Gait, dual task and history of falls in elderly with preserved cognition, mild cognitive impairment, and mild Alzheimer's disease

被引:58
作者
Ansai, Juliana H. [1 ]
Andrade, Larissa P. [1 ]
Rossi, Paulo G. [1 ]
Takahashi, Anielle C. M. [1 ]
Vale, Francisco A. C. [2 ]
Rebelatto, Jose R. [1 ]
机构
[1] Univ Fed Sao Carlos UFSCar, Dept Fisioterapia, Sao Carlos, SP, Brazil
[2] Univ Fed Sao Carlos UFSCar, Dept Med, Sao Carlos, SP, Brazil
关键词
Aged; Analysis of task performance; Gait; Falls; Cognition; Rehabilitation; BRAZILIAN VERSION; OLDER-ADULTS; RISK-FACTORS; ATTENTION; PEOPLE;
D O I
10.1016/j.bjpt.2017.03.010
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
Background: Studies with functional and applicable methods and new cognitive demands involving executive function are needed to improve screening, prevention and rehabilitation of cognitive impairment and falls. Objective: to identify differences in gait, dual task performances, and history of falls between elderly people with preserved cognition, mild cognitive impairment and mild Alzheimer's disease. Method: A cross-sectional study was conducted. The sample consisted of 40 community dwelling older adults with preserved cognition, 40 older adults with mild cognitive impairment, and 38 older adults with mild Alzheimer's disease. The assessment consisted of anamneses, gait (measured by the 10-meter walk test), dual task (measured by the Timed Up and Go Test associated with the motor-cognitive task of calling a phone number), and history of falls in the past year. Results: There were no differences among all groups for all variables. However, the Alzheimer's disease Group performed significantly worse in the dual task than the other groups. No item of dual task could distinguish people with preserved cognition from those with mild cognitive impairment. The groups with cognitive impairment included more falters, and specific characteristics in history of falls between groups were identified. Conclusion: Dual task could distinguish Alzheimer's disease patients specifically from other cognitive profiles. (C) 2017Associacao Brasileira de Pesquisa e Pos-Graduacao em Fisioterapia. Published by Elsevier Editora Ltda. All rights reserved.
引用
收藏
页码:144 / 151
页数:8
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