Effects of Exergaming on Cognition and Gait in Older Adults at Risk for Falling
| Autor: | Philimon Gona, Elisa F. Ogawa, Tongjian You, Richard K. Fleming, Lap-Fai Yu, Haikun Huang, Suzanne G. Leveille |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Trail Making Test Physical Exertion Physical Therapy Sports Therapy and Rehabilitation Physical exercise Pilot Projects 03 medical and health sciences 0302 clinical medicine Cognition Games Recreational Risk Factors Medicine Humans Orthopedics and Sports Medicine Exercise physiology Exercise Gait Aged Aged 80 and over business.industry 030229 sport sciences Test (assessment) Video Games Exercise intensity Physical therapy Accidental Falls Female Perception business Falling (sensation) |
| Zdroj: | Medicine and science in sports and exercise. 52(3) |
| ISSN: | 1530-0315 |
| Popis: | PURPOSE To test whether an 8-wk exergaming (EG) program would improve cognition and gait characteristics compared with a traditional physical exercise (TPE) program in older adults at risk for falling. METHODS A pilot quasi-experimental study was conducted in adults age ≥65 yr at risk for falls, living in senior communities. Participants enrolled (n = 35) in either exercise program offered twice weekly for 8 wk. Cognition and single-task and dual-task gait characteristics were measured before and after the 8-wk exercise intervention. For each outcome, a repeated-measures ANCOVA adjusted for age, gender, and exercise intensity (ratings of perceived exertion, RPE) was used to examine the group-time interaction. RESULTS Twenty-nine participants (age, 77 ± 7 yr) completed either the EG program (n = 15) or the TPE program (n = 14). Statistically significant group-time interactions were observed in Trail Making Test Part A (P < 0.05) and single-task gait speed, stride length, swing time percentage, and double support percentage (all P < 0.05), and marginal group differences were observed in Mini-Mental State Examination (P = 0.07), all favoring the EG program. There were no statistically significant group differences in dual-task gait measurements except for swing time percentage and double support percentage, favoring the EG program. CONCLUSIONS An 8-wk EG program for older adults at risk for falls contributed to modest improvements in a number of cognitive measures and single-task but limited improvements in dual-task gait measures, compared with TPE. These findings support the need for larger trials to determine cognitive and mobility benefits related to EG. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|