%0 Journal Article %T Factors Associated with Dual-Fluency Walk Speed Improvement after Rehabilitation in Older Patients %+ Centre hospitalier universitaire de Nantes (CHU Nantes) %+ Clinical Gerontology Department [Nantes] %+ Motricité, interactions, performance UR 4334 / Movement - Interactions - Performance (MIP) %+ Neuropathies du système nerveux entérique et pathologies digestives; implication des cellules gliales entériques %A Cubillé, Marion %A Couturier, Catherine %A Rincé, Guy %A Deschamps, Thibault %A Derkinderen, Pascal %A de Decker, Laure %A Berrut, Gilles %A Chapelet, Guillaume %< avec comité de lecture %@ 2077-0383 %J Journal of Clinical Medicine %I MDPI %8 2022-12-15 %D 2022 %R 10.3390/jcm11247443 %K walk speed %K older adults %K rehabilitation %K dual-task %Z Life Sciences [q-bio]/Human health and pathology/Geriatry and gerontologyJournal articles %X Walk speed measured under dual-task conditions (neurocognitive tasks) could reflect patient performance in real-life. Rehabilitation programs are effective in increasing walk speed, but few studies have evaluated the associations between geriatric factors and rehabilitation efficacy under dual-task conditions. Our objective was to investigate the association between geriatric factors and an increase in dual-task walk speed (threshold of 0.1 m/s), after a multidisciplinary rehabilitation program. We performed a retrospective cohort study that included patients aged 75 years and over, who underwent a complete rehabilitation program and who had a neurocognitive assessment at baseline. The primary outcome was the increase in the dual-task (fluency verbal task) walking speed between pre-and post-rehabilitation assessments. In this study, 145 patients were included, with a mean age of 83.6 years old. After rehabilitation, dual-task walk speed increase in 62 (43%) patients. In multivariate analysis, the following factors were associated with an increase in dualtask walk speed : IADL (OR 2.50, 95% CI [1.26; 4.94], p = 0.009), vitamin D level (OR 0.83, 95% CI [0.72; 0.95], p = 0.008), severe sarcopenia (OR 0.00, 95% CI [0.00; 0.32], p = 0.016), depression (OR 15.85, 95% CI [1.32; 190.40], p = 0.029), number of drugs (OR 1.41, 95% CI [1.04; 1.92], p = 0.027), initial dual-fluency walk speed (OR 0.92, 95% CI [0.86; 0.98], p = 0.014) and time interval between initial and final assessments (OR 0.98, 95% CI [0.96; 1.00], p = 0.06). Identifying patients that are less resilient to rehabilitation may promote a centered-patient approach for an individualized and optimized rehabilitation care. %G English %2 https://nantes-universite.hal.science/hal-03900963/document %2 https://nantes-universite.hal.science/hal-03900963/file/Cubill%C3%A9%20et%20al%20%282022%29_Factors%20Associated%20with%20Dual%E2%80%90Fluency%20Walk%20Speed%20Improvement%20after%20Rehabilitation%20in%20Older%20Patients.pdf %L hal-03900963 %U https://nantes-universite.hal.science/hal-03900963 %~ UNIV-LEMANS %~ MIP %~ NANTES-UNIVERSITE %~ NANTES-UNIV