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P4‐347: EFFECTIVENESS OF TRAINING OF DUAL TASKS IN COGNITIVE AND MOTOR FUNCTION IN SUBJECTS WITH ACQUIRED CEREBRAL DAMAGE: PILOT STUDY
Author(s) -
Sampayo María de la Paz,
Deschle Florencia,
Tabernero Maria Eugenia,
Cancino Jorge Jose
Publication year - 2018
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2018.07.170
Subject(s) - neuropsychology , physical medicine and rehabilitation , cognition , fluency , cognitive training , psychology , trail making test , gait , medicine , audiology , physical therapy , neuroscience , mathematics education
Background: In patients with acquired brain damage carrying out a cognitive task during walking reduces speed, length and time of passage. There is evidence that training dual tasks would be an effective strategy for improving them, however, available studies are variable and controversial results regarding the transfer of training to other cognitive and motor functions. Objective: Evaluate the effectiveness of dual task training in cognitive and motor function in subjects with acquired brain injury. Methods:4 patients with stroke and 2 with Traumatic brain injury (TBI) with a Mini Mental State Examination (MMSE) equal to or greater than 20 and independent walking. Procedure: 20 sessions of 30 minutes of training in dual tasks, with neuropsychological and motor evaluation before and after. Measuring variables: Motor: Dynamic index of the march (Dim), Time up and go simple (TUG) and dual (TUGd), walking speed (WS) and Walking while talking simple test (WWT) and complex (WWTc). Neuropsychological: MMSE, Ineco Frontal Screening (IFS), Phonological Fluency (PF), Direct Digits (Dd) and Reverse (Rd) of the WAIS-III. Results: 2 patients showed improvements in the Dim; 2 in the TUG, and 3 in WS, all of them reaching levels of significance. In addition, 4 showed improvements in the TUGd, 4 in theWWTand 5 in theWWTc. On the other hand, 3 patients showed improvements in theMMSE, 4 in the IFS, 4 in PF, 2 patients in Dd and 3 in Rd. Conclusions:The majority of our patients showed improvements in motor function, and to a lesser extent in cognitive function, where the impact of dual training was lower.