By Marcelo Merello, Sergio E. Starkstein
This booklet makes a speciality of extrapyramidal signs of all kinds of dementia, and addresses the difficulty of the bogus boundary among dementias and Parkinsonism, which signify the 2 most typical signs present in degenerative valuable apprehensive method diseases.
In Movement issues in Dementias, circulation sickness experts from world wide write on issues normally constrained to dementia specialists. vital motor matters on the topic of both drugs in demented sufferers (drug-induced circulation issues) or manifestations universal to all sorts of dementia, despite underlying reason (gait problems, falls, worry of falling), is through research of the connection among motor and cognitive signs, from their universal pathogenesis to express scientific treatments.
Movement problems in Dementias is geared toward basic neurologists, dementia experts, flow problems experts, neuropsychologists and geriatricians.
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Sample text
2012). Unfortunately, only one study focused on the benefit of music therapy on motor performances (Clair and O’Konski 2006). There is some evidence that physical activity delays the onset of dementia in healthy older adults and slows down cognitive decline. A physical exercise program appears to be a promising nonpharmacologic strategy for slowing down cognitive decline (Balsamo et al. 2013). In addition to having a positive influence on cognition, several studies demonstrated that intensive dementia-specific motor training also increased the level of physical activity in this population (Hageman and Thomas 2002; Hauer et al.
2004). Furthermore, individuals with VaD exhibit even slower walking Participants Gait changes in dementia Visser et al. 0 years) Buracchio et al. (2010) Prospective cohort study with a 20-year follow-up 630 community-dwelling participants aged ≥75 years at recruitment Waite et al. (2005) Prospective 6-year study Studies reporting on gait changes as an early indicator of cognitive decline Verghese et al. 2 Gait and falls in dementia Reference (continued) AD patients had significantly shorter step length, lower gait speed, lower stepping frequency, greater step-to-step variability, greater double support ratio, and greater sway path compared to the control group Subjects with neurologic gait abnormalities had a greater risk of developing dementia.
The difficulty in the performance of dual tasking may represent impaired brain capacity and difficulty in sharing cognitive 2 Gait Disorders in Patients with Cognitive Impairment or Dementia 23 resources between walking and cognitive tasks. Several studies showed that subjects with dementia exhibited greater gait changes compared to normal age-matched controls during the execution of dual tasks (Allali et al. 2008; Camicioli et al. 1997a, b; Woollacott and Shumway-Cook 2002), particularly in stride time and stride-tostride variability.
