使用功能性上肢运动任务预测轻度认知障碍和阿尔茨海默病的认知和功能下降。

Neurorehabilitation and neural repair Pub Date : 2025-03-01 Epub Date: 2024-12-30 DOI:10.1177/15459683241309591
Vincent Koppelmans, Kevin Duff, Sydney Y Schaefer
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引用次数: 0

摘要

背景:预测轻度认知障碍(MCI)和阿尔茨海默病(AD)过程中认知和功能下降的速度对于推进临床护理和研究计划至关重要。目的:本研究检查功能性上肢运动任务是否可以预测61名认知完好、35名MCI和32名AD受试者1年的认知(迷你精神状态检查[MMSE])和日常功能(快速痴呆评分系统[QDRS])变化。结果:经年龄、性别和教育程度调整后的分析显示,运动任务的表现速度和可变性显著预测了1年内MMSE和QDRS表现的变化,这些影响在大小上是小到中等的(η2 = 0.04-0.05)。结论:这些结果表明,简单的运动任务有可能评估MCI和AD的疾病进展,可用于为最有可能下降的患者提供额外的临床资源并丰富临床试验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Using a Functional Upper Limb Motor Task to Predict Cognitive and Functional Decline in Mild Cognitive Impairment and Alzheimer's Disease.

Background: Predicting the rate of cognitive and functional decline over the course of Mild Cognitive Impairment (MCI) and Alzheimer's disease (AD) is vital for advancing clinical care and research initiatives.

Objectives: The current study examined if a functional upper limb motor task could predict 1-year change in cognition (Mini Mental Status Examination [MMSE]) and daily function (Quick Dementia Rating System [QDRS]) from a sample of 61 cognitively intact, 35 MCI, and 32 AD subjects.

Results: Analyses adjusted for age, sex, and education showed that performance speed and variability on the motor task significantly predicted change in performance on the MMSE and QDRS over 1 year, and that these effects were small to medium in size (η2 = 0.04-0.05).

Conclusion: These results suggest the potential of a simple motor task to estimate disease progression in MCI and AD, which could be used to provide additional clinical resources for and enrich clinical trials with those most likely to decline.

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