Skip to main content
SpringerLink
Log in

Einfluss von computerbasiertem kognitivem Training auf Mobilität bei gesunden Älteren

Ein systematischer Review

Influence of computer-based cognitive training on mobility in healthy older adults

A systematic review

  • Übersichten
  • Published:
Zeitschrift für Gerontologie und Geriatrie Aims and scope Submit manuscript

Zusammenfassung

Hintergrund

Im Leben älterer Menschen spielt Mobilität eine wichtige Rolle. Sie ist eng verzahnt mit kognitiver Funktionalität, die mit dem Alter oft abnimmt. Zum Training kognitiver Funktionen werden zunehmend computerbasierte Verfahren genutzt.

Fragestellung

Dieses systematische Review gibt einen Überblick über die Studienlage zu Effekten von computerbasierten kognitiven Trainings (CCT) auf die Mobilität bei gesunden Älteren.

Methode

Bis Juni 2017 veröffentlichte Studien mit einer CCT-Intervention und primären Outcome-Parametern im Mobilitätsbereich (Gang, Gleichgewicht, Transferverhalten) wurden identifiziert, anhand des Evidenzgrades für Gruppendesignstudien nach Kriterien der American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) kategorisiert und qualitativ evaluiert.

Ergebnisse

Von 305 gescreenten Studien wurden 11 Studien in die Analyse eingeschlossen. Die Studienqualität war insgesamt hoch, die Studien wiesen jedoch eine hohe Heterogenität hinsichtlich der Definition und Effekte der Outcome-Parameter im Mobilitätsbereich auf. Ein durchgehend positiver Effekt von CCT auf Mobilität ließ sich nicht erkennen. Schrittlänge unter Dual-task-Bedingungen und Ganginitiation könnten durch CCT positiv beeinflusst werden.

Schlussfolgerung

Mobilitätsaspekte könnten durch CCT positiv beeinflusst weden. Zur sicheren Beurteilung bedarf es größerer hypothesengetriebener Studien mit randomisiertem Kontrolldesign.

Abstract

Background

Mobility is important and often affected in older adults. Mobility is related to cognitive function, which is associated with age-related decline. Computer-based cognitive training (CCT) is increasingly used to treat such cognitive deficits. Whether CCT also has an effect on mobility is not yet clear.

Objective

The aim of this systematic review was to identify and evaluate available intervention studies investigating the effect of CCT on mobility-related outcome parameters in healthy older adults.

Methods

Studies with CCT interventions with mobility outcome parameters (gait, balance, transfer) as primary outcomes and published up to June 2017 were categorized based on the criteria of the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) and then systematically evaluated.

Results

Out of 305 identified studies, 11 CCT studies met the inclusion criteria. The quality of these studies was generally high but definitions and effects of mobility outcome parameters were heterogeneous. The most promising mobility outcome parameters that may be influenced by CCT are step length under dual tasking conditions and gait initiation.

Conclusion

The use of CCT may have positive effects on mobility parameters. Further studies focusing on this hypothesis as the primary outcome parameter are needed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1

Literatur

  1. Blackwood J, Shubert T, Fogarty K, Chase C (2015) The impact of a home-based computerized cognitive training intervention on fall risk measure performance in community dwelling older adults, a pilot study. J Nutr Health Aging 20:138–145

    Article  Google Scholar 

  2. de Bruin ED, van het Reve E, Murer K (2013) A randomized controlled pilot study assessing the feasibility of combined motor-cognitive training and its effect on gait characteristics in the elderly. Clin Rehabil 27:215–225

    Article  PubMed  Google Scholar 

  3. Darrah J, Hickman R, O’donnell M, Vogtle L, Wiart L (2008) AACPDM methodology to develop systematic reviews of treatment interventions (revision 1.2) 2008 version the step-by-step process for authors creating an AACPDM systematic review. AACPDM, Milwaukee, S 1–30

    Google Scholar 

  4. Fraser SA, KZ-HZ-H L, Berryman N, Desjardins-Crépeau L, Lussier M, Vadaga K, Lehr L, Vu MTT, Bosquet L, Bherer L (2017) Does combined physical and cognitive training improve dual-task balance and gait outcomes in sedentary older adults? Front Hum Neurosci 10:688. https://doi.org/10.3389/fnhum.2016.00688

    Article  PubMed  PubMed Central  Google Scholar 

  5. Herman T, Mirelman A, Giladi N, Schweiger A, Hausdorff JM (2010) Executive control deficits as a prodrome to falls in healthy older adults: a prospective study linking thinking, walking, and falling. J Gerontol A Biol Sci Med Sci 65A:1086–1092

    Article  PubMed Central  Google Scholar 

  6. Hobert MA, Niebler R, Meyer SI, Brockmann K, Becker C, Huber H, Gaenslen A, Godau J, Eschweiler GW, Berg D, Maetzler W (2011) Poor trail making test performance is directly associated with altered dual task prioritization in the elderly – baseline results from the trend study. PLoS ONE 6:e27831. https://doi.org/10.1371/journal.pone.0027831

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Hsu CL, Nagamatsu LS, Davis JC, Liu-Ambrose T (2012) Examining the relationship between specific cognitive processes and falls risk in older adults: a systematic review. Osteoporos Int 23:2409–2424

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Lampit A, Hallock H, Valenzuela M (2014) Computerized cognitive training in cognitively healthy older adults: a systematic review and meta-analysis of effect modifiers. Plos Med 11:e1001756. https://doi.org/10.1371/journal.pmed.1001756

    Article  PubMed  PubMed Central  Google Scholar 

  9. Lee YM, Jang C, Bak IH, Yoon JS (2013) Effects of computer-assisted cognitive rehabilitation training on the cognition and static balance of the elderly. J Phys Ther Sci 25:1475–1477

    Article  PubMed  PubMed Central  Google Scholar 

  10. Maetzler W, Nieuwhof F, Hasmann SE, Bloem BR (2013) Emerging therapies for gait disability and balance impairment: promises and pitfalls. Mov Disord 28:1576–1586

    Article  PubMed  Google Scholar 

  11. Middleton LE, Ventura MI, Santos-Modesitt W, Poelke G, Yaffe K, Barnes DE (2017) The Mental Activity and eXercise (MAX) trial: effects on physical function and quality of life among older adults with cognitive complaints. Contemp Clin Trials. https://doi.org/10.1016/j.cct.2017.10.009

    PubMed  Google Scholar 

  12. Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 151:264–269

    Article  PubMed  Google Scholar 

  13. Muir SW, Gopaul K, Montero Odasso MM (2012) The role of cognitive impairment in fall risk among older adults: a systematic review and meta-analysis. Age Ageing 41:299–308

    Article  PubMed  Google Scholar 

  14. Padala KP, Padala PR, Lensing SY, Dennis RA, Bopp MM, Parkes CM, Garrison MK, Dubbert PM, Roberson PK, Sullivan DH (2017) Efficacy of Wii-fit on static and dynamic balance in community dwelling older veterans: a randomized controlled pilot trial. J Aging Res 2017:4653635. https://doi.org/10.1155/2017/4653635

    Article  PubMed  PubMed Central  Google Scholar 

  15. Pichierri G, Murer K, de Bruin ED (2012) A cognitive-motor intervention using a dance video game to enhance foot placement accuracy and gait under dual task conditions in older adults: a randomized controlled trial. Bmc Geriatr 12:74. https://doi.org/10.1186/1471-2318-12-74

    Article  PubMed  PubMed Central  Google Scholar 

  16. van het Reve E, de Bruin ED (2014) Strength-balance supplemented with computerized cognitive training to improve dual task gait and divided attention in older adults: a multicenter randomized-controlled trial. Bmc Geriatr 14:134. https://doi.org/10.1186/1471-2318-14-134

    Article  Google Scholar 

  17. Schoene D, Lord SR, Delbaere K, Severino C, Davies TA, Smith ST (2013) A randomized controlled pilot study of home-based step training in older people using videogame technology. PLoS ONE 8:e57734. https://doi.org/10.1371/journal.pone.0057734

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Smith-Ray RL, Hughes SL, Prohaska TR, Little DM, Jurivich DA, Hedeker D (2015) Impact of cognitive training on balance and gait in older adults. J Gerontol B Psychol Sci Soc Sci 70:357–366

    Article  PubMed  Google Scholar 

  19. Smith-Ray RL, Makowski-Woidan B, Hughes SL (2014) A randomized trial to measure the impact of a community-based cognitive training intervention on balance and gait in cognitively intact black older adults. Health Educ Behav 41:62S–69S

    Article  PubMed  PubMed Central  Google Scholar 

  20. Tabbarah M, Crimmins EM, Seeman TE (2002) The relationship between cognitive and physical performance: MacArthur Studies of Successful Aging. J Gerontol A Biol Sci Med Sci 57:M228–M235

    Article  PubMed  Google Scholar 

  21. Verghese J, LeValley A, Hall CB, Katz MJ, Ambrose AF, Lipton RB (2006) Epidemiology of gait disorders in community-residing older adults. J Am Geriatr Soc 54:255–261

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik für Neurologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 3, 24143, Kiel, Deutschland

    Johanna Geritz, Walter Maetzler & Christian Schlenstedt

Authors
  1. Johanna Geritz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Walter Maetzler
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Christian Schlenstedt
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Johanna Geritz.

Ethics declarations

Interessenkonflikt

J. Geritz, W. Maetzler und C. Schlenstedt geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Geritz, J., Maetzler, W. & Schlenstedt, C. Einfluss von computerbasiertem kognitivem Training auf Mobilität bei gesunden Älteren. Z Gerontol Geriat 51, 184–192 (2018). https://doi.org/10.1007/s00391-018-1369-9

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00391-018-1369-9

Schlüsselwörter

Keywords

Search

Navigation