A Mobile Tai Chi Platform for Fall Prevention in Older Adults

用于老年人预防跌倒的移动太极拳平台

基本信息

批准号：
10287865
负责人：
Paolo Bonato
金额：
$ 31.1万
依托单位：
BIOSENSICS, LLC
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-09-15 至 2023-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10287865
关键词：
Activities of Daily Living Address Adherence Adult Age-Years Age-associated memory impairment Alzheimer&apos s Disease Award Boston Centers for Disease Control and Prevention (U.S.)Clinical Cognition Cognitive Communities Data Dementia Development Early Intervention Educational Intervention Elderly Epidemic Equilibrium Evaluation Executive Dysfunction Exercise Fall prevention Funding Future Gait Gait speed Goals Health Home Impaired cognition Impairment Intervention Learning Literature Measures Meditation Mental Depression Meta-Analysis Mind-Body Intervention Monitor Motor Older Population Outcome Outcome Measure Parents Patient Self-Report Patient-Focused Outcomes Phase Physical Function Physical activity scale Physical assessment Pilot Projects Population Process Quality of life Questionnaires Reporting Research Personnel Respondent Review Literature SF-12 Safety Short-Term Memory Surveys System Tai Ji Testing Time Trail Making Test Training Training Programs age related attentional control base body-mind cognitive function cognitive skill cognitive training cohort cost dementia risk depressive symptoms design effectiveness trial epidemiology study executive function exercise intervention exercise program fall risk falls functional independence functional outcomes health related quality of life instrumental activity of daily living interest medical schools mild cognitive impairment mode of exercise multimodality post intervention preservation primary outcome programs recruit response restoration secondary outcome social telehealth systems

项目摘要

Project Summary Exercise-based interventions have been recently shown to have great potential for preserving and restoring cognitive function in older adults. In this context, Tai Chi has gained the interest of researchers and clinicians because it incorporates physical, cognitive, social, and meditative components within the same activity. Such multimodal exercise modality is expected to have a positive effect on older adults’ executive and global cognitive function, including attentional control, planning, response to inhibition, and working memory. Hence, Tai Chi- based interventions could help researchers and clinicians to address cognitive decline and dementia in older adults. In the proposed study, we will recruit a small cohort of older adults, 65-85 years of age, with mild cognitive impairments, and ask them to participate in a 12-week home-based Tai Chi program. The study will rely on a tele-health system that our team recently developed as part of the parent award (#R42AG059491). Subjects will be evaluated pre- and post-intervention using a battery of tests chosen to assess the impact of the intervention on executive and global cognitive function, physical function, and quality of life. This battery of tests will include, as primary outcome measures, the Trail Making Test (to assess the impact of the tele-Tai Chi intervention on cognitive function) and the Dual task Stride Time Variability (DSTV) test (to assess the impact of the tele-Tai Chi intervention on combined physical and cognitive function). In addition, this battery of tests will include, as secondary outcome measures, standard assessments of physical function such as the Timed Up-and-Go test, handgrip strength, the Physical Activity Scale for the Elderly, and the Activities Specific Balance Confidence (ABC) questionnaire. Health-related quality-of-life will be assessed using the SF-12. Depressive symptoms will be assessed with the Center of Epidemiology Studies-Depression Scale Revised. Self-reported functional capacity will be assessed with the Instrumental Activities of Daily Living. These data will be compared pre- vs. post-intervention to derive effect size estimates and power a future, larger scale study.

项目概要最近表明，基于运动的干预措施对于维护和恢复具有巨大潜力。在这种背景下，太极拳引起了研究人员和忠实拥护者的兴趣。因为它在同一活动中融合了身体、认知、社交和冥想成分。多模式运动方式预计将对老年人的执行力和整体认知产生积极影响功能，包括注意力控制、计划、抑制反应和工作记忆。基于干预措施可以帮助研究人员解决老年人的衰退和痴呆问题在拟议的研究中，我们将招募一小群 65-85 岁、具有轻度认知能力的老年人。并要求他们参加为期 12 周的家庭太极拳项目。该研究将依赖于一项研究。我们的团队最近开发的远程医疗系统，作为家长奖励的一部分（#R42AG059491）。使用一系列测试来评估干预前和干预后的影响这一系列测试将包括：执行和整体认知功能、身体功能和生活质量。作为主要结果衡量标准，轨迹制作测试（用于评估远程太极拳干预对认知功能）和双任务步幅时间变异性（DSTV）测试（以评估远程太极拳的影响此外，这一系列测试将包括：次要结果测量、身体机能的标准评估，例如定时起立测试，握力、老年人体力活动量表、活动特定平衡信心 (ABC) 健康相关生活质量将使用 SF-12 进行评估。使用流行病学研究中心抑郁量表修订版进行评估。将通过工具性日常生活活动来评估这些能力，并将这些数据进行比较之前和之后。干预后得出效果大小估计并为未来更大规模的研究提供动力。