| Online-Ressource |
Verfasst von: | Lemke, Nele [VerfasserIn]  |
| Werner, Christian [VerfasserIn]  |
| Wiloth, Stefanie [VerfasserIn]  |
| Oster, Peter [VerfasserIn]  |
| Bauer, Jürgen M. [VerfasserIn]  |
| Hauer, Klaus [VerfasserIn]  |
Titel: | Transferability and sustainability of motor-cognitive dual-task training in patients with dementia |
Titelzusatz: | a randomized controlled trial |
Verf.angabe: | Nele Christin Lemke, Christian Werner, Stefanie Wiloth, Peter Oster, Jürgen M. Bauer, Klaus Hauer |
Jahr: | 2019 |
Umfang: | 16 S. |
Fussnoten: | Published online: July 24, 2018 ; Gesehen am 19.07.2019 |
Titel Quelle: | Enthalten in: Gerontology |
Ort Quelle: | Basel [u.a.] : Karger, 1976 |
Jahr Quelle: | 2019 |
Band/Heft Quelle: | 65(2019), 1, Seite 68-83 |
ISSN Quelle: | 1423-0003 |
Abstract: | Background: Specific dual-task (DT) training is effective to improve DT performance in trained tasks in patients with dementia (PwD). However, it remains an open research question whether successfully trained DTs show a transfer effect to untrained DT performances. Objective:To examine transfer effects and the sustainability of a specific DT training in PwD. Methods:One hundred and five patients with mild-to-moderate dementia (Mini-Mental State Examination: 21.9 ± 2.8 points) participated in a 10-week randomized, controlled trial. The intervention group (IG) underwent a specific DT training (“walking and counting”). The control group (CG) performed unspecific low-intensity exercise. DT performance was measured under three conditions: (1) “walking and counting” (trained); (2) “walking and verbal fluency” (semi-trained), and (3) “strength and verbal fluency” (untrained). Outcomes evaluated at baseline, after training, and 3 months after the intervention period included absolute values for the motor and cognitive performance under DT conditions, and relative DT costs (DTCs) in motor, cognitive and combined motor-cognitive performance. <b><i>Results:The IG significantly improved DT performances in the trained condition for absolute motor and cognitive performance and for motor, cognitive, and combined motor-cognitive DTCs compared to the CG (≤ 0.001-0.047; = 0.044-0.249). Significant transfer effects were found in the semi-trained condition for absolute motor and partly cognitive performance, and for motor but not for cognitive DTCs, and only partly for combined DTCs (≤ 0.001-0.041= 0.049-0.150). No significant transfer effects were found in the untrained condition. Three months after training cessation, DT performance in the trained condition was still elevated for most of the outcomes (<i>p</i> ≤ 0.001-0.038; <i>ηp</i><sup>2</sup> = 0.058-0.187). Training gains in the DT performance in the semi-trained condition were, however, not sustained, and no significant group differences were found in the DT performance in the untrained condition after the follow-up. <b><i>Conclusion:</i></b> This study confirmed that specific DT training is effective in improving specifically trained DT performances in PwD and demonstrated sustainability of training-induced effects for at least 3 months. Effects were partially transferable to semi-trained DTs but not to untrained DTs. With increasing distance between trained and untrained DTs, transferability of training effects decreased. |
DOI: | doi:10.1159/000490852 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext: https://doi.org/10.1159/000490852 |
| Volltext: https://www.karger.com/Article/FullText/490852 |
| DOI: https://doi.org/10.1159/000490852 |
Datenträger: | Online-Ressource |
Sprache: | eng |
K10plus-PPN: | 1669515192 |
Verknüpfungen: | → Zeitschrift |
Transferability and sustainability of motor-cognitive dual-task training in patients with dementia / Lemke, Nele [VerfasserIn]; 2019 (Online-Ressource)