Freezing of Gait Is Associated with Daily Activity Limitations among Individuals with Parkinson's Disease and Mild Cognitive Impairment.

IF 0.9 Q4 REHABILITATION OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2024-02-11 DOI:10.1080/07380577.2024.2314181

John V Rider, Katherine L C Manalang, Jason K Longhurst

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Abstract

This study investigated the relationship between freezing of gait and daily activities among individuals with mild cognitive impairment due to Parkinson's disease by determining differences in caregiver-reported daily activity performance between individuals with and without freezing of gait. Cross-sectional baseline data from a longitudinal cohort study were used with 24 participants. Caregivers completed the Activities of Daily Living Questionnaire (ADLQ). Using a Mann-Whitney U test, findings indicated that participants with freezing of gait reported overall higher functional impairment levels on the ADLQ (p=.001), including the household, travel, self-care, employment and recreation, and communication subscores, indicating more perceived impairment. Findings show freezing of gait is associated with daily activity limitations in the home and the community among individuals with mild cognitive impairment due to Parkinson's disease. Clinicians should consider assessing freezing of gait, as early detection can inform the selection of interventions and strategies to minimize its impact on the performance of daily activities.

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帕金森病和轻度认知障碍患者步态冻结与日常活动受限有关

本研究通过确定有步态冻结和没有步态冻结的患者在护理人员报告的日常活动表现方面的差异，调查了帕金森病导致的轻度认知障碍患者的步态冻结与日常活动之间的关系。该研究使用了一项纵向队列研究中的横断面基线数据，共有 24 名参与者。照顾者填写了日常生活活动问卷（ADLQ）。通过曼-惠特尼 U 检验，结果显示步态冻结的参与者在 ADLQ（包括家务、旅行、自理、就业和娱乐以及沟通）上报告的功能障碍水平总体较高（p=.001），这表明他们感知到了更多的功能障碍。研究结果表明，步态冻结与帕金森病导致的轻度认知障碍患者在家庭和社区的日常活动受限有关。临床医生应考虑对步态冻结进行评估，因为早期发现可以为选择干预措施和策略提供依据，从而最大限度地减少步态冻结对日常活动的影响。

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来源期刊

OCCUPATIONAL THERAPY IN HEALTH CARE REHABILITATION-

CiteScore

1.90

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0.00%

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期刊介绍： Occupational Therapy in Health Care is a journal of contemporary practice in occupational therapy. It provides occupational therapy practitioners with a forum to stay up-to-date on current methods and theories in the field. Focused on everyday practice, the journal addresses the concerns of new and experienced therapists, presenting innovations in client evaluations and treatments, current research findings, critical reviews of current textbooks, descriptions of novel programs and descriptions of fieldwork innovations. An essential guide to the changing trends in health care, social services, and education, Occupational Therapy in Health Care provides occupational therapy practitioners with a forum to stay up-to-date on current methods and theories in the field.