The Effects of Combining Videogame Dancing and Pelvic Floor Training to Improve Dual-Task Gait and Cognition in Women with Mixed-Urinary Incontinence
The Effects of Combining Videogame Dancing and Pelvic Floor Training to Improve Dual-Task Gait and Cognition in Women with Mixed-Urinary Incontinence
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DOI：
10.1089/g4h.2013.0095
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发表时间：
2014-06-01
影响因子：
3.5
通讯作者：
Dumoulin, Chantal
中科院分区：
文献类型：
--
作者：
Fraser, Sarah A.;Elliott, Valerie;Dumoulin, Chantal
目的：许多65岁以上的女性患有混合性尿失禁（MUI）和执行功能（EF）缺陷。尿失禁和EF下降都会增加跌倒风险。目前的研究评估EF和双任务步态后，多组分干预相结合的盆底肌肉（PFM）的培训和视频游戏dancing（VGD）。材料和方法：基线（前1），训练前（前2），和训练后（后）神经心理学和双任务步态评估完成了23名妇女（平均年龄，70.4岁）与MUI。在双重任务期间，参与者步行并执行听觉n-back任务。从Pre 2到Post，所有女性完成了12周的PFM和VGD联合training.Results：训练后（Pre 2到Post），在抑制/开关Stroop条件下的错误数量显着下降，连线测试差异分数略有改善，双任务步态中的n-回错误数量显着下降。一个亚组分析的基础上，改进的改进（垫测试）显示，只有那些受试者在垫测试中有显着减少的N-回错误的数量在双任务gait.Conclusions：本研究的结果表明，多组分干预可以改善EF和双任务步态的老年妇女MUI。未来的研究需要确定这些因素的训练引起的改善是否会降低跌倒风险。
Objective: Many women over 65 years of age suffer from mixed urinary incontinence (MUI) and executive function (EF) deficits. Both incontinence and EF declines increase fall risk. The current study assessed EF and dual-task gait after a multicomponent intervention that combined pelvic floor muscle (PFM) training and videogame dancing (VGD).Materials and Methods: Baseline (Pre1), pretraining (Pre2), and post-training (Post) neuropsychological and dual-task gait assessments were completed by 23 women (mean age, 70.4 years) with MUI. During the dual-task, participants walked and performed an auditory n-back task. From Pre2 to Post, all women completed 12 weeks of combined PFM and VGD training.Results: After training (Pre2 to Post), the number of errors in the Inhibition/Switch Stroop condition decreased significantly, the Trail Making Test difference score improved marginally, and the number of n-back errors during dual-task gait significantly decreased. A subgroup analysis based on continence improvements (pad test) revealed that only those subjects who improved in the pad test had significantly reduced numbers of n-back errors during dual-task gait.Conclusions: The results of this study suggest that a multicomponent intervention can improve EFs and the dual-task gait of older women with MUI. Future research is needed to determine if the training-induced improvements in these factors reduce fall risk.