دوره 10، شماره 20 - ( 9-1399 )                   جلد 10 شماره 20 صفحات 138-150 | برگشت به فهرست نسخه ها

XML English Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ramesh S, Azadian E, Majlesi M. The Comparison and Relationship between Cognitive and Motor Function in Elderly with and without Falling Experience. JRSM. 2020; 10 (20) :138-150
URL: http://jrsm.khu.ac.ir/article-1-2748-fa.html
رامش سیما، آزادیان الهه، مجلسی مهدی. مقایسه و رابطه بین عملکرد شناختی و حرکتی در سالمندان با و بدون تجربه افتادن. پژوهش در مدیریت ورزشی و رفتار حرکتی. 1399; 10 (20) :138-150

URL: http://jrsm.khu.ac.ir/article-1-2748-fa.html


1- دانشگاه آزاد اسلامی واحد همدان
2- دانشگاه آزاد اسلامی واحد همدان ، azadian1@yahoo.com
چکیده:   (83 مشاهده)
بررسی عملکرد شناختی و حرکتی در سالمندان می تواند موجب شناخت ریسک فاکتورهای مرتبط با افتادن گردد. هدف از انجام این پژوهش مقایسه و بررسی رابطه بین عملکرد شناختی و حرکتی در سالمندان با و بدون تجربه افتادن بود. 60 سالمند با و بدون تجربه افتادن به صورت داوطلبانه در این مطالعه شرکت کردند. آزمون خلاصه معاینه روانی (MMSE)، آزمون ظرفیت حافظه کاری، زمان واکنش، آزمون بازداری پاسخ، تست برگ (Berg)، آزمون تعادل تاندم، 6 دقیقه پیاده روی و اعتماد تعادل در گروه ها مورد ارزیابی قرار گرفت. برای مقایسه داده های در دو گروه، از آزمون تی تست و برای بررسی رابطه بین متغیرها و پیش بینی سقوط از ضریب همبستگی پیرسن و رگرسیون چند متغیری استفاده شد. سطح معنی داری ( 05/0>p ) در نظر گرفته شد. نتایج نشان داد سالمندان دارای تجربه افتادن در آزمون های تعادلی و شناختی عملکرد ضعیف-تری نسبت به سالمندان بدون تجربه افتادن داشتند. نتایج همبستگی و رگرسیون نشان دادند، تست برگ، تعادل تاندم، بازداری و MMSE بیشترین ارتباط را با سقوط دارند. با توجه به این نتایج، افتادن در سالمندان با ضعف در عملکرد تعادلی و همچنین زوال شناختی همراه است. سن، یکی از فاکتورهای پیش بینی کننده افتادن می باشد و تقریباً بیش از  25 درصد از عملکرد حرکتی در ارتباط با ظرفیت های شناختی می باشد.
متن کامل [PDF 1124 kb]   (6 دریافت)    
نوع مطالعه: پژوهشي | موضوع مقاله: رفتار حرکتی
دریافت: 1397/7/24 | پذیرش: 1397/8/29 | انتشار: 1399/9/10

فهرست منابع
1. 1. Wollesen B, Voelcker-Rehage C. Training effects on motor-cognitive dual-task performance in older adults. European Review of Aging and Physical Activity. 2014:1-20. [DOI:10.1007/s11556-013-0122-z]
2. Faulkner JA, Larkin LM, Claflin DR, Brooks SV. Age related changes in the structure and function of skeletal muscles. Clinical and Experimental Pharmacology and Physiology. 2007;34(11):1091-6. [DOI:10.1111/j.1440-1681.2007.04752.x]
3. Barbieri G, Gissot A-S, Pérennou D. Ageing of the postural vertical. Age. 2010;32(1):51-60. [DOI:10.1007/s11357-009-9112-5]
4. Borel L, Alescio-Lautier B. Posture and cognition in the elderly: Interaction and contribution to the rehabilitation strategies. Neurophysiologie Clinique/Clinical Neurophysiology. 2013. [DOI:10.1016/j.neucli.2013.10.129]
5. Barin K, Dodson EE. Dizziness in the elderly. Otolaryngologic Clinics of North America. 2011;44(2):437-54. [DOI:10.1016/j.otc.2011.01.013]
6. Borel L, Alescio-Lautier B. Posture and cognition in the elderly: Interaction and contribution to the rehabilitation strategies. Neurophysiologie Clinique/Clinical Neurophysiology. 2014;44(1):95-107. [DOI:10.1016/j.neucli.2013.10.129]
7. Salthouse TA. Does the level at which cognitive change occurs change with age? Psychological science. 2012;23(1):18-23. [DOI:10.1177/0956797611421615]
8. Nottoli MJ. Falls Prevention. Encyclopedia of Aging and Public Health: Springer; 2008. p. 350-1. [DOI:10.1007/978-0-387-33754-8_172]
9. Stark SL, Roe CM, Grant EA, Hollingsworth H, Benzinger TL, Fagan AM, et al. Preclinical Alzheimer disease and risk of falls. Neurology. 2013;81(5):437-43. [DOI:10.1212/WNL.0b013e31829d8599]
10. Allali G, Assal F, Kressig RW, Dubost V, Herrmann FR, Beauchet O. Impact of impaired executive function on gait stability. Dementia and geriatric cognitive disorders. 2008;26(4):364-9. [DOI:10.1159/000162358]
11. Sheridan PL, Solomont J, Kowall N, Hausdorff JM. Influence of executive function on locomotor function: divided attention increases gait variability in Alzheimer's disease. Journal of the American Geriatrics Society. 2003;51(11):1633-7. [DOI:10.1046/j.1532-5415.2003.51516.x]
12. Montero-Odasso M, Bergman H, Phillips NA, Wong CH, Sourial N, Chertkow H. Dual-tasking and gait in people with mild cognitive impairment. The effect of working memory. BMC geriatrics. 2009;9(1):41. [DOI:10.1186/1471-2318-9-41]
13. Allali G, Dubois B, Assal F, Lallart E, de Souza LC, Bertoux M, et al. Frontotemporal dementia: pathology of gait? Movement Disorders. 2010;25(6):723-9. [DOI:10.1002/mds.22927]
14. Stuss DT, Alexander MP. Executive functions and the frontal lobes: A conceptual view. Psychological Research. 2000;63(3-4):289-98. [DOI:10.1007/s004269900007]
15. Springer S, Giladi N, Peretz C, Yogev G, Simon ES, Hausdorff JM. Dual‐tasking effects on gait variability: The role of aging, falls, and executive function. Movement Disorders. 2006;21(7):950-7. [DOI:10.1002/mds.20848]
16. Hausdorff JM DG, Springer S, Yogev G, Giladi N, Simon ES. A common cognitive profile in elderly fallers and in patients with Parkinson's disease: the prominence of impaired executive function and attention. Exp Aging Res. 2006;32:411-29. [DOI:10.1080/03610730600875817]
17. Springer S, Giladi N, Peretz C, Yogev G, Simon ES, Hausdorff JM. Dual-tasking effects on gait variability: The role of aging, falls, and executive function. Movement Disorders. 2006;21(7):950-7. [DOI:10.1002/mds.20848]
18. Smith-Ray RL, Hughes SL, Prohaska TR, Little DM, Jurivich DA, Hedeker D. Impact of cognitive training on balance and gait in older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2013:gbt097. [DOI:10.1093/geronb/gbt097]
19. Mozolic JL, Long AB, Morgan AR, Rawley-Payne M, Laurienti PJ. A cognitive training intervention improves modality-specific attention in a randomized controlled trial of healthy older adults. Neurobiology of aging. 2011;32(4):655-68. [DOI:10.1016/j.neurobiolaging.2009.04.013]
20. Baddeley A. Working memory, thought, and action: Oxford University Press; 2007. [DOI:10.1093/acprof:oso/9780198528012.001.0001]
21. Wollesen B, Voelcker-Rehage C, Willer J, Zech A, Mattes K. Feasibility study of dual-task-managing training to improve gait performance of older adults. Aging clinical and experimental research. 2015:1-9. [DOI:10.1007/s40520-014-0301-4]
22. Herman T, Mirelman A, Giladi N, Schweiger A, Hausdorff JM. Executive control deficits as a prodrome to falls in healthy older adults: A prospective study linking thinking, walking, and falling. Journals of Gerontology - Series A Biological Sciences and Medical Sciences. 2010;65 A(10):1086-92. [DOI:10.1093/gerona/glq077]
23. Hausdorff JM, Yogev G, Springer S, Simon ES, Giladi N. Walking is more like catching than tapping: Gait in the elderly as a complex cognitive task. Experimental Brain Research. 2005;164(4):541-8. [DOI:10.1007/s00221-005-2280-3]
24. Yogev-Seligmann G HJ, Giladi N. The role of executive function and attention in gait. Mov Disord. 2008;23:329-42. [DOI:10.1002/mds.21720]
25. Sheridan PL, Hausdorff JM. The role of higher-level cognitive function in gait: executive dysfunction contributes to fall risk in Alzheimer's disease. Dementia and geriatric cognitive disorders. 2007;24(2):125-37. [DOI:10.1159/000105126]
26. Smith-Ray RL, Hughes SL, Prohaska TR, Little DM, Jurivich DA, Hedeker D. Impact of cognitive training on balance and gait in older adults. Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2013;70(3):357-66. [DOI:10.1093/geronb/gbt097]
27. Azadian E, Torbati HRT, Kakhki ARS, Farahpour N. The effect of dual task and executive training on pattern of gait in older adults with balance impairment: A Randomized controlled trial. Archives of gerontology and geriatrics. 2016;62:83-9. [DOI:10.1016/j.archger.2015.10.001]
28. Li KZ, Roudaia E, Lussier M, Bherer L, Leroux A, McKinley P. Benefits of cognitive dual-task training on balance performance in healthy older adults. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences. 2010;65(12):1344-52. [DOI:10.1093/gerona/glq151]
29. Azadian E, Taheri HR, Saberi Kakhki A, Farahpour N. Effects of Dual-Tasks on Spatial-Temporal Parameters of Gait in Older Adults With Impaired Balance. Iranian Journal of Ageing. 2016;11(1):100-9. [DOI:10.21859/sija-1101100]
30. Behdarvandi M. Mini-Mental State Examination. Institute of Behavioural and Cognitive Sciences, Sina. 2012.
31. Salari S, Shaeiri MR, Asghari-Moghaddam MA. Psychometric Characteristics of the Rowland Universal Dementia Assessment Scale (RUDAS) in a Sample of Iranian Elderly. Iranian Journal of Psychiatry and Clinical Psychology. 2014;20(1):74-84.
32. Remaud A, Boyas S, Caron GAR, Bilodeau M. Attentional Demands Associated With Postural Control Depend on Task Difficulty and Visual Condition. Journal of Motor Behavior. 2012;44(5):329-40. [DOI:10.1080/00222895.2012.708680]
33. de Ruiter SC, de Jonghe JF, Germans T, Ruiter JH, Jansen RW. Cognitive impairment is very common in elderly patients with syncope and unexplained falls. Journal of the American Medical Directors Association. 2017;18(5):409-13. [DOI:10.1016/j.jamda.2016.11.012]
34. Sharma S, Mueller C, Stewart R, Veronese N, Vancampfort D, Koyanagi A, et al. Predictors of falls and fractures leading to hospitalization in people with dementia: A representative cohort study. Journal of the American Medical Directors Association. 2018. [DOI:10.1016/j.jamda.2018.03.009]
35. Okubo Y, Schoene D, Lord SR. Step training improves reaction time, gait and balance and reduces falls in older people: a systematic review and meta-analysis. Br J Sports Med. 2017;51(7):586-93. [DOI:10.1136/bjsports-2015-095452]
36. Taylor ME, Lord SR, Delbaere K, Kurrle SE, Mikolaizak AS, Close JC. Reaction time and postural sway modify the effect of executive function on risk of falls in older people with mild to moderate cognitive impairment. The American Journal of Geriatric Psychiatry. 2017;25(4):397-406. [DOI:10.1016/j.jagp.2016.10.010]
37. Melzer I, Kurz I, Shahar D, Levi M, Oddsson L. Application of the voluntary step execution test to identify elderly fallers. Age and ageing. 2007;36(5):532-7. [DOI:10.1093/ageing/afm068]
38. Schoene D, Delbaere K, Lord SR. Impaired Response Selection During Stepping Predicts Falls in Older People-A Cohort Study. Journal of the American Medical Directors Association. 2017;18(8):719-25. [DOI:10.1016/j.jamda.2017.03.010]
39. jafari m, SHamshiri M. Reviewing the static and dynamic balance in predicting the risk of falls in elderly people in tehran. Journal of Nursing and Midwifery Urmia University of Medical Sciences. 2015;12(11):1045-53.
40. Adkin AL, Frank JS, Carpenter MG, Peysar GW. Fear of falling modifies anticipatory postural control. Experimental brain research. 2002;143(2):160-70. [DOI:10.1007/s00221-001-0974-8]
41. Melzer I, Benjuya N, Kaplanski J. Postural stability in the elderly: a comparison between fallers and non-fallers. Age and ageing. 2004;33(6):602-7. [DOI:10.1093/ageing/afh218]
42. Mikó I, Szerb I, Szerb A, Poor G. Effectiveness of balance training programme in reducing the frequency of falling in established osteoporotic women: a randomized controlled trial. Clinical rehabilitation. 2017;31(2):217-24. [DOI:10.1177/0269215516628616]
43. Quach L, Galica AM, Jones RN, Procter‐Gray E, Manor B, Hannan MT, et al. The nonlinear relationship between gait speed and falls: the maintenance of balance, independent living, intellect, and zest in the elderly of Boston study. Journal of the American Geriatrics Society. 2011;59(6):1069-73. [DOI:10.1111/j.1532-5415.2011.03408.x]
44. Kim JW, Eom GM, Kim CS, Kim DH, Lee JH, Park BK, et al. Sex differences in the postural sway characteristics of young and elderly subjects during quiet natural standing. Geriatrics & gerontology international. 2010;10(2):191-8. [DOI:10.1111/ggi.12453]

ارسال نظر درباره این مقاله : نام کاربری یا پست الکترونیک شما:
CAPTCHA

ارسال پیام به نویسنده مسئول


کلیه حقوق این وب سایت متعلق به پژوهش در مدیریت ورزشی و رفتار حرکتی می باشد.

طراحی و برنامه نویسی : یکتاوب افزار شرق

© 2020 All Rights Reserved | Research in Sports Management and Motor Behavior

Designed & Developed by : Yektaweb