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Research Article

Association of dual task gait performance with cognitive outcomes among older adults: Piloting an inexpensive, portable assessment platform

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Published online: 05 Jul 2024
 

Abstract

Motor assessment has emerged as complementary evidence for the detection of late life cognitive disorders. Clinicians lack inexpensive, accurate, and portable tools for this purpose. To fill this void, the current study piloted measures from the Mizzou Point-of-care Assessment System a multimodal sensor platform. We examined the ability of these motor function measures to distinguish neurocognitive status and assessed their associations with cognitive performance. Data came from 42 older adults, including 16 with mild cognitive impairment (MCI). Participants performed dual task gait, pairing walking with serial subtraction by sevens, along with aa neuropsychological test battery. T-tests revealed that individuals with MCI demonstrated slower stride times (d = .55) and shorter stride lengths (d = .98) compared to healthy older adults. Results from hierarchical regression showed that stride time and stride length predicted cognitive performance across several domains, after controlling for cognitive status and demographics. Cognitive status moderated this relationship for global cognition and attention, wherein gait measures were significantly related to these outcomes for the cognitively normal group, but not the MCI group. Evidence from the current study provided preliminary support that MPASS measures demonstrate expected associations with cognitive performance and can distinguish amongst those with and without cognitive impairment.

Disclosure statement

A US Patent application was filed on October 10, 2022. The application number is 17970095, the assignee is the University of Missouri System, the title is “Point-of-care assessment system”, and the inventors are Trent M Guess, Rebecca A Bliss, Aaron Gray, Jamie Hall, MA Shen-Ying, and Brad Willis.

Additional information

Funding

This study was funded in part by the University of Missouri Coulter Biomedical Accelerator program.

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