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探索联合认知-运动程序在轻度认知障碍老年患者中的现场应用。

Exploring the field application of combined cognitive-motor program with mild cognitive impairment elderly patients.

作者信息

Kim Sooyeon

机构信息

Department of Sports Science, Ewha Womans University, Seoul, Korea.

出版信息

J Exerc Rehabil. 2018 Oct 31;14(5):817-820. doi: 10.12965/jer.1836418.209. eCollection 2018 Oct.

Abstract

This study evaluated combined cognitive-motor program based on Alexander technique and Bartenieff fundamental method for mild cognitive impairment (MCI) patients. The purpose was to explore the field application of combined cognitive-motor learning program centering on proprioceptive neuromuscular facilitation, developing sensory-motor coordination and enhancing focused attention to one's whole body. Two practice methods were applied to the 40 MCI elder. The combined cognitive-motor learning program (CM) was applied to the 20 MCI elder while 20 elder took traditional movement learning program (TM). Mini Mental States Examination-Korea (MMSE-K), Time Up & Go Test (TUG), Flexibility Test and Pegboard Test were measured and analyzed. The collected data were analyzed by paired -test. The results were as follows: Both groups showed similar learning effect in Flexibility Test and Pegboard Test. However, in MMSE-K and TUG, CM group showed significant learning effect than TM group. Our data suggested body awareness and body consciousness through Alexander technique and Bartenieff fundamental program facilitated patients' kinaesthesia: sensory awareness and conscious control of the whole movement. From these results, we conclude that combined cognitive-motor learning program is valuable as alternative program for cognitive development as well as physical development of MCI elder.

摘要

本研究评估了基于亚历山大技术和巴滕耶夫基本方法的联合认知-运动项目对轻度认知障碍(MCI)患者的效果。目的是探索以本体感觉神经肌肉促进法为核心、发展感觉运动协调能力并增强对全身的集中注意力的联合认知-运动学习项目在实际中的应用。对40名患有MCI的老年人采用了两种练习方法。20名患有MCI的老年人采用联合认知-运动学习项目(CM),另外20名老年人采用传统运动学习项目(TM)。对韩国简易精神状态检查表(MMSE-K)、起立行走测试(TUG)、灵活性测试和钉板测试进行了测量和分析。收集的数据采用配对检验进行分析。结果如下:两组在灵活性测试和钉板测试中显示出相似的学习效果。然而,在MMSE-K和TUG测试中,CM组比TM组显示出更显著的学习效果。我们的数据表明,通过亚历山大技术和巴滕耶夫基本项目培养的身体意识和身体觉知促进了患者的动觉:对整个运动的感觉意识和有意识控制。从这些结果来看,我们得出结论,联合认知-运动学习项目对于MCI老年人的认知发展以及身体发展而言,作为一种替代项目具有重要价值。

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