A randomized trial to measure the impact of a community-based cognitive training intervention on balance and gait in cognitively intact Black older adults.
A randomized trial to measure the impact of a community-based cognitive training intervention on balance and gait in cognitively intact Black older adults.
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DOI：
10.1177/1090198114537068
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发表时间：
2014-10
期刊：
影响因子：
--
通讯作者：
Hughes SL
中科院分区：
文献类型：
--
作者：
Smith-Ray RL;Makowski-Woidan B;Hughes SL
预防跌倒对于保持老年的流动性和独立性很重要。减少福尔斯跌倒的方法包括锻炼、太极拳和家庭改造;然而，跌倒的原因是多因素的，不仅包括身体因素，还包括认知因素。随着年龄的增长，认知能力会下降，但执行功能下降最严重的老年人会经历更多的福尔斯。本研究的目的是双重的：证明认知完整的黑人老年人的社区为基础的认知训练计划的可行性，并分析其对步态和平衡在这个人群的影响。这项初步研究采用了前测/后测随机试验设计，分配到干预组或对照组。被分配到干预的参与者完成了一个基于计算机的认知训练课程，每周2天，持续60分钟，持续10周。课程在高级/社区中心举行。主要结局包括通过贝格平衡量表（BBS）测量的平衡、10米步态速度和视觉空间双任务条件下的10米步态速度。在基线和干预后立即评估所有措施。参与者是平均年龄为72.5岁、有福尔斯跌倒史的社区黑人成年人（N = 45）。与对照组相比，干预参与者在BBS和步态速度方面有统计学显着改善。与对照组相比，干预组受试者在分心步态速度方面的平均表现也得到了更多的改善。这项试点随机试验的结果证明了基于社区的认知训练干预的可行性。他们提供的初步证据表明，认知训练可能是改善有福尔斯史的老年人平衡和步态的有效方法。
Fall prevention is important for maintaining mobility and independence into old age. Approaches for reducing falls include exercise, tai chi, and home modifications; however, causes of falling are multifactorial and include not just physical but cognitive factors. Cognitive decline occurs with age, but older adults with the greatest declines in executive function experience more falls. The purpose of this study was twofold: to demonstrate the feasibility of a community-based cognitive training program for cognitively intact Black older adults and to analyze its impact on gait and balance in this population. This pilot study used a pretest/posttest randomized trial design with assignment to an intervention or control group. Participants assigned to the intervention completed a computer-based cognitive training class that met 2 days a week for 60 min over 10 weeks. Classes were held at senior/community centers. Primary outcomes included balance as measured by the Berg Balance Scale (BBS), 10-meter gait speed, and 10-meter gait speed under visuospatial dual-task condition. All measures were assessed at baseline and immediately post-intervention. Participants were community-dwelling Black adults with a mean age of 72.5 and history of falls (N = 45). Compared to controls, intervention participants experienced statistically significant improvements in BBS and gait speed. Mean performance on distracted gait speed also improved more for intervention participants compared to controls. Findings from this pilot randomized trial demonstrate the feasibility of a community-based cognitive training intervention. They provide initial evidence that cognitive training may be an efficacious approach toward improving balance and gait in older adults known to have a history of falls.
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影响因子：
1.7
作者：
BROOKS, LR
通讯作者：
BROOKS, LR
影响因子：
--
作者：
Lee, Brian K.;Glass, Thomas A.;James, Bryan D.;Bandeen-Roche, Karen;Schwartz, Brian S.
通讯作者：
Schwartz, Brian S.
影响因子：
3.1
作者：
Beurskens R;Bock O
通讯作者：
Bock O
DOI：
10.1111/j.1532-5415.2006.00813.x
发表时间：
2006-08-01
影响因子：
6.3
作者：
Anstey, Kaarin J.;von Sanden, Chwee;Luszcz, Mary A.
通讯作者：
Luszcz, Mary A.
影响因子：
4
作者：
Lajoie, Y;Gallagher, SP
通讯作者：
Gallagher, SP