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评估飞镖游戏干预对有或无轻度认知障碍的老年人认知功能的影响:一项试点研究。

Evaluating the impact of a darts game intervention on cognitive function in older adults with and without mild cognitive impairment: a pilot study.

作者信息

Kawabata Nami, Iida Tadayuki, Kunishige Masafumi, Fukuda Hiroshi, Miyaguchi Hideki, Harada Toshihide

机构信息

Program in Biological System Sciences, Graduate School of Comprehensive Scientific Research, Prefectural University of Hiroshima, Hiroshima, Japan.

Department of Rehabilitation/Occupational Therapist, Faculty of Health Sciences, Hiroshima Cosmopolitan University, Hiroshima, Japan.

出版信息

Front Rehabil Sci. 2024 Feb 5;5:1327494. doi: 10.3389/fresc.2024.1327494. eCollection 2024.

Abstract

INTRODUCTION

The current study investigated the relationship between the characteristics of a darts game, including the throwing motion toward a target, and mild cognitive impairment (MCI). To this end, we examined the associations between cognitive function and mental health, and the shift in center of gravity while throwing darts. In a preliminary investigation, a 1-month dart game intervention was conducted among older individuals living in the community. The participants were divided into the non-MCI and MCI groups, and the relationship between center of gravity movement during throwing and the presence of dementia was examined.

METHODS

The intervention lasted for 1 month and was tested on healthy older individuals (aged ≥ 65 years) recruited from the community. The Japanese version of the Montreal Cognitive Assessment and the Trail Making Test was used to assess cognitive function. Mental health was evaluated using the Kessler Psychological Distress Scale and the Subjective Well-being Inventory. The center of pressure was analyzed to determine the center of gravity shift during dart throwing.

RESULTS

The analysis of factors influencing the determination of the MCI score during the intervention revealed a tendency for the center of gravity shift to be associated as a protective factor in the non-MCI group, although this association did not reach statistical significance (odds ratio = 0.942,  = 0.084). In the MCI group, a significant effect of age was observed in the MCI score (odds ratio = 1.539,  = 0.007).

CONCLUSION

The current findings suggest that conducting center of gravity shift testing could potentially provide a helpful tool for predicting early decline in cognitive function.

摘要

引言

本研究调查了飞镖游戏的特征(包括向目标投掷的动作)与轻度认知障碍(MCI)之间的关系。为此,我们研究了认知功能与心理健康之间的关联,以及投掷飞镖时重心的变化。在一项初步调查中,对居住在社区的老年人进行了为期1个月的飞镖游戏干预。参与者被分为非MCI组和MCI组,研究了投掷过程中重心移动与痴呆症存在之间的关系。

方法

干预持续1个月,对从社区招募的健康老年人(年龄≥65岁)进行测试。使用蒙特利尔认知评估的日语版本和连线测验来评估认知功能。使用凯斯勒心理困扰量表和主观幸福感量表评估心理健康。分析压力中心以确定投掷飞镖时的重心变化。

结果

对干预期间影响MCI评分判定因素的分析显示,在非MCI组中,重心变化作为保护因素有相关趋势,尽管这种关联未达到统计学显著性(优势比=0.942,P=0.084)。在MCI组中,观察到年龄对MCI评分有显著影响(优势比=1.539,P=0.007)。

结论

目前的研究结果表明,进行重心变化测试可能为预测认知功能的早期衰退提供一个有用的工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de59/10875000/a6ca97a9bddb/fresc-05-1327494-g001.jpg

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