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EFFECT OF MOTOR AND COGNITIVE DUAL TASK ON HAND FUNCTION IN PATIENTS WITH PARKINSON’S DISEASE

Year 2020, Volume: 31 Issue: 2, 94 - 102, 28.08.2020
https://doi.org/10.21653/tjpr.563866

Abstract

Purpose: Activities of daily living mostly require dual-task (DT) performance. Functional status in daily living activities in Parkinson’s disease (PD) may be affected from the interaction between motor and cognitive function. This study aimed to investigate the effect of motor and cognitive DT on hand function in patients with PD . Methods: Thirty-three patients with PD aged between 50 and 80 years and age and sex-matched 32 healthy individuals were included in the study. A nine-hole peg test (NHPT) was used to evaluate hand function. Motor DT and cognitive DT were assessed using the rhythmic tapping of foot and seven subtraction tests during NHPT. The results of NHPT were recorded in seconds under single task, motor DT, and cognitive DT. The percentage of DT interference was calculated. Measurements were repeated for the dominant and non-dominant hand. Results: In the PD group, dominant and non-dominant hand function during both motor and cognitive DT decreased more than the control group (p<0.05). In both groups, cognitive DT decreased hand function more prominently than motor DT (p<0.05). When the DT interference percentages were compared, there was no significant difference between the groups in terms of motor DT interference (p>0.05), whereas the interference in the PD group was higher in cognitive DT interference than the control group (p<0.05). Conclusion: Hand function of patients with PD decreases under DT conditions. The decrease is apparent, particularly during the cognitive DT. Among the rehabilitation objectives of patients with PD should also include the enhancement of DT performance during hand function. Addition of DT oriented exercises, primarily cognitive task, to the rehabilitation program of patients with PD, may be useful to improve hand function in patients with PD.

References

  • 1. Rodriguez-Oroz MC, Jahanshahi M, Krack P, Litvan I, Macias R, Bezard E, et al. Initial clinical manifestations of Parkinson's disease: features and pathophysiological mechanisms. The Lancet Neurology.2009;8(12):1128-39.
  • 2. Lukos JR, Poizner H, Sage JI. Hand Function in Parkinson’s Disease. In: Duruöz M. (eds) Hand Function. Springer, New York, NY, 2014; p.133-49.
  • 3. Jahanshahi M, Brown RG, Marsden CD. Simple and choice reaction time and the use of advance information for motor preparation in Parkinson’s disease. Brain. 1992;115(2):539–64.
  • 4. Schettino L, Adamovich S, Hening W, Tunik E, Sage J, Poizner H. Hand preshaping in Parkinson’s disease: effects of visual feedback and medication state. Exp Brain Res 2006;168:186-202.
  • 5. Pashler H, Dual-task in simple tasks: data and theory, Psychol Bull, 1994;2:220–44.
  • 6. O'Shea S, Morris ME, Lansek R. Dual task interference during gait in people with Parkinson disease: effects of motor versus cognitive secondary tasks.Physical therapy. 2002;82(9):888-97.
  • 7. Marchese R, Bove M, Abbruzzese G. Effect of cognitive and motor tasks on postural stability in Parkinson’s disease: a posturographic study. Mov Disord. 2003;18:652–8.
  • 8. Proud EL, Morris ME. Skilled hand dexterity in parkinson's disease: Effects of adding a concurrent task. Arch Phys Med Rehabil. 2010;91(5):794-9.
  • 9. Kalirathinam D, Vaidya SD, Nazeer A. Analyze the effect of dual task hand activities in parkinsons patients. IORS J Nurs Health Sci. 2014;3(5):57-66.
  • 10. Hughes AJ, Ben-Shlomo Y, Daniel SE, Lees AJ. What features improve the accuracy of clinical diagnosis in parkinson's disease: A clinicopathologic study. Neurology. 2001;57(10):34-8.
  • 11. Goetz CG, Tilley BC, Shaftman SR, Stebbins GT, Fahn S, Martinez-Martin P et al. Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS): scale presentation and clinimetric testing results. Mov Disord. 2008;23(15):2129-70.
  • 12. Vanbellingen T, Nyffeler T, Nigg J, Janssens J, Hoppe J, Nef T, et al. Home based training for dexterity in parkinson's disease: A randomized controlled trial, Parkinsonism Relat Disord. 2017;41:92-8.
  • 13. Goetz CG, Poewe W, Rascol O, Sampaio C, Stebbins GT, Counsell C, et al. Movement disorder society task force report on the hoehn and yahr staging scale: status and recommendations. Mov Disord. 2004;19(9):1020–8.
  • 14. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-98.
  • 15. Ertan T, Eker E, Güngen C. The standardised Mini-Mental Examination for illiterate Turkish elderly population. 2nd International Symposium on Neurophysiological and Neurophysiological Assessment of Mental and Behavioral Disorders, August 28–30, 1999, Kirazlıyayla, Bursa, Turkey.
  • 16. Earhart GM, Cavanaugh JT, Ellis T, Ford MP, Foreman KB, Dibble L. The 9-hole peg test of upper extremity function: Average values, test-retest reliability, and factors contributing to performance in people with parkinson disease. J Neurol Phys Ther. 2011;35(4):157-63.
  • 17. Peter K. Validity of the serial seven procedure, Int J Geriatr Psychiatry. 2000;15(8):677-9.
  • 18. Morris M, Iansek R, Smithson F, Huxham F. Postural instability in Parkinson’s disease: a comparison with and without a concurrent task. Gait Posture. 2000;12(3):205-16.
  • 19. Plummer-D'Amato P, Brancato B, Dantowitz M, Birken S, Bonke C, Furey E. Effects of gait and cognitive task difficulty on cognitive-motor interference in aging. J Aging Res. 2012;2012:583894.
  • 20. Rand M, Smiley-Oyen A, Shimansky Y, Bloedel J, Stelmach G. Control of aperture closure during reach-to-grasp movements in Parkinson’s disease. Exp Brain Res. 2006;168:131-42.
  • 21. de Oliveira MA, Rodrigues AM, da Silva Caballero RM, de Souza Petersen RD, Shim JK. Strength and isometric torque control in individuals with Parkinson’s disease. Exp Brain Res. 2008;184:445-50.
  • 22. Gebhardt A, Vanbellingen T, Baronti F, Kersten B, Bohlhalter S. Poor dopaminergic response of impaired dexterity in Parkinson’s disease: bradykinesia or limb kinetic apraxia. Mov Disord. 2008;23:1701-6.
  • 23. Choi YI, Song CS, Chun BY. Activities of daily living and manual hand dexterity in persons with idiopathic parkinson disease. J Phys Ther Sci. 2017;29(3):457-60.
  • 24. Pohar SL, Allyson Jones C. The burden of parkinson disease (pd) and concomitant comorbidities. Arch Gerontol Geriatr. 2009; 49(2):317-21.
  • 25. Haaxma CA, Bloem BR, Borm GF, Horstink MWIM. Comparison of a timed motor test battery to the unified parkinson's disease rating scale-iii in parkinson's disease. Mov Disord. 2008;23(12):1707-17.
  • 26. Brown RG, Jahanshahi M. An unusual enhancement of motor performance during bimanual movement in Parkinson’s disease. J Neurol Neurosurg Psychiatry. 1998;64:813-6.
  • 27. Nieuwboer A, Rochester L, Jones D. Cueing gait and gait-related mobility in patients with Parkinson’s disease: developing a therapeutic method based on the International Classification of Functioning, Disability, and Health. Top Geriatr Rehabil. 2008;24:151–65.
  • 28. Chawla H, Walia S, Behari M, Noohu MM. Effect of type of secondary task on cued gait on people with idiopathic Parkinson’s disease. J Neurosci Rural Pract. 2014;5:18–23.
  • 29. Broeder S, Nackaerts E, Nieuwboer A, Smits-Engelsman BC, Swinnen SP, Heremans E. The effects of dual tasking on handwriting in patients with parkinson's disease. Neuroscience. 2014;263:193-202.
  • 30. Bank PJM, Marinus J, van Tol RM, Groeneveld IF, Goossens PH, Groot JH, et al., Cognitive-motor interference during goal-directed upper-limb movements. Eur J Neurosci. 2018;48(10):3146-58.
  • 31. Wu T, Hallett M. Dual task interference in Parkinson’s disease. US Neurol. 2009;5(1):30-3.
  • 32. Plummer P, Eskes G. Measuring treatment effects on dual-task performance: A framework for research and clinical practice. Front Hum Neurosci. 2015;28:225.
  • 33. Zirek E, Ersoz Huseyinsinoglu B, Tufekcioglu Z, Bilgic B, Hanagasi H. Which cognitive dual-task walking causes most interference on the timed up and go test in parkinson’s disease: A controlled study. Neurol Sci. 2018;39(12):2151-7.

PARKİNSON HASTALARINDA MOTOR VE BİLİŞSEL İKİLİ GÖREVLERİN EL FONKSİYONU ÜZERİNE ETKİSİ

Year 2020, Volume: 31 Issue: 2, 94 - 102, 28.08.2020
https://doi.org/10.21653/tjpr.563866

Abstract

Amaç: Günlük yaşam aktiviteleri büyük çoğunlukla ikili görev (İG) performansı gerektirir. Parkinson hastalığında (PH) bireyin günlük yaşamdaki fonksiyonel durumu, motor ve bilişsel fonksiyon arasındaki etkileşimden etkilenebilir. Bu çalışmanın amacı, Parkinson hastalarında motor ve bilişsel İG’nin el fonksiyonuna etkisini incelemekti. Yöntem: Çalışmaya 50-80 yaş arası 33 PH ve benzer yaş ve cinsiyet dağılımına sahip 32 sağlıklı birey dahil edildi. El fonksiyonunu değerlendirmek için dokuz delikli peg testi (DDPT) kullanıldı. Motor İG, DDPT sırasında ayağın ritmik vurması ile, bilişsel İG ise, DDPT sırasında seri yedi çıkarma testi ile değerlendirildi. DDPT sonuçları tek görev, motor İG ve bilişsel İG altında saniye cinsinden kaydedildi. İG etkileşim yüzdesi hesaplandı. Ölçümler dominant ve dominant olmayan el için tekrarlandı. Sonuçlar: PH grubunda dominant ve dominant olmayan el fonksiyonunun hem motor hem de bilişsel İG sırasında kontrol grubuna göre daha fazla azaldığı görüldü (p<0,05). Her iki grupta da bilişsel İG’nin, el fonksiyonunu motor İG’den daha fazla azalttığı belirlendi (p<0,05). İG etkileşim yüzdeleri karşılaştırıldığında, motor İG etkileşimi açısından gruplar arasında anlamlı bir fark olmadığı (p>0,05); bilişsel İG etkileşim açısından ise PH grubunda etkileşimin kontrol grubuna göre daha fazla olduğu görüldü (p<0,05). Tartışma: PH olan bireylerin el fonksiyonu İG altında azalmaktadır. Bu azalma özellikle bilişsel İG sırasında daha fazladır. PH olan hastaların rehabilitasyon hedefleri arasında el fonksiyonu sırasında İG performansının artırılması da yer almalıdır. PH olan hastaların rehabilitasyon programına özellikle bilişsel görev içerikli İG’e yönelik egzersizlerin eklenmesi, el fonksiyonunu geliştirmede yararlı olabilir.

References

  • 1. Rodriguez-Oroz MC, Jahanshahi M, Krack P, Litvan I, Macias R, Bezard E, et al. Initial clinical manifestations of Parkinson's disease: features and pathophysiological mechanisms. The Lancet Neurology.2009;8(12):1128-39.
  • 2. Lukos JR, Poizner H, Sage JI. Hand Function in Parkinson’s Disease. In: Duruöz M. (eds) Hand Function. Springer, New York, NY, 2014; p.133-49.
  • 3. Jahanshahi M, Brown RG, Marsden CD. Simple and choice reaction time and the use of advance information for motor preparation in Parkinson’s disease. Brain. 1992;115(2):539–64.
  • 4. Schettino L, Adamovich S, Hening W, Tunik E, Sage J, Poizner H. Hand preshaping in Parkinson’s disease: effects of visual feedback and medication state. Exp Brain Res 2006;168:186-202.
  • 5. Pashler H, Dual-task in simple tasks: data and theory, Psychol Bull, 1994;2:220–44.
  • 6. O'Shea S, Morris ME, Lansek R. Dual task interference during gait in people with Parkinson disease: effects of motor versus cognitive secondary tasks.Physical therapy. 2002;82(9):888-97.
  • 7. Marchese R, Bove M, Abbruzzese G. Effect of cognitive and motor tasks on postural stability in Parkinson’s disease: a posturographic study. Mov Disord. 2003;18:652–8.
  • 8. Proud EL, Morris ME. Skilled hand dexterity in parkinson's disease: Effects of adding a concurrent task. Arch Phys Med Rehabil. 2010;91(5):794-9.
  • 9. Kalirathinam D, Vaidya SD, Nazeer A. Analyze the effect of dual task hand activities in parkinsons patients. IORS J Nurs Health Sci. 2014;3(5):57-66.
  • 10. Hughes AJ, Ben-Shlomo Y, Daniel SE, Lees AJ. What features improve the accuracy of clinical diagnosis in parkinson's disease: A clinicopathologic study. Neurology. 2001;57(10):34-8.
  • 11. Goetz CG, Tilley BC, Shaftman SR, Stebbins GT, Fahn S, Martinez-Martin P et al. Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS): scale presentation and clinimetric testing results. Mov Disord. 2008;23(15):2129-70.
  • 12. Vanbellingen T, Nyffeler T, Nigg J, Janssens J, Hoppe J, Nef T, et al. Home based training for dexterity in parkinson's disease: A randomized controlled trial, Parkinsonism Relat Disord. 2017;41:92-8.
  • 13. Goetz CG, Poewe W, Rascol O, Sampaio C, Stebbins GT, Counsell C, et al. Movement disorder society task force report on the hoehn and yahr staging scale: status and recommendations. Mov Disord. 2004;19(9):1020–8.
  • 14. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-98.
  • 15. Ertan T, Eker E, Güngen C. The standardised Mini-Mental Examination for illiterate Turkish elderly population. 2nd International Symposium on Neurophysiological and Neurophysiological Assessment of Mental and Behavioral Disorders, August 28–30, 1999, Kirazlıyayla, Bursa, Turkey.
  • 16. Earhart GM, Cavanaugh JT, Ellis T, Ford MP, Foreman KB, Dibble L. The 9-hole peg test of upper extremity function: Average values, test-retest reliability, and factors contributing to performance in people with parkinson disease. J Neurol Phys Ther. 2011;35(4):157-63.
  • 17. Peter K. Validity of the serial seven procedure, Int J Geriatr Psychiatry. 2000;15(8):677-9.
  • 18. Morris M, Iansek R, Smithson F, Huxham F. Postural instability in Parkinson’s disease: a comparison with and without a concurrent task. Gait Posture. 2000;12(3):205-16.
  • 19. Plummer-D'Amato P, Brancato B, Dantowitz M, Birken S, Bonke C, Furey E. Effects of gait and cognitive task difficulty on cognitive-motor interference in aging. J Aging Res. 2012;2012:583894.
  • 20. Rand M, Smiley-Oyen A, Shimansky Y, Bloedel J, Stelmach G. Control of aperture closure during reach-to-grasp movements in Parkinson’s disease. Exp Brain Res. 2006;168:131-42.
  • 21. de Oliveira MA, Rodrigues AM, da Silva Caballero RM, de Souza Petersen RD, Shim JK. Strength and isometric torque control in individuals with Parkinson’s disease. Exp Brain Res. 2008;184:445-50.
  • 22. Gebhardt A, Vanbellingen T, Baronti F, Kersten B, Bohlhalter S. Poor dopaminergic response of impaired dexterity in Parkinson’s disease: bradykinesia or limb kinetic apraxia. Mov Disord. 2008;23:1701-6.
  • 23. Choi YI, Song CS, Chun BY. Activities of daily living and manual hand dexterity in persons with idiopathic parkinson disease. J Phys Ther Sci. 2017;29(3):457-60.
  • 24. Pohar SL, Allyson Jones C. The burden of parkinson disease (pd) and concomitant comorbidities. Arch Gerontol Geriatr. 2009; 49(2):317-21.
  • 25. Haaxma CA, Bloem BR, Borm GF, Horstink MWIM. Comparison of a timed motor test battery to the unified parkinson's disease rating scale-iii in parkinson's disease. Mov Disord. 2008;23(12):1707-17.
  • 26. Brown RG, Jahanshahi M. An unusual enhancement of motor performance during bimanual movement in Parkinson’s disease. J Neurol Neurosurg Psychiatry. 1998;64:813-6.
  • 27. Nieuwboer A, Rochester L, Jones D. Cueing gait and gait-related mobility in patients with Parkinson’s disease: developing a therapeutic method based on the International Classification of Functioning, Disability, and Health. Top Geriatr Rehabil. 2008;24:151–65.
  • 28. Chawla H, Walia S, Behari M, Noohu MM. Effect of type of secondary task on cued gait on people with idiopathic Parkinson’s disease. J Neurosci Rural Pract. 2014;5:18–23.
  • 29. Broeder S, Nackaerts E, Nieuwboer A, Smits-Engelsman BC, Swinnen SP, Heremans E. The effects of dual tasking on handwriting in patients with parkinson's disease. Neuroscience. 2014;263:193-202.
  • 30. Bank PJM, Marinus J, van Tol RM, Groeneveld IF, Goossens PH, Groot JH, et al., Cognitive-motor interference during goal-directed upper-limb movements. Eur J Neurosci. 2018;48(10):3146-58.
  • 31. Wu T, Hallett M. Dual task interference in Parkinson’s disease. US Neurol. 2009;5(1):30-3.
  • 32. Plummer P, Eskes G. Measuring treatment effects on dual-task performance: A framework for research and clinical practice. Front Hum Neurosci. 2015;28:225.
  • 33. Zirek E, Ersoz Huseyinsinoglu B, Tufekcioglu Z, Bilgic B, Hanagasi H. Which cognitive dual-task walking causes most interference on the timed up and go test in parkinson’s disease: A controlled study. Neurol Sci. 2018;39(12):2151-7.
There are 33 citations in total.

Details

Primary Language Turkish
Subjects Rehabilitation
Journal Section Araştırma Makaleleri
Authors

Sevim Acaröz Candan 0000-0002-2617-8865

Abdullah Sinan Akoğlu This is me 0000-0001-9166-9196

Tuba Şaziye Özcan 0000-0003-4062-6537

Publication Date August 28, 2020
Published in Issue Year 2020 Volume: 31 Issue: 2

Cite

APA Acaröz Candan, S., Akoğlu, A. S., & Özcan, T. Ş. (2020). PARKİNSON HASTALARINDA MOTOR VE BİLİŞSEL İKİLİ GÖREVLERİN EL FONKSİYONU ÜZERİNE ETKİSİ. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 31(2), 94-102. https://doi.org/10.21653/tjpr.563866
AMA Acaröz Candan S, Akoğlu AS, Özcan TŞ. PARKİNSON HASTALARINDA MOTOR VE BİLİŞSEL İKİLİ GÖREVLERİN EL FONKSİYONU ÜZERİNE ETKİSİ. Turk J Physiother Rehabil. August 2020;31(2):94-102. doi:10.21653/tjpr.563866
Chicago Acaröz Candan, Sevim, Abdullah Sinan Akoğlu, and Tuba Şaziye Özcan. “PARKİNSON HASTALARINDA MOTOR VE BİLİŞSEL İKİLİ GÖREVLERİN EL FONKSİYONU ÜZERİNE ETKİSİ”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 31, no. 2 (August 2020): 94-102. https://doi.org/10.21653/tjpr.563866.
EndNote Acaröz Candan S, Akoğlu AS, Özcan TŞ (August 1, 2020) PARKİNSON HASTALARINDA MOTOR VE BİLİŞSEL İKİLİ GÖREVLERİN EL FONKSİYONU ÜZERİNE ETKİSİ. Türk Fizyoterapi ve Rehabilitasyon Dergisi 31 2 94–102.
IEEE S. Acaröz Candan, A. S. Akoğlu, and T. Ş. Özcan, “PARKİNSON HASTALARINDA MOTOR VE BİLİŞSEL İKİLİ GÖREVLERİN EL FONKSİYONU ÜZERİNE ETKİSİ”, Turk J Physiother Rehabil, vol. 31, no. 2, pp. 94–102, 2020, doi: 10.21653/tjpr.563866.
ISNAD Acaröz Candan, Sevim et al. “PARKİNSON HASTALARINDA MOTOR VE BİLİŞSEL İKİLİ GÖREVLERİN EL FONKSİYONU ÜZERİNE ETKİSİ”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 31/2 (August 2020), 94-102. https://doi.org/10.21653/tjpr.563866.
JAMA Acaröz Candan S, Akoğlu AS, Özcan TŞ. PARKİNSON HASTALARINDA MOTOR VE BİLİŞSEL İKİLİ GÖREVLERİN EL FONKSİYONU ÜZERİNE ETKİSİ. Turk J Physiother Rehabil. 2020;31:94–102.
MLA Acaröz Candan, Sevim et al. “PARKİNSON HASTALARINDA MOTOR VE BİLİŞSEL İKİLİ GÖREVLERİN EL FONKSİYONU ÜZERİNE ETKİSİ”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, vol. 31, no. 2, 2020, pp. 94-102, doi:10.21653/tjpr.563866.
Vancouver Acaröz Candan S, Akoğlu AS, Özcan TŞ. PARKİNSON HASTALARINDA MOTOR VE BİLİŞSEL İKİLİ GÖREVLERİN EL FONKSİYONU ÜZERİNE ETKİSİ. Turk J Physiother Rehabil. 2020;31(2):94-102.