智能运动毯对轻中度认知损害老年人认知及运动功能影响的研究

Effects of MOTO tiles on cognitive and motor functions in the elderly with mild to moderate cognitive impairment

目的探讨智能运动毯对轻中度认知损害老年人的认知功能及运动平衡功能的干预效果。方法采用随机数字表法将入选对象随机分为干预组和对照组,干预组在日常照护的基础上进行12次智能运动毯训练,对照组仅接受日常照护。在基线、4周后进行MoCA、数字广度测验-顺背(DST-F)、数字广度测验-倒背(DST-B)、数字广度测验-顺背+倒背(DST-F+B)、Berg平衡量表(BBS)、5次坐立试验(FTSST)、起立-行走计时试验(TUGT)评估。结果基线时,2组年龄、性别、受教育程度、认知评估与运动评估分值差异均无统计学意义(P>0.05)。4周后,干预组MoCA、DST-F、DST-B、DST-F+B、BBS得分显著高于基线(P<0.05或P<0.01),TUGT、FTSST时间显著短于基线(P<0.01)。干预组MoCA、DST-F、DST-B、DST-F+B、BBS增加分数显著高于对照组(P<0.01);TUGT、FTSST减少时间显著多于对照组(P<0.01)。结论智能运动毯可改善轻中度认知功能损害老年人的认知与运动功能,可以在老年人群中推广。

Objective To explore the effect of MOTO tiles on the cognition function and motor balance function of the elderly with mild to moderate cognitive impairment.Methods The subjects were randomly divided into the intervention group and the control group.The intervention group received both 12 session MOTO tile training and daily care,while the control group only received daily care.The self-designed questionnaires,Montreal Cognitive Assessment(MoCA),Digit span test-Forward(DST-F),Digit span test-backward(DST-B),Berg Balance Scale(BBS),five times sit to stand test(FTSST)and time up&go test(TUGT)were tested respectively at baseline and 4 weeks later.Results No significant differences were found in age,gender,education,cognitive assessment and motor assessment scores between the two groups(P>0.05).After four weeks,the levels of MoCA,DST-F,DST-B,DST-F+B,and BBS scores were significantly higher and the levels of TUGT and FTSST were significantly lower in the intervention group than those at the baseline(P<0.05 or P<0.01).And the changes of MoCA、DST-F,DST-B,DST-F+B and BBS scores of intervention group were higher and the changes of TUGT and FTSST were shorter than those of the control group(P<0.01).Conclusions MOTO tiles training can improve the cognition and motor function in the elderly with mild to moderate cognitive impairment and can be promoted among the elderly.