Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
권호 표지
DOI QR코드

DOI QR Code

Comparison of Usability and Prefrontal Cortex Activity of Cognitive-Motor Training Programs using Sensor-Based Interactive Systems

  • Jihye Jung (Institute of SMART Rehabilitation, Sahmyook University) ;
  • Seungwon Lee (Institute of SMART Rehabilitation, Sahmyook University)
  • Received : 2022.12.19
  • Accepted : 2022.12.26
  • Published : 2022.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: Cognitive-motor trainings had a positive impact on cognitive function and dual-task trainings led to improvements of global cognitive function. The brain activity of the prefrontal cortex (PFC) is another indicator that can infer cognitive function. This study aims to confirm the usability of the interactive system cognitive-motor training program and the changes in the prefrontal cortex through training. Design: Cross-sectional study Methods: In this study, two cognitive tasks were randomly applied to 20 adults as cognitive-motor training using an interactive system, and the same task was performed using the original method. During all tasks, the brain activity of the prefrontal cortex was measured by the change in oxyhemoglobin (HbO) in real-time using Functional Near-Infrastructure. After performing the tasks, the usability of the developed interactive system was evaluated by a usability questionnaire which consists of five items, and each item consists of a 7-point Likert scale that responds from 1 point to 7 points. Results: The HbO levels were increased during cognitive task performance than at the resting phase. And evaluating the usefulness of the interactive system, a questionnaire result showed that it would be useful for cognitive-motor programs. Conclusions: The cognitive-motor training using the interactive system increased the activity of the prefrontal cortex, and the developed wearable sensor-based interactive system confirmed its usefulness.

Keywords

Acknowledgement

이 성과는 정부(과학기술정보통신부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임(No.NRF-2021R1F1A1060798).

References

  1. Sperling RA, Aisen PS, Beckett LA, Bennett DA, Craft S, Fagan AM, et al. Toward defining the preclinical stages of Alzheimer's disease: Recommendations from the National Institute on Aging-Alzheimer's Association workgroups on diagnostic guidelines for Alzheimer's disease. Alzheimer's & Dementia. 2011;7:280-92.  https://doi.org/10.1016/j.jalz.2011.03.003
  2. Wimo A, Jonsson L, Bond J, Prince M, Winblad B. The worldwide economic impact of dementia 2010. Alzheimers Dement. 2013;9:1-11.e3.  https://doi.org/10.1016/j.jalz.2012.11.006
  3. Bherer L, Gagnon C, Langeard A, Lussier M, Desjardins-Crepeau L, Berryman N, et al. Synergistic Effects of Cognitive Training and Physical Exercise on Dual-Task Performance in Older Adults. J Gerontol B Psychol Sci Soc Sci. 2021;76:1533-41.  https://doi.org/10.1093/geronb/gbaa124
  4. Campos-Magdaleno M, Pereiro A, Navarro-Pardo E, Juncos-Rabadan O, Facal D. Dual-task performance in old adults: cognitive, functional, psychosocial and socio-demographic variables. Aging clinical and experimental research. 2021. 
  5. 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. 
  6. 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
  7. Combourieu Donnezan L, Perrot A, Belleville S, Bloch F, Kemoun G. Effects of simultaneous aerobic and cognitive training on executive functions, cardiovascular fitness and functional abilities in older adults with mild cognitive impairment. Mental Health and Physical Activity. 2018;15:78-87.  https://doi.org/10.1016/j.mhpa.2018.06.001
  8. Raichlen DA, Bharadwaj PK, Nguyen LA, Franchetti MK, Zigman EK, Solorio AR, et al. Effects of simultaneous cognitive and aerobic exercise training on dual-task walking performance in healthy older adults: results from a pilot randomized controlled trial. BMC Geriatr. 2020;20:83. 
  9. Dorfman M, Herman T, Brozgol M, Shema S, Weiss A, Hausdorff JM, et al. Dual-task training on a treadmill to improve gait and cognitive function in elderly idiopathic fallers. J Neurol Phys Ther. 2014;38:246-53.  https://doi.org/10.1097/NPT.0000000000000057
  10. 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. 
  11. Pellegrini-Laplagne M, Dupuy O, Sosner P, Bosquet L. Effect of simultaneous exercise and cognitive training on executive functions, baroreflex sensitivity, and pre-frontal cortex oxygenation in healthy older adults: a pilot study. GeroScience. 2022. 
  12. Friedman NP, Robbins TW. The role of prefrontal cortex in cognitive control and executive function. Neuropsychopharmacology. 2022;47:72-89.  https://doi.org/10.1038/s41386-021-01132-0
  13. 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. 
  14. Liao YY, Chen IH, Lin YJ, Chen Y, Hsu WC. 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;11:162. 
  15. 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. 
  16. Olyaei G, Khanmohammadi R, Talebian S, Hadian MR, Bagheri H, Najafi M. The effect of exergaming on cognition and brain activity in older adults: A motor- related cortical potential study. Physiol Behav. 2022;255:113941. 
  17. Amjad I, Toor H, Niazi IK, Pervaiz S, Jochumsen M, Shafique M, et al. Xbox 360 Kinect Cognitive Games Improve Slowness, Complexity of EEG, and Cognitive Functions in Subjects with Mild Cognitive Impairment: A Randomized Control Trial. Games Health J. 2019;8:144-52.  https://doi.org/10.1089/g4h.2018.0029
  18. Moreira NB, Goncalves G, da Silva T, Zanardini FEH, Bento PCB. Multisensory exercise programme improves cognition and functionality in institutionalized older adults: A randomized control trial. Physiother Res Int. 2018;23:e1708. 
  19. Schoene D, Valenzuela T, Toson B, Delbaere K, Severino C, Garcia J, et al. Interactive Cognitive-Motor Step Training Improves Cognitive Risk Factors of Falling in Older Adults A Randomized Controlled Trial. PLoS One. 2015;10:e0145161. 
  20. Park S-Y, Schott N. The Immediate and Sustained Effects of Exercise-Induced Hemodynamic Response on Executive Function During Fine Motor-Cognitive Tasks Using Functional Near-Infrared Spectroscopy. Journal of Integrative Neuroscience. 2022;21:98. 
  21. Yang D, Hong KS, Yoo SH, Kim CS. Evaluation of Neural Degeneration Biomarkers in the Prefrontal Cortex for Early Identification of Patients With Mild Cognitive Impairment: An fNIRS Study. Front Hum Neurosci. 2019;13:317. 
  22. Lee T-S, Goh SJA, Quek SY, Phillips R, Guan C, Cheung YB, et al. A Brain-Computer Interface Based Cognitive Training System for Healthy Elderly: A Randomized Control Pilot Study for Usability and Preliminary Efficacy. PLoS One. 2013;8:e79419. 
  23. Lee, Kang. Consumer-Driven Usability Test of Mobile Application for Tea Recommendation Service. Applied Sciences. 2019;9:3961. 
  24. Zhu Y, Sun F, Chiu MM, Siu AY. Effects of high-intensity interval exercise and moderate-intensity continuous exercise on executive function of healthy young males. Physiol Behav. 2021;239:113505. 
  25. Pellegrini-Laplagne M, Dupuy O, Sosner P, Bosquet L. Acute Effect of a Simultaneous Exercise and Cognitive Task on Executive Functions and Prefrontal Cortex Oxygenation in Healthy Older Adults. Brain Sciences. 2022;12:455.