Effect of a Kinect-based exercise game on improving executive cognitive performance in community-dwelling elderly: case control study.

Effect of a Kinect-based exercise game on improving executive cognitive performance in community-dwelling elderly: case control study.
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DOI:
10.2196/jmir.3108
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发表时间:
2014-02-24
影响因子:
7.4
通讯作者:
Aoyama T
Aoyama T
中科院分区:
医学2区
文献类型:
--
作者:
Kayama H;Okamoto K;Nishiguchi S;Yamada M;Kuroda T;Aoyama T

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双重任务(DT)能力的下降是已知的跌倒的危险因素之一。我们开发了一个新的游戏概念,双任务太极(DTTC),使用微软的动作捕捉设备Kinect,并证明了DTTC测试可以定量评估各种功能,这些功能是已知的老年人跌倒的危险因素。此外,DT训练作为提高平衡性和DT能力的一种方式,一直受到人们的关注。然而,只有少数研究报告说它能提高认知能力。本研究的目的是证明一个为期12周的DTTC训练项目是否能有效地改善认知功能。本研究检测了社区居住老年人在DTTC训练(训练组[TG])和标准化训练(对照组[CG])前后12周的认知功能。主要终点是基于TG和CG之间认知功能的差异。认知功能的评估采用轨迹测试(A部分和B部分)和语言流畅性测试。共41名老年人(TG: n=26, CG: n=15)参加了本研究,并对他们在DTTC训练前后的认知功能进行了评估。两组间执行认知功能测量、delta- making test (B部分- A部分;F 1,36=4.94, P=.03; TG:前均值48.8 [SD 43.9],后均值42.2 [SD 29.0]; CG:前均值49.5 [SD 51.8],后均值64.9 [SD 54.7])存在显著组间时间交互作用。结果表明,DTTC训练对提高执行认知功能是有效的。日本医学会临床试验注册号:JMA-IIA00092;https://dbcentre3.jmacct.med.or.jp/jmactr/App/JMACTRS06/JMACTRS06.aspx?seqno=2682(由WebCite在http://www.webcitation.org/6NRtOkZFh存档)。
Decrease of dual-task (DT) ability is known to be one of the risk factors for falls. We developed a new game concept, Dual-Task Tai Chi (DTTC), using Microsoft’s motion-capture device Kinect, and demonstrated that the DTTC test can quantitatively evaluate various functions that are known risk factors for falling in elderly adults. Moreover, DT training has been attracting attention as a way to improve balance and DT ability. However, only a few studies have reported that it improves cognitive performance. The purpose of this study was to demonstrate whether or not a 12-week program of DTTC training would effectively improve cognitive functions. This study examined cognitive functions in community-dwelling older adults before and after 12 weeks of DTTC training (training group [TG]) or standardized training (control group [CG]). Primary end points were based on the difference in cognitive functions between the TG and the CG. Cognitive functions were evaluated using the trail-making test (part A and part B) and verbal fluency test. A total of 41 elderly individuals (TG: n=26, CG: n=15) participated in this study and their cognitive functions were assessed before and after DTTC training. Significant differences were observed between the two groups with significant group × time interactions for the executive cognitive function measure, the delta-trail-making test (part B−part A; F 1,36=4.94, P=.03; TG: pre mean 48.8 [SD 43.9], post mean 42.2 [SD 29.0]; CG: pre mean 49.5 [SD 51.8], post mean 64.9 [SD 54.7]). The results suggest that DTTC training is effective for improving executive cognitive functions. Japan Medical Association Clinical Trial Registration Number: JMA-IIA00092; https://dbcentre3.jmacct.med.or.jp/jmactr/App/JMACTRS06/JMACTRS06.aspx?seqno=2682 (Archived by WebCite at http://www.webcitation.org/6NRtOkZFh).
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