DOI QR코드

DOI QR Code

The Motor-cognitive Training on Cognition and Physical Performance in the Older Adults with Mild Cognition Impairment : A Literature Review

  • Jung, Jihye (Institute of SMART Rehabilitation, Sahmyook University) ;
  • Kim, Yong-Seong (Department of Physical Therapy, Nambu University) ;
  • Lee, Seungwon (Institute of SMART Rehabilitation, Sahmyook University)
  • Received : 2021.12.20
  • Accepted : 2021.12.29
  • Published : 2021.12.31

Abstract

Objective: Older adults with mild cognitive impairment (MCI) are more likely to progress to dementia. Motor-cognitive training is applied as a dual-task to improve the cognitive and physical functions of older adults with MCI. The purpose of the study was to know the recent trends in motor training types and outcome measures used for motor-cognitive training in older adults with MCI. Design: Aliterature review Methods: This literature review was conducted in Pubmed, MEDLINE® and Google Scholar with the following key words: older adults, mild cognitive impairment, motor-cognitive training, cognition, and dual-task. The 7 studies were found with the search tool and all studies were randomized controlled trials. Results: In motor-cognitive training in older adults with MCI, 6 studies applied aerobic exercise. And 3 out of 6 studies also applied strengthening exercises. One study applied dual tasks without aerobic exercise. In the 6 studies, overall cognitive and executive function were used as outcome measures, and physical function was evaluated as gait performance. Memory and physical frailty were also used as measurement tools. As a result of all studies, when motor-cognitive training was applied, cognition and physical performance showed significant results. Conclusions: A recent five-year study applied mainly aerobic exercise and strength training to older adults with MCI and found it to improve cognitive and physical performance.

Keywords

Acknowledgement

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (NRF-2021R1F1A1060798).

References

  1. Park J-S, Jung Y-J, Lee G. Virtual Reality-Based Cognitive-Motor Rehabilitation in Older Adults with Mild Cognitive Impairment: A Randomized Controlled Study on Motivation and Cognitive Function. Healthcare. 2020;8:335. https://doi.org/10.3390/healthcare8030335
  2. Livingston G, Sommerlad A, Orgeta V, Costafreda SG, Huntley J, Ames D, et al. Dementia prevention, intervention, and care. Lancet. 2017;390:2673-734. https://doi.org/10.1016/S0140-6736(17)31363-6
  3. Park HT, Park JH, Na HR, Hiroyuki S, Kim GM, Jung MK, et al. Combined Intervention of Physical Activity, Aerobic Exercise, and Cognitive Exercise Intervention to Prevent Cognitive Decline for Patients with Mild Cognitive Impairment: A Randomized Controlled Clinical Study. J Clin Med. 2019;8:940. https://doi.org/10.3390/jcm8070940
  4. Tarumi T, Rossetti H, Thomas BP, Harris T, Tseng BY, Turner M, et al. Exercise Training in Amnestic Mild Cognitive Impairment: A One-Year Randomized Controlled Trial. J Alzheimer's Dis. 2019;71:421-33. https://doi.org/10.3233/JAD-181175
  5. Tangen GG, Engedal K, Bergland A, Moger TA, Mengshoel AM. Relationships Between Balance and Cognition in Patients With Subjective Cognitive Impairment, Mild Cognitive Impairment, and Alzheimer Disease. Phys Ther. 2014;94:1123-34. https://doi.org/10.2522/ptj.20130298
  6. Doi T, Makizako H, Shimada H, Yoshida D, Tsutsumimoto K, Sawa R, et al. Effects of multicomponent exercise on spatial-temporal gait parameters among the elderly with amnestic mild cognitive impairment (aMCI): preliminary results from a randomized controlled trial (RCT). Arch Gerontol Geriatr. 2013;56:104-8. https://doi.org/10.1016/j.archger.2012.09.003
  7. Petersen RC. Mild cognitive impairment as a diagnostic entity. J Intern Med. 2004;256:183-94. https://doi.org/10.1111/j.1365-2796.2004.01388.x
  8. Shimada H, Makizako H, Doi T, Park H, Tsutsumimoto K, Verghese J, et al. Effects of Combined Physical and Cognitive Exercises on Cognition and Mobility in Patients With Mild Cognitive Impairment: A Randomized Clinical Trial. J Am Med Dir Assoc. 2018;19:584-91. https://doi.org/10.1016/j.jamda.2017.09.019
  9. Falck RS, Davis JC, Best JR, Crockett RA, Liu-Ambrose T. Impact of exercise training on physical and cognitive function among older adults: a systematic review and meta-analysis. Neurobiol Aging. 2019;79:119-30. https://doi.org/10.1016/j.neurobiolaging.2019.03.007
  10. McDougall GJ, McDonough IM, LaRocca M. Memory training for adults with probable mild cognitive impairment: a pilot study. Aging Ment Health. 2019;23:1433-41. https://doi.org/10.1080/13607863.2018.1484884
  11. Giuli C, Papa R, Lattanzio F, Postacchini D. The Effects of Cognitive Training for Elderly: Results from My Mind Project. Rejuvenation Res. 2016;19:485-94. https://doi.org/10.1089/rej.2015.1791
  12. Mudar RA, Chapman SB, Rackley A, Eroh J, Chiang HS, Perez A, et al. Enhancing latent cognitive capacity in mild cognitive impairment with gist reasoning training: a pilot study. Int J Geriatr Psychiatry. 2017;32:548-55. https://doi.org/10.1002/gps.4492
  13. Zhu Y, Wu H, Qi M, Wang S, Zhang Q, Zhou L, et al. Effects of a specially designed aerobic dance routine on mild cognitive impairment. Clin Interv Aging. 2018;13:1691-700. https://doi.org/10.2147/CIA.S163067
  14. Murata S, Ono R, Yasuda H, Tanemura R, Kido Y, Kowa H. Effect of a Combined Exercise and Cognitive Activity Intervention on Cognitive Function in Community-dwelling Older Adults: A Pilot Randomized Controlled Trial. Phys Ther Res. 2021;24:112-9. https://doi.org/10.1298/ptr.E10057
  15. ten Brinke LF, Best JR, Chan JLC, Ghag C, Erickson KI, Handy TC, et al. The Effects of Computerized Cognitive Training With and Without Physical Exercise on Cognitive Function in Older Adults: An 8-Week Randomized Controlled Trial. The Journals of Gerontology: Series A. 2019;75:755-63.
  16. Law C-K, Lam FMH, Chung RCK, Pang MYC. Physical exercise attenuates cognitive decline and reduces behavioural problems in people with mild cognitive impairment and dementia: a systematic review. J Physiother. 2020;66:9-18. https://doi.org/10.1016/j.jphys.2019.11.014
  17. Tait JL, Duckham RL, Milte CM, Main LC, Daly RM. Influence of Sequential vs. Simultaneous Dual-Task Exercise Training on Cognitive Function in Older Adults. Front Aging Neurosci. 2017;9.
  18. Liao Y-Y, Chen I-H, Lin Y-J, Chen Y, Hsu W-C. 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. Front Aging Neurosci. 2019;11.
  19. Kwan RYC, Liu JYW, Fong KNK, Qin J, Leung PK-Y, Sin OSK, et al. Feasibility and Effects of Virtual Reality Motor-Cognitive Training in Community-Dwelling Older People With Cognitive Frailty: Pilot Randomized Controlled Trial. JMIR Serious Games. 2021;9:e28400. https://doi.org/10.2196/28400
  20. Makino T, Umegaki H, Ando M, Cheng XW, Ishida K, Akima H, et al. Effects of Aerobic, Resistance, or Combined Exercise Training Among Older Adults with Subjective Memory Complaints: A Randomized Controlled Trial. J Alzheimer's Dis. 2021;82:701-17. https://doi.org/10.3233/JAD-210047
  21. Qi M, Zhu Y, Zhang L, Wu T, Wang J. The effect of aerobic dance intervention on brain spontaneous activity in older adults with mild cognitive impairment: A resting-state functional MRI study. Exp Ther Med. 2019;17:715-22.
  22. Rea IM. Towards ageing well: Use it or lose it: Exercise, epigenetics and cognition. Biogerontology. 2017;18:679-91. https://doi.org/10.1007/s10522-017-9719-3
  23. Park J-H. Effects of Cognitive-Physical Dual-Task Training on Executive Function and Activity in the Prefrontal Cortex of Older Adults with Mild Cognitive Impairment. Brain Neurorehabil. 2021;14.
  24. Angevaren M, Aufdemkampe G, Verhaar HJ, Aleman A, Vanhees L. Physical activity and enhanced fitness to improve cognitive function in older people without known cognitive impairment. Cochrane Database Syst Rev. 2008:Cd005381.
  25. Law LLF, Mok VCT, Yau MMK. Effects of functional tasks exercise on cognitive functions of older adults with mild cognitive impairment: a randomized controlled pilot trial. Alzheimer's Res Ther. 2019;11.
  26. Jack CR, Jr., Wiste HJ, Vemuri P, Weigand SD, Senjem ML, Zeng G, et al. Brain beta-amyloid measures and magnetic resonance imaging atrophy both predict time-to-progression from mild cognitive impairment to Alzheimer's disease. Brain. 2010;133:3336-48. https://doi.org/10.1093/brain/awq277
  27. Hsu CL, Best JR, Davis JC, Nagamatsu LS, Wang S, Boyd LA, et al. Aerobic exercise promotes executive functions and impacts functional neural activity among older adults with vascular cognitive impairment. Br J Sports Med. 2018;52:184-91. https://doi.org/10.1136/bjsports-2016-096846
  28. Nasreddine ZS, Phillips NA, Bedirian V, Charbonneau S, Whitehead V, Collin I, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53:695-9. https://doi.org/10.1111/j.1532-5415.2005.53221.x
  29. Freitas S, Simoes MR, Alves L, Santana I. Montreal Cognitive Assessment: influence of sociodemographic and health variables. Arch Clin Neuropsychol. 2012;27:165-75. https://doi.org/10.1093/arclin/acr116
  30. Larner AJ. Screening utility of the Montreal Cognitive Assessment (MoCA): in place of-or as well as-the MMSE? Int Psychogeriatr. 2012;24:391-6. https://doi.org/10.1017/s1041610211001839
  31. Tombaugh T. Trail Making Test A and B: Normative data stratified by age and education. Arch Clin Neuropsychol. 2004;19:203-14. https://doi.org/10.1016/S0887-6177(03)00039-8