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...

Descripción completa

Detalles Bibliográficos
Autores principales: 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
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