Poor Trail Making Test Performance Is Directly Associated with Altered Dual Task Prioritization in the Elderly – Baseline Results from the TREND Study 英文参考文献.docVIP
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Poor Trail Making Test Performance Is Directly Associated with Altered Dual Task Prioritization in the Elderly – Baseline Results from the TREND Study 英文参考文献
PoorTrailMakingTestPerformanceIsDirectly
AssociatedwithAlteredDualTaskPrioritizationinthe
Elderly–BaselineResultsfromtheTRENDStudy
MarkusA.Hobert1,2,RaphaelNiebler3,SinjaI.Meyer1,2,KathrinBrockmann1,2,ClemensBecker4 ,Heiko
Huber1,2,AlexandraGaenslen1,2,JanaGodau1,2,GerhardW.Eschweiler3,5,DanielaBerg1,2 ,Walter
Maetzler1,2,4,5
*
1HertieInstitute forClinicalBrainResearch,Department ofNeurodegeneration, CenterofNeurology,UniversityofTuebingen,Tuebingen,Germany,2DZNE,German
CenterforNeurodegenerativeDiseases,UniversityofTuebingen,Tuebingen,Germany,3DepartmentofPsychiatryandPsychotherapy,UniversityHospitalTuebingen,
Tuebingen, Germany, 4Robert-Bosch-Hospital, Department of Clinical Gerontology, Stuttgart, Germany, 5Geriatric Center at the University Hospital Tuebingen,
Tuebingen,Germany
Abstract
Background: Deterioration of executive functions in the elderly has been associated with impairments in walking
performance.Thismaybecausedbylimitedcognitiveflexibilityandworkingmemory,butcouldalsobecausedbyaltered
prioritization ofsimultaneouslyperformedtasks.Todisentangletheseoptions weinvestigatedtheassociationsbetween
TrailMakingTestperformance—whichspecificallymeasurescognitiveflexibilityandworkingmemory—anddualtaskcosts,
ameasureofprioritization.
MethodologyandPrincipalFindings:OutoftheTRENDstudy(TuebingerevaluationofRiskfactorsforEarlydetectionof
NeurodegenerativeDisorders),686neurodegenerativelyhealthy,non-dementedelderlyaged50to80yearswereclassified
accordingtotheirTrailMakingTestperformance(deltaTMT;TMT-BminusTMT-A).Thesubjectsperformed20mwalkswith
habitualandmaximumspeed.Dualtaskingperformancewastestedwithwalkingatmaximumspeed,incombinationwith
checkingboxesonaclipboard,andsubtractingserial7satmaximumspeeds.Asexpected,thepoorTMTgroupperformed
worsewhensubtractingserial7sundersingleanddualtaskconditions,andtheywalkedmoreslowlywhensimultaneously
subtractingserial7s,comparedtothegoodTMTperformers.Inthewalkingwhensubtractingserial7sconditionbutnot
in the other 3 con
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