首页> 美国卫生研究院文献>Frontiers in Aging Neuroscience >Effects of Virtual Reality-Based Physical and Cognitive Training on Executive Function and Dual-Task Gait Performance in Older Adults With Mild Cognitive Impairment: A Randomized Control Trial
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Effects of Virtual Reality-Based Physical and Cognitive Training on Executive Function and Dual-Task Gait Performance in Older Adults With Mild Cognitive Impairment: A Randomized Control Trial

机译:基于虚拟现实的身体和认知训练对轻度认知障碍老年人的执行功能和双任务步态表现的影响:一项随机对照试验

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摘要

>Background: Walking while performing cognitive and motor tasks simultaneously interferes with gait performance and may lead to falls in older adults with mild cognitive impairment (MCI). Executive function, which seems to play a key role in dual-task gait performance, can be improved by combined physical and cognitive training. Virtual reality (VR) has the potential to assist rehabilitation, and its effect on physical and cognitive function requires further investigation. The purpose of this study was to assess the effects of VR-based physical and cognitive training on executive function and dual-task gait performance in older adults with MCI, as well as to compare VR-based physical and cognitive training with traditional combined physical and cognitive training.>Method: Thirty-four community-dwelling older adults with MCI were randomly assigned into either a VR-based physical and cognitive training (VR) group or a combined traditional physical and cognitive training (CPC) group for 36 sessions over 12 weeks. Outcome measures included executive function [Stroop Color and Word Test (SCWT) and trail making test (TMT) A and B], gait performance (gait speed, stride length, and cadence) and dual-task costs (DTCs). Walking tasks were performed during single-task walking, walking while performing serial subtraction (cognitive dual task), and walking while carrying a tray (motor dual task). The GAIT Up system was used to evaluate gait parameters including speed, stride length, cadence and DTCs. DTC were defined as 100 * (single-task gait parameters − dual-task gait parameters)/single-task gait parameters.>Results: Both groups showed significant improvements in the SCWT and single-task and motor dual-task gait performance measures. However, only the VR group showed improvements in cognitive dual-task gait performance and the DTC of cadence. Moreover, the VR group showed more improvements than the CPC group in the TMT-B and DTC of cadence with borderline significances.>Conclusion: A 12-week VR-based physical and cognitive training program led to significant improvements in dual-task gait performance in older adults with MCI, which may be attributed to improvements in executive function.
机译:>背景:同时执行认知和运动任务时行走会干扰步态表现,并可能导致患有轻度认知障碍(MCI)的老年人跌倒。执行功能,似乎在双任务步态表现中起关键作用,可以通过身体和认知训练相结合来改善。虚拟现实(VR)具有帮助康复的潜力,其对身体和认知功能的影响需要进一步研究。这项研究的目的是评估基于VR的身体和认知训练对MCI老年人执行功能和双任务步态表现的影响,并将基于VR的身体和认知训练与传统的身体和身体训练相比较。认知训练。>方法:将34例社区居住的MCI老年人随机分为基于VR的身体和认知训练(VR)组或传统的身体和认知训练(CPC)组合小组在12周内进行了36次练习。结果指标包括执行功能[Stroop颜色和文字测试(SCWT)和追踪测试(TMT)A和B],步态表现(步态速度,步幅和步频)和双工成本(DTC)。步行任务是在单任务步行过程中执行的,在执行连续减法时行走(认知双重任务),在搬运托盘时步行(运动双重任务)。 GAIT Up系统用于评估步态参数,包括速度,步幅,步频和DTC。 DTC被定义为100 *(单任务步态参数-双任务步态参数)/单任务步态参数。>结果:两组均显示SCWT以及单任务和运动双显着显着改善任务步态表现指标。但是,只有VR组显示出认知双任务步态性能和节奏DTC有所改善。此外,VR组在节奏的TMT-B和DTC方面比CPC组有更多改进,具有临界意义。>结论:基于VR的12周体育锻炼和认知训练计划带来了显着改善MCI老年人在双任务步态中的表现,可能归因于执行功能的改善。

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