The effect of cognitive-motor dual task training with the biorescue force platform on cognition, balance and dual task performance in institutionalized older adults: a randomized controlled trial.
The effect of cognitive-motor dual task training with the biorescue force platform on cognition, balance and dual task performance in institutionalized older adults: a randomized controlled trial.
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DOI：
10.1589/jpts.29.1137
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发表时间：
2017-07
影响因子：
--
通讯作者：
Spildooren J
中科院分区：
文献类型：
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作者：
Delbroek T;Vermeylen W;Spildooren J
[目的]本研究探讨虚拟现实双任务训练是否能改善养老院老年人的认知、平衡和双任务表现。【对象与方法】随机对照试验；将20名患有轻度认知障碍的住院老年人（女性13人，男性7人，平均年龄87.2±5.96岁）随机分为干预组（即使用BioRescue进行虚拟现实双任务训练）和对照组（不进行额外训练）。干预组参加了一个为期6周的训练项目，而对照组的老年人则维持着他们的日常活动。平衡性是通过仪器计时起跑测试来测量的，有和没有认知任务。采用观察情绪评定量表和内在动机量表对游戏项目的情绪和动机进行评估。[结果]与未接受额外训练的对照组相比，干预组在单任务行走时的总计时起身时间和转坐时间上有显著改善。参与者发现虚拟现实双重任务训练令人愉快，对他们的注意力、记忆力和平衡能力都很有用。快乐和警觉是干预期间最常见的两种情绪。[结论]BioRescue是一种愉快、有趣的治疗方法，非常适合需要终身物理治疗的机构老年人。
[Purpose] This study investigates whether cognition, balance and dual task performance in institutionalized older adults improves by a virtual reality dual task training. [Subjects and Methods] Randomized controlled trial; Twenty institutionalized older adults with mild cognitive impairment (13 female, 7 male; average age, 87.2 ± 5.96 years) were randomized to the intervention (i.e. Virtual reality dual-task training using the BioRescue) or control group (no additional training). The intervention group took part in a 6-week training program while the elderly in the control group maintained their daily activities. Balance was measured with the Instrumented Timed Up-and-Go Test with and without a cognitive task. The Observed Emotion Rating Scale and Intrinsic Motivation Inventory were administered to evaluate the emotions and motivation regarding the exergaming program. [Results] The intervention group improved significantly on the total Timed Up-and-Go duration and the turn-to-sit duration during single-task walking in comparison to the control group who received no additional training. Participants found the virtual reality dual task training pleasant and useful for their concentration, memory and balance. Pleasure and alertness were the two emotions which were mostly seen during the intervention. [Conclusion] The BioRescue is a pleasant and interesting treatment method, well suited for institutionalized older adults in need of lifelong physical therapy.