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Cognitive training for freezing of gait in Parkinson's disease: a randomized controlled trial.

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cam.issuedOnline2018-05-18
dc.contributor.authorWalton, Courtney C
dc.contributor.authorMowszowski, Loren
dc.contributor.authorGilat, Moran
dc.contributor.authorHall, Julie M
dc.contributor.authorO'Callaghan, Claire
dc.contributor.authorMuller, Alana J
dc.contributor.authorGeorgiades, Matthew
dc.contributor.authorSzeto, Jennifer YY
dc.contributor.authorEhgoetz Martens, Kaylena A
dc.contributor.authorShine, James M
dc.contributor.authorNaismith, Sharon L
dc.contributor.authorLewis, Simon JG
dc.contributor.orcidWalton, Courtney C [0000-0003-0835-2310]
dc.contributor.orcidLewis, Simon JG [0000-0002-4093-7071]
dc.date.accessioned2018-09-05T12:49:00Z
dc.date.available2018-09-05T12:49:00Z
dc.date.issued2018
dc.description.abstractThe pathophysiological mechanism of freezing of gait (FoG) has been linked to executive dysfunction. Cognitive training (CT) is a non-pharmacological intervention which has been shown to improve executive functioning in Parkinson's disease (PD). This study aimed to explore whether targeted CT can reduce the severity of FoG in PD. Patients with PD who self-reported FoG and were free from dementia were randomly allocated to receive either a CT intervention or an active control. Both groups were clinician-facilitated and conducted twice-weekly for seven weeks. The primary outcome was percentage of time spent frozen during a Timed Up and Go task, assessed both on and off dopaminergic medications. Secondary outcomes included multiple neuropsychological and psychosocial measures. A full analysis was first conducted on all participants randomized, followed by a sample of interest including only those who had objective FoG at baseline, and completed the intervention. Sixty-five patients were randomized into the study. The sample of interest included 20 in the CT group and 18 in the active control group. The primary outcome of percentage time spent frozen during a gait task was significantly improved in the CT group compared to active controls in the on-state. There were no differences in the off-state. Patients who received CT also demonstrated improved processing speed and reduced daytime sleepiness compared to those in the active control. The findings suggest that CT can reduce the severity of FoG in the on-state, however replication in a larger sample is required.
dc.format.mediumElectronic-eCollection
dc.identifier.doi10.17863/CAM.26953
dc.identifier.eissn2373-8057
dc.identifier.issn2373-8057
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/279581
dc.languageeng
dc.language.isoeng
dc.publisherSpringer Science and Business Media LLC
dc.publisher.urlhttp://dx.doi.org/10.1038/s41531-018-0052-6
dc.rightsAttribution 4.0 International (CC BY 4.0)
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subject1103 Clinical Sciences
dc.subjectClinical
dc.subjectClinical Medicine and Science
dc.subjectAging
dc.subjectMind and Body
dc.subjectNeurosciences
dc.subjectNeurodegenerative
dc.subjectClinical Research
dc.subjectBrain Disorders
dc.subjectParkinson's Disease
dc.subjectBehavioral and Social Science
dc.subjectAcquired Cognitive Impairment
dc.subjectMental Health
dc.subjectClinical Trials and Supportive Activities
dc.subjectNeurological
dc.subject6.6 Psychological and behavioural
dc.titleCognitive training for freezing of gait in Parkinson's disease: a randomized controlled trial.
dc.typeArticle
dcterms.dateAccepted2018-04-17
prism.publicationDate2018
prism.publicationNameNPJ Parkinsons Dis
prism.startingPage15
prism.volume4
rioxxterms.licenseref.startdate2018-01
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.typeJournal Article/Review
rioxxterms.versionVoR
rioxxterms.versionofrecord10.1038/s41531-018-0052-6

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