Rojasavastera Rommanee, Bovonsunthonchai Sunee, Hiengkaew Vimonwan, Senanarong Vorapun
Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand.
Gait and Balance Group, Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand.
Dement Neuropsychol. 2020 Apr-Jun;14(2):118-127. doi: 10.1590/1980-57642020dn14-020004.
Owing to advancement of medical technology and current knowledge, the population has a longer life expectancy, leading to an increase in the proportion of elderly.
The study aimed to investigate the effect of action observation (AO) combined with gait training on gait and cognition in elderly with mild cognitive impairment (MCI).
Thirty-three participants were randomly allocated to action observation with gait training (AOGT), gait training (GT), and control (CT) groups. The AOGT and GT groups received a program of observation and gait training protocol with the same total duration of 65 min for 12 sessions. For the observation, the AGOT group watched a video of normal gait movement, while the GT group watched an abstract picture and the CT group received no training program. All participants were assessed for gait parameters during single- and dual-tasks using an electronic gait mat system and were assessed for cognitive level using the Montreal Cognitive Assessment (MoCA) at baseline, after training and at 1-month follow-up.
The results showed that the AOGT group had significant improvements in gait speeds during single- and dual-tasks, as well as better MoCA score, while the GT group had significant improvement only in gait speed.
The adjunct treatment of AO with gait training provides greater benefits for both gait and cognitive performances in elderly with MCI.
由于医学技术和现有知识的进步，人口预期寿命延长，导致老年人比例增加。
本研究旨在探讨动作观察（AO）联合步态训练对轻度认知障碍（MCI）老年人步态和认知的影响。
33名参与者被随机分配到动作观察联合步态训练（AOGT）组、步态训练（GT）组和对照组（CT）。AOGT组和GT组接受为期65分钟、共12节的观察和步态训练方案。观察时，AOGT组观看正常步态运动视频，GT组观看抽象图片，CT组不接受训练方案。所有参与者在基线、训练后和1个月随访时，使用电子步态垫系统评估单任务和双任务期间的步态参数，并使用蒙特利尔认知评估量表（MoCA）评估认知水平。
结果显示，AOGT组在单任务和双任务期间的步态速度有显著改善，MoCA评分也更高，而GT组仅在步态速度上有显著改善。
AO联合步态训练对MCI老年人的步态和认知表现均有更大益处。
