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Brain Sciences
Volume 12
Issue 9
10.3390/brainsci12091207
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Study Protocol

The Effect of Dual-Task Motor-Cognitive Training in Adults with Neurological Diseases Who Are at Risk of Falling

by
Barbara Spanò
*,
Massimo De Tollis
,
Sara Taglieri
,
Alice Manzo
,
Claudia Ricci
,
Maria G. Lombardi
,
Lorenzo Polidori
,
Ivo A. Griffini
,
Marta Aloisi
,
Vincenzo Vinicola
,
Rita Formisano
,
Carlo Caltagirone
and
Roberta Annicchiarico
Santa Lucia Foundation IRCCS, 00179 Rome, Italy
*
Author to whom correspondence should be addressed.
Brain Sci. 2022, 12(9), 1207; https://doi.org/10.3390/brainsci12091207
Submission received: 2 August 2022 / Revised: 30 August 2022 / Accepted: 4 September 2022 / Published: 7 September 2022
(This article belongs to the Section Neurorehabilitation)
Review Reports Versions Notes

Abstract

Falls are common in patients with neurological diseases and can be very problematic. Recently, there has been an increase in fall prevention research in people with neurological diseases; however, these studies are usually condition-specific (e.g., only MS, PD or stroke). Here, our aim was to evaluate and compare the efficacy of an advanced and innovative dual-task, motor-cognitive rehabilitation program in individuals with different neurological diseases who are at risk of falling. We recruited 95 consecutive adults with neurological diseases who are at risk of falling and divided them into four groups: 31 with cerebrovascular disease (CVD), 20 with Parkinson’s disease (PD), 23 with traumatic brain injury (TBI) and 21 with other neurological diseases (OND). Each patient completed a dual-task, motor-cognitive training program and underwent two test evaluations to assess balance, gait, fear of falling and walking performance at the pre-and post-intervention. We found that our experimental motor-cognitive, dual-task rehabilitation program was an effective method for improving walking balance, gait, walking endurance and speed, and fear of falling, and that it reduced the risk of falls in patients with different neurological diseases. This study presents an alternative approach for people with chronic neurological diseases and provides innovative data for managing this population.
Keywords: fall; neurological disease; dual-task; motor; cognitive; gait; balance; fear of falling; walking speed fall; neurological disease; dual-task; motor; cognitive; gait; balance; fear of falling; walking speed

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MDPI and ACS Style

Spanò, B.; De Tollis, M.; Taglieri, S.; Manzo, A.; Ricci, C.; Lombardi, M.G.; Polidori, L.; Griffini, I.A.; Aloisi, M.; Vinicola, V.; et al. The Effect of Dual-Task Motor-Cognitive Training in Adults with Neurological Diseases Who Are at Risk of Falling. Brain Sci. 2022, 12, 1207. https://doi.org/10.3390/brainsci12091207

AMA Style

Spanò B, De Tollis M, Taglieri S, Manzo A, Ricci C, Lombardi MG, Polidori L, Griffini IA, Aloisi M, Vinicola V, et al. The Effect of Dual-Task Motor-Cognitive Training in Adults with Neurological Diseases Who Are at Risk of Falling. Brain Sciences. 2022; 12(9):1207. https://doi.org/10.3390/brainsci12091207

Chicago/Turabian Style

Spanò, Barbara, Massimo De Tollis, Sara Taglieri, Alice Manzo, Claudia Ricci, Maria G. Lombardi, Lorenzo Polidori, Ivo A. Griffini, Marta Aloisi, Vincenzo Vinicola, and et al. 2022. "The Effect of Dual-Task Motor-Cognitive Training in Adults with Neurological Diseases Who Are at Risk of Falling" Brain Sciences 12, no. 9: 1207. https://doi.org/10.3390/brainsci12091207

APA Style

Spanò, B., De Tollis, M., Taglieri, S., Manzo, A., Ricci, C., Lombardi, M. G., Polidori, L., Griffini, I. A., Aloisi, M., Vinicola, V., Formisano, R., Caltagirone, C., & Annicchiarico, R. (2022). The Effect of Dual-Task Motor-Cognitive Training in Adults with Neurological Diseases Who Are at Risk of Falling. Brain Sciences, 12(9), 1207. https://doi.org/10.3390/brainsci12091207

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