The Role of Executive Function and Attention in Gait
Identifieur interne : 000022 ( Pmc/Curation ); précédent : 000021; suivant : 000023The Role of Executive Function and Attention in Gait
Auteurs : Galit Yogev [Israël] ; Jeffrey M. Hausdorff [Israël, États-Unis] ; Nir Giladi [Israël]Source :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2008.
Abstract
Until recently, gait was generally viewed as a largely automated motor task, requiring minimal higher-level cognitive input. Increasing evidence, however, links alterations in executive function and attention to gait disturbances. This review discusses the role of executive function and of attention in healthy walking and gait disorders while summarizing the relevant, recent literature. We describe the variety of gait disorders that may be associated with different aspects of executive function, and discuss the changes occurring in executive function as a result of aging and disease as well the potential impact of these changes on gait. The attentional demands of gait are often tested using dual tasking methodologies. Relevant studies in healthy adults and patients are presented, as are the possible mechanisms responsible for the deterioration of gait during dual tasking. Lastly, we suggest how assessments of executive function and attention could be applied in the clinical setting as part of the process of identifying and understanding gait disorders and fall risk.
Url:
DOI: 10.1002/mds.21720
PubMed: 18058946
PubMed Central: 2535903
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Hausdorff</name><affiliation wicri:level="1"><nlm:aff id="A1">Movement Disorders Unit, Department of Neurology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Movement Disorders Unit, Department of Neurology, Tel-Aviv Sourasky Medical Center, Tel-Aviv</wicri:regionArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A3">Division on Aging, Harvard Medical School, Boston, MA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Division on Aging, Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Giladi, Nir" sort="Giladi, Nir" uniqKey="Giladi N" first="Nir" last="Giladi">Nir Giladi</name><affiliation wicri:level="1"><nlm:aff id="A1">Movement Disorders Unit, Department of Neurology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Movement Disorders Unit, Department of Neurology, Tel-Aviv Sourasky Medical Center, Tel-Aviv</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Department of Physical Therapy, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Physical Therapy, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A4">Department of Neurology, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Neurology, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv</wicri:regionArea></affiliation></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">Until recently, gait was generally viewed as a largely automated motor task, requiring minimal higher-level cognitive input. Increasing evidence, however, links alterations in executive function and attention to gait disturbances. This review discusses the role of executive function and of attention in healthy walking and gait disorders while summarizing the relevant, recent literature. We describe the variety of gait disorders that may be associated with different aspects of executive function, and discuss the changes occurring in executive function as a result of aging and disease as well the potential impact of these changes on gait. The attentional demands of gait are often tested using dual tasking methodologies. Relevant studies in healthy adults and patients are presented, as are the possible mechanisms responsible for the deterioration of gait during dual tasking. Lastly, we suggest how assessments of executive function and attention could be applied in the clinical setting as part of the process of identifying and understanding gait disorders and fall risk.</p></div></front></TEI><pmc article-type="research-article" xml:lang="EN"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8610688</journal-id><journal-id journal-id-type="pubmed-jr-id">5937</journal-id><journal-id journal-id-type="nlm-ta">Mov Disord</journal-id><journal-title>Movement disorders : official journal of the Movement Disorder Society</journal-title><issn pub-type="ppub">0885-3185</issn><issn pub-type="epub">1531-8257</issn></journal-meta><article-meta><article-id pub-id-type="pmid">18058946</article-id><article-id pub-id-type="pmc">2535903</article-id><article-id pub-id-type="doi">10.1002/mds.21720</article-id><article-id pub-id-type="manuscript">NIHMS48507</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>The Role of Executive Function and Attention in Gait</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Yogev</surname><given-names>Galit</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Hausdorff</surname><given-names>Jeffrey M.</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Giladi</surname><given-names>Nir</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref><xref ref-type="aff" rid="A4">4</xref></contrib></contrib-group><aff id="A1"><label>1</label>Movement Disorders Unit, Department of Neurology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel</aff><aff id="A2"><label>2</label>Department of Physical Therapy, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel</aff><aff id="A3"><label>3</label>Division on Aging, Harvard Medical School, Boston, MA</aff><aff id="A4"><label>4</label>Department of Neurology, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel</aff><author-notes><corresp id="CR1"><underline>Address for Correspondence and Proofs</underline> Prof. Nir Giladi, MD, Movement Disorders Unit, Tel Aviv Sourasky Medical Center, 6 Weizman Street, Tel Aviv 64239, Israel, fax: +972-3-697-4911, e-mail: <email>nirg@tasmc.health.gov.il</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>30</day><month>4</month><year>2008</year></pub-date><pub-date pub-type="ppub"><day>15</day><month>2</month><year>2008</year></pub-date><pub-date pub-type="pmc-release"><day>15</day><month>2</month><year>2009</year></pub-date><volume>23</volume><issue>3</issue><fpage>329</fpage><lpage>472</lpage><abstract><p id="P1">Until recently, gait was generally viewed as a largely automated motor task, requiring minimal higher-level cognitive input. Increasing evidence, however, links alterations in executive function and attention to gait disturbances. This review discusses the role of executive function and of attention in healthy walking and gait disorders while summarizing the relevant, recent literature. We describe the variety of gait disorders that may be associated with different aspects of executive function, and discuss the changes occurring in executive function as a result of aging and disease as well the potential impact of these changes on gait. The attentional demands of gait are often tested using dual tasking methodologies. Relevant studies in healthy adults and patients are presented, as are the possible mechanisms responsible for the deterioration of gait during dual tasking. Lastly, we suggest how assessments of executive function and attention could be applied in the clinical setting as part of the process of identifying and understanding gait disorders and fall risk.</p></abstract><kwd-group><kwd>gait</kwd><kwd>executive function</kwd><kwd>attention</kwd><kwd>Parkinson’s disease</kwd><kwd>Alzheimer’s disease</kwd><kwd>aging</kwd></kwd-group><contract-num rid="HD1">R01 HD039838-01</contract-num><contract-num rid="AG1">R01 AG014100-07</contract-num><contract-num rid="RR1">P41 RR013622-05S10049</contract-num><contract-num rid="RR1">P41 RR013622-05S10046</contract-num><contract-sponsor id="HD1">National Institute of Child Health & Human Development : NICHD</contract-sponsor><contract-sponsor id="AG1">National Institute on Aging : NIA</contract-sponsor><contract-sponsor id="RR1">National Center for Research Resources : NCRR</contract-sponsor></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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