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Rehabilitation Practice and Science

Translated Title

比較輕微阿茲海默症及血管性失智症老年患者同時之動作表現

Abstract

In the past research, most factors caused motor and gait impairment in patients with dementia were related to the lesions of different areas and lobes. However, patients with different types of dementia may have distinct motor impairment features because of different neuropsychological dysfunction that may result in different motor features. At present time, clinical diagnosis of dementia patients were depended on subjective rating scales, but lack of objective measurement. The purpose of this study was to compare the patients with mild Alzheimer's dementia (AD) and patients with mild vascular dementia (VaD) in motion analysis of gait and upper limbs function in older to find out the clinical application of early diagnosis for early dementia. Method: The subjects were recruited into three groups: (1) healthy elderly, (2) mild possible Alzheimer's disease, (3) mild possible vascular dementia. They were diagnosed by Clinical Dementia Rating Scale (CDR) for the severity of dementia. In this study, motion analysis was used to evaluate the kinematics' parameters to compare gait performance and upper limbs function was measured by a new designed computer board. There were three types of motor task evaluated: (1) sequence, (2) sequence task combined with dual-task by reverse 2 digits, (3) sequence task combined with dual task by memory 2 digits. The result revealed the patients with mild dementia in both groups had poor motor function than age-matched healthy subjects. In dual task condition, the vascular dementia group showed worse motor performance than age-matched healthy subjects and there were more significant difference in the upper limbs motion than in the gait motion.

Language

Traditional Chinese

First Page

159

Last Page

168

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