Dual tasking in Parkinson's disease: should we train hazardous behavior?
Dual-task (DT) circumstances aggravate gait disorders in Parkinson's disease (PD) and are associated with an increased risk of falling and reduced functional mobility. Clinical rehabilitation guidelines for PD consider DT interventions as potentially hazardous and recommend avoiding them in daily life. The current article challenges this notion and addresses the necessity of implementing DT training in PD. First, underlying reasons for DT interference in PD and current theoretical models are discussed. Subsequently, different training approaches to tackle DT difficulties are put forward. Finally, the effectiveness and limitations of DT training in PD are reviewed. We conclude that there is a need for DT interventions in PD and recommend randomized, power-based studies to further test their efficacy.
a 1 KU Leuven - University of Leuven, Department of Rehabilitation Sciences, Faculty of Kinesiology and Rehabilitation, Tervuursevest 101 bus 1501, 3001 Leuven, Belgium.
Carolien
C
Strouwen
Esther A L M
EA
Molenaar
Liesbeth
L
Münks
Samyra H J
SH
Keus
Bastiaan R
BR
Bloem
Lynn
L
Rochester
Alice
A
Nieuwboer
D006801:Humans; D010300:Parkinson Disease / Q000628:therapy*
Parkinson’s disease; cognition; dual task; dual-task training; falls; rehabilitation