不同双重任务模式干预措施对轻度认知障碍或痴呆症老年人认知功能的比较有效性:系统性审查和网络元分析
Yuqing Hao1,2, Yajie Zhao3, Huanhuan Luo1,2
1Department of Nursing, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Science, No. 1 Da Hua Road, DongDan, Beijing, 100730, People's Republic of China.
Aging clinical and experimental research
|April 30, 2025
概括
双重认知任务训练显著改善了认知障碍的老年人的全球认知. 运动-认知双重任务培训独特地增强执行功能,为痴呆症患者提供有针对性的好处.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 康复科学 康复科学 康复科学
背景情况:
- 认知障碍和痴呆症影响老年人,影响日常生活.
- 研究了双重任务干预措施,以改善认知和运动功能.
研究的目的:
- 为了比较各种双重任务干预措施对认知障碍或痴呆症的老年人的有效性.
- 为不同的认知和功能领域确定最有效的双重任务策略.
主要方法:
- 32项随机对照试验 (RCT) 的系统审查和元分析,涉及2370名参与者.
- 纳入标准:60岁以上轻度认知障碍或痴呆症患者,双重任务干预.
- 使用Cochrane风险偏差工具进行质量评估;使用审查经理和统计数据进行的元分析.
主要成果:
- 双重认知任务训练对全球认知产生了最大的影响 (SUCRA=79.2%).
- 运动认知双重任务培训是唯一能显著改善执行功能的干预措施 (SMD=1.53).
- 双动力任务训练增强了身体功能 (步态,力量,平衡);双动力认知任务训练改善了日常生活活动,生活质量,并减少了抑郁症状.
结论:
- 双重认知任务培训是提高这一群体的全球认知能力的最佳方式.
- 运动-认知双重任务培训对执行功能有独特的益处,这表明它对全面认知康复的重要性.
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