Motor-Cognitive Training Outperforms State-Funded Mobility Programs in Improving Dynamic Gait Stability in Older...

Area of Science:

• Gerontology
• Neuroscience
• Rehabilitation Science

Background:

• Falls are a leading cause of injury and mortality in older adults.
• Existing mobility programs often neglect cognitive factors contributing to fall risk.
• This study investigates a novel motor-cognitive training approach.

Purpose of the Study:

• To compare the effectiveness of a state-funded rehabilitation sport program with a new motor-cognitive training intervention.
• To assess the impact of training on gait stability, endurance, cognitive function, and agility in older adults.
• To evaluate participant motivation and intention for continued training.

Main Methods:

• Thirty-two older adults (mean age 71) were randomized to either traditional sport or motor-cognitive training.
• Both groups trained weekly for 6 weeks; motor-cognitive training used SKILLCOURT technology integrating cognitive tasks with movement.
• Gait stability (Dynamic Gait Index, Timed Up and Go), endurance (6-min walk), executive function, dual-task performance, and reactive agility were measured pre- and post-intervention.

Main Results:

• The motor-cognitive group showed significantly greater improvements in gait stability (Dynamic Gait Index and Timed Up and Go).
• No significant differences were found between groups for 6-min walk, dual-task, or executive function tests.
• Participants in the motor-cognitive group reported higher motivation and greater interest in continuing training.

Conclusions:

• Motor-cognitive training demonstrates superior efficacy over purely motor-based programs for enhancing gait stability in older adults.
• Integrating cognitive components into mobility training programs is recommended for fall prevention.
• This approach may lead to better adherence and long-term benefits for older adults' mobility.