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Does a cognitive-exercise combined dual-task training have better clinical outcomes for the elderly people with mild cognitive impairment than a single-task training?

  • Park, Jin-Hyuck (Department of Occupational Therapy, Kyungbok University)
  • Received : 2017.08.03
  • Accepted : 2017.08.11
  • Published : 2017.08.30

Abstract

Objective: This study was to develop and verify the effects of the exercise-cognitive combined dual-task training program on cognitive function and depression of the elderly with mild cognitive impairment(MCI). Methods: The subjects were randomly assigned to the exercise-cognitive combined dual-task training group(n=32) or single-task training group(n=31). To identify the effects on cognitive function, general cognitive function, frontal lobe function, and attention/working memory were measured. Depression was evaluated using Korean version of Geriatric Depression Scale. The outcome measurements were performed before and after the 8 weeks of intervention(2 days per week). Results: After 8 weeks, general cognitive function, frontal cognitive function, attention/working memory function, depression of the dual-task training group were significantly increased than those of the single-task training group(p<0.05). Conclusion: The results indicated that an exercise-cognitive combined dual-task training for MCI was effective in improving general cognitive function, frontal /executive function, attention/working memory function and reducing depression.

Keywords

References

  1. Andrea, S., Juan, M. V., Marie, S., Valerie, H. B., Bernard, P., & Bruno, D. (2004). Frontal assessment battery and differential diagnosis of frontotemporal dementia and Alzheimer disease. Archives of Neurology, 61(7), 1104-1107. https://doi.org/10.1001/archneur.61.7.1104
  2. Bremner, J. D,, Vythilingam, M,, Vermetten, E., Vaccarino, V., & Charney, D. S. (2004). Deficits in hippocampal and anterior cingulate functioning during verbal declarative memory encoding in midlife major depression. The American Journal of Psychiatry, 161(4), 637-645. https://doi.org/10.1176/appi.ajp.161.4.637
  3. Chui, W., Cheung, E., & Lam, L. (2011). Neuropsychological profiles and short-term outcome in late-onset depression. International Journal of Geriatric Psychiatry, 26(5), 458-465. https://doi.org/10.1002/gps.2548
  4. Cohen J. (1988). Statistical power analysis for the behavioral science. Hillsdale, Routledge Academic.
  5. Eckroth-Bucher, M. C., & Siverski, J. (2009). Preserving cognition through an integrated cognitive stimulation and training program. American Journal of Alzheimer's Disease and Other Dementia, 24(3), 234-245. https://doi.org/10.1177/1533317509332624
  6. Erickson, K. I., Colcombe, S. J., Wadhwa, R., Bherer, L., Peterson, M. S., Scalf, P. E., ... Kramer, A. F. (2007). Training-induced functional activation changes in dual-task processing: an FMRI study. Cerebral Cortex, 17(1), 192-204. https://doi.org/10.1093/cercor/bhj137
  7. Han, J. H., Ko, S. G., Kwon, J. H., Cho, I. H., Han, C. S., ... Park, M. H. (2007). Efficacy of a multifactorial cognitive ability enhancement program in mild cognitive impairment. Korean Journal of Clinical Psychology, 27(4), 805-821.
  8. Hyndman, D., Pickering, R. M., & Ashburn, A. (2009). Reduced sway during dual task balance performance among people with stroke at 6 and 12 months after discharge from hospital. Neurorehabilitation and Neural Repair, 23(8), 847-854. https://doi.org/10.1177/1545968309338192
  9. Jean, L., Simard, M., Wiederkehr, S., Bergeron, M. E., Turgeon, Y., Hudon, C., ... van Reekum, R. (2010). Efficacy of a cognitive training programme for mild cognitive impairment: Results of a randomized controlled study. Neuropsychological Rehabilitation, 20(3), 377-405. https://doi.org/10.1080/09602010903343012
  10. Ji, E. J., & Kim, O. S. (2014). Effect of the laughter therapy combined with cognitive reinforcement program for the elderly with mild cognitive impairment. Korean Journal of Adult Nursing, 26(1), 34-45. https://doi.org/10.7475/kjan.2014.26.1.34
  11. Jung, I. K., Kawk, D. I., Shin, D.K., Lee, M. S., Lee, H. S., & Kim, J. Y. (1997). A reliability and validity study of geriatric depression scale. Korean Neuropsychiatry Association, 36(1), 103-112.
  12. Kang, Y. O., Jang, S. M., Na, D. L. (2012). Seoul neuropsychological screen battery-II (SNSB-II). Seoul: Human Brain Research & Consulting.
  13. Kang, W. G., Kang, M. H., Yang, J. L., Koo, E. J., & Kim, S. K. (2009). The comparison of EEG activity by computer assisted cognitive rehabilitation program in the normal elderly and the elderly with dementia. Journal of Korean Society Occupational Therapy, 17(3), 1-13.
  14. Kim, C. M., Park, Y. S., & Kim, S. H. (2012). Analysis of trends in non-pharmacological studies for elders with dementia in Korea. Korean Journal of Adult Nursing, 14(2), 129-141.
  15. Kim, D. Y., & Yang, E. A. (2013). The effect of therapeutic music activity upon mood state and powerlessness in the elderly with mild cognitive impairment. Korean Journal of Music Therapy, 15(2), 73-94. https://doi.org/10.21330/kjmt.2013.15.2.73
  16. Kim, G. Y., Han, M. R., & Lee, H. G. (2014). Effect of dual-task rehabilitative training on cognitive and motor function of stroke patients. Journal of Physical Therapy Science, 26(1), 1-6. https://doi.org/10.1589/jpts.26.1
  17. Kim, H. J., Park, S., Kim, J. H., Cho, E. H., Oh, J. S., Lee, O., ... Jun, T. W. (2013). Effect of Pilates-combined exercise program on blood markers of mild cognitive impairment. Korean Journal of Growth Development, 21(4), 287-292.
  18. Kim, W. Y., Han, C. H., Heo, E. J., Kang, H. W., & Jeon, W. K. A. (2011). A review of non-pharmacological intervention efficacy in patients with mild cognitive impairment. Korean Society Oriental Neuropsychiatry, 22(3), 1-11.
  19. Kizony, R., Levin, M. F., Hughey, L., Perez, C., Fung, J. (2010). Cognitive load and dual-task performance during locomotion poststroke: A feasibility study using a functional virtual environment. Physical Therapy, 90(2), 252-260. https://doi.org/10.2522/ptj.20090061
  20. Lee, B. T., & Lee, K. M. (2007). Neural basis involved in the interference effects during dual task: Interaction between calculation and memory retrieval. Korean Journal of Cognitive Science, 18, 159-178. https://doi.org/10.19066/cogsci.2007.18.2.004
  21. Lee, Y. M., & Park, N. H. (2007). The effects of dementia prevention program on cognition, depression, self-esteem and quality of life in the elderly with mild cognitive disorder. Korean Journal of Adult Nursing, 19(5), 104-114.
  22. Lee, J. Y., Lee, D. W., Cho, S.J., Na, D. L., Hong, J. J., Kim, S. K., ... Cho, M. J. (2008). Brief screening for mild cognitive impairment in elderly outpatient clinic: Validation of the Korean version of the Montreal cognitive assessment. Journal of Geriatry Psychiatry and Neurology, 21(2), 104-110. https://doi.org/10.1177/0891988708316855
  23. Makizako, H., Doi, T., Shimada, H., Yoshida, D., Takayama, Y., & Suzuki, T. (2013). Relationship between dual-task performance and neurocognitive measures in older adults with mild cognitive impairment. Geriatrics and Gerontology International, 13(2), 314-321. https://doi.org/10.1111/j.1447-0594.2012.00898.x
  24. Michael, S., Tania, Z., Peter, O., & Klaus, H. (2010). Dual-task performances can be improved in patients with dementia: A randomized controlled trial. Neurology, 74(24), 1961-1968. https://doi.org/10.1212/WNL.0b013e3181e39696
  25. Ministry of Health & Welfare. (2012). Dementia prevalence rate survey. Seoul: Ministry of Health & Welfare.
  26. Panza, F., Frisardi, V., Capurso, C., D'introno, A., Colacicco, A. M., Imbimbo, B. P., ... Solfrizzi, V. (2010). Late-life depression, mild cognitive impairment and dementia: possible continuum? The American Journal of Geriatric, 18(2), 98-116. https://doi.org/10.1097/JGP.0b013e3181b0fa13
  27. Park, K. S., Jung, H. Y., So, S. Y., Park, Y. H., Yang, H. J., Jung, K. R., ... Yang, K. H. (2013). The effects of the activity program for preventing dementia against depression, cognitive function, and quality of life for the elderly. Journal of Oriental Neuropsychiatry, 24(4), 353-362. https://doi.org/10.7231/jon.2013.24.4.353
  28. Petersen, R. C. (2004). Mild cognitive impairment as a diagnostic entity. Journal of Internal Medicine, 256(3), 183-194. https://doi.org/10.1111/j.1365-2796.2004.01388.x
  29. Springer, S., Gilade, N., Peretz, C., Yogev, G., Simon, M., & Hausdorff, K. (2006). Dual-tasking effects on gait variability: the role of aging, falls, and executive function. Movement Disorders, 21(7), 950-957. https://doi.org/10.1002/mds.20848
  30. Takeuchi, H., Taki, Y., Nouchi, R., Hashizume, H., Sekiguchi, A., Kotozaki, Y., ... Kawashima, R. (2014). Effects of multitasking-training on gray matter structure and resting state neural mechanisms. Human Brain Mapping, 35(8), 3646-3660. https://doi.org/10.1002/hbm.22427
  31. Tay, L., Lim, W. S., Chan, M., Chong, M. S. (2016). A combined cognitive stimulation and physical exercise programme (MINDVital) in early dementia: Differential effects on single- and dual-task gait performance. Gerontology, 62(6), 604-610. https://doi.org/10.1159/000444084
  32. Wechsler, D. (2008). Technical and interpretive manual. San Anotionio, TX: Pearson.
  33. Winblad, B., Palmer, K., Kivipelto, M., Jelic, V., Fratiqlioni, L., Wahlund, L. O., ... Petersen, R. C. (2014). Mild cognitive impairment-beyond controversies, towards a consensus: report of the international working group on mild cognitive impairment. Journal of Internal Medicine, 256(3), 240-246. https://doi.org/10.1111/j.1365-2796.2004.01380.x