Vol. 14 nº 2 - Apr/May/Jun de 2020
Original Article Páginas: 118 a 127

Action observation combined with gait training to improve gait and cognition in elderly with mild cognitive impairment: a randomized controlled trial

Authors Rommanee Rojasavastera1,2; Sunee Bovonsunthonchai1,2; Vimonwan Hiengkaew1; Vorapun Senanarong3

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keywords: action observation, cognition, gait, gait training, mild cognitive impairment

ABSTRACT:
Owing to advancement of medical technology and current knowledge, the population has a longer life expectancy, leading to an increase in the proportion of elderly.
OBJECTIVE: The study aimed to investigate the effect of action observation (AO) combined with gait training on gait and cognition in elderly with mild cognitive impairment (MCI).
METHODS: Thirty-three participants were randomly allocated to action observation with gait training (AOGT), gait training (GT), and control (CT) groups. The AOGT and GT groups received a program of observation and gait training protocol with the same total duration of 65 min for 12 sessions. For the observation, the AGOT group watched a video of normal gait movement, while the GT group watched an abstract picture and the CT group received no training program. All participants were assessed for gait parameters during single- and dual-tasks using an electronic gait mat system and were assessed for cognitive level using the Montreal Cognitive Assessment (MoCA) at baseline, after training and at 1-month follow-up.
RESULTS: The results showed that the AOGT group had significant improvements in gait speeds during single- and dual-tasks, as well as better MoCA score, while the GT group had significant improvement only in gait speed.
CONCLUSION: The adjunct treatment of AO with gait training provides greater benefits for both gait and cognitive performances in elderly with MCI.

 

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