Relationship Between Cognitive Abilities and Lower-Limb Movements: Can Analyzing Gait Parameters and Movements Help Detect Dementia? A Systematic Review
Swapno Aditya, Lucy Armitage, Adam Clarke, Victoria Traynor, Evangelos Pappas, Thanaporn Kanchanawong and Winson Chiu-Chun Lee
Identifying and diagnosing cognitive impairment remains challenging. Some diagnostic procedures are invasive, expensive, and not always accurate. Meanwhile, evidence suggests that cognitive impairment is associated with changes in gait parameters. Certain gait parameters manifesting differences between people with and without cognitive impairment are more pronounced when adding a secondary task (dual-task scenario). In this systematic review, the capability of gait analysis to identify cognitive impairment is investigated. Twenty-three studies published between 2014 and 2024 met the inclusion criteria. A significantly lower gait speed and cadence as well as higher gait variability were found in people with mild cognitive impairment (MCI) and/or dementia, compared with the group with no cognitive impairment. While dual tasks appeared to amplify the differences between the two populations, the type of secondary tasks (e.g., calculations and recalling phone numbers) had an effect on gait changes. The activity and volume of different brain regions were also different between the two populations during walking. In conclusion, while this systematic review supported the potential of using gait analysis to identify cognitive impairment, there are a number of parameters researchers need to consider such as gait variables to be studied, types of dual tasks, and analysis of brain changes while performing the movement tasks.
Details
Title
Relationship Between Cognitive Abilities and Lower-Limb Movements: Can Analyzing Gait Parameters and Movements Help Detect Dementia? A Systematic Review
Authors
Swapno Aditya - University of Wollongong
Lucy Armitage - University of Wollongong
Adam Clarke - University of Wollongong
Victoria Traynor - University of the Sunshine Coast, Queensland, School of Health - Nursing
No new data were created or analyzed in this study.
Grant note
This work is funded by an IPA (International Postgraduate Award) provided by the University of Wollongong as well as an AEGIS grant for multidisciplinary research (R-6074), which is also provided by the University of Wollongong.
Organisation Unit
School of Health - Nursing
Language
English
Record Identifier
991127001802621
Output Type
Journal article
Metrics
26 Record Views
InCites Highlights
These are selected metrics from InCites Benchmarking & Analytics tool, related to this output
Collaboration types
Domestic collaboration
Web Of Science research areas
Chemistry, Analytical
Engineering, Electrical & Electronic
Instruments & Instrumentation
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals: