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Dual tasking in Parkinson's disease: should we train hazardous behavior?

Lookup NU author(s): Professor Lynn RochesterORCiD

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Abstract

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.

Publication metadata

Author(s): Strouwen C, Molenaar EALM, Munks L, Keus SHJ, Bloem BR, Rochester L, Nieuwboer A

Publication type: Review

Publication status: Published

Journal: Expert Review of Neurotherapeutics

Year: 2015

Volume: 15

Issue: 9

Pages: 1031-1039

Print publication date: 01/09/2015

Online publication date: 07/08/2015

Acceptance date: 01/01/1900

ISSN (print): 1473-7175

ISSN (electronic): 1744-8360

Publisher: TAYLOR & FRANCIS LTD

URL: http://dx.doi.org/10.1586/14737175.2015.1077116

DOI: 10.1586/14737175.2015.1077116

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