Can cognitive-motor training improve physical functioning and psychosocial wellbeing in nursing home residents? A randomized controlled feasibility study as part of the PROCARE project

Bischoff, Laura L.; Cordes, Thomas; Meixner, Charlotte; Schoene, Daniel; Voelcker‐Rehage, Claudia; Wollesen, Bettina

doi:10.1007/s40520-020-01615-y

Cited by 21 publications

(25 citation statements)

References 78 publications

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“…The piloting results were used to modify the tasks according to the requirements of the more vulnerable target group of nursing home residents. For example, landmarks and floor plans were printed in high contrast and large formats to prevent potential difficulties due to the visual impairments frequently occurring in nursing home residents (Bischoff et al., 2020 ). Finally, the exercises were adapted target-group-specifically in terms of frequency, intensity, time, and type (FITT principles, Garber et al, 2011 ).…”

Section: Methodsmentioning

confidence: 99%

“…However, there is evidence that even in old age brain and body plasticity remains (Erickson & Kramer, 2009 ; Moffat et al., 2006 ; Westlake & Culham, 2007 ). Therefore, implementing specific training interventions fostering mobility in nursing home residents is of major importance and can help to preserve cognitive and motor resources (Bischoff et al., 2021 ; Jansen et al., 2017 ; Demnitz et al., 2016 ; Sverdrup et al., 2018 ). Evaluations of exercise interventions indicate that especially cognitive-motor task training is beneficial to maintain or even improve cognitive and motor abilities in older age (Wollesen, Wildbredt, van Schooten, Lim, & Delbaere, 2020 a; Wollesen & Voelcker-Rehage, 2014 ).…”

Section: Introductionmentioning

confidence: 99%

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Requirements of a cognitive-motor spatial orientation training for nursing home residents: an iterative feasibility study

Fricke

Kruse

Schwenk

et al. 2021

Ger J Exerc Sport Res

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A sedentary lifestyle in nursing home residents is often accompanied with reduced life space mobility and in turn affects satisfaction with life. One of the reasons for this may be limited ability to find one’s way around the care facility and its environment. However, spatial orientation exercises might reduce these problems if they are integrated into an adequate cognitive-motor training. Therefore, we integrated six novel and target group-specific spatial orientation exercises into an established multicomponent cognitive-motor group training for nursing home residents and evaluated its feasibility. Forty nursing home residents (mean age: 87.3 ± 7 years) participated in the spatial orientation cognitive motor training (45–60 min, twice a week over a period of 12 weeks). The main outcomes included the feasibility criteria (adherence, completion time, acceptance, instructions, motor performance, materials/set up, complexity) and first measurements of mobility and satisfaction with life (SPPB [Short Physical Performance Battery], SWLS [Satisfaction with Life Scale]). Adherence increased over time. The increase was associated with the adaptions and modifications of the spatial orientation exercises that were made to meet the participants’ requirements. A positive trend was discerned for mobility and life satisfaction, comparing pre- and posttraining data. In summary, the feasibility analysis revealed that future interventions should consider that (a) instructions of demanding spatial tasks should be accompanied by an example task, (b) trainers should be encouraged to adjust task complexity and materials on an individual basis, (c) acceptance of the training should be promoted among nursing staff, and (d) surroundings with as little disturbance as possible should be selected for training.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Requirements of a cognitive-motor spatial orientation training for nursing home residents: an iterative feasibility study

Fricke

Kruse

Schwenk

et al. 2021

Ger J Exerc Sport Res

Self Cite

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“…Task management strategies were assumed to be important to enable a transfer into different, untrained situations 19 . There is also evidence suggesting that training intensity and complexity needs to be adopted to the individual disabilities of the target group 20 . Finally, patients’ clinical characteristics might impact the responsiveness to DT training effects as the cognitive profile of PD patients or the walking performance at baseline 21 .…”

Section: Introductionmentioning

confidence: 99%

A feasibility study of dual-task strategy training to improve gait performance in patients with Parkinson’s disease

Wollesen¹,

Rudnik²,

Gulberti

et al. 2021

Sci Rep

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Gait disorders in patients with Parkinson’s disease (PD) impact their mobility and self-dependence. Gait training and dual-task (DT)-training improve gait quality. This study aims to assess the feasibility of a specific, gradually intensified DT-training for PD patients with a special focus on gait performance under single task (ST) and DT conditions. Correlations to Freezing of Gait (FoG) were examined. 17 PD patients (70.1 ± 7.4 years, H&Y Stadium 2–3, FoG-Q 9.0 ± 5.5) participated in a four-week DT-training (1x/week, 60 min) with progressively increasing task difficulty and number of tasks. Gait performance (spatiotemporal parameters) was assessed during ST and DT conditions. The training improved DT gait performance, especially gait velocity + 0.11 m/s; (F(2,16) = 7.163; p = .0171; η2part = .309) and step length (+ 5.73 cm). Also, physical well-being and absolved walking distance improved significantly. Correlation analyses of the FoG score at baseline with relative change of gait metrics post-training revealed significant correlations with training-induced changes of step length and improvement of gait velocity. Overall, the developed DT-training was feasible and effective. Further studies should examine the long-term benefits and the optimal setting to achieve the highest impact. The study was registered in the DRKS (ID DRKS00018084, 23.1.20).

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“…Furthermore, training beneficially impacts strength, mobility, and ADL in long-term care home (LTCH) residents with and without dementia [ 11 , 12 , 13 , 14 , 15 ]. Training is defined as structured (frequency, intensity, time, and type (FITT)) PA targeting the preservation or enhancement of health-related components (e.g., strength, endurance, mobility, balance) [ 6 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Multicomponent Training for People with Moderate to Severe Dementia Living in a Long-Term Care Home: A Social Ethical Approach

Kruse

Cordes

Schulz

et al. 2021

IJERPH

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Multicomponent training is recommended for people with dementia living in long-term care homes. Nevertheless, evidence is limited and people with severe dementia are often excluded from trials. Hence, the aim of this study was to investigate (1) the feasibility and (2) the requirements regarding multicomponent training for people with moderate to severe dementia. The study was conducted as an uncontrolled single arm pilot study with a mixed methods approach. Fifteen nursing home residents with a mean age of 82 years (range: 75–90 years; female: 64%) with moderate to severe dementia received 16 weeks of multicomponent training. Feasibility and requirements of the training were assessed by a standardized observation protocol. Eleven participants regularly attended the intervention. The highest active participation was observed during gait exercises (64%), the lowest during strength exercises (33%). It was supportive if exercises were task-specific or related to everyday life. This study confirms that multicomponent training for the target group is (1) feasible and well accepted, and (2) to enhance active participation, individual instructions and the implementation of exercises related to everyday life is required. The effectiveness of the adapted training should be tested in future randomized controlled trials.

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Can cognitive-motor training improve physical functioning and psychosocial wellbeing in nursing home residents? A randomized controlled feasibility study as part of the PROCARE project

Cited by 21 publications

References 78 publications

Requirements of a cognitive-motor spatial orientation training for nursing home residents: an iterative feasibility study

Requirements of a cognitive-motor spatial orientation training for nursing home residents: an iterative feasibility study

A feasibility study of dual-task strategy training to improve gait performance in patients with Parkinson’s disease

Feasibility of Multicomponent Training for People with Moderate to Severe Dementia Living in a Long-Term Care Home: A Social Ethical Approach

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