关键词: RCT cognitive ability elder exergames metaanalysis mild cognitive impairment

来  源:   DOI:10.3389/fneur.2024.1424390   PDF(Pubmed)

Abstract:
UNASSIGNED: Exergames are an innovative method that can promote neuroplasticity and improve the cognitive abilities of the elderly. This study aimed to compare the effects of single-task and multi-task exergames on the cognitive ability of the elderly with mild cognitive impairment (MCI).
UNASSIGNED: Computerized literature search was performed using PubMed, Web of Science, EBSCO, Elsevier, ProQuest, China National Knowledge Infrastructure (CNKI), Wanfang and VIP database to identify relevant articles from the establishment of the database from inception to April 1, 2024. The inclusion criteria were: (i) participants aged 60 or older diagnosed with mild cognitive impairment, regardless of gender; (ii) use of randomized controlled trials (RCTs); (iii) interventions involving exergames with physical activity or as the primary variable; and (iv) outcome measures using standardized neuropsychological instruments to assess cognitive function, including statistical data on sample size, mean, and standard deviation. Finally, the included study comprised a total of 526 participants. Mean difference (MD) and 95% confidence interval (CI) were used to synthesize the effect size in the data.
UNASSIGNED: 11 studies were included. Due to the differences in the intervention methods, subgroup analysis was performed on the included research. Compared with the control group assessed by the Montreal Cognitive Assessment Scale, the single-task intervention improved the cognitive ability of the elderly with MCI (MD 3.40, 95% CI 2.43-4.37), the Mini-Mental State Examination Scale (MD 2.38, 95% CI -2.03 to 2.72), the Trail Making Test (MD -3.89, 95% CI -6.45 to -1.33), and the Digit Span Forward test (MD 1.16, 95% CI 0.73-1.60).
UNASSIGNED: This meta-analysis supports that exergames could be an effective cognitive rehabilitation method for MCI patients. Our study recommends that patients implement a customized exergames program and adhere to it for a long time. It is necessary to pay attention to the exercise guidelines and provide evidence from clinicians.
UNASSIGNED: (1) This meta-analysis supports that exergames could be an effective cognitive rehabilitation method for MCI patients. Our study recommends that patients implement a customized exergames program and adhere to it for a long time. It is necessary to pay attention to the exercise guidelines and provide evidence from clinicians. (2) This research provides preliminary evidence for the clinical utility of VR tasks developed for mild cognitive impairment. (3) In this paper, only relevant studies in Chinese and English were searched, and no studies in other languages were searched.
摘要:
Exergames是一种创新方法,可以促进神经可塑性并提高老年人的认知能力。本研究旨在比较单任务和多任务运动对轻度认知障碍(MCI)老年人认知能力的影响。
使用PubMed,WebofScience,EBSCO,Elsevier,ProQuest,中国国家知识基础设施(CNKI),万方和VIP数据库的相关文章从数据库建立开始到2024年4月1日。纳入标准是:(i)年龄在60岁或以上的参与者被诊断为轻度认知障碍,(ii)使用随机对照试验(RCT);(iii)涉及体力活动或作为主要变量的运动的干预措施;(iv)使用标准化神经心理学工具评估认知功能的结局指标,包括样本量的统计数据,意思是,和标准偏差。最后,纳入的研究共有526名参与者.使用平均差(MD)和95%置信区间(CI)来合成数据中的效应大小。
包括11项研究。由于干预方法的差异,对纳入的研究进行亚组分析.与蒙特利尔认知评估量表评估的对照组相比,单任务干预改善了MCI老年人的认知能力(MD3.40,95%CI2.43-4.37),简易精神状态量表(MD2.38,95%CI-2.03至2.72),跟踪测试(MD-3.89,95%CI-6.45至-1.33),和数字跨度正向检验(MD1.16,95%CI0.73-1.60)。
这项荟萃分析支持,运动游戏可能是MCI患者的有效认知康复方法。我们的研究建议患者实施定制的exergames计划并长期坚持。有必要注意运动指南并提供临床医生的证据。
(1)这项荟萃分析支持运动游戏可能是MCI患者的有效认知康复方法。我们的研究建议患者实施定制的exergames计划并长期坚持。有必要注意运动指南并提供临床医生的证据。(2)本研究为针对轻度认知障碍开发的VR任务的临床实用性提供了初步证据。(3)在本文中,只搜索了中文和英文的相关研究,没有其他语言的研究被搜索。
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