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Gait and cognition in older adults: Insights from the Bronx and Kerala.

Ambrose AF, Noone ML, Pradeep VG, Johnson B, Salam KA, Verghese J - Ann Indian Acad Neurol (2010)

Bottom Line: Literature review of gait and cognition studies conducted in Bronx County, USA as well as preliminary results from the Kerala-Einstein study (Kozhikode city, Kerala).A strong association between gait and cognition is seen in seniors in USA as well as Kerala.A better understanding of the relationship between gait and cognition may help improve current diagnostic and therapeutic approaches globally.

View Article: PubMed Central - PubMed

Affiliation: Department of Rehabilitation Medicine, Mt Sinai Medical Center, New York, NY, USA.

ABSTRACT

Background: Recent reports indicate that gait dysfunction can occur early in the course of cognitive decline suggesting that motor and cognitive functions in older adults may share common underlying brain substrates, pathological processes, and risk factors.

Objective: This study was designed to report the association between gait and cognition in older adults in USA and the southern Indian state of Kerala.

Materials and methods: Literature review of gait and cognition studies conducted in Bronx County, USA as well as preliminary results from the Kerala-Einstein study (Kozhikode city, Kerala).

Results: Review of published studies based in the Bronx shows that both clinical and quantitative gait dysfunction are common in older adults with cognitive impairment. Furthermore, clinical and quantitative gait dysfunction in cognitively normal older adults was a strong predictor of future cognitive decline and dementia. Our preliminary study in Kozhikode city shows that timed gait is slower in older adults diagnosed with dementia and mild cognitive impairment syndrome compared to healthy older controls.

Conclusions: A strong association between gait and cognition is seen in seniors in USA as well as Kerala. A better understanding of the relationship between gait and cognition may help improve current diagnostic and therapeutic approaches globally.

No MeSH data available.


Related in: MedlinePlus

Footfall patterns recorded on the instrumented walkway of an older adult patient with frontal gait. The wide base can be readily visualized.
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Related In: Results  -  Collection

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Figure 0001: Footfall patterns recorded on the instrumented walkway of an older adult patient with frontal gait. The wide base can be readily visualized.

Mentions: Figure 1 provides an example of footfalls of a patient with frontal gait; the wide base can be readily visualized. The GAITRite system is widely used in clinical and research settings, and excellent reliability has been reported in our and other centers.[615–17]


Gait and cognition in older adults: Insights from the Bronx and Kerala.

Ambrose AF, Noone ML, Pradeep VG, Johnson B, Salam KA, Verghese J - Ann Indian Acad Neurol (2010)

Footfall patterns recorded on the instrumented walkway of an older adult patient with frontal gait. The wide base can be readily visualized.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3039166&req=5

Figure 0001: Footfall patterns recorded on the instrumented walkway of an older adult patient with frontal gait. The wide base can be readily visualized.
Mentions: Figure 1 provides an example of footfalls of a patient with frontal gait; the wide base can be readily visualized. The GAITRite system is widely used in clinical and research settings, and excellent reliability has been reported in our and other centers.[615–17]

Bottom Line: Literature review of gait and cognition studies conducted in Bronx County, USA as well as preliminary results from the Kerala-Einstein study (Kozhikode city, Kerala).A strong association between gait and cognition is seen in seniors in USA as well as Kerala.A better understanding of the relationship between gait and cognition may help improve current diagnostic and therapeutic approaches globally.

View Article: PubMed Central - PubMed

Affiliation: Department of Rehabilitation Medicine, Mt Sinai Medical Center, New York, NY, USA.

ABSTRACT

Background: Recent reports indicate that gait dysfunction can occur early in the course of cognitive decline suggesting that motor and cognitive functions in older adults may share common underlying brain substrates, pathological processes, and risk factors.

Objective: This study was designed to report the association between gait and cognition in older adults in USA and the southern Indian state of Kerala.

Materials and methods: Literature review of gait and cognition studies conducted in Bronx County, USA as well as preliminary results from the Kerala-Einstein study (Kozhikode city, Kerala).

Results: Review of published studies based in the Bronx shows that both clinical and quantitative gait dysfunction are common in older adults with cognitive impairment. Furthermore, clinical and quantitative gait dysfunction in cognitively normal older adults was a strong predictor of future cognitive decline and dementia. Our preliminary study in Kozhikode city shows that timed gait is slower in older adults diagnosed with dementia and mild cognitive impairment syndrome compared to healthy older controls.

Conclusions: A strong association between gait and cognition is seen in seniors in USA as well as Kerala. A better understanding of the relationship between gait and cognition may help improve current diagnostic and therapeutic approaches globally.

No MeSH data available.


Related in: MedlinePlus