Dual-Task Performance in GBA Parkinson’s Disease

الملخص EN

Introduction.

Parkinson’s disease patients carrying a heterozygous mutation in the gene glucocerebrosidase (GBA-PD) show faster motor and cognitive decline than idiopathic Parkinson’s disease (iPD) patients, but the mechanisms behind this observation are not well understood.

Successful dual tasking (DT) requires a smooth integration of motor and nonmotor operations.

This study compared the DT performances between GBA-PD and iPD patients.

Methods.

Eleven GBA-PD patients (p.N370S, p.L444P) and eleven matched iPD patients were included.

Clinical characterization included a motor score (Unified PD Rating Scale-III, UPDRS-III) and nonmotor scores (Montreal Cognitive Assessment, MoCA, and Beck’s Depression Inventory).

Quantitative gait analysis during the single-task (ST) and DT assessments was performed using a wearable sensor unit.

These parameters corrected for UPDRS and MoCA were then compared between the groups.

Results.

Under the DT condition “walking while checking boxes,” GBA-PD patients showed slower gait and box-checking speeds than iPD patients.

GBA-PD and iPD patients did not show significant differences regarding dual-task costs.

Conclusion.

This pilot study suggests that DT performance with a secondary motor task is worse in GBA-PD than in iPD patients.

This finding may be associated with the known enhanced motor and cognitive deficits in GBA-PD compared to iPD and should motivate further studies.