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.

项目摘要最近已显示基于运动的干预措施具有保护和恢复的巨大潜力老年人的认知功能。在这种情况下，太极汽车已经获得了研究人员和临床医生的兴趣因为它将身体，认知，社会和冥想成分纳入相同的活动中。这样的预计多模式运动方式将对老年人的高管和全球认知产生积极影响功能，包括注意力控制，计划，对抑制和工作记忆的反应。因此，太极基于干预措施可以帮助研究人员和临床医生解决年龄较大的认知能力下降和痴呆症成年人。在拟议的研究中，我们将招募一小部分老年人，年龄在65-85岁之间，具有轻度认知障碍，并要求他们参加为期12周的家庭TAI CHI计划。该研究将依靠我们团队最近开发的电信系统是父母奖的一部分（＃R42AG059491）。受试者会在干预前和使用一系列测试以评估干预措施的影响时进行评估关于行政和全球认知功能，身体机能和生活质量。该电池的测试将包括，作为主要结局措施，步道制定测试（评估Tele-Tai Chi干预对认知功能）和双重任务步步时间变异性（DSTV）测试（评估Tele-Tai Chi的影响干预物理和认知功能）。此外，这些电池将包括次要结局指标，身体机能的标准评估，例如时机上和行测试，手工束力量，老年人的体育锻炼量表以及活动的特定平衡信心（ABC）问卷。与健康相关的生活质量将使用SF-12评估。抑郁症状会可以通过经过的流行病学研究 - 抑郁量表进行评估。自我报告的功能能力将通过日常生活的工具活动来评估。这些数据将被比较。干预后，以得出效应大小估计值并为未来的大规模研究提供动力。