Influence of cognitive training on fall prevention in at risk older adults

 描述（由申请人提供）：每年约有三分之一的老年人跌倒，这是老年人创伤性损伤的主要原因。预防老年人福尔斯跌倒是一项重要的公共卫生优先事项，因为2020年健康人群目标之一就是降低跌倒率。 急诊就诊率福尔斯了10%虽然运动和平衡计划已被证明可以有效降低跌倒风险，但众所周知，保持行为改变是困难的。因此，需要验证额外的干预措施，以增加我们目前的医疗设施，以减少老年人的福尔斯。认知训练（CT）涉及针对特定认知任务的练习，如记忆或处理速度。据推测，定期执行这些任务可能会增加功能能力。最近的研究指出，在社区居住的老年人谁在特定的认知任务的改变，福尔斯的风险增加。因此，拟议研究的目的是证明可行性，并探讨CT干预的有效性，以降低跌倒的风险和发生率，并改善一组非痴呆社区居住的老年人跌倒风险干预后1个月的结果。

 DESCRIPTION (provided by applicant): Approximately one in three older adults fall annually and it is the primary cause of traumatic injury in older adults. Prevention of falls in older adult is a significant public health priority, as one of the Healthy People 2020 goals is to reduce the rate of emergency department visits due to falls by 10%. While exercise and balance programs have been shown to be effective in reducing fall risk, maintaining behavior change is known to be difficult. Thus additional interventions need to be validated to add to our current armamentarium to reduce falls in older adults. Cognitive training (CT) involves exercises that target specific cognitive tasks, such as memory or processing speed. It has been speculated that routinely performing such tasks may increase functional ability. Recent work has pointed to an increased risk of falls in community-dwelling older adults who have alterations in specific cognitive tasks. Thus the purpose of the proposed study is to demonstrate the feasibility and to explore the effectiveness of a CT intervention to reduce risk and incidence of fall and improve outcomes up to 1 month post-intervention in a group of non-demented community dwelling older adults at risk for fall.