Effects of Cognitive-motor Training Using a Wearable Sensor-based Interactive System on Cognitive and Motor Performance in Older Adults.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cognitive Decline, Mild
- Sponsor
- Sahmyook University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Change in prefrontal cortex activation
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
- Based on research showing that cognitive-motor training programs help improve cognition in older adults with mild cognitive impairment, this program uses an interactive system to combine cognitive training with exercise.
- The interactive system consists of wearable sensors and has the advantage of cognitive training without space constraints, and the cognitive training program consists of a total of five developed cognitive training games.
- The program is expected to improve the cognitive abilities of the elderly and improve their physical abilities.
Detailed Description
The proposed study will conduct a randomized controlled trial to compare the effects of a cognitive-motor training program using a wearable sensor-based interactive system on the cognitive and physical abilities of older adults in the community. Study participants will be randomly assigned to receive one of two interventions: (a) motor-cognitive training (b) cognitive training. All interventions will last 50 minutes and will be delivered twice a week for 6 weeks. To determine the effectiveness of the interventions, the primary outcome will assess PFC activity and cognition, and the secondary outcome will assess aerobic capacity, balance, upper extremity muscle strength, lower extremity muscle strength, and instrumental activities of daily living tasks. All assessments will be administered one week before and one week after the intervention.
Investigators
Jihye Jung
Physical Therapist
Sahmyook University
Eligibility Criteria
Inclusion Criteria
- •Community-dwelling seniors age 65 and older
- •MMSE-K 18 or less
Exclusion Criteria
- •People of Hospitalized or institutionalized
- •People diagnosed with Alzheimer's disease
- •People diagnosed with vascular dementia
- •People with musculoskeletal conditions that make physical activity difficult
- •People with dizziness that makes physical activity difficult
- •People with a wound or bleeding in the head
Outcomes
Primary Outcomes
Change in prefrontal cortex activation
Time Frame: change from baseline to 6 week post intervention
Activation of the prefrontal cortex will be assessed by changes in HbO, and differences in PFC activity will be identified during cognitive tasks (memory, attention, and visuospatial cognition) before and after the assessment.
Change in cognition
Time Frame: change from baseline to 6 week post intervention
For cognitive assessment, we will use the Montreal Cognitive Assessment (MoCA). The MoCA is a cognitive assessment tool used to identify MCI that assesses multiple cognitive domains, including memory, attention, language, visuospatial skills, executive function, and orientation to time and place.
Secondary Outcomes
- Change in upper extremity strengthen(change from baseline to 6 week post intervention)
- Change in grip strengthen(change from baseline to 6 week post intervention)
- Change in dynamic balance function 2(change from baseline to 6 week post intervention)
- Change in Aerobic capacity(change from baseline to 6 week post intervention)
- Change in static balance function(change from baseline to 6 week post intervention)
- Change in dynamic balance function 1(change from baseline to 6 week post intervention)
- Change in lower extremity strengthen(change from baseline to 6 week post intervention)
- Change in Instrumental Activity of Daily Living(IADLs)(change from baseline to 6 week post intervention)