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视听整合训练对轻度认知障碍老年人认知-运动功能的增强作用。

Audiovisual integrative training for augmenting cognitive- motor functions in older adults with mild cognitive impairment.

机构信息

Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong.

Department of Applied Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong.

出版信息

BMC Geriatr. 2020 Feb 17;20(1):64. doi: 10.1186/s12877-020-1465-8.

Abstract

BACKGROUND

Previous studies indicated that the behavioral performances of older adults could be enhanced by multisensory integration. This pilot study tested the benefits of an audiovisual integrative (AV) training for improving the cognitive and upper limb motor functions in older adults with mild cognitive impairment (MCI).

METHODS

Twenty participants, according to their MoCA scores, with ten in each of a MCI (mean age = 63.3 years) and healthy older adult group (mean age = 64.7 years), engaged in AV integrative training. They were recruited from the Institute of Active Ageing at the Hong Kong Polytechnic University. The screening was conducted from February to March 2018 and the training program which consisted of three sessions (2 h each) was conducted from 14-28th May 2018. Their executive function, attention and upper limb functions were measured by the Stroop Test and Purdue Pegboard Test respectively.

RESULTS

The mixed linear model analysis results showed significant Time x Group interaction effects in the time used in the Stroop Test (dots) (p = 0.042) and the Purdue Pegboard scores (non-dominant hand use) (p = 0.025). The MCI group exhibited significantly more improvements in attentional control and non-dominant hand motor functions after the training.

CONCLUSIONS

The findings suggest that the AV integrative training has the potential for enhancing the cognitive and motor functions of older adults with MCI. Furthermore, AV integrative training can serve as an alternative non-pharmacological intervention for combating neurodegeneration in older adults.

TRIAL REGISTRATION

This study has been retrospectively registered at the Chinese Clinical Trial Registry which is a World Health Organisation approved registry.

TRIAL REGISTRATION

Current Controlled Trials ChiCTR2000029408, January 29th, 2020.

摘要

背景

先前的研究表明,多感觉整合可以增强老年人的行为表现。这项初步研究测试了视听整合(AV)训练对改善轻度认知障碍(MCI)老年人认知和上肢运动功能的益处。

方法

根据他们的 MoCA 评分,20 名参与者被分为 MCI 组(平均年龄=63.3 岁)和健康老年人组(平均年龄=64.7 岁),每组各 10 人,参与视听整合训练。他们是从香港理工大学积极老龄化研究所招募的。筛选于 2018 年 2 月至 3 月进行,培训课程于 2018 年 5 月 14 日至 28 日进行,共三个阶段(每次 2 小时)。他们的执行功能、注意力和上肢功能分别通过斯特鲁普测试和珀杜钉板测试进行测量。

结果

混合线性模型分析结果显示,在斯特鲁普测试(点)(p=0.042)和珀杜钉板测试(非优势手使用)(p=0.025)的用时上,时间与组间存在显著的交互效应。MCI 组在训练后注意力控制和非优势手运动功能的改善更为显著。

结论

研究结果表明,视听整合训练具有改善 MCI 老年人认知和运动功能的潜力。此外,视听整合训练可以作为一种非药物干预手段,用于对抗老年人的神经退行性变。

试验注册

本研究已在中国临床试验注册中心(世界卫生组织认可的注册机构)进行了回顾性注册。

试验注册号

ChiCTR2000029408,2020 年 1 月 29 日。

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