College of Nursing, Bucheon University, Bucheon 14774, Korea.
Research Institute of Nursing Science, Seoul National University, Seoul 03080, Korea.
Int J Environ Res Public Health. 2021 Aug 3;18(15):8198. doi: 10.3390/ijerph18158198.
Mild cognitive impairment (MCI) is a stage preceding dementia, and early intervention is critical. This study investigated whether multi-domain cognitive training programs, especially robot-assisted training, conducted 12 times, twice a week for 6 weeks can improve cognitive function and depression decline in community-dwelling older adults with mild cognitive impairment (MCI).
A randomized controlled trial was conducted with 135 volunteers without cognitive impairment aged 60 years old or older. Participants were first randomized into two groups. One group consisted of 90 participants who would receive cognitive training and 45 who would not receive any training (NI). The cognitive training group was randomly divided into two groups, 45 who received traditional cognitive training (TCT) and 45 who received robot-assisted cognitive training (RACT). The training for both groups consisted of a daily 60 min session, twice a week for six weeks.
RACT participants had significantly greater post-intervention improvement in cognitive function ( = 4.707, < 0.001), memory ( = -2.282, = 0.007), executive function = 4.610, < 0.001), and depression ( = -3.307, = 0.004). TCT participants had greater post-intervention improvement in memory ( = -6.671, < 0.001) and executive function ( = 5.393, < 0.001).
A 6-week robot-assisted, multi-domain cognitive training program can improve the efficiency of global cognitive function and depression during cognitive tasks in older adults with MCI, which is associated with improvements in memory and executive function.
轻度认知障碍(MCI)是痴呆症的前期阶段,早期干预至关重要。本研究调查了 12 次,每周两次,每次 6 周的多领域认知训练方案,特别是机器人辅助训练,是否可以改善认知功能和抑郁症状在社区居住的轻度认知障碍(MCI)老年人中下降。
一项随机对照试验招募了 135 名无认知障碍的 60 岁或以上志愿者。参与者首先随机分为两组。一组 90 名参与者接受认知训练,45 名参与者不接受任何训练(NI)。认知训练组随机分为两组,45 名接受传统认知训练(TCT),45 名接受机器人辅助认知训练(RACT)。两组的训练都包括每天 60 分钟的课程,每周两次,共六周。
RACT 组参与者的认知功能( = 4.707, < 0.001)、记忆力( = -2.282, = 0.007)、执行功能( = 4.610, < 0.001)和抑郁症状( = -3.307, = 0.004)的改善在干预后显著更大。TCT 组参与者在记忆力( = -6.671, < 0.001)和执行功能( = 5.393, < 0.001)方面的改善更大。
为期 6 周的机器人辅助、多领域认知训练方案可以提高 MCI 老年人认知任务中整体认知功能和抑郁的效率,这与记忆力和执行功能的改善有关。