scholarly journals Dual-Task Effect on Cognitive and Body Function, β-amyloid Levels in Alzheimer's Dementia Patients: a Randomized Controlled Trial

Author(s):  
Seung Min Nam ◽  
SEONG-GIL KIM

The purpose of this study is to explore the effects of dual-task training, including cognitive tasks, on cognitive and bodily functioning and β-amyloid levels in Alzheimer's dementia patients. The subjects were 34 inpatients diagnosed with Alzheimer's dementia at a nursing hospital located in Gyeongsansi, South Korea. The patients were randomly divided into a dual-task group (n = 16) and a single-task group (n = 18). The dual-task group performed cognitive tasks at the same time as exercising tasks, while the single-task group performed only exercise tasks. Each group was trained for 30 minutes three times a week for eight weeks. The Mini-Mental State Examination was used to measure the patients’ cognitive function. Static and dynamic balance were measured to evaluate bodily functioning. Static balance was measured using Biorescue, while dynamic balance was measured using the Berg Balance Scale. Blood analysis was performed to measure levels of β-amyloid, which is known to cause Alzheimer's dementia. Both groups exhibited statistically significant improvements in gait function after the training (p < .05). The dual-task group exhibited statistically significant differences in cognitive function, static and dynamic balance function, and β-amyloid levels after training (p < .05). A significant difference was observed between the two groups (p < .05). Dual-task activities were found to be effective in improving cognitive and bodily functioning and reducing β-amyloid levels in Alzheimer's dementia patients. Therefore, dual-task training is thought to be an effective method of treating and preventing Alzheimer's dementia.

2019 ◽  
Vol 3 (2) ◽  
pp. 77-89
Author(s):  
Yulinar Anwar

Background : School-age Children are characterized by agile movements and motor activity coupled with the need to begin exploring the environment so that motor skills are needed. One aspect of motor skills is dynamic balance. Dual-task training (motor-cognitive) is a method of training that combines motor and cognitive tasks. The purpose of this exercise is to activation pattern of circuits in brain to achieve an adaptive system so that automation can be generated which can affect dynamic balance. Methods : this research is experimental quasi with time series design. The sampling technique used purposive sampling with a sample size of 30 students in 10- and 11- years-old who were not flat foot, not obese, and did not experience balance disorders. Primary data collection is obtained through dynamic balance instruments with balance beam walking test. The collected data used Shapiro Wilk for the normality test and obtained a value of p <0.05, which means that the distribution of data is abnormally distributed then a difference test of the of the pre-test and post-test using Friedman post hoc Wilcoxon Test. Results : the study was conducted for four weeks with 12 training sessions. The result of the analysis were started from pre-test, post-test 1, post-test 2, post-test 3, and post-test 4. The results overall showed a changed in dynamic balance between before and after 12 times of exercise with a significant value p=0,0001 (p <0,05). Conclusion : Therefore, it can be conclused that there is an effect of dual-task training (motor-cognitive) to dynamic balance of school-age children. Keywords : Dual-Task Training (Motor Cognitive), Dynamic Balance, School-age Children


2021 ◽  
pp. 026921552110103
Author(s):  
Alex Martino Cinnera ◽  
Alessio Bisirri ◽  
Enza Leone ◽  
Giovanni Morone ◽  
Angela Gaeta

Objective: To evaluate the effects of dual-task training on static and dynamic balance in patients with multiple sclerosis. Data sources: PubMed/MEDLINE, EMBASE, Scopus, and PEDro databases were searched from inception to March 1, 2021. Methods: This study was conducted in agreement with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Two reviewers assessed studies for inclusion and extracted data. We used the Physiotherapy Evidence Database scale to evaluate the methodological quality and the risk-of-bias. Randomized clinical trial data were pooled for the meta-analysis. The effect sizes and 95% confidence interval (CI) were calculated by random-effect models. Egger regression and Begg-Mazumdar rank correlation test were used for publication bias. Results: A total of 13 studies involving 584 patients (42.3 ± 9 years mean ± SD; 377 females) met the inclusion criteria for the systematic review, while nine were included in the meta-analysis. People who received dual-task training interventions showed significant improvements in the Timed Up & Go test 0.44 [(95% CI = 0.22; 0.65), P-value<0.001], and in the Berg Balance scale 0.46 [(95% CI = 0.07; 0.85), P-value = 0.02]. Low and moderate heterogeneity between the studies was found for the Timed Up & Go test and the Berg Balance scale, respectively. Conclusion: The findings from the current meta-analysis support dual-task training as a beneficial therapy for improving dynamic balance and functional mobility in patients with multiple sclerosis. The limited number of studies that investigated static balance performance after dual-task training do not currently allow us to draw a conclusion about any possible improvements in this ability.


2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1095-1095
Author(s):  
Y. Matsui ◽  
R. Fujita ◽  
A. Harada ◽  
T. Sakurai ◽  
T. Nemoto ◽  
...  

1993 ◽  
Vol 2 (2) ◽  
pp. 160-175 ◽  
Author(s):  
Mary Lucero ◽  
Sally Hutchinson ◽  
Sue Leger-Krall ◽  
Holly Skodol Wilson

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