Cargando…
Cognitive-Motor Interference in Neurodegenerative Disease: A Narrative Review and Implications for Clinical Management
This paper provides a narrative review of cognitive motor interference in neurodegeneration, including brain imaging findings specific to interference effects in neurodegenerative disease, and dual task assessment and intervention in Parkinson’s disease (PD), multiple sclerosis (MS), and Huntington’...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218850/ https://www.ncbi.nlm.nih.gov/pubmed/30425673 http://dx.doi.org/10.3389/fpsyg.2018.02061 |
_version_ | 1783368536447516672 |
---|---|
author | McIsaac, Tara L. Fritz, Nora E. Quinn, Lori Muratori, Lisa M. |
author_facet | McIsaac, Tara L. Fritz, Nora E. Quinn, Lori Muratori, Lisa M. |
author_sort | McIsaac, Tara L. |
collection | PubMed |
description | This paper provides a narrative review of cognitive motor interference in neurodegeneration, including brain imaging findings specific to interference effects in neurodegenerative disease, and dual task assessment and intervention in Parkinson’s disease (PD), multiple sclerosis (MS), and Huntington’s disease (HD). In a healthy central nervous system the ability to process information is limited. Limitations in capacity to select and attend to inputs influence the ability to prepare and perform multiple tasks. As a result, the system balances demands, switching attention to the most task-relevant information as it becomes available. Limitations may become more apparent in persons with neurodegenerative diseases (ND) with system-specific impairments in PD, MS, and HD. These ND affect both cognitive and motor function and are thus particularly susceptible to dual task interference. Issues related to performer and task characteristics and implications of these findings for both the standard assessment of dual task abilities as well as development and evaluation of interventions aimed at improving dual task ability are discussed. In addition, we address the need for optimizing individualized assessment, intervention and evaluation of dual task function by choosing cognitive and motor tasks and measures that are sensitive to and appropriate for the individual’s level of function. Finally, we use current evidence to outline a 5-step process of clinical decision making that uses the dual task taxonomy as a framework for assessment and intervention. |
format | Online Article Text |
id | pubmed-6218850 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-62188502018-11-13 Cognitive-Motor Interference in Neurodegenerative Disease: A Narrative Review and Implications for Clinical Management McIsaac, Tara L. Fritz, Nora E. Quinn, Lori Muratori, Lisa M. Front Psychol Psychology This paper provides a narrative review of cognitive motor interference in neurodegeneration, including brain imaging findings specific to interference effects in neurodegenerative disease, and dual task assessment and intervention in Parkinson’s disease (PD), multiple sclerosis (MS), and Huntington’s disease (HD). In a healthy central nervous system the ability to process information is limited. Limitations in capacity to select and attend to inputs influence the ability to prepare and perform multiple tasks. As a result, the system balances demands, switching attention to the most task-relevant information as it becomes available. Limitations may become more apparent in persons with neurodegenerative diseases (ND) with system-specific impairments in PD, MS, and HD. These ND affect both cognitive and motor function and are thus particularly susceptible to dual task interference. Issues related to performer and task characteristics and implications of these findings for both the standard assessment of dual task abilities as well as development and evaluation of interventions aimed at improving dual task ability are discussed. In addition, we address the need for optimizing individualized assessment, intervention and evaluation of dual task function by choosing cognitive and motor tasks and measures that are sensitive to and appropriate for the individual’s level of function. Finally, we use current evidence to outline a 5-step process of clinical decision making that uses the dual task taxonomy as a framework for assessment and intervention. Frontiers Media S.A. 2018-10-29 /pmc/articles/PMC6218850/ /pubmed/30425673 http://dx.doi.org/10.3389/fpsyg.2018.02061 Text en Copyright © 2018 McIsaac, Fritz, Quinn and Muratori. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychology McIsaac, Tara L. Fritz, Nora E. Quinn, Lori Muratori, Lisa M. Cognitive-Motor Interference in Neurodegenerative Disease: A Narrative Review and Implications for Clinical Management |
title | Cognitive-Motor Interference in Neurodegenerative Disease: A Narrative Review and Implications for Clinical Management |
title_full | Cognitive-Motor Interference in Neurodegenerative Disease: A Narrative Review and Implications for Clinical Management |
title_fullStr | Cognitive-Motor Interference in Neurodegenerative Disease: A Narrative Review and Implications for Clinical Management |
title_full_unstemmed | Cognitive-Motor Interference in Neurodegenerative Disease: A Narrative Review and Implications for Clinical Management |
title_short | Cognitive-Motor Interference in Neurodegenerative Disease: A Narrative Review and Implications for Clinical Management |
title_sort | cognitive-motor interference in neurodegenerative disease: a narrative review and implications for clinical management |
topic | Psychology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218850/ https://www.ncbi.nlm.nih.gov/pubmed/30425673 http://dx.doi.org/10.3389/fpsyg.2018.02061 |
work_keys_str_mv | AT mcisaactaral cognitivemotorinterferenceinneurodegenerativediseaseanarrativereviewandimplicationsforclinicalmanagement AT fritznorae cognitivemotorinterferenceinneurodegenerativediseaseanarrativereviewandimplicationsforclinicalmanagement AT quinnlori cognitivemotorinterferenceinneurodegenerativediseaseanarrativereviewandimplicationsforclinicalmanagement AT muratorilisam cognitivemotorinterferenceinneurodegenerativediseaseanarrativereviewandimplicationsforclinicalmanagement |