Reducing Fall Risk with Combined Motor and Cognitive Training in Elderly Fallers

被引:34
作者
Barban, Francesco [1 ,2 ]
Annicchiarico, Roberta [1 ]
Melideo, Matteo [3 ]
Federici, Alessia [1 ]
Lombardi, Maria Giovanna [1 ]
Giuli, Simone [1 ]
Ricci, Claudia [1 ]
Adriano, Fulvia [1 ]
Griffini, Ivo [1 ]
Silvestri, Manuel [1 ]
Chiusso, Massimo [1 ]
Neglia, Sergio [3 ]
Arino-Blasco, Sergio [4 ]
Perez, Raquel Cuevas [4 ]
Dionyssiotis, Yannis [5 ]
Koumanakos, Georgios [6 ]
Kovaceic, Milo [7 ]
Montero-Fernandez, Nuria [8 ]
Pino, Oscar [9 ]
Boye, Niels [10 ]
Cortes, Ulises [11 ]
Barrue, Cristian [11 ]
Cortes, Atia [11 ]
Levene, Peter [12 ]
Pantelopoulos, Stelios [13 ]
Rosso, Roberto [14 ]
Antonio Serra-Rexach, Jose [8 ,15 ]
Sabatini, Angelo Maria [16 ]
Caltagirone, Carlo [1 ,17 ]
机构
[1] IRCCS Fdn Santa Lucia, Clin & Behav Neurol Lab, I-00179 Rome, Italy
[2] Humboldt Univ, Berlin Sch Mind & Brain, D-10117 Berlin, Germany
[3] Engn Ingn Informat SpA, I-00185 Rome, Italy
[4] Hosp Gen Granollers, Barcelona 8400, Spain
[5] Municipal Kifissia, Social Policy Ctr, Athens 14562, Greece
[6] Frontida Zois Home Care Agcy, Patras 25002, Greece
[7] Municipal Stari Grad, Belgrade 11000, Serbia
[8] Hosp Gen Univ Gregorio Maranon, Inst Invest Sanitaria Gregorio Maranon, Dept Geriatr, Madrid 28007, Spain
[9] Benito Menni CASM, St Boi De Llobregat Bar 08830, Spain
[10] Klin Informat, DK-8000 Aarhus, Denmark
[11] Univ Politecn Cataluna, BarcelonaTech, Comp Software Dept, Knowledge Engn & Machine Learning Grp, ES-08034 Barcelona, Spain
[12] Docobo Ltd, Leatherhead KT23 4AA, Surrey, England
[13] Singular Log, Athens 14564, Greece
[14] Elettron Bio Med Srl, I-06034 Foligno, Italy
[15] Univ Complutense, CIBERFES, Fac Med, E-28040 Madrid, Spain
[16] Scuola Super Sant Anna, BioRobot Inst, I-56127 Pisa, Italy
[17] Univ Roma Tor Vergata, Syst Med Dept, I-00173 Rome, Italy
关键词
fall risk; fear of falling; elderly; motor training; cognitive training; executive functions; TAI-CHI-CHUAN; OLDER-ADULTS; ATTENTIONAL DEMANDS; PHYSICAL-ACTIVITY; FEAR; GAIT; BALANCE; PEOPLE; WOMEN; INTERVENTIONS;
D O I
10.3390/brainsci7020019
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Background. Falling is a major clinical problem in elderly people, demanding effective solutions. At present, the only effective intervention is motor training of balance and strength. Executive function-based training (EFt) might be effective at preventing falls according to evidence showing a relationship between executive functions and gait abnormalities. The aim was to assess the effectiveness of a motor and a cognitive treatment developed within the EU co-funded project I-DONT-FALL. Methods. In a sample of 481 elderly people at risk of falls recruited in this multicenter randomised controlled trial, the effectiveness of a motor treatment (pure motor or mixed with EFt) of 24 one-hour sessions delivered through an i-Walker with a non-motor treatment (pure EFt or control condition) was evaluated. Similarly, a 24 one-hour session cognitive treatment (pure EFt or mixed with motor training), delivered through a touch-screen computer was compared with a non-cognitive treatment (pure motor or control condition). Results. Motor treatment, particularly when mixed with EFt, reduced significantly fear of falling (F(1,478) = 6.786, p = 0.009) although to a limited extent (ES 0.25) restricted to the period after intervention. Conclusions. This study suggests the effectiveness of motor treatment empowered by EFt in reducing fear of falling.
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页数:14
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