Interactive Cognitive-Motor Step Training Improves Cognitive Risk Factors of Falling in Older Adults - A Randomized Controlled Trial
Interactive cognitive-motor training (ICMT) requires individuals to perform both gross motor movements and complex information processing. This study investigated the effectiveness of ICMT on cognitive functions associated with falls in older adults. A single-blinded randomized controlled trial was...
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| creator | Schoene, Daniel Valenzuela, Trinidad Toson, Barbara Delbaere, Kim Severino, Connie Garcia, Jaime Davies, Thomas A Russell, Frances Smith, Stuart T Lord, Stephen R |
| description | Interactive cognitive-motor training (ICMT) requires individuals to perform both gross motor movements and complex information processing. This study investigated the effectiveness of ICMT on cognitive functions associated with falls in older adults.
A single-blinded randomized controlled trial was conducted in community-dwelling older adults (N = 90, mean age 81.5±7) without major cognitive impairment. Participants in the intervention group (IG) played four stepping games that required them to divide attention, inhibit irrelevant stimuli, switch between tasks, rotate objects and make rapid decisions. The recommended minimum dose was three 20-minute sessions per week over a period of 16 weeks unsupervised at home. Participants in the control group (CG) received an evidence-based brochure on fall prevention. Measures of processing speed, attention/executive function (EF), visuo-spatial ability, concerns about falling and depression were assessed before and after the intervention.
Eighty-one participants (90%) attended re-assessment. There were no improvements with respect to the Stroop Stepping Test (primary outcome) in the intervention group. Compared to the CG, the IG improved significantly in measures of processing speed, visuo-spatial ability and concern about falling. Significant interactions were observed for measures of EF and divided attention, indicating group differences varied for different levels of the covariate with larger improvements in IG participants with poorer baseline performance. The interaction for depression showed no change for the IG but an increase in the CG for those with low depressive symptoms at baseline. Additionally, low and high-adherer groups differed in their baseline performance and responded differently to the intervention. Compared to high adherers, low adherers improved more in processing speed and visual scanning while high-adherers improved more in tasks related to EF.
This study shows that unsupervised stepping ICMT led to improvements in specific cognitive functions associated with falls in older people. Low adherers improved in less complex functions while high-adherers improved in EF.
Australian New Zealand Clinical Trials Registry ACTRN12613000671763. |
| doi_str_mv | 10.1371/journal.pone.0145161 |
| format | Article |
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A single-blinded randomized controlled trial was conducted in community-dwelling older adults (N = 90, mean age 81.5±7) without major cognitive impairment. Participants in the intervention group (IG) played four stepping games that required them to divide attention, inhibit irrelevant stimuli, switch between tasks, rotate objects and make rapid decisions. The recommended minimum dose was three 20-minute sessions per week over a period of 16 weeks unsupervised at home. Participants in the control group (CG) received an evidence-based brochure on fall prevention. Measures of processing speed, attention/executive function (EF), visuo-spatial ability, concerns about falling and depression were assessed before and after the intervention.
Eighty-one participants (90%) attended re-assessment. There were no improvements with respect to the Stroop Stepping Test (primary outcome) in the intervention group. Compared to the CG, the IG improved significantly in measures of processing speed, visuo-spatial ability and concern about falling. Significant interactions were observed for measures of EF and divided attention, indicating group differences varied for different levels of the covariate with larger improvements in IG participants with poorer baseline performance. The interaction for depression showed no change for the IG but an increase in the CG for those with low depressive symptoms at baseline. Additionally, low and high-adherer groups differed in their baseline performance and responded differently to the intervention. Compared to high adherers, low adherers improved more in processing speed and visual scanning while high-adherers improved more in tasks related to EF.
This study shows that unsupervised stepping ICMT led to improvements in specific cognitive functions associated with falls in older people. Low adherers improved in less complex functions while high-adherers improved in EF.
Australian New Zealand Clinical Trials Registry ACTRN12613000671763.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0145161</identifier><identifier>PMID: 26673919</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Accidental falls ; Accidental Falls - prevention & control ; Adults ; Aged ; Aged, 80 and over ; Attention ; Clinical trials ; Cognition ; Cognition & reasoning ; Cognitive ability ; Cognitive disorders ; Control methods ; Data processing ; Demographic aspects ; Dosage ; Executive function ; Exercise ; Exercise Movement Techniques - methods ; Falling ; Falls ; Female ; Humans ; Immunoglobulins ; Information processing ; Interactive control ; Intervention ; Male ; Medical research ; Mental depression ; Methods ; Older people ; Prevention ; Psychological aspects ; Psychomotor Performance ; Psychotherapy ; Randomization ; Risk analysis ; Risk factors ; Systematic review ; Training ; Walking</subject><ispartof>PloS one, 2015-12, Vol.10 (12), p.e0145161-e0145161</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>2015 Schoene et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 Schoene et al 2015 Schoene et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c809t-f5a95e75bba43e72c5819459ee8672f4c302c777400bf25934dca096bea192473</citedby><cites>FETCH-LOGICAL-c809t-f5a95e75bba43e72c5819459ee8672f4c302c777400bf25934dca096bea192473</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4682965/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4682965/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26673919$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schoene, Daniel</creatorcontrib><creatorcontrib>Valenzuela, Trinidad</creatorcontrib><creatorcontrib>Toson, Barbara</creatorcontrib><creatorcontrib>Delbaere, Kim</creatorcontrib><creatorcontrib>Severino, Connie</creatorcontrib><creatorcontrib>Garcia, Jaime</creatorcontrib><creatorcontrib>Davies, Thomas A</creatorcontrib><creatorcontrib>Russell, Frances</creatorcontrib><creatorcontrib>Smith, Stuart T</creatorcontrib><creatorcontrib>Lord, Stephen R</creatorcontrib><title>Interactive Cognitive-Motor Step Training Improves Cognitive Risk Factors of Falling in Older Adults - A Randomized Controlled Trial</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Interactive cognitive-motor training (ICMT) requires individuals to perform both gross motor movements and complex information processing. This study investigated the effectiveness of ICMT on cognitive functions associated with falls in older adults.
A single-blinded randomized controlled trial was conducted in community-dwelling older adults (N = 90, mean age 81.5±7) without major cognitive impairment. Participants in the intervention group (IG) played four stepping games that required them to divide attention, inhibit irrelevant stimuli, switch between tasks, rotate objects and make rapid decisions. The recommended minimum dose was three 20-minute sessions per week over a period of 16 weeks unsupervised at home. Participants in the control group (CG) received an evidence-based brochure on fall prevention. Measures of processing speed, attention/executive function (EF), visuo-spatial ability, concerns about falling and depression were assessed before and after the intervention.
Eighty-one participants (90%) attended re-assessment. There were no improvements with respect to the Stroop Stepping Test (primary outcome) in the intervention group. Compared to the CG, the IG improved significantly in measures of processing speed, visuo-spatial ability and concern about falling. Significant interactions were observed for measures of EF and divided attention, indicating group differences varied for different levels of the covariate with larger improvements in IG participants with poorer baseline performance. The interaction for depression showed no change for the IG but an increase in the CG for those with low depressive symptoms at baseline. Additionally, low and high-adherer groups differed in their baseline performance and responded differently to the intervention. Compared to high adherers, low adherers improved more in processing speed and visual scanning while high-adherers improved more in tasks related to EF.
This study shows that unsupervised stepping ICMT led to improvements in specific cognitive functions associated with falls in older people. Low adherers improved in less complex functions while high-adherers improved in EF.
Australian New Zealand Clinical Trials Registry ACTRN12613000671763.</description><subject>Accidental falls</subject><subject>Accidental Falls - prevention & control</subject><subject>Adults</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Attention</subject><subject>Clinical trials</subject><subject>Cognition</subject><subject>Cognition & reasoning</subject><subject>Cognitive ability</subject><subject>Cognitive disorders</subject><subject>Control methods</subject><subject>Data processing</subject><subject>Demographic aspects</subject><subject>Dosage</subject><subject>Executive function</subject><subject>Exercise</subject><subject>Exercise Movement Techniques - methods</subject><subject>Falling</subject><subject>Falls</subject><subject>Female</subject><subject>Humans</subject><subject>Immunoglobulins</subject><subject>Information processing</subject><subject>Interactive control</subject><subject>Intervention</subject><subject>Male</subject><subject>Medical research</subject><subject>Mental depression</subject><subject>Methods</subject><subject>Older people</subject><subject>Prevention</subject><subject>Psychological aspects</subject><subject>Psychomotor Performance</subject><subject>Psychotherapy</subject><subject>Randomization</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Systematic review</subject><subject>Training</subject><subject>Walking</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk19vUyEYxk-Mxs3pNzB6EhOjF61w-He4MWkap01mmnTTW0I50FEpdMBZ1Gs_uBzXzdbswnDBG_g9D7wvvFX1HIIxRAy-W4c-eunG2-D1GEBMIIUPqmPIUTOiDUAP9-Kj6klKawAIail9XB01lDLEIT-ufs181lGqbK91PQ0rb4do9DnkEOvzrLf1RZTWW7-qZ5ttDNc6_cXqhU3f6tOiDjHVwZTQuQG1vp67Tsd60vUup3pUT-qF9F3Y2J-6KwY-x-BcCS-ile5p9chIl_Sz3XxSfTn9cDH9NDqbf5xNJ2cj1QKeR4ZITjQjy6XESLNGkRZyTLjWLWWNwQqBRjHGMABL0xCOcKck4HSpJeQNZuikennju3UhiV0Bk4AMc8IbRJpCzG6ILsi12Ea7kfGHCNKKPwshroSM2SqnhSGtKRrNjGoxArRtTUewgRwwtDS0LV7vd6f1y43ulC5JS3dgerjj7aVYhWuBadtwSorBm51BDFe9TllsbFLaOel16Id7E4ARhGDI7NU_6P3Z7aiVLAlYb0I5Vw2mYoIRoxRjCgs1vocqo9Mbq8pvM7asHwjeHggKk_X3vJJ9SmJ2vvh_dv71kH29x15q6fJlCq7PNvh0COIbUMWQUtTmrsgQiKFZbqshhmYRu2Ypshf7D3Qnuu0O9Bva_w6j</recordid><startdate>20151216</startdate><enddate>20151216</enddate><creator>Schoene, Daniel</creator><creator>Valenzuela, Trinidad</creator><creator>Toson, Barbara</creator><creator>Delbaere, Kim</creator><creator>Severino, Connie</creator><creator>Garcia, Jaime</creator><creator>Davies, Thomas A</creator><creator>Russell, Frances</creator><creator>Smith, Stuart T</creator><creator>Lord, Stephen R</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20151216</creationdate><title>Interactive Cognitive-Motor Step Training Improves Cognitive Risk Factors of Falling in Older Adults - A Randomized Controlled Trial</title><author>Schoene, Daniel ; Valenzuela, Trinidad ; Toson, Barbara ; Delbaere, Kim ; Severino, Connie ; Garcia, Jaime ; Davies, Thomas A ; Russell, Frances ; Smith, Stuart T ; Lord, Stephen R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c809t-f5a95e75bba43e72c5819459ee8672f4c302c777400bf25934dca096bea192473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Accidental falls</topic><topic>Accidental Falls - prevention & control</topic><topic>Adults</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Attention</topic><topic>Clinical trials</topic><topic>Cognition</topic><topic>Cognition & reasoning</topic><topic>Cognitive ability</topic><topic>Cognitive disorders</topic><topic>Control methods</topic><topic>Data processing</topic><topic>Demographic aspects</topic><topic>Dosage</topic><topic>Executive function</topic><topic>Exercise</topic><topic>Exercise Movement Techniques - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schoene, Daniel</au><au>Valenzuela, Trinidad</au><au>Toson, Barbara</au><au>Delbaere, Kim</au><au>Severino, Connie</au><au>Garcia, Jaime</au><au>Davies, Thomas A</au><au>Russell, Frances</au><au>Smith, Stuart T</au><au>Lord, Stephen R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Interactive Cognitive-Motor Step Training Improves Cognitive Risk Factors of Falling in Older Adults - A Randomized Controlled Trial</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-12-16</date><risdate>2015</risdate><volume>10</volume><issue>12</issue><spage>e0145161</spage><epage>e0145161</epage><pages>e0145161-e0145161</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Interactive cognitive-motor training (ICMT) requires individuals to perform both gross motor movements and complex information processing. This study investigated the effectiveness of ICMT on cognitive functions associated with falls in older adults.
A single-blinded randomized controlled trial was conducted in community-dwelling older adults (N = 90, mean age 81.5±7) without major cognitive impairment. Participants in the intervention group (IG) played four stepping games that required them to divide attention, inhibit irrelevant stimuli, switch between tasks, rotate objects and make rapid decisions. The recommended minimum dose was three 20-minute sessions per week over a period of 16 weeks unsupervised at home. Participants in the control group (CG) received an evidence-based brochure on fall prevention. Measures of processing speed, attention/executive function (EF), visuo-spatial ability, concerns about falling and depression were assessed before and after the intervention.
Eighty-one participants (90%) attended re-assessment. There were no improvements with respect to the Stroop Stepping Test (primary outcome) in the intervention group. Compared to the CG, the IG improved significantly in measures of processing speed, visuo-spatial ability and concern about falling. Significant interactions were observed for measures of EF and divided attention, indicating group differences varied for different levels of the covariate with larger improvements in IG participants with poorer baseline performance. The interaction for depression showed no change for the IG but an increase in the CG for those with low depressive symptoms at baseline. Additionally, low and high-adherer groups differed in their baseline performance and responded differently to the intervention. Compared to high adherers, low adherers improved more in processing speed and visual scanning while high-adherers improved more in tasks related to EF.
This study shows that unsupervised stepping ICMT led to improvements in specific cognitive functions associated with falls in older people. Low adherers improved in less complex functions while high-adherers improved in EF.
Australian New Zealand Clinical Trials Registry ACTRN12613000671763.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26673919</pmid><doi>10.1371/journal.pone.0145161</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2015-12, Vol.10 (12), p.e0145161-e0145161 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1749592352 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Accidental falls Accidental Falls - prevention & control Adults Aged Aged, 80 and over Attention Clinical trials Cognition Cognition & reasoning Cognitive ability Cognitive disorders Control methods Data processing Demographic aspects Dosage Executive function Exercise Exercise Movement Techniques - methods Falling Falls Female Humans Immunoglobulins Information processing Interactive control Intervention Male Medical research Mental depression Methods Older people Prevention Psychological aspects Psychomotor Performance Psychotherapy Randomization Risk analysis Risk factors Systematic review Training Walking |
| title | Interactive Cognitive-Motor Step Training Improves Cognitive Risk Factors of Falling in Older Adults - A Randomized Controlled Trial |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-08T21%3A32%3A02IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Interactive%20Cognitive-Motor%20Step%20Training%20Improves%20Cognitive%20Risk%20Factors%20of%20Falling%20in%20Older%20Adults%20-%20A%20Randomized%20Controlled%20Trial&rft.jtitle=PloS%20one&rft.au=Schoene,%20Daniel&rft.date=2015-12-16&rft.volume=10&rft.issue=12&rft.spage=e0145161&rft.epage=e0145161&rft.pages=e0145161-e0145161&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0145161&rft_dat=%3Cgale_plos_%3EA437664461%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1749592352&rft_id=info:pmid/26673919&rft_galeid=A437664461&rft_doaj_id=oai_doaj_org_article_f58f235e7fc8430688fd54f19073bf68&rfr_iscdi=true |