2.7 Dual Task

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2.7 Dual task: association among cognitive training, transfer training and psycho-motor training (Reuter et al. 2012)

The goal of this study was to assess whether a multi-modal cognitive rehabilitation, in association with a motor programme could have a better therapeutic outcome than a purely cognitive treatment. Three types of treatment were compared:
A. Cognitive training;
B. Cognitive training, transfer training;
C. Cognitive training, transfer training, pyschomotor and resistance training.

2.7.1 Methods & Materials

For this study, 240 Parkinson's patients between 50 and 80 years of age were recruited; one of the criteria was the presence of MCI, as all complained of a cognitive decline, a minimum impact on everyday life in absence of
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Goal Attainment Scale (GAS) [Royal College of Physician and Intercollegiate Stroke Working Party] was used to define realistically attainable goals for the patient's needs and expectations. Patients were then randomly divided into three groups, and they followed the respective treatments after optimising their pharmacological therapy.
The study involved 2 phases:
1. PHASE 1: rehabilitation at the hospital (4 weeks);
2. PHASE II: rehabilitation at the patient's house (6 months).
Patients were assessed at the end of each treatment.

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For this purpose, patients' caregivers were trained so that they could follow the therapy at home for the 6 months following the end of phase I. Their educational training included: information on Parkinson; pyshcological aspects of the caregiver's role; information on patient's help and care; assessment of individual problems; cognitive support; transfer training (for B and C group only) and motor training (for group C only).
All patients were asked to follow 3 45-minutes sessions of cognitive training per week; the patients of group B and C should follow 2 sessions per week for transfer training, and members of group C were given instructions to follow an aerobic and movement training twice per week, To compensate for the more intense workload of group C, groups A and B were given relaxation exercises.
Both patients and caregiver were asked to keep a journal to track their

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