased autonomy in daily life for patients with Parkinson's disease.
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