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健康老年人参与认知步行计划后大脑运动功能未发生变化。

Lack of changes in motor function of the brain in healthy older adults after participation in a cognitive walking program.

作者信息

Wang Jinsung, Kim Byung-Hoon, Kang Suh-Jung

机构信息

University of Wisconsin-Milwaukee, Milwaukee, WI, USA.

Sports Science Research Center, Sangmyung University, Seoul, Korea.

出版信息

J Exerc Rehabil. 2022 Jun 27;18(3):187-195. doi: 10.12965/jer.2244166.083. eCollection 2022 Jun.

Abstract

A walking-based exercise program, called the cognitive walking program (CWP), has been shown to be beneficial for improving cognitive function in healthy older adults. It remains unknown whether it is beneficial for improving motor function of the brain. We investigated the effects of CWP on motor function of the brain by examining changes in interlimb transfer of visuomotor adaptation in older adults. Subjects were divided based on their physical activity level (active vs. sedentary) and participated in CWP. A control group performed normal walking. Fifty-two healthy older adults, 67-78 years old, were studied. All subjects participated in CWP or normal walking for 6 months. To assess brain motor function, all subjects adapted to a rotated visual display during reaching movements with the right arm first, then with the left arm. Interlimb transfer of visuomotor adaptation was assessed at baseline, 3 months, and 6 months after training onset. It was hypothesized that if CWP had beneficial effects, the extent of transfer would change over time. The subject's physical fitness was also assessed. Significant transfer from the right to the left arm occurred in all subject groups. Improvements in physical fitness were also observed. However, the extent of transfer did not change even after 6 months, with no group difference. Findings suggest that though beneficial for improving cognitive function in older adults, participating in CWP for 6 months is not long enough to improve brain motor function when the motor function is reflected as changes in interlimb transfer of visuomotor adaptation.

摘要

一种名为认知步行计划(CWP)的基于步行的锻炼计划已被证明对改善健康老年人的认知功能有益。它是否对改善大脑的运动功能有益尚不清楚。我们通过检查老年人视觉运动适应的肢体间转移变化来研究CWP对大脑运动功能的影响。受试者根据其身体活动水平(活跃组与久坐组)进行分组,并参与CWP。对照组进行正常步行。对52名年龄在67至78岁之间的健康老年人进行了研究。所有受试者参与CWP或正常步行6个月。为了评估大脑运动功能,所有受试者在右臂先进行伸展运动时适应旋转的视觉显示,然后是左臂。在训练开始后的基线、3个月和6个月评估视觉运动适应的肢体间转移。假设如果CWP有有益效果,转移程度会随时间变化。还评估了受试者的身体素质。所有受试者组均出现了从右臂到左臂的显著转移。身体素质也有改善。然而,即使在6个月后转移程度也没有变化,且无组间差异。研究结果表明,尽管CWP对改善老年人的认知功能有益,但当运动功能以视觉运动适应的肢体间转移变化来反映时,参与6个月的CWP不足以改善大脑运动功能。

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