Kognition und Mobilität

Der Einfluss des Gehirns auf das Gehen

Cognition and mobility

The influence of the brain on gait


Für die Mobilität besonders wichtig sind kognitive Fähigkeiten und die Gangfähigkeit mit ihren physischen Parametern. Als gesichert gilt mittlerweile die Erkenntnis, dass die Reduzierung der Ganggeschwindigkeit ein sehr früher Indikator subklinischer kognitiver Abbauprozesse oder auch ein früher Indikator eines Demenzrisikos sein kann. Der Begriff Dual-task-Paradigma beschreibt eine Methode, bei der der ältere Mensch zwei Aufgaben gleichzeitig lösen muss. Eine rechtzeitige Identifizierung älterer Menschen mit Sturzgefährdung oder einem erhöhten Demenzrisiko wird immer wichtiger. Dem Dual-task-Paradigma kommt dabei eine wachsende Bedeutung zu.


Cognitive abilities and gait with its physical parameters are important for mobility. There is clinically sound evidence that a reduction of gait speed can be seen as an early subclinical indicator of cognitive decline of even higher risk of onset of dementia. The dual-task paradigm is a method in which the older person has to simultaneously solve two different task. It is of utmost importance to identify older persons at risk of falls or onset of dementia. The dual-task paradigm seems to be an important method in this process.

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Meinem Kollegen Dr. Robert Kob danke ich für das Gegenlesen des Manuskripts und seine hilfreichen Kommentare.

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Correspondence to PD Dr. E. Freiberger.

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E. Freiberger gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine vom Autor durchgeführten Studien an Menschen oder Tieren.

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Freiberger, E. Kognition und Mobilität. Internist 59, 316–325 (2018). https://doi.org/10.1007/s00108-018-0391-8

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  • Ältere Menschen
  • Kognitives Altern
  • Demenz
  • Gehtest
  • Ganggeschwindigkeit


  • Elderly
  • Cognitive aging
  • Dementia
  • Gait assessment
  • Gait speed