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CONCLUSION

BEDESCHI, C; PIEMONTE, MEP Department of Physical Therapy, Faculty of Medical Science - University of Sao Paulo.

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CONCLUSION

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  1. BEDESCHI, C; PIEMONTE, MEPDepartment of Physical Therapy, Faculty of Medical Science -University of Sao Paulo The purpose of this study was to compare the effectiveness of gait training associated with executive function tasks versus gait training alone, to improve gait, functional performance and cognitive functions in PD patients. EXECUTIVE FUNCTION GAIT TRAINING IMPROVEMENT OF GAIT, FUNCTIONAL AND COGNITIVE PERFORMANCE IN PATIENTS WITH PARKINSON’S DISEASE AFTER GAIT TRAINING ASSOCIATED WITH EXECUTIVE FUNCTION TASKS DESIGN: Double-blinded, randomized, controlled, longitudinal clinical trial PARTICIPANTS: 20 patients with idiopathic PD, mean age of 68.5 years (S.D = 5.24), 12 men and 8 women, at stages 1 and 2 of the disease according to the Hoehn and Yahr Classification, and asymptomatic for depression and dementia. All participants signed the HCFMUSP informed consent term. CONTROL TRAINING In the GT, gait was trained using the same trajectory and over the same period of time but with no associated tasks. Patients from both groups were instructed to stride as quickly as possible. • OUTCOME MEASURES • PRIMARY • DYNAMIC GAIT INDEX • SECUNDARY • MONTREAL COGNITIVE ASSESSMENT (MoCa) • UNIFED PARKINSONS DISEASE RATING SCALE (UPDRS) CONCLUSION EFGT was found more effective compared to GT for improving motor and cognitive performance in PD patients. IMPLICATIONS The findings of this study demonstrate the importance of motor training associated with cognitive functions to attenuate the functional impairments in PD patients, and thereby show that despite automatic motor control dysfunctions and cognitive deficiencies, performance of this patient group on multiple tasks can be improved. RESULTS The results revealed significant interaction between training types (EFGT and GT) and assessments (BT; AT; FOLLOW-UP) on UPDRS, MOCA and DGI scores (ANOVA, p< 0.001), confirmed by Tukey’s post-hoc test which showed that EFGT led to superior improvement and retention compared to GT. • DATA ANALYSIS • The following measures were compared: (1) Unified Parkinson Disease Rating Scale (UPDRS), for assessing functionality; (2) Montreal Cognitive Assessment (MOCA), for assessing cognitive functions; and (3) Dynamic Gait Index (DGI), for functional gait performance before training (BT), 7 days (AT), 30 days(FOLLOW-UP) after end of training, using ANOVA for repeated measures

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