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Table 2 Summary of included Cohort studies which compared Instrumented Objective Functional Parameters between Confirmed MCI and a Control Group

From: Functional parameters indicative of mild cognitive impairment: a systematic review using instrumented kinematic assessment

Study (first author and year)

Study Design

Study Characteristics (groups, number of participants, mean age)

MCI Diagnostic Criteria

Instrumented Functional Assessment

Instrument

Data Collection (follow-up)

Main results in MCI

Gillain et al. [63], 2015.

Pilot Cohort Study.

- MCI +: n = 9. 74.44 years old.

- MCI -: n = 4. 70.00 years old.

Petersen Criteria [15].

CDR = 0.5 [46].

MMSE > 24 [49].

Walking at preferred speed (40 m) in ST and DT conditions.

Tri-axial accelerometric (Locometrix®) attached to the L3.

(T1) at baseline;

(T2) one year;

(T3) four years.

↑Gait speed in ST and in DT in MCI- than in MCI+ **.

↑Symmetry in DT in MCI- than in MCI+ **.

↓Gait performances in DT compared to ST.

Hayes et al. [64], 2008.

Transversal and longitudinal study (paired comparison and repeated measure ANOVA)

- Healthy Group: n = 7. 90 years old.

- MCI: n = 7. 88.44 years old.

All: MMSE ≥24 [49].

Control: CDR = 0 [46].

MCI: CDR = 0.5 [46].

Activity in the home, amount of variance in activity, tracking visitors, absences from the home, and walking speed.

Motion sensors and magnetic contact sensors placed in home, and wireless contact switches.

(T1) mean of 315 days.

↑COV in the median gait speed in MCI compared with Healthy group **.

↑24-h wavelet variance in MCI Group than Healthy Group (↑variance in the day-to-day pattern of activity)**.

Ansai et al. [65]. 2018.

Longitudinal prospective study.

- AD: n = 37. 78.5 years old.

- MCI: n = 38. 74.75 years old.

MCI Group:

CDR = 0.5 [46].

MMSE > 24 [49].

Pfeffer [66].

TUG

Qualisys ProReflex motion analysis system with seven cameras.

(T1) at baseline;

(T2) six months.

↓Total time to perform the TUG in MCI vs AD**.

↑ Gait speed in the walking forward subtask in MCI vs AD**.

↓ Time in the turn subtask in MCI vs AD**.

↑ Gait speed in the walking back subtask in MCI vs AD**.

↓ Time in the turn-to-sit subtask in MCI vs AD**.

Dodge et al. [67], 2012.

Longitudinal

(Latent trajectory model). Part of cohort study.

- aMCI: n = 8. 84,5 years old.

- naMCI: n = 31. 83.8 years old.

- Healthy Group: n = 54. 84.9 years old.

ALL:

CDR ≤ 0.5 [46].

MMSE > 24 [49].

MCI:

Petersen Criteria [11].

Walking speed and its variability; total daily activity, visitors and time out of home.

Motion sensors and contact sensors fixed in the homes, and wireless contact switches.

(T1) at baseline;

(T2) mean of 2.6 ± 1.0 years.

Slow gait speed in naMCI**.

↑or↓ baseline COV of gait speed groups in naMCI.

↓Gait speed in MCI than in Healthy Group**.

↑COV of gait speed in MCI than in Healthy Group**.

Pieruccini- Faria et al. [68], 2018.

Part of a prospective cohort study.

- MCI: n = 52. 73.7 years old.

- Healthy Group: n = 27. 71.7 years old.

Control:

- CDR = 0 [46].

- MoCA ≥27 [47].

MCI:

- CDR = 0.5 [46].

- MoCA < 26 [47].

Walking speed in ST and DT conditions.

Electronic walkway (lenght: 6 m) embedded with sensors.

(T1) at baseline;

(T2) two years;

(T3) four years;

(T4) five years.

↓ Gait speed in DT conditions in MCI**.

↓Step length adjustments in DT conditions in MCI**.

↓ Gait speed in MCI**.

Montero-Odasso et al. [69], 2009.

Reliability study.

- MCI: n = 11. 76.6 years old.

Petersen Criteria [14].

CDR = 0.5 [46].

MoCA < 26 [47].

MMSE > 24 [49].

Gait performance under ST and DT conditions.

Electronic walkway (GAITRite® System. Lenght: 6 m).

(T1) at baseline;

(T2) one week.

↓Mean gait speed under DT conditions**.

↑Gait variability on stride time, step time, and double support time under DT conditions**.

  1. MCI Mild cognitive impairment, MCI + MCI who will develop AD, MCI -MCI who will not develop AD, CDR Clinical Dementia Rating score, MMSE Mini-mental State Examination, ST Simple task, DT Dual task, L3 Third lumbar vertebra level, ANOVA Analysis of Variance, COV Coefficient of variation, AD Alzheimer Disease, TUG Timed Up an Go Test, aMCI Amnestic mild cognitive impairment, naMCI Non-amnestic mild cognitive impairment, MoCA Montreal Cognitive Assessment, GV Gait velocity
  2. ↑Higher. ↓Lower
  3. *p > 0.05. **p < 0.05. ***p < 0.001