Background: Mobility limitations and cognitive impairments which are common with ageing often coexist, causing a reduction in the levels of physical and mental activity and are prognostic of future adverse health even...Background: Mobility limitations and cognitive impairments which are common with ageing often coexist, causing a reduction in the levels of physical and mental activity and are prognostic of future adverse health events and falls. Consequently, multi-task training paradigms that simultaneously address both mobility and cognition benefit healthy ageing are important to consider in rehabilitation as well as primary prevention. Objectives: An exploratory RCT is being conducted to: a) describe the feasibility and acceptability of the study design and process, procedures, resources and management in two game-based dual-task training programs delivered in the community;b) to explore the lived experiences of the study participants who completed their respective exercise programs. A secondary objective is to obtain preliminary data on the therapeutic effectiveness of the two dual-task training programs. Methods: Thirty healthy older community dwelling participants aged 70 - 85 with previous history of falls will be recruited and randomized to either dual- task treadmill walking (experimental group) or dual-task recumbent bicycle (control group). Data analysis: The qualitative data will be analyzed by two investigators using a content analysis approach. For the quantitative data, outcome measures will be collected pre and post intervention and included measures to assess core balance, spatial-temporal gait variables, visual tracking and cognitive function, as well as, balance and gait analysis under dual-task conditions. Discussion: This research will demonstrate the feasibility of the dual-task training programs in the community, and demonstrate the system’s ability to improve targeted and integrated (dual-task) aspects of balance, mobility, gaze, and cognitive performance. A blended analysis of balance, mobility gaze and cognition will also contribute to a better understanding of the functional consequences of decline in physical and mental skills with age. Trial registration: This pilot clinical trial has been registered at ClinicalTrials.gov Protocol Registration System: NCT01940055.展开更多
目的分析认知-运动双重任务训练(CMDT)应用于脑卒中相关研究的现状和前沿趋势。方法检索从建库至2023年10月11日中国知网、万方数据库、维普数据库、SinoMed和Web of Science核心合集数据库中CMDT应用于脑卒中的相关文献,采用CiteSpace ...目的分析认知-运动双重任务训练(CMDT)应用于脑卒中相关研究的现状和前沿趋势。方法检索从建库至2023年10月11日中国知网、万方数据库、维普数据库、SinoMed和Web of Science核心合集数据库中CMDT应用于脑卒中的相关文献,采用CiteSpace 6.2R4进行可视化分析。结果共纳入文献285篇,其中中文124篇,英文161篇。年发文量总体呈上升趋势。美国、加拿大、荷兰、中国和英国为英文文献的高产国家。中文文献发文量最多的学者是郑洁皎,复旦大学附属华东医院康复医学科为高产机构。Vrije University Amsterdam为英文文献高产机构。中文高频关键词包括步态、跌倒、平衡、认知和姿势控制。英文高频关键词包括双重任务、步行、步态、平衡和认知-运动干扰。近两年出现的突现词有步态训练、认知任务、平衡能力和认知-运动干扰。结论CMDT应用于脑卒中相关研究呈上升趋势,研究热点包括步态训练、认知任务、认知-运动干扰等。深入探讨CMDT的作用机制,构建脑卒中CMDT最佳康复方案,可能是该领域未来的研究趋势。展开更多
文摘Background: Mobility limitations and cognitive impairments which are common with ageing often coexist, causing a reduction in the levels of physical and mental activity and are prognostic of future adverse health events and falls. Consequently, multi-task training paradigms that simultaneously address both mobility and cognition benefit healthy ageing are important to consider in rehabilitation as well as primary prevention. Objectives: An exploratory RCT is being conducted to: a) describe the feasibility and acceptability of the study design and process, procedures, resources and management in two game-based dual-task training programs delivered in the community;b) to explore the lived experiences of the study participants who completed their respective exercise programs. A secondary objective is to obtain preliminary data on the therapeutic effectiveness of the two dual-task training programs. Methods: Thirty healthy older community dwelling participants aged 70 - 85 with previous history of falls will be recruited and randomized to either dual- task treadmill walking (experimental group) or dual-task recumbent bicycle (control group). Data analysis: The qualitative data will be analyzed by two investigators using a content analysis approach. For the quantitative data, outcome measures will be collected pre and post intervention and included measures to assess core balance, spatial-temporal gait variables, visual tracking and cognitive function, as well as, balance and gait analysis under dual-task conditions. Discussion: This research will demonstrate the feasibility of the dual-task training programs in the community, and demonstrate the system’s ability to improve targeted and integrated (dual-task) aspects of balance, mobility, gaze, and cognitive performance. A blended analysis of balance, mobility gaze and cognition will also contribute to a better understanding of the functional consequences of decline in physical and mental skills with age. Trial registration: This pilot clinical trial has been registered at ClinicalTrials.gov Protocol Registration System: NCT01940055.
文摘目的分析认知-运动双重任务训练(CMDT)应用于脑卒中相关研究的现状和前沿趋势。方法检索从建库至2023年10月11日中国知网、万方数据库、维普数据库、SinoMed和Web of Science核心合集数据库中CMDT应用于脑卒中的相关文献,采用CiteSpace 6.2R4进行可视化分析。结果共纳入文献285篇,其中中文124篇,英文161篇。年发文量总体呈上升趋势。美国、加拿大、荷兰、中国和英国为英文文献的高产国家。中文文献发文量最多的学者是郑洁皎,复旦大学附属华东医院康复医学科为高产机构。Vrije University Amsterdam为英文文献高产机构。中文高频关键词包括步态、跌倒、平衡、认知和姿势控制。英文高频关键词包括双重任务、步行、步态、平衡和认知-运动干扰。近两年出现的突现词有步态训练、认知任务、平衡能力和认知-运动干扰。结论CMDT应用于脑卒中相关研究呈上升趋势,研究热点包括步态训练、认知任务、认知-运动干扰等。深入探讨CMDT的作用机制,构建脑卒中CMDT最佳康复方案,可能是该领域未来的研究趋势。
