Citation

Schwenk M, Zieschang T, Oster P, Hauer K. Neurology 2010; 74(24): 1961-1968.

Affiliation

Department of Geriatric Research, Bethanien-Hospital/Geriatric Centre at the University of Heidelberg, Germany.

Copyright

(Copyright © 2010, Lippincott Williams and Wilkins)

DOI

10.1212/WNL.0b013e3181e39696

PMID

20445152

Abstract

BACKGROUND: Deficits in attention-related cognitive performance measured as dual-task performance represent early markers of dementia and are associated with motor deficits and increased risk of falling. The purpose of this study was to examine the effect of a specific dual-task training in patients with mild to moderate dementia. METHODS: Sixty-one geriatric patients with confirmed dementia took part in a 12-week randomized, controlled trial. Subjects in the intervention group (IG) underwent dual-task-based exercise training. The control group (CG) performed unspecific low-intensity exercise. Motor performance (gait speed, cadence, stride length, stride time, single support) and cognitive performance (serial 2 forward calculation [S2], serial 3 backward calculation [S3]) were examined as single and dual tasks. Decrease in performance during dual tasks compared to single task expressed as motor, cognitive, and combined motor/cognitive dual-task cost (DTC) was calculated before and after intervention. Primary outcome was defined as DTC for gait speed under complex S3 conditions. RESULTS: Specific training significantly improved dual-task performance under complex S3 conditions compared to the CG (reduction of DTC: gait speed 21.7% IG, 2.6% CG, p < 0.001; other gait variables: 8.7% to 41.1% IG, -0.9% to 8.1% CG, p

Language: en