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Effects of Motor Learning Interventions on Walking Performance and Physical Function in Older Adults With Cognitive Impairment and Dementia: A Systematic Review and Meta-Analysis
Journal of Aging and Physical Activity ( IF 1.5 ) Pub Date : 2022-08-18 , DOI: 10.1123/japa.2021-0442
Mohsen Shafizadeh 1 , Nicolas Farina 2 , Shahab Parvonpour 3
Affiliation  

Older adults with cognitive impairment have deficits in executive systems that affect their gait automaticity. The aim of the meta-analysis and systematic review was to examine the effects of interventions focus on only motor learning principles on gait performance and physical functions (e.g., dynamic balance). After inspections of 879 articles, 11 relevant studies were selected for systematic review and meta-analysis. The PEDro scale and Modified Downs and Black checklist were used to assess the quality of studies, and a random-effect model was used at a 95% confidence interval for calculating pooled effect sizes. The results of this systematic review and meta-analysis showed that motor learning interventions increased gait speed, cadence, stride length, and reduced gait cognitive cost but did not affect gait variability and physical function. In conclusion, practitioners should pay attention more to the potential benefits of motor learning interventions in rehabilitating older adults with cognitive impairment.



中文翻译:

运动学习干预对认知障碍和痴呆老年人步行表现和身体功能的影响:系统回顾和荟萃分析

患有认知障碍的老年人的执行系统存在缺陷,这会影响他们的步态自动化。荟萃分析和系统评价的目的是检查仅关注运动学习原则的干预措施对步态表现和身体功能(例如,动态平衡)的影响。在检查了 879 篇文章后,选择了 11 篇相关研究进行系统回顾和荟萃分析。PEDro 量表和改良的 Downs and Black 检查表用于评估研究的质量,并使用随机效应模型以 95% 的置信区间计算合并效应量。该系统回顾和荟萃分析的结果表明,运动学习干预提高了步态速度、节奏、步幅,并降低了步态认知成本,但不影响步态变异性和身体功能。

更新日期:2022-08-18
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