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Simultaneously Measuring Gait and Cognitive Performance in Cognitively Healthy and Cognitively Impaired Older Adults: The Basel Motor-Cognition Dual-Task Paradigm

OBJECTIVES: To investigate dual‐task performance of gait and cognition in cognitively healthy and cognitively impaired older adults using a motor–cognition dual‐task paradigm. DESIGN: Cross‐sectional retrospective study. SETTING: The Basel Memory Clinic and the Basel Study on the Elderly (Project BA...

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Bibliographic Details
Published in:Journal of the American Geriatrics Society (JAGS) 2011-06, Vol.59 (6), p.1012-1018
Main Authors: Theill, Nathan, Martin, Mike, Schumacher, Vera, Bridenbaugh, Stephanie A., Kressig, Reto W.
Format: Article
Language:English
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Summary:OBJECTIVES: To investigate dual‐task performance of gait and cognition in cognitively healthy and cognitively impaired older adults using a motor–cognition dual‐task paradigm. DESIGN: Cross‐sectional retrospective study. SETTING: The Basel Memory Clinic and the Basel Study on the Elderly (Project BASEL). PARTICIPANTS: Seven hundred eleven older adults (mean age 77.2 ± 6.2, 350 (49.2%) female and 361 (50.8%) male). MEASUREMENTS: Gait velocity and cognitive task performance using a working memory (counting backward from 50 by 2s) and a semantic memory (enumerating animal names) task were measured during single‐ and dual‐task conditions. Gait was assessed using the GAITRite electronic walkway system. Cognitive impairment was defined as a score less than 25 on the Mini‐Mental State Examination. RESULTS: During dual tasks, participants reduced gait velocity (P.10). Cognitively impaired individuals had lower baseline gait velocity and a greater reduction in gait velocity but not cognitive performance during dual tasks than cognitively healthy participants (P
ISSN:0002-8614
1532-5415
DOI:10.1111/j.1532-5415.2011.03429.x