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Naslov:Impact of motor-cognitive interventions on selected gait and balance outcomes in older adults : ǂa ǂsystematic review and meta-analysis of randomized controlled trials
Avtorji:ID Teraž, Kaja (Avtor)
ID Šlosar, Luka (Avtor)
ID Paravlić, Armin (Avtor)
ID de Bruin, Eling D. (Avtor)
ID Marušič, Uroš (Avtor)
Datoteke:.pdf PDF - Predstavitvena datoteka, prenos (402,79 KB)
MD5: 19EA392F03D5CCAA08575488E6D68DAD
 
URL URL - Izvorni URL, za dostop obiščite https://doi.org/10.3389/fpsyg.2022.837710
 
Jezik:Angleški jezik
Tipologija:1.02 - Pregledni znanstveni članek
Organizacija:Logo ZRS Koper - Znanstveno-raziskovalno središče Koper / Centro di Ricerche Scientifiche Capodistria
Povzetek:Background: Efficient performance of most daily activities requires intact and simultaneous execution of motor and cognitive tasks. To mitigate age-related functional decline, various combinations of motor and cognitive training have shown promising results. The aim of this systematic review and meta-analysis of randomized controlled trials (RCTs) was to evaluate the efficacy of different types of motor-cognitive training interventions (e.g., sequential and simultaneous) on selected functional outcomes in healthy older adults. Methods: Six online academic databases were used to retrieve eligible RCTs up to April 2021, following PRISMA guidelines and PICO criteria. A random-effects model was used for all meta-analyses conducted on selected functional outcomes: single- and dual-task gait speed, the Timed Up and Go Test (TUG), and Berg Balance Scale (BBS) score. Effect size (ES) was calculated as Hedges' g and interpreted as: trivial: <0.20, small: 0.20–0.60, moderate: 0.61–1.20, large: 1.21–2.00, very large: 2.01–4.00 or extremely large >4.00. Results: From 2,546 retrieved records, 91 RCTs were included for meta-analysis (n = 3,745 participants; 64.7–86.9 years). The motor-cognitive interventions included differed according to the type of training (e.g., sequential, simultaneous with additional cognitive task or exergame training. The results showed that motor-cognitive interventions can improve gait speed under single-task conditions (small ES = 0.34, P = 0.003). The effect of the intervention was moderated by the type of control group (Q = 6.203, P = 0.013): passive (moderate ES = 0.941, P = 0.001) vs. active controls (trivial ES = 0.153, P = 0.180). No significant effect was found for dual-task walking outcomes (P = 0.063). Motor-cognitive intervention had a positive effect on TUG (small ES = 0.42, P < 0.001), where the effect of intervention was moderated by control group [passive (moderate ES = 0.73, P = 0.001) vs. active (small ES = 0.20, P = 0.020)], but not by the type of training (P = 0.064). Finally, BBS scores were positively affected by motor-cognitive interventions (small ES = 0.59, P < 0.001) with however no significant differences between type of control group (P = 0.529) or intervention modality (P = 0.585). Conclusions: This study provides evidence for the effectiveness of various types of motor-cognitive interventions on performance-based measures of functional mobility in healthy older adults. With respect to significant effects, gait speed under single-task condition was improved by motor-cognitive interventions, but the evidence shows that this type of intervention is not necessarily more beneficial than motor training alone. On the other hand, motor-cognitive interventions are better at improving multicomponent tasks of dynamic balance and mobility function, as measured by the TUG. Because of substantial heterogeneity and the current limited availability of different types of interventions, the conclusions should be interpreted with caution.
Ključne besede:motor-cognitive interventions, dual-task, elderly, mobility, postural control
Status publikacije:Objavljeno
Verzija publikacije:Objavljena publikacija
Datum sprejetja članka:25.04.2022
Datum objave:16.06.2022
Leto izida:2022
Št. strani:str. 1-18
Številčenje:Vol. 13 , art. 837710
PID:20.500.12556/DiRROS-15176 Novo okno
UDK:796.012.1:159.955
ISSN pri članku:1664-1078
DOI:10.3389/fpsyg.2022.837710 Novo okno
COBISS.SI-ID:112281859 Novo okno
Avtorske pravice:© 2022 Teraz, Šlosar, Paravli´c, de Bruin and Marusic
Opomba:Nasl. z nasl. zaslona; Soavtorji: Luka Šlosar, Armin H. Paravlić, Eling D. de Bruin, Uros Marusic; Opis vira z dne 21. 6. 2022;
Datum objave v DiRROS:21.06.2022
Število ogledov:507
Število prenosov:382
Metapodatki:XML RDF-CHPDL DC-XML DC-RDF
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Gradivo je del revije

Naslov:Frontiers in psychology
Skrajšan naslov:Front. psychol.
Založnik:Frontiers Research Foundation
ISSN:1664-1078
COBISS.SI-ID:519967513 Novo okno

Gradivo je financirano iz projekta

Financer:ARRS - Agencija za raziskovalno dejavnost Republike Slovenije
Številka projekta:P5-0381
Naslov:Kineziologija za kakovost življenja

Licence

Licenca:CC BY 4.0, Creative Commons Priznanje avtorstva 4.0 Mednarodna
Povezava:http://creativecommons.org/licenses/by/4.0/deed.sl
Opis:To je standardna licenca Creative Commons, ki daje uporabnikom največ možnosti za nadaljnjo uporabo dela, pri čemer morajo navesti avtorja.
Začetek licenciranja:16.06.2022

Sekundarni jezik

Jezik:Ni določen
Ključne besede:motorično-kognitivne intervencije, dvojna naloga, mobilnost, posturalna kontrola


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