Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Motor Learning in Elderly: Effects of Decision Making Time for Self-Regulated Knowledge of Results During a Dynamic Balance Task

  • Jeon, Min-jae (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Jeon, Hye-seon (Dept. of Physical Therapy, College of Health Science, Yonsei University)
  • Received : 2016.09.19
  • Accepted : 2016.11.10
  • Published : 2016.11.19
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Abstract

Background: Deficiencies in the ability to maintain balance are common in elderly. Augmented feedback such as knowledge of results (KR) can accelerate learning and mastering a motor skill in older people. Objects: We designed this study to examine whether one session of Wii-Fit game with self-regulated KR is effective for elderly people, and to compare the effect of two different timings of self-regulated KR conditions. Methods: Thirty-nine community-dwelling elders, not living in hospice care or a nursing home, participated in this study. During acquisition, two groups of volunteers were trained in 10 blocks of a dynamic balancing task under the following 2 conditions, respectively: (a) a pre-trial self-regulated KR ($n_1=18$), or (b) a post-trial self-regulated KR ($n_2=21$). Immediate retention tests and delayed retention tests of balancing performance were administered in 15 minutes and 24 hours following acquisition period, respectively. Results: In both groups, significant improvements of balancing performances scores were observed during the acquisition period. Regardless of the group, mean of balancing performance scores on retention tests were well-maintained from the final session. There were no significant differences between groups in balancing performance scores during the acquisition period (p>.05); however, the post-trial self-regulated KR group exhibited significantly higher balancing performance scores in both the immediate retention test and delayed retention test than that of the pre-trial self-regulated KR group (p<.05). Conclusion: Therefore, subjects who regulated their feedback after a dynamic balancing task, during the acquisition period, experienced more efficient motor learning during the retention period than did subjects who regulated their feedback before a dynamic balancing task. Accordingly, in case of presenting the KR of motor learning in clinical settings to elders who reduced dynamic balance abilities, the requesting time of KR is imperative according to self-estimation processes as well as types of KR and practice.

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References

  1. Agrawal Y, Zuniga MG, Davalos-Bichara M, et al. Decline in semicircular canal and otolith function with age. Otol Neurotol. 2012;33(5):832-839. https://doi.org/10.1097/MAO.0b013e3182545061
  2. Agmon M, Perry CK, Phelan E, et al. A pilot study of Wii Fit exergames to improve balance in older adults. J Geriatr Phys Ther. 2011;34(4):161-167. https://doi.org/10.1519/JPT.0b013e3182191d98
  3. Bandura A. Perceived self-efficacy in cognitive development and functioning. Educational Psychologist. 1993;28(2):117-148. https://doi.org/10.1207/s15326985ep2802_3
  4. Barrett RS, Lichtwark GA. Effect of altering neural, muscular and tendinous factors associated with aging on balance recovery using the ankle strategy: A stimulation study. J Theor Biol. 2008; 254(3):546-554. https://doi.org/10.1016/j.jtbi.2008.06.018
  5. Bateni H. Changes in balance in older adults based on use of physical therapy vs the Wii Fit gaming system: A preliminary study. Physiotherapy. 2012; 98(3):211-216. https://doi.org/10.1016/j.physio.2011.02.004
  6. Berg KO, Wood-Dauphinee SL, Williams JI, et al. Measuring balance in elderly: Preliminary development of an instrument. Physiother Can. 1989;41(6):304-311. https://doi.org/10.3138/ptc.41.6.304
  7. Bieryla KA, Dold NM. Feasibility of Wii Fit training to improve clinical measures of balance in older adults. Clin Interv Aging. 2013;8:775-781. https://doi.org/10.2147/CIA.S46164
  8. Boekaerts M. Self-regulated learning at the junction of cognition and motivation. Eur Psychol. 1996;1(2):100-112. https://doi.org/10.1027/1016-9040.1.2.100
  9. Carter MJ, Patterson JT. Self-controlled knowledge of results: Age-related differences in motor learning, strategies, and error detection. Hum Mov Sci. 2012;31(6):1459-1472. https://doi.org/10.1016/j.humov.2012.07.008
  10. Chang WD, Chang WY, Lee CL, et al. Validity and reliability of wii fit balance board for the assessment of balance of healthy young adults and the elderly. J Phys Ther Sci. 2013;25(10): 1251-1253. https://doi.org/10.1589/jpts.25.1251
  11. Chiviacowsky S, Wulf G. Self-controlled feedback: Does it enhance learning because performers get feedback when they need it? Res Q Exerc Sport. 2002;73(4):408-415. https://doi.org/10.1080/02701367.2002.10609040
  12. Chiviacowsky S, Wulf G. Self-controlled feedback is effective if it is based on the learner's performance. Res Q Exerc Sport. 2005;76(1);42-48. https://doi.org/10.1080/02701367.2005.10599260
  13. Clark RA, Bryant AL, Pua Y, et al. Validity and reliability of the Nintendo Wii Balance Board for assessment of standing balance. Gait Posture. 2010; 31(3):307-310. https://doi.org/10.1016/j.gaitpost.2009.11.012
  14. de Bruin ED, Murer K. Effect of additional functional exercises on balance in elderly people. Clin Rehabil. 2007;21(2):112-121. https://doi.org/10.1177/0269215506070144
  15. Diener HC, Dichgans J. On the role of vestibular, visual and somatosensory information for dynamic postural control in humans. Prog Brain Res. 1988;76:253-262.
  16. Ferrari M. Observing the observers: Self-regulation in the observational learning of motor skills. Dev Rev. 1996;16(2):203-240. https://doi.org/10.1006/drev.1996.0008
  17. Goble DJ, Coxon JP, Wenderoth N, et al. Proprioceptive sensibility in the elderly: Degeneration, functional consequences and plastic-adaptive processes. Neurosci Biobehav Rev. 2009;33(3):271-278. https://doi.org/10.1016/j.neubiorev.2008.08.012
  18. Holmes JD, Jenkins ME, Johnson AM, et al. Validity of the Nintendo $Wii^{(R)}$ balance board for the assessment of standing balance in Parkinson's disease. Clin Rehabil. 2013;27(4):361-366. https://doi.org/10.1177/0269215512458684
  19. Janelle CM, Barba DA, Frehlich SG, et al. Maximizing performance feedback effectiveness through videotape replay and a self-controlled learning environment. Res Q Exerc Sport. 1997;68(4): 269-279. https://doi.org/10.1080/02701367.1997.10608008
  20. Janelle CM, Kim J, Singer RN. Subject-controlled performance feedback and learning of a closed motor skill. Percept Mot Skills. 1995;81(2):627-634. https://doi.org/10.2466/pms.1995.81.2.627
  21. Jones GM. Posture. In: Kandel E ,Schwartz J, Jessel T eds. Principles of Neural Science. 4th ed. New York, McGraw-Hill, 2000.
  22. Kirschenbaum DS. Self-regulation and sport psychology: Nurturing an emerging symbiosis. Journal of Sport Psychology. 1984;6(2):159-183. https://doi.org/10.1123/jsp.6.2.159
  23. Lange B, Flynn S, Proffitt R, et al. Development of an interactive game-based rehabilitation tool for dynamic balance training. Top Stroke Rehabil. 2010;17 (5):345-352. https://doi.org/10.1310/tsr1705-345
  24. Lord SR. Visual risk factors for falls in older people. Age ageing. 2006;35:ii42-ii45. https://doi.org/10.1093/ageing/afj019
  25. McCombs BL. Self-regulated learning and academic achievement: A phenomenological view. In: Zimmerman BJ, Schunk DH eds. Self-Regulated Learning and Academic Achievement Theory, Research, and Practice: Progress in cognitive development research. 1st ed. New York, Springer-Verlag, 1989.
  26. Nitz JC, Kuys S, Isles R, et al. Is the Wii Fit a new-generation tool for improving balance, health and well-being? A pilot study. Climacteric. 2010; 13(5):487-491. https://doi.org/10.3109/13697130903395193
  27. Perrin PP, Jeandel C, Perrin CA, et al. Influence of visual control, conduction, and central integration on static and dynamic balance in healthy older adults. Gerontology. 1997;43(4):223-231. https://doi.org/10.1159/000213854
  28. Schmidt RA, Lee TD. Augmented feedback. In: Schmidt RA, Lee TD eds. Motor Control and Learning: A behavioral emphasis. 5th ed. Champaign, Human Kinetics, 2011.
  29. Stelmach GE, Teasdale N, Di Fabio RP, et al. Age related decline in postural control mechanisms. Int J Aging Hum Dev. 1989;29(3):205-223. https://doi.org/10.2190/KKP0-W3Q5-6RDN-RXYT
  30. Sturnieks DL, St George R, Lord SR. Balance disorders in the elderly. Neurophysiol Clin. 2008; 38(6):467-478. https://doi.org/10.1016/j.neucli.2008.09.001
  31. Toulotte C, Toursel C, Olivier N. Wii $Fit^{(R)}$ training vs. Adapted Physical Activities: Which one is the most appropriate to improve the balance of independent senior subjects? A randomized controlled study. Clin Rehabil. 2012;26(9):827-835. https://doi.org/10.1177/0269215511434996
  32. Watkins D. Student perceptions of factors influencing tertiary learning. Higher Education Research and Development. 1984;3(1):33-50. https://doi.org/10.1080/0729436840030103
  33. Winstein CJ, Schmidt RA. Relative frequency of information feedback in motor performance and learning. J Exp Psychol Learn Mem Cogn. 1990;16(4):677-691. https://doi.org/10.1037/0278-7393.16.4.677
  34. Wulf G, Raupach M, Pfeiffer F. Self-controlled observational practice enhances learning. Res Q Exerc Sport. 2005;76(1):107-111. https://doi.org/10.1080/02701367.2005.10599266
  35. Wulf G, Shea CH. Understanding the role of augmented feedback: The good, the bad and the ugly. In: Williams AM, Hodges NJ eds. Skill Acquisition in Sport: Research, theory and practice. 1st ed. London, Routledge, 2004.
  36. Young W, Ferguson S, Brault S, et al. Assessing and training standing balance in older adults: A novel approach using the 'Nintendo Wii' Balance Board. Gait Posture. 2011;33(2):303-305. https://doi.org/10.1016/j.gaitpost.2010.10.089