a The Institute for the Study off Christian Social Service , University of Heidelberg , Heidelberg , Germany.
b AGAPLESION Bethanien Hospital , Geriatric Centre of the University of Heidelberg , Heidelberg , Germany.
Aging Ment Health. 2018 Sep;22(9):1124-1135. doi: 10.1080/13607863.2017.1348472. Epub 2017 Jul 6.
To examine the effects of a computerized, game-based training on motor-cognitive performances, the transfer of training effects on untrained tasks, and the sustainability of training gains in people with dementia.
Ninety-nine individuals with a mean age of 82.9 (5.8) and dementia participated in a 10-week randomized controlled trial with three-month follow-up. The intervention group (IG) received a motor-cognitive training on (Physiomat®) including concurrent dual-tasks of balance control with cognitive demands (Physiomat®-Trail Making Tasks (PTMTs)). The control group (CG) performed non-specific, low-intensity exercises. Duration and accuracy at different complexity levels of trained and untrained PTMTs and the number of successfully performed tasks (PTMT score) were assessed.
Physiomat® training significantly improved the duration and accuracy at almost all complexity levels of trained (P ≤ 0.001-0.047, η = 0.065-0.589) and untrained PTMTs (P < 0.001-0.005, η = 0.073-0.459). Significant effects were also found for the PTMT score of trained (P < 0.001, η = 0.211) and untrained PTMTs (P < 0.001, η = 0.184). Training gains were partly sustained at follow-up.
Physiomat® is feasible and has the potential to sustainably improve motor-cognitive performances in people with dementia.
考察基于计算机的游戏训练对运动认知表现的影响，训练效果在未训练任务上的转移，以及痴呆患者训练效果的可持续性。
99 名平均年龄为 82.9（5.8）岁的痴呆患者参与了一项为期 10 周的随机对照试验，并进行了 3 个月的随访。干预组（IG）接受了一项基于（Physiomat®）的运动认知训练，包括同时进行具有认知要求的平衡控制的双重任务（Physiomat®-Trail Making Tasks (PTMTs)）。对照组（CG）进行非特定的、低强度的运动。评估了训练和未训练的 PTMT 不同复杂程度的持续时间和准确性，以及成功完成的任务数量（PTMT 得分）。
Physiomat®训练显著提高了训练和未训练的 PTMT 几乎所有复杂程度的持续时间和准确性（P≤0.001-0.047，η=0.065-0.589）。在训练和未训练的 PTMT 的 PTMT 得分上也发现了显著的效果（P<0.001，η=0.211 和 P<0.001，η=0.184）。训练效果在随访时部分得到维持。
Physiomat®是可行的，有潜力可持续地提高痴呆患者的运动认知表现。
