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Motor-cognitive effects of a computerized game-based training method in people with dementia: a randomized controlled trial

Objectives: To examine the effects of a computerized, game-based training on motor-cognitive performances, the transfer of training effects on untrained tasks, and the sustainability of training gains in people with dementia.Method: Ninety-nine individuals with a mean age of 82.9 (5.8) and dementia...

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Main Authors: Wiloth, Stefanie (Author) , Werner, Christian (Author) , Lemke, Nele (Author) , Bauer, Jürgen M. (Author) , Hauer, Klaus (Author)
Format: Article (Journal)
Language:English
Published: 2018
In: Aging & mental health
Year: 2018, Volume: 22, Issue: 9, Pages: 1124-1135
ISSN:1364-6915
DOI:10.1080/13607863.2017.1348472
Online Access:Verlag, Volltext: http://dx.doi.org/10.1080/13607863.2017.1348472
Verlag, Volltext: https://doi.org/10.1080/13607863.2017.1348472
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Author Notes:Stefanie Wiloth, Christian Werner, Nele Christin Lemke, Jürgen Bauer & Klaus Hauer
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Summary:Objectives: To examine the effects of a computerized, game-based training on motor-cognitive performances, the transfer of training effects on untrained tasks, and the sustainability of training gains in people with dementia.Method: Ninety-nine individuals with a mean age of 82.9 (5.8) and dementia participated in a 10-week randomized controlled trial with three-month follow-up. The intervention group (IG) received a motor-cognitive training on (Physiomat®) including concurrent dual-tasks of balance control with cognitive demands (Physiomat®-Trail Making Tasks (PTMTs)). The control group (CG) performed non-specific, low-intensity exercises. Duration and accuracy at different complexity levels of trained and untrained PTMTs and the number of successfully performed tasks (PTMT score) were assessed.Results: Physiomat® training significantly improved the duration and accuracy at almost all complexity levels of trained (P ≤ 0.001-0.047, ηp2 = 0.065-0.589) and untrained PTMTs (P < 0.001-0.005, ηp2 = 0.073-0.459). Significant effects were also found for the PTMT score of trained (P < 0.001, ηp2 = 0.211) and untrained PTMTs (P < 0.001, ηp2 = 0.184). Training gains were partly sustained at follow-up.Conclusion: Physiomat® is feasible and has the potential to sustainably improve motor-cognitive performances in people with dementia.
Item Description:Published online: 06 Jul 2017
Gesehen am 25.06.2018
Physical Description:Online Resource
ISSN:1364-6915
DOI:10.1080/13607863.2017.1348472

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