Dement Neurocogn Disord.  2023 Oct;22(4):139-147. 10.12779/dnd.2023.22.4.139.

Correlation Between Executive Function and Walk While Crossing Over an Obstacle Under Different Gait Phases

Affiliations
  • 1Department of Physical Therapy, COMWEL Donghae Hospital, Donghae, Korea
  • 2Department of Physical Therapy, Eulji University, Seongnam, Korea

Abstract

Background and Purpose
Dual walking task such as crossing over an obstacle may serve as an excellent tool for predicting early cognitive decline. Thus, this study aimed to investigate correlation between walking while crossing over an obstacle and executive functions under different gait phases to validate the use of walking with an obstacle for predicting early cognitive decline.
Methods
A cross-sectional study was conducted on 48 elderly individuals from 2 day-care centers and 3 welfare-centers in Seoul and Gyeonggi, Korea. Executive function tests (Trail Making Test, Stroop test) and dual walking tests (gait speed, cadence, stance time, gait cycle time) were performed and compared using partial correlation analysis.
Results
There were significant correlations between executive function and most of the gait variables (stance time, cadence, and gait cycle time) (p<0.05) when crossing over an obstacle while walking. Especially, stance time exhibited significant correlations with most executive functions (p<0.05).
Conclusions
When evaluating executive function during walking with an obstacle, postobstacle-crossing phase and stance time need to be observed.

Keyword

Walking; Elderly; Walking; Elderly; Cognitive Dysfunction
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