有或没有认知训练的平衡物理治疗对有认知和平衡障碍的成人的影响:一项系统综述。

IF 3.5 1区 医学 Q2 GERIATRICS & GERONTOLOGY
Gulnaz Magauina, Michalis Tsoukatos, Christos Nikitas, Sofia Papadopoulou, Dimitris Kikidis, Nattawan Utoomprurkporn, Patcharaorn Limkitisupasin, Doris-Eva Bamiou
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引用次数: 0

摘要

背景:认知障碍,包括轻度认知损伤和痴呆,由于运动功能障碍和平衡缺陷而显著增加跌倒风险。尽管体育活动对预防痴呆症至关重要,但老年人经常面临平衡问题、害怕摔倒和行动不便等问题。本研究调查了平衡训练(单独或结合认知训练)对认知障碍患者功能平衡和认知表现的影响。方法:在三个电子数据库中进行了全面的文献检索,以确定同行评审的英文研究,这些研究考察了以平衡为导向的物理治疗对认知或并发认知和平衡障碍的个体的影响,无论是单独治疗还是与认知训练相结合。感兴趣的结果包括平衡和认知功能。偏倚风险由两位评论者使用rob1工具独立评估。采用RevMan软件对干预效果进行分析。结果:本系统综述发现,在24项研究中有15项单独的体育锻炼显著改善了姿势稳定性,在25项研究中有5项增强了认知功能。此外,11项研究中有7项表明,认知训练与体育锻炼的结合在改善平衡和认知方面有额外的好处。这些发现表明,这些干预措施可能对有认知障碍的老年人有益,需要进一步的研究来建立明确的结论。结论:本系统综述强调了身体平衡锻炼(通常与认知训练相结合)在改善认知障碍患者的平衡、认知功能和某些方面的生活质量方面的潜在益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of balance physical therapy with or without cognitive training in adults with cognitive and balance impairments : a systematic review.

Background: Cognitive impairments, including MCI and dementia, significantly heighten fall risk due to motor dysfunction and balance deficits. Although physical activity is essential for dementia prevention, older adults often struggle with balance issues, fear of falling, and reduced mobility. This study investigated the impact of balance training, alone or combined with cognitive exercises, on functional balance and cognitive performance in individuals with cognitive impairments.

Methods: A comprehensive literature search was conducted across three electronic databases to identify peer-reviewed studies written in English that examined the effects of balance-oriented physical therapy, either alone or in combination with cognitive training, on individuals with cognitive or concurrent cognitive and balance impairments. The outcomes of interest included balance and cognitive function. The risk of bias was evaluated independently by two reviewers using the ROB-1 tool. The effectiveness of the intervention was analyzed using RevMan software.

Results: This systematic review found that stand-alone physical exercise significantly improved postural stability in 15 out of 24 studies and enhanced cognitive function in 5 out of 25 studies. Furthermore, the integration of cognitive training alongside physical exercise demonstrated additional benefits in improving balance and cognition in 7 out of 11 studies. These findings suggest that such interventions may be beneficial for older adults with cognitive impairments, warranting further research to establish definitive conclusions.

Conclusion: This systematic review emphasizes the potential benefits of physical balance exercises, often combined with cognitive training, in improving balance, cognitive function, and certain aspects of quality of life among individuals with cognitive impairment.

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来源期刊
CiteScore
8.60
自引率
1.60%
发文量
29
审稿时长
>12 weeks
期刊介绍: European Review of Aging and Physical Activity (EURAPA) disseminates research on the biomedical and behavioural aspects of physical activity and aging. The main issues addressed by EURAPA are the impact of physical activity or exercise on cognitive, physical, and psycho-social functioning of older people, physical activity patterns in advanced age, and the relationship between physical activity and health.
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