Academic Journal
Time course of changes in motor-cognitive exergame performances during task-specific training in patients with dementia: identification and predictors of early training response
| العنوان: | Time course of changes in motor-cognitive exergame performances during task-specific training in patients with dementia: identification and predictors of early training response |
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| المؤلفون: | Werner, Christian, Rosner, Rebekka, Wiloth, Stefanie, Lemke, Nele Christin, Bauer, Jürgen M., Hauer, Klaus |
| بيانات النشر: | BioMed Central |
| سنة النشر: | 2018 |
| المجموعة: | Heidelberg University: HeiDok |
| مصطلحات موضوعية: | 610 Medical sciences Medicine |
| Time: | 610 |
| الوصف: | Background: Some studies have already suggested that exergame interventions can be effective to improve physical, cognitive, motor-cognitive, and psychological outcomes in patients with dementia (PwD). However, little is known about the training volume required to induce such positive effects and the inter-individual differences in training response among PwD. The aim of the study was to analyze the time course of changes in motor-cognitive exergame performances during a task-specific training program and to identify predictors of early training response in PwD. Methods: Secondary analyses of data from the intervention group (IG) of a randomized, placebo-controlled trial to improve motor-cognitive performances in PwD. Fifty-six geriatric patients with mild-to-moderate dementia randomized to the IG underwent a 10-week, task-specific training program (2×/week) on an exergame-based balance training system (Physiomat®), combining postural control tasks with cognitive tasks of an established neuropsychological test (Trail Making Test). Main outcome was the time required to complete different Physiomat®-Tasks (PTs) assessed at baseline (T1), training session 7 (TS7) and 14 (TS14), and post-intervention after 20 training sessions (T2). Reliable change indices were used to identify early responders from T1 to TS7. A multivariate logistic regression analysis was performed to determine independent predictors of early training response. Results: Completion time significantly improved already from T1 to TS7 in all PTs (p ≤ .001–.006), with moderate to very large effect sizes (r = .38–.52; Cohen’s d = .85–1.45). For most PTs, significant progressive improvements from TS7 to TS14 and TS14 to T2 were not observed. Thirty-one (59.6%) participants were classified as early responders and 21 (40.4%) as non-early responders. Lower baseline exergame performance and lower visuospatial and divided attention abilities were independently associated with early training response. Conclusions: Substantial task-specific improvements in ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| Relation: | https://archiv.ub.uni-heidelberg.de/volltextserverhttps://archiv.ub.uni-heidelberg.de/volltextserver/25597/1/12984_2018_Article_433.pdf; urn:nbn:de:bsz:16-heidok-255972; Werner, Christian; Rosner, Rebekka; Wiloth, Stefanie; Lemke, Nele Christin; Bauer, Jürgen M.; Hauer, Klaus (2018) Time course of changes in motor-cognitive exergame performances during task-specific training in patients with dementia: identification and predictors of early training response. Journal of neuroEngineering and rehabilitation: JNER, 15 (100). pp. 1-13. ISSN 1743-0003 |
| الاتاحة: | https://archiv.ub.uni-heidelberg.de/volltextserver/25597/ https://archiv.ub.uni-heidelberg.de/volltextserverhttps://archiv.ub.uni-heidelberg.de/volltextserver/25597/1/12984_2018_Article_433.pdf https://nbn-resolving.org/urn:nbn:de:bsz:16-heidok-255972 |
| Rights: | info:eu-repo/semantics/openAccess ; Please see front page of the work (Sorry, Dublin Core plugin does not recognise license id) |
| رقم الانضمام: | edsbas.1A97A1AE |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |