Browse > Article
http://dx.doi.org/10.14474/ptrs.2021.10.4.493

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)
Publication Information
Physical Therapy Rehabilitation Science / v.10, no.4, 2021 , pp. 493-502 More about this Journal
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
Cognition; Aged; Cognitive Dysfunction; Exercise Therapy;
Citations & Related Records
연도 인용수 순위
  • Reference
1 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.   DOI
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.   DOI
3 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.   DOI
4 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.   DOI
5 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.   DOI
6 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.   DOI
7 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.
8 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.   DOI
9 Freitas S, Simoes MR, Alves L, Santana I. Montreal Cognitive Assessment: influence of sociodemographic and health variables. Arch Clin Neuropsychol. 2012;27:165-75.   DOI
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 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.   DOI
12 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.   DOI
13 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.   DOI
14 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.
15 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.   DOI
16 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.   DOI
17 Petersen RC. Mild cognitive impairment as a diagnostic entity. J Intern Med. 2004;256:183-94.   DOI
18 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.   DOI
19 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.   DOI
20 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.   DOI
21 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.   DOI
22 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.
23 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.   DOI
24 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.
25 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.
26 Rea IM. Towards ageing well: Use it or lose it: Exercise, epigenetics and cognition. Biogerontology. 2017;18:679-91.   DOI
27 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.
28 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.   DOI
29 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.   DOI
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.   DOI
31 Tombaugh T. Trail Making Test A and B: Normative data stratified by age and education. Arch Clin Neuropsychol. 2004;19:203-14.   DOI