Dynamic Useful Field of View Training to Enhance Older Adults' Cognitive and Motor Function: A Pilot Study.

Dynamic Useful Field of View Training to Enhance Older Adults' Cognitive and Motor Function: A Pilot Study.
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DOI:
10.1007/s41465-021-00219-2
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发表时间:
2021-12
期刊:
Journal of cognitive enhancement : towards the integration of theory and practice
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其他
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有用视场(UFOV)计算机化认知训练可以提高老年人的步态速度和平衡能力,降低患痴呆症的风险。我们研究了一种新的需要身体运动的UFOV训练形式,认知运动学训练(TUCK)。我们假设TUCK将是可接受的,可行的,并且可能有效地改善UFOV测试和运动性能。69名老年人被随机分为TUCK组、电脑化UFOV训练组和积极对照组。在干预期之前和之后立即评估认知和运动功能。参与者对塔克商学院的评价是愉快的、吸引人的、令人满意的,表明了可接受性。85%的参与者完成了TUCK,证明了可行性。总的来说,与对照组相比,TUCK的效应量并没有显示出比计算机化UFOV训练更大的效果。通过360度转弯(d=0.37)和光步态(d= 0.51-0.69)测量,UFOV训练显示出相对于对照组,训练前后平衡性得到改善的效应量。将运动纳入UFOV认知训练并不能提高认知或运动功能的增益。未来的研究需要阐明UFOV认知训练增强运动功能的潜在机制。研究应继续调查认知和运动功能的关系,并采取干预措施改善老年人的这些结果。试验和计划分析已预先注册:https://osf.io/7utgw。
Useful Field of View (UFOV) computerized cognitive training improves older adults’ gait speed and balance and reduces dementia risk. We investigated a new form of UFOV training requiring physical movement, Training Under Cognitive Kinematics (TUCK). We hypothesized TUCK would be acceptable, feasible, and potentially efficacious to improve UFOV Test- and motor performance. Sixty-nine older adults were randomized to TUCK, computerized UFOV training, or an active control group. Cognitive- and motor function were assessed before and immediately after the intervention period. Participants rated TUCK as enjoyable, engaging and satisfying, indicating acceptability. Eighty-five percent of participants completed TUCK, demonstrating feasibility. Overall, effect sizes for TUCK did not indicate greater efficacy than computerized UFOV training relative to controls. UFOV training showed effect sizes indicating improved balance as measured by Turn 360 (d=0.37) and Optogait (d=0.51–0.69) from pre- to post- training relative to controls. Incorporating movement into UFOV cognitive training did not enhance cognitive or motor functional gains. Future investigations are needed to elucidate the underlying mechanisms of UFOV cognitive training to enhance motor function. Research should continue to investigate the association of cognitive and motor function and interventions to improve these outcomes among older adults. The trial and planned analyses were pre-registered: https://osf.io/7utgw.
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