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Technology-Assisted Cognitive Motor Dual-Task Rehabilitation in Chronic Age-Related Conditions: Systematic Review
Cosimo Tuena1, Francesca Borghesi2, Francesca Bruni3
1Applied Technology for Neuro-Psychology Lab, Istituto Auxologico Italiano, Istituto di Ricovero e Cura a Carattere Scientifico, Milan, Italy.
Journal of Medical Internet Research
|May 22, 2023
Summary
Technology-assisted cognitive-motor dual-task (CMDT) rehabilitation shows promise for enhancing motor-cognitive functions in older adults. This approach is safe, effective, and improves dual-task performance, gait, and cognition, with lasting effects.
Area of Science:
- Gerontology
- Rehabilitation Medicine
- Neuroscience
Background:
- Cognitive-motor dual-task (CMDT) involves parallel processing of motor and cognitive activities, crucial for daily life.
- Older adults with chronic conditions or frailty face significant challenges during CMDT, impacting health and safety.
- Technology-assisted CMDT rehabilitation offers effective therapeutic solutions for these individuals.
Approach:
- A systematic review following PRISMA guidelines was conducted on 3 major databases.
- Included studies focused on older adults (>65 years) with chronic conditions/frailty undergoing technology-assisted CMDT rehabilitation clinical trials.
- Risk of bias and efficacy-effectiveness were evaluated using the Cochrane and RITES tools.
Key Points:
- Eight studies met inclusion criteria, focusing on Parkinson disease and dementia.
- Technology primarily involved motion tracking and virtual reality for CMDT exercises and obstacle negotiation.
- CMDT training demonstrated significant improvements in dual-task performance, falls, gait, and cognition, with maintained effects.
Conclusions:
- Technology-assisted CMDT rehabilitation is a promising intervention for older adults with chronic age-related conditions.
- The approach is pleasant, safe, and effective in enhancing motor-cognitive functions.
- Further research is essential to fully explore its potential, particularly for multimorbidity and frailty.
