Interrelation between functional decline and dementia: The potential role of balance assessment |
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| Affiliation: | 1. Department of Medicine (DIMED), Geriatrics Division, University of Padua, Padua, Italy;2. Department of General Psychology (DPG), University of Padova, Padua, Italy;3. Department of Internal Medicine, Azienda USL Toscana Centro, Mugello Hospital, Borgo San Lorenzo, Italy;1. TUM School of Computation, Information and Technology, Human-centered Assistive Robotics, Technical University of Munich, Karlstraße 45, 80333 Munich, Germany;3. TUM Department of Sport and Health Sciences, Human Movement Science, Technical University of Munich, Munich 80992, Germany;4. Institute of Computer Technology, Autonomous Systems, Technische Universität Wien, Vienna 1040, Austria;5. Institute of Robotics and Mechatronics, German Aerospace Center (DLR), 82234 Wessling, Germany;1. Department of Kinesiology, University of Massachusetts Amherst, Amherst, MA, USA;2. Department of Kinesiology, The University of Alabama, Tuscaloosa, AL, USA;3. Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;4. Department of Mathematics and Statistics, University of Massachusetts Amherst, Amherst, MA, USA;5. College of Health and Human Services, University of North Carolina at Charlotte, Charlotte, NC, USA;6. Department of Kinesiology, California State University, Long Beach, Long Beach, CA, USA;1. Nicotine Dependence Service, Centre for Addiction and Mental Health, Toronto, ON, Canada;2. Department of Health Research, Evidence, and Impact, McMaster University, Hamilton, ON, Canada;3. Division of Oncology, The Children''s Hospital of Philadelphia, Philadelphia, PA, USA;4. School of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, Queensland, Australia;5. Department of Child and Youth Studies, Brock University, St. Catharines, ON, Canada;1. Department of Health and Kinesiology, University of Utah, Salt Lake City, UT, USA;2. School of Sport, Exercise and Health Sciences, Loughborough University, United Kingdom;3. Department of Sport & Health, Paderborn University, Warburger Str. 100, 33098 Paderborn, Germany;4. Institute for Human and Machine Cognition, Pensacola, FL, USA;1. Department of Physical Therapy, Faculty of Medical Science, Fukuoka International University of Health and Welfare, Fukuoka, Japan;2. Department of Occupational Therapy, Faculty of Medical Science, Fukuoka International University of Health and Welfare, Fukuoka, Japan;1. Joint Department of Biomedical Engineering, University of North Carolina Chapel Hill and North Carolina State University, Chapel Hill, NC, USA;2. Dept. of Chemical and Biomedical Engineering, West Virginia University, USA;3. North Carolina School of Science and Mathematics, USA;4. Dept. of Mechanical and Aerospace Engineering, University of Florida, USA;5. Division of Physical Therapy, University of North Carolina Chapel Hill, USA;6. Dept. of Kinesiology and Applied Physiology, University of Delaware, USA |
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| Abstract: | ObjectiveThere has been growing interest in the past few years on the relationship between impairment of motor functions and cognitive decline, so that the first can be considered a marker of dementia. In MCI patients, the deficit in processing visual information interferes with postural control, causing oscillations and instability. Postural control is usually evaluated through the Short Physical Performance Battery (SPPB) test or Tinetti scale, but, to our knowledge, there are no many studies that considered the Biodex Balance System (BBS) in the evaluation of postural controls in MCI patients. The aim of this study was first to confirm the bi- directional relationship between cognitive and motor performance, and then to compare traditional evaluation scales (SPPB and Tinetti) with a biomechanical tool, the BBS.Materials and methodsObservational retrospective study. In 45 elderly patients with cognitive impairment we evaluated cognition, assessed with the MMSE and MoCA, malnutrition with the MNA, and sarcopenia with DEXA (ASMMI). Motor performance was assessed with SPPB, Tinetti, and BBS.ResultsMMSE correlated more with BBS than with the traditional scales, while MoCA was also correlated with SPPB and Tinetti scores.ConclusionsBBS had a stronger correlation with cognitive performance compared with the traditional scales. The relationship between MoCA executive items and the BBS tests suggests the usefulness of targeted interventions involving cognitive stimulation to improve motor performance, and motor training to slow the progression of cognitive decline, particularly in MCI. |
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