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proLékaře.cz / Journals / Rehabilitation and Physical Medicine / 2023 - 3

Effect of cognitive decline on walking speed in older people

Czech version

Authors: Hereitová I. 1,2;  Votík T. 1;  Dorňák T. 2
Authors‘ workplace: Fakulta zdravotnických studií, Západočeská univerzita v Plzni 1;  Neurologická klinika, LF UP a FN Olomouc 2
Published in: Rehabil. fyz. Lék., 30, 2023, No. 3, pp. 133-137.
Category: Original Papers
doi: https://doi.org/10.48095/ccrhfl2023133

Overview

Aim: The aim of the study is the association between walking speed and the results of the Montreal Cognitive Test (MoCA) in elderly people with cognitive decline compared to the control group. Methods: A total of 50 participants took part in the research, and were categorized using the MoCA into an experimental group consisting of 25 elderly people (69.6 ± 9.4) with cognitive decline (MoCA ≤ 25) and a control group with 25 cognitively intact elderlypeople (MoCA ≥ 26) at an average age of 59.5 ± 7.0 years. The Stroop Color and Word test, the Beck Depression Rating Scale (BDI-I), the standardized Short Falls Efficacy Scale International (Short FES-I) and the 36-Item Short Form Survey (SF-36) were used for the clinical examination. The participants were asked to perform a 10-metre walk test (10 MWT) in a randomized order in two conditions: 10 MWT at a self-selected constant speed, 10 MWT at a maximum gait speed. Results: According to the Mann-Whitney test, a statistically significant decrease in walking speed for 10 meters at a comfortable speed (P = 0.028 < 0.05) and for 10 meters at a maximum speed (P = 0.011 < 0.05) was demonstrated in the group with cognitive decline (MoCA ≤ 25) versus the cognitively intact control group (MoCA ≥ 26). Conclusion: Our study identified a significant decrease in comfortable and maximum walking speed during 10 MWT in older people with a cognitive decline.

Keywords:

dementia – mild cognitive impairment – walking speed

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Rehabilitation and Physical Medicine

Issue 3
2023 Issue 3
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