Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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The Correlation between Gait and Cognitive Function in Dual-task Walking of the Elderly with Cognitive Impairment: A Systematic Literature Review

인지기능 감퇴가 있는 노인의 이중 과제 보행과 인지기능과의 상관성에 대한 체계적 문헌 고찰

  • Shin, Jae-Yeon (Department of Physical Therapy, Eulji University) ;
  • Kim, Ye-Jin (Department of Physical Therapy, Eulji University) ;
  • Kim, Ji-Sue (Department of Physical Therapy, Eulji University) ;
  • Min, Su-Bin (Department of Physical Therapy, Eulji University) ;
  • Park, Jae-Ni (Department of Physical Therapy, Eulji University) ;
  • Bae, Jae-Han (Department of Physical Therapy, Eulji University) ;
  • Seo, Hee-Eun (Department of Physical Therapy, Eulji University) ;
  • Shin, Hee-Sun (Department of Physical Therapy, Eulji University) ;
  • Yu, Young-Eun (Department of Physical Therapy, Eulji University) ;
  • Lim, Ju-Young (Department of Physical Therapy, Eulji University) ;
  • Jang, Ji-Soo (Department of Physical Therapy, Eulji University) ;
  • Cho, Young-Woo (Department of Physical Therapy, Eulji University) ;
  • Lee, Han-Suk (Department of Physical Therapy, Eulji University)
  • 신재연 (을지대학교 물리치료학과) ;
  • 김예진 (을지대학교 물리치료학과) ;
  • 김지수 (을지대학교 물리치료학과) ;
  • 민수빈 (을지대학교 물리치료학과) ;
  • 박재니 (을지대학교 물리치료학과) ;
  • 배재한 (을지대학교 물리치료학과) ;
  • 서희은 (을지대학교 물리치료학과) ;
  • 신희선 (을지대학교 물리치료학과) ;
  • 유영은 (을지대학교 물리치료학과) ;
  • 임주영 (을지대학교 물리치료학과) ;
  • 장지수 (을지대학교 물리치료학과) ;
  • 조영우 (을지대학교 물리치료학과) ;
  • 이한숙 (을지대학교 물리치료학과)
  • Received : 2021.11.07
  • Accepted : 2021.12.03
  • Published : 2022.02.28
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Abstract

PURPOSE: This review sought to confirm the correlation between dual-task gait and cognitive function in cognitively impaired and healthy older adults. METHOD: We used four databases (DBs), Pubmed, Cochrane library, Kmbase, and Koreamed. Searches were carried out according to the PICOS method, P (participants) were the elderly (above 65 years) with cognitive decline, I (intervention) was walking with dual tasks, C (control group) comprised the elderly without cognitive decline, O (outcome) was the correlation between gait and cognitive function and S (study) was the cross-sectional study. For the methodological quality assessment of each study, we used the Quality Assessment Tool for Observation Cohort and Cross-Sectional Studies provided by the National Institutes of Health (NIH). RESULTS: A total of 10 articles were included in this systematic review. For the components of gait, we used pace, rhythm, and variability and we observed that mild cognitive impairment mostly causes low gait performance while performing dual tasks. Among the 10 articles, 9 articles studied pace, of which 7 showed significant results. However, 2 were not significant. Also, 1 article that studied rhythm and 3 articles that studied variability showed significant results. The methodological quality of the 10 studies was fair. CONCLUSION: Gait pace was found to have a high correlation between memory, which is a cognitive ability, and overall cognitive function. It was observed that older adults with mild cognitive impairment have reduced gait pace in single-task walking, and further decrease in dual-task gait pace shows the correlation between memory and gait pace during walking.

Keywords

Acknowledgement

이 연구는 2021년 을지대학교 대학혁신지원사업 지원을 받아 진행한 연구이며, 논문 검색을 위하여 노원을지대학교 병원 의학도서실 사서 한혜영 선생님의 자문을 받아서 실시한 연구임

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