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Age and attentional focus instructions effects on postural and supra-postural tasks among older adults with mild cognitive impairments

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Abstract

Objective

The purpose of this study was to investigate the age and attentional focus instruction effects on the postural and supra-postural tasks among older adults with mild cognitive impairments.

Method

Forty healthy adults (mean age of 48.01 ± 5.45 years) and 40 older adults with mild cognitive impairments (mean age of 69.87 ± 4.28 years) were selected as participants. They were randomly divided into eight groups receiving internal and external attentional focus instructions for postural and supra-postural tasks. The postural status was evaluated by measuring the COP sway velocity with the Master Balance System.

Results

The results showed that in both phases of acquisition and retention, the main effect of the attentional focus type was significant (P < 0.05). The group’s postural control with external attentional instructions was better than the group’s postural control with internal attentional instructions. Furthermore, the CI elderly gained benefit from the guidelines of attentional focus. Results showed that the task type was not significant in the acquisition phase. However, in the retention phase, the main effect of the attentional focus type was significant. The groups’ postural function with the supra-postural task was better than the groups with the postural task. Furthermore, the older adults showed a better postural function in the supra-postural task than in the postural task.

Conclusions

Our results showed that the ability to allocate resources of attention may decrease with CI. These findings suggest that considering the effect of the supra-postural tasks’ manipulation on postural control, it is possible to improve balance by designing training programs for directing supra-postural tasks. The findings of the present study can be a guide for educators and therapists. They can increase the balance of the patients by considering the dysfunction and the type of attentional guidelines to prevent them from falling and performing a dual task.

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References

  1. Bohlke K, Zhu X, Sparto PJ, Redfern MS, Rosano C, Sejdic E, Rosso AL (2021) The effect of a verbal cognitive task on postural sway does not persist when the task is over. Sensors 21:8428. https://doi.org/10.3390/s21248428

    Article  PubMed  PubMed Central  Google Scholar 

  2. Montine TJ, Bukhari SA, White LR (2021) Cognitive Impairment in Older Adults and Therapeutic Strategies. Pharmacol Rev 73(1):152–162. https://doi.org/10.1124/pharmrev.120.000031

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Borson S (2010) Cognition, aging, and disabilities: conceptual issues. Phys Med Rehabil Clin N Am 21(2):375–382. https://doi.org/10.1016/j.pmr.2010.01.001

    Article  PubMed  PubMed Central  Google Scholar 

  4. Shams A, Dehkordi PS, Tahmasbi F, Sangari M (2020) Are attentional instruction and feedback type affect on learning of postural and supra-postural tasks? Neurol Sci 41:1773–1779. https://doi.org/10.1007/s10072-020-04278-9

    Article  PubMed  Google Scholar 

  5. Nascimbeni A, Caruso S, Salatino A, Carenza M, Rigano M, Raviolo A, Ricci R (2015) Dual task-related gait changes in patients with mild cognitive impairment. Funct Neurol. 30(1):59–65

    PubMed  PubMed Central  Google Scholar 

  6. Pereira Oliva HN, Mansur Machado FS, Rodrigues VD, Leão LL, Monteiro-Júnior RS (2020) The effect of dual-task training on cognition of people with different clinical conditions: An overview of systematic reviews. IBRO Rep 1(9):24–31. https://doi.org/10.1016/j.ibror.2020.06.005

    Article  Google Scholar 

  7. Yu SH, Huang CY (2017) Improving posture-motor dual-task with a supraposture-focus strategy in young and elderly adults. PLoS ONE 12(2):e0170687. https://doi.org/10.1371/journal.pone.0170687

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Schaefer S (2014) The ecological approach to cognitive±motor dual-tasking: findings on the effects of expertise and age. Front Psychol 5:1–12. https://doi.org/10.3389/fpsyg.2014.01167

    Article  Google Scholar 

  9. Ghai S, Ghai I, Effenberg AO (2017) Effects of dual tasks and dual-task training on postural stability: a systematic review and meta-analysis. Clin Interv Aging 12:557–577. https://doi.org/10.2147/CIA.S125201

    Article  PubMed  PubMed Central  Google Scholar 

  10. Martino Cinnera A, Bisirri A, Leone E, Morone G, Gaeta A (2021) Effect of dual-task training on balance in patients with multiple sclerosis: A systematic review and meta-analysis. Clin Rehabil 35(10):1399–1412. https://doi.org/10.1177/02692155211010372

    Article  PubMed  Google Scholar 

  11. Labanca L, Iovine R, Bragonzoni L, Barone G, Farella GM, Benedetti MG (2020) Instrumented platforms for balance and proprioceptive assessment in patients with total knee replacement: A systematic review and meta-analysis. Gait Posture 81:230–240. https://doi.org/10.1016/j.gaitpost.2020.07.080

    Article  CAS  PubMed  Google Scholar 

  12. Shams A, Vameghi R, Shamsipour Dehkordi P, Allafan N, Bayati M (2020) The development of postural control among children: Repeatability and normative data for computerized dynamic posturography system. Gait Posture 78:40–47. https://doi.org/10.1016/j.gaitpost.2020.03.002

    Article  PubMed  Google Scholar 

  13. Zhang C, Zhang H, Zhao M et al (2022) Psychometric properties and modification of the 15-item geriatric depression scale among Chinese oldest-old and centenarians: a mixed-methods study. BMC Geriatr 22:144. https://doi.org/10.1186/s12877-022-02833-x

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Park MH, Kwon DY, Jung JM, Han C, Jo I, Jo SA (2013) Mini-mental status examination as predictors of mortality in the elderly. Acta Psychiatr Scand 127:298–304. https://doi.org/10.1111/j.1600-0447.2012.01918.x

    Article  CAS  PubMed  Google Scholar 

  15. Pessoa RMP, Bomfim AJL, Ferreira BLC, Chagas MHN (2019) Diagnostic criteria and prevalence of mild cognitive impairment in older adults living in the community: a systematic review and meta-analysis. Arch Clin Psychiatry 46(3):72–79. https://doi.org/10.1590/0101-60830000000197

    Article  Google Scholar 

  16. Polskaia N, Richer N, Dionne E, Lajoie Y (2015) Continuous cognitive task promotes greater postural stability than an internal or external. Gait Posture 41(2):454–458. https://doi.org/10.1016/j.gaitpost.2014.11.009

    Article  PubMed  Google Scholar 

  17. Wulf G, Weigelt M, Poulter DR, McNevin NH (2003) Attentional focus on supra-postural tasks affects balance learning. Quarterly Journal of Experimental Psychology 86:1191–1211. https://doi.org/10.1080/02724980343000062

    Article  Google Scholar 

  18. Chiviacowsky S, Wulf G, Wally R (2010) An external focus of attention enhances balance learning in older adults. Gait Posture 32(4):572–575. https://doi.org/10.1016/j.gaitpost.2010.08.004

    Article  PubMed  Google Scholar 

  19. Eikema DA, Hatzitaki V, Tzovaras D, Papaxanthis C (2014) Application of intermittent galvanic vestibular stimulation reveals age-related constraints in the multisensory reweighting of posture. Neuroscience Letter 561:112–117. https://doi.org/10.1016/j.neulet.2013.12.048

    Article  CAS  Google Scholar 

  20. Hsu WL, Chou LS, Woollacott M (2013) Age-related changes in joint coordination during balance recovery. Age (Dordr) 35(4):1299–1309. https://doi.org/10.1007/s11357-012-9422-x

    Article  Google Scholar 

  21. Huang CY, Chang GC, Tsai YY, Hwang IS (2016) An Increase in postural load facilitates an anterior shift of processing resources to frontal executive function in a postural-suprapostural task. Front Hum Neurosci 10(420):1–16. https://doi.org/10.3389/fnhum.2016.00420

    Article  Google Scholar 

  22. Lin SI, Liao CF (2011) Age-related changes in the performance of forward reach. Gait Posture 33:18–22. https://doi.org/10.1016/j.gaitpost.2010.09.013

    Article  CAS  PubMed  Google Scholar 

  23. Boisgontier MP, Beets IAM, Duysens J, Nieuwboer A, Krampe RT, Swinnen SP (2013) Age-related differences in attentional cost associated with postural dual tasks: Increased recruitment of generic cognitive resources in older adults. Neurosci Biobehav Rev 37:1824–1837. https://doi.org/10.1016/j.neubiorev.07.014

    Article  PubMed  Google Scholar 

  24. Bazrafkan F, Hassani MA, Moghadam M (2012) Recourse allocation in young and elderly adults. Iran Rehabil J 10(3):54–59

    Google Scholar 

  25. Vidal A, Wu W, Nakajima M, Becker J (2018) Investigating the constrained action hypothesis: a movement coordination and coordination variability approach. J Mot Behav 50(5):528–537. https://doi.org/10.1080/00222895.2017.1371111

    Article  PubMed  Google Scholar 

  26. Ting-Ting Y, Cinelli ME, Lyons J, Lee TD (2016) Using a manipulation check to uncover age-related difference in focus of attention instruction during a balance task. Exp Aging Res 42(3):307–313. https://doi.org/10.1080/0361073X.2016.1156977

    Article  Google Scholar 

  27. Mitra S, Fraizer EV (2004) Effects of explicit sway-minimization on postural-suprapostural dual-task performance. Hum Mov Sci 23:1–20. https://doi.org/10.1016/j.humov.03

    Article  PubMed  Google Scholar 

  28. Stoffregen TA, Pagulayan RJ, Bardy BB, Hettinger LJ (2000) Modulating postural control to facilitate visual performance. Hum Mov Sci 19(2):203–220. https://doi.org/10.1016/S0167-9457(00)00009-9

    Article  Google Scholar 

  29. Shumway-Cook A, Woollacott M, Kerns KA, Baldwin M (1997) The effects of two types of cognitive tasks on postural stability in older adults with and without a history of falls. J Gerontol A Biol Sci Med Sci 52(4):M232–M240. https://doi.org/10.1093/gerona/52a.4.m232

    Article  CAS  PubMed  Google Scholar 

  30. Zhao J, Li H, Lin R, Wei Y, Yang A (2018) Effects of creative expression therapy for older adults with mild cognitive impairment at risk of Alzheimer’s disease: a randomized controlled clinical trial. Clin Interv Aging 24(13):1313–1320. https://doi.org/10.2147/CIA.S161861

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Physical Education, Chalous Branch, Islamic Azad University, Mazandaran, Iran

    Mandana Sangari

  2. Department of Motor Behavior, Faculty of Sport Sciences, Alzahra University, Tehran, Iran

    Parvaneh Shamsipour Dehkordi

  3. Department of Motor Behavior, Sport Science Research Institute of Iran, Tehran, Iran

    Amir Shams

Authors
  1. Mandana Sangari
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  2. Parvaneh Shamsipour Dehkordi
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  3. Amir Shams
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Corresponding author

Correspondence to Parvaneh Shamsipour Dehkordi.

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This study was conducted in accordance with the Helsinki Declaration.

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Sangari, M., Dehkordi, P.S. & Shams, A. Age and attentional focus instructions effects on postural and supra-postural tasks among older adults with mild cognitive impairments. Neurol Sci 43, 6795–6801 (2022). https://doi.org/10.1007/s10072-022-06355-7

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  • DOI: https://doi.org/10.1007/s10072-022-06355-7

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