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水上与认知综合训练对不同认知状态老年人生活质量、跌倒自我效能及运动表现的影响:一项概念验证研究

Effect of combined aquatic and cognitive training on quality of life, fall self-efficacy, and motor performance in aged with varying cognitive status: a proof-of-concept study.

作者信息

Nahand Mahnoosh Salari, Najafababdi Mahboubeh Ghayour, Naghdi Nasser, Sheikh Mahmoud, Shaw Brandon S

机构信息

Department of Pedagogy, Farhangian University, Alborz, Iran.

Department of Motor Behavior, Faculty of Physical Education and Sport Science, University of Tehran, Tehran, Iran.

出版信息

J Exerc Rehabil. 2020 Apr 28;16(2):148-153. doi: 10.12965/jer.2040076.038. eCollection 2020 Apr.

Abstract

With the increasing number of aged individuals, research pertaining to their cognitive functions and physical-motor has become exponentially imperative. The purpose of the study was to investigate the effect com-bined aquatic and cognitive training on quality of life (QoL), fall self-effi-cacy and motor performance (static and dynamic balance) in aged with varying cognitive status levels. Thirty participants were assigned to a high cognitive status group (n=10), low cognitive status group (n=10), or nonintervention control group (n=10). Participants completed a 6-week motor-cognitive training regime with increasing intensity. QoL, fall self-efficacy, static balance, and dynamic balance were assessed. Preliminary results suggest proof-of-concept significant (<0.05) im-provements were found in both the high and low cognitive status groups for static and dynamic balance and fall self-efficacy. However, QoL was only found to be significantly improved in the low cognitive status group. Aqua training along with cognitive training can effectively be used to prevent falls in the elderly and to improve their physical-motor perfor-mance. However, when attempting to improve QoL, the cognitive status of the individual should be considered.

摘要

随着老年人数量的增加,有关其认知功能和身体运动的研究变得愈发迫切。本研究的目的是调查水上训练与认知训练相结合对不同认知状态水平老年人的生活质量(QoL)、跌倒自我效能感和运动表现(静态和动态平衡)的影响。30名参与者被分为高认知状态组(n = 10)、低认知状态组(n = 10)或非干预对照组(n = 10)。参与者完成了一个为期6周、强度递增的运动认知训练方案。对生活质量、跌倒自我效能感、静态平衡和动态平衡进行了评估。初步结果表明,在高认知状态组和低认知状态组中,静态和动态平衡以及跌倒自我效能感均有显著(<0.05)改善,这证明了概念的可行性。然而,仅在低认知状态组中发现生活质量有显著改善。水上训练与认知训练相结合可有效用于预防老年人跌倒并改善其身体运动表现。然而,在试图改善生活质量时,应考虑个体的认知状态。

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