《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2021, Vol. 27 ›› Issue (1): 37-42.doi: 10.3969/j.issn.1006-9771.2021.01.005

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Effects of Cognitive-Motor Dual Task Training on Vascular Mild Cognitive Impairment for Old Patients

ZHU Ling-ling1, CHANG Hong3, CAI Wei-xin4, SONG Hai-qing3, ZHU Yi-cheng2, SHENG Yu5   

  1. 1. Department of Nursing, Peking Union Medical College Hospital, Beijing 100730, China
    2. Department of Neurology, Peking Union Medical College Hospital, Beijing 100730, China
    3. Capital Medical University Xuanwu Hospital, Beijing 100053, China
    4. Capital Medical University Beijing Tiantan Hospital, Beijing 100070, China
    5. School of Nursing, Peking Union Medical College, Beijing 100144, China
  • Received:2020-07-06 Revised:2020-08-26 Published:2021-01-25 Online:2021-01-27
  • Contact: SHENG Yu, E-mail: shengyumm@126.com
  • Supported by:
    Peking Union Medical College of Nursing Project (No. PUMCSON201902)

Abstract: Objective To explore the effect of cognitive-motor dual task training on vascular mild cognitive impairment (VaMCI) in old patients. Methods From March to September, 2019, 76 old patients with VaMCI in three general hospitals were divided into control group (n = 38) and intervention group (n = 38). All the patients accepted health education, while the intervention group accepted cognitive-motor dual task training in addition, for three months. They were assessed with Montreal Cognitive Assessment-Beijing Version (MoCA-BJ) and Trail Making Test (TMT-A) before and after intervention, and the one-year incidence of fall before and after intervention was investigated in the intervention group. Results Two cases in the control group and three cases in the intervention group dropped down. The total score and dimension scores of MoCA-BJ were more significantly in the intervention group than in the control group after intervention (|Z| > 2.002, P < 0.05), except the dimension of naming, while the time for TMT-A was significantly less (Z = -5.949, P < 0.001). The one-year incidence of fall decreased significantly during the year after intervention (χ2 = 10.080, P < 0.01). Conclusion Cognitive-motor dual task training can improve the cognitive function of older VaMCI patients, especially for attention and executive function, and reduce the risk of fall.

Key words: vascular mild cognitive impairment, aged, dual task training, cognitive function, attention, executive function, fall

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