Cargando…
Structured Cognitive-Motor Dual Task Training Compared to Single Mobility Training in Persons with Multiple Sclerosis, a Multicenter RCT
The aim was to compare the effectiveness of dual-task training (DTT) compared to single mobility training (SMT) on dual-task walking, mobility and cognition, in persons with Multiple Sclerosis (pwMS). Forty pwMS were randomly assigned to the DTT or SMT groups. The DTT-group performed dual-task exerc...
Autores principales: | , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6947084/ https://www.ncbi.nlm.nih.gov/pubmed/31835502 http://dx.doi.org/10.3390/jcm8122177 |
_version_ | 1783485478492700672 |
---|---|
author | Veldkamp, Renee Baert, Ilse Kalron, Alon Tacchino, Andrea D’hooge, Mieke Vanzeir, Ellen Van Geel, Fanny Raats, Joke Goetschalckx, Mieke Brichetto, Giampaolo Shalmoni, Nov Hellinckx, Peter De Weerdt, Natasja De Wilde, Dorien Feys, Peter |
author_facet | Veldkamp, Renee Baert, Ilse Kalron, Alon Tacchino, Andrea D’hooge, Mieke Vanzeir, Ellen Van Geel, Fanny Raats, Joke Goetschalckx, Mieke Brichetto, Giampaolo Shalmoni, Nov Hellinckx, Peter De Weerdt, Natasja De Wilde, Dorien Feys, Peter |
author_sort | Veldkamp, Renee |
collection | PubMed |
description | The aim was to compare the effectiveness of dual-task training (DTT) compared to single mobility training (SMT) on dual-task walking, mobility and cognition, in persons with Multiple Sclerosis (pwMS). Forty pwMS were randomly assigned to the DTT or SMT groups. The DTT-group performed dual-task exercises using an interactive tablet-based application, while the SMT-group received conventional walking and balance exercises. Both interventions were supervised and identical in weeks (8) and sessions (20). Nine cognitive-motor dual-task conditions were assessed at baseline, after intervention and at 4-weeks follow-up (FU). The dual-task cost (DTC), percentage change of dual-task performance compared to single-task performance, was the primary outcome. Mobility and cognition were secondarily assessed. Mixed model analyses were done with group, time and the interaction between group and time as fixed factors and participants as random factors. Significant time by group interactions were found for the digit-span walk and subtraction walk dual-task conditions, with a reduction in DTC (gait speed) for the DTT maintained at FU. Further, absolute dual-task gait speed during walking over obstacles only improved after the DTT. Significant improvements were found for both groups in various motor and cognitive measures. However, the DTT led to better dual-task walking compared to the SMT. |
format | Online Article Text |
id | pubmed-6947084 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-69470842020-01-13 Structured Cognitive-Motor Dual Task Training Compared to Single Mobility Training in Persons with Multiple Sclerosis, a Multicenter RCT Veldkamp, Renee Baert, Ilse Kalron, Alon Tacchino, Andrea D’hooge, Mieke Vanzeir, Ellen Van Geel, Fanny Raats, Joke Goetschalckx, Mieke Brichetto, Giampaolo Shalmoni, Nov Hellinckx, Peter De Weerdt, Natasja De Wilde, Dorien Feys, Peter J Clin Med Article The aim was to compare the effectiveness of dual-task training (DTT) compared to single mobility training (SMT) on dual-task walking, mobility and cognition, in persons with Multiple Sclerosis (pwMS). Forty pwMS were randomly assigned to the DTT or SMT groups. The DTT-group performed dual-task exercises using an interactive tablet-based application, while the SMT-group received conventional walking and balance exercises. Both interventions were supervised and identical in weeks (8) and sessions (20). Nine cognitive-motor dual-task conditions were assessed at baseline, after intervention and at 4-weeks follow-up (FU). The dual-task cost (DTC), percentage change of dual-task performance compared to single-task performance, was the primary outcome. Mobility and cognition were secondarily assessed. Mixed model analyses were done with group, time and the interaction between group and time as fixed factors and participants as random factors. Significant time by group interactions were found for the digit-span walk and subtraction walk dual-task conditions, with a reduction in DTC (gait speed) for the DTT maintained at FU. Further, absolute dual-task gait speed during walking over obstacles only improved after the DTT. Significant improvements were found for both groups in various motor and cognitive measures. However, the DTT led to better dual-task walking compared to the SMT. MDPI 2019-12-10 /pmc/articles/PMC6947084/ /pubmed/31835502 http://dx.doi.org/10.3390/jcm8122177 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Veldkamp, Renee Baert, Ilse Kalron, Alon Tacchino, Andrea D’hooge, Mieke Vanzeir, Ellen Van Geel, Fanny Raats, Joke Goetschalckx, Mieke Brichetto, Giampaolo Shalmoni, Nov Hellinckx, Peter De Weerdt, Natasja De Wilde, Dorien Feys, Peter Structured Cognitive-Motor Dual Task Training Compared to Single Mobility Training in Persons with Multiple Sclerosis, a Multicenter RCT |
title | Structured Cognitive-Motor Dual Task Training Compared to Single Mobility Training in Persons with Multiple Sclerosis, a Multicenter RCT |
title_full | Structured Cognitive-Motor Dual Task Training Compared to Single Mobility Training in Persons with Multiple Sclerosis, a Multicenter RCT |
title_fullStr | Structured Cognitive-Motor Dual Task Training Compared to Single Mobility Training in Persons with Multiple Sclerosis, a Multicenter RCT |
title_full_unstemmed | Structured Cognitive-Motor Dual Task Training Compared to Single Mobility Training in Persons with Multiple Sclerosis, a Multicenter RCT |
title_short | Structured Cognitive-Motor Dual Task Training Compared to Single Mobility Training in Persons with Multiple Sclerosis, a Multicenter RCT |
title_sort | structured cognitive-motor dual task training compared to single mobility training in persons with multiple sclerosis, a multicenter rct |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6947084/ https://www.ncbi.nlm.nih.gov/pubmed/31835502 http://dx.doi.org/10.3390/jcm8122177 |
work_keys_str_mv | AT veldkamprenee structuredcognitivemotordualtasktrainingcomparedtosinglemobilitytraininginpersonswithmultiplesclerosisamulticenterrct AT baertilse structuredcognitivemotordualtasktrainingcomparedtosinglemobilitytraininginpersonswithmultiplesclerosisamulticenterrct AT kalronalon structuredcognitivemotordualtasktrainingcomparedtosinglemobilitytraininginpersonswithmultiplesclerosisamulticenterrct AT tacchinoandrea structuredcognitivemotordualtasktrainingcomparedtosinglemobilitytraininginpersonswithmultiplesclerosisamulticenterrct AT dhoogemieke structuredcognitivemotordualtasktrainingcomparedtosinglemobilitytraininginpersonswithmultiplesclerosisamulticenterrct AT vanzeirellen structuredcognitivemotordualtasktrainingcomparedtosinglemobilitytraininginpersonswithmultiplesclerosisamulticenterrct AT vangeelfanny structuredcognitivemotordualtasktrainingcomparedtosinglemobilitytraininginpersonswithmultiplesclerosisamulticenterrct AT raatsjoke structuredcognitivemotordualtasktrainingcomparedtosinglemobilitytraininginpersonswithmultiplesclerosisamulticenterrct AT goetschalckxmieke structuredcognitivemotordualtasktrainingcomparedtosinglemobilitytraininginpersonswithmultiplesclerosisamulticenterrct AT brichettogiampaolo structuredcognitivemotordualtasktrainingcomparedtosinglemobilitytraininginpersonswithmultiplesclerosisamulticenterrct AT shalmoninov structuredcognitivemotordualtasktrainingcomparedtosinglemobilitytraininginpersonswithmultiplesclerosisamulticenterrct AT hellinckxpeter structuredcognitivemotordualtasktrainingcomparedtosinglemobilitytraininginpersonswithmultiplesclerosisamulticenterrct AT deweerdtnatasja structuredcognitivemotordualtasktrainingcomparedtosinglemobilitytraininginpersonswithmultiplesclerosisamulticenterrct AT dewildedorien structuredcognitivemotordualtasktrainingcomparedtosinglemobilitytraininginpersonswithmultiplesclerosisamulticenterrct AT feyspeter structuredcognitivemotordualtasktrainingcomparedtosinglemobilitytraininginpersonswithmultiplesclerosisamulticenterrct |