Effect of a Kinect-based exercise game on improving executive cognitive performance in community-dwelling elderly: case control study

Hiroki Kayama, Kazuya Okamoto, Shu Nishiguchi, Minoru Yamada, Tomohiro Kuroda, Tomoki Aoyama, Hiroki Kayama, Kazuya Okamoto, Shu Nishiguchi, Minoru Yamada, Tomohiro Kuroda, Tomoki Aoyama

Abstract

Background: Decrease of dual-task (DT) ability is known to be one of the risk factors for falls. We developed a new game concept, Dual-Task Tai Chi (DTTC), using Microsoft's motion-capture device Kinect, and demonstrated that the DTTC test can quantitatively evaluate various functions that are known risk factors for falling in elderly adults. Moreover, DT training has been attracting attention as a way to improve balance and DT ability. However, only a few studies have reported that it improves cognitive performance.

Objective: The purpose of this study was to demonstrate whether or not a 12-week program of DTTC training would effectively improve cognitive functions.

Methods: This study examined cognitive functions in community-dwelling older adults before and after 12 weeks of DTTC training (training group [TG]) or standardized training (control group [CG]). Primary end points were based on the difference in cognitive functions between the TG and the CG. Cognitive functions were evaluated using the trail-making test (part A and part B) and verbal fluency test.

Results: A total of 41 elderly individuals (TG: n=26, CG: n=15) participated in this study and their cognitive functions were assessed before and after DTTC training. Significant differences were observed between the two groups with significant group × time interactions for the executive cognitive function measure, the delta-trail-making test (part B-part A; F1,36=4.94, P=.03; TG: pre mean 48.8 [SD 43.9], post mean 42.2 [SD 29.0]; CG: pre mean 49.5 [SD 51.8], post mean 64.9 [SD 54.7]).

Conclusions: The results suggest that DTTC training is effective for improving executive cognitive functions.

Trial registration: Japan Medical Association Clinical Trial Registration Number: JMA-IIA00092; https://dbcentre3.jmacct.med.or.jp/jmactr/App/JMACTRS06/JMACTRS06.aspx?seqno=2682 (Archived by WebCite at http://www.webcitation.org/6NRtOkZFh).

Keywords: cognitive function; dual-task; elderly; fall prevention; training.

Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
View of the Dual-Task Tai Chi (DTTC) test.

References

    1. Kueider AM, Parisi JM, Gross AL, Rebok GW. Computerized cognitive training with older adults: a systematic review. PLoS One. 2012;7(7):e40588. doi: 10.1371/journal.pone.0040588.
    1. Kamegaya T, Long-Term-Care Prevention Team of Maebashi City. Maki Y, Yamagami T, Yamaguchi T, Murai T, Yamaguchi H. Pleasant physical exercise program for prevention of cognitive decline in community-dwelling elderly with subjective memory complaints. Geriatr Gerontol Int. 2012 Oct;12(4):673–9. doi: 10.1111/j.1447-0594.2012.00840.x.
    1. Kramer A, Hahn S, Cohen N, Banich M, McAuley E, Harrison C, Chason J, Vakil E, Bardell L, Boileau R, Colcombe A. Ageing, Fitness and Neurocognitive Function. Nature. 1999;400:418–419. doi: 10.1038/22682.
    1. Hillman CH, Erickson KI, Kramer AF. Be smart, exercise your heart: exercise effects on brain and cognition. Nat Rev Neurosci. 2008 Jan;9(1):58–65. doi: 10.1038/nrn2298.
    1. Silsupadol P, Shumway-Cook A, Lugade V, van Donkelaar P, Chou LS, Mayr U, Woollacott MH. Effects of single-task versus dual-task training on balance performance in older adults: a double-blind, randomized controlled trial. Arch Phys Med Rehabil. 2009 Mar;90(3):381–7. doi: 10.1016/j.apmr.2008.09.559.
    1. Lundin-Olsson L, Nyberg L, Gustafson Y. Attention, frailty, and falls: the effect of a manual task on basic mobility. J Am Geriatr Soc. 1998 Jun;46(6):758–61.
    1. Yamada M, Aoyama T, Arai H, Nagai K, Tanaka B, Uemura K, Mori S, Ichihashi N. Dual-task walk is a reliable predictor of falls in robust elderly adults. J Am Geriatr Soc. 2011 Jan;59(1):163–4. doi: 10.1111/j.1532-5415.2010.03206.x.
    1. Okamoto H, Kayama M, Yamada M. The development of a system for the assessment of a dual-task performance based on a motion-capture device. 9th International Conference on Disability, Virtual Reality & Associated Technologies; Sept 10 - 12, 2012; Laval, France. 2012. p. 483.
    1. Kayama H, Okamoto K, Nishiguchi S, Nagai K, Yamada M, Aoyama T. Concept software based on Kinect for assessing dual-task ability of elderly people. Games for Health Journal. 2012 Oct;1(5):348–352. doi: 10.1089/g4h.2012.0019.
    1. Kayama H, Okamoto K, Nishiguchi S, Yukutake T, Tanigawa T, Nagai K, Yamada M, Aoyama T. Efficacy of an exercise game based on Kinect in improving physical performances of fall risk factors in community-dwelling older adults. Games for Health Journal. 2013 Aug;2(4):247–252. doi: 10.1089/g4h.2013.0006.
    1. Yamada M, Tanaka B, Nagai K, Aoyama T, Ichihashi N. Rhythmic stepping exercise under cognitive conditions improves fall risk factors in community-dwelling older adults: Preliminary results of a cluster-randomized controlled trial. Aging Ment Health. 2011 Jul 1;15(5):647–53. doi: 10.1080/13607863.2010.551341.
    1. Melzer I, Oddsson LIe. Improving balance control and self-reported lower extremity function in community-dwelling older adults: a randomized control trial. Clin Rehabil. 2013 Mar;27(3):195–206. doi: 10.1177/0269215512450295.
    1. Yamada M, Tanaka B, Nagai K, Aoyama T, Ichihashi N. Trail-walking exercise and fall risk factors in community-dwelling older adults: preliminary results of a randomized controlled trial. J Am Geriatr Soc. 2010 Oct;58(10):1946–51. doi: 10.1111/j.1532-5415.2010.03059.x.
    1. Kalbe E, Calabrese P, Schwalen S, Kessler J. The Rapid Dementia Screening Test (RDST): a new economical tool for detecting possible patients with dementia. Dement Geriatr Cogn Disord. 2003;16(4):193–9.
    1. Buchner DM, Cress ME, de Lateur BJ, Esselman PC, Margherita AJ, Price R, Wagner EH. The effect of strength and endurance training on gait, balance, fall risk, and health services use in community-living older adults. J Gerontol A Biol Sci Med Sci. 1997 Jul;52(4):M218–24.
    1. Gardner M, Robertson M, Campbell A. Exercise in preventing falls and fall related injuries in older people: a review of randomised controlled trials. Br J Sports Med. 2000 Feb;34(1):7–17. doi: 10.1136/bjsm.34.1.7.
    1. War Department Adjutant General’s Office . Army Individual Test Battery. Washington DC: War Department; 1944. Manual of directions and scoring.
    1. Benton AL. Differential behavioral effects in frontal lobe disease. Neuropsychologia. 1968 Mar;6(1):53–60. doi: 10.1016/0028-3932(68)90038-9.
    1. Nemoto T, Kashima H, Mizuno M. Contribution of divergent thinking to community functioning in schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry. 2007 Mar 30;31(2):517–24. doi: 10.1016/j.pnpbp.2006.12.001.
    1. Mirelman A, Herman T, Brozgol M, Dorfman M, Sprecher E, Schweiger A, Giladi N, Hausdorff JM. Executive function and falls in older adults: new findings from a five-year prospective study link fall risk to cognition. PLoS One. 2012;7(6):e40297. doi: 10.1371/journal.pone.0040297.
    1. Lezak MD, Howieson DB, Bigler ED, Tranel DD. Neuropsychological Assessment. New York: Oxford University Press, USA; 2004.
    1. Corrigan JD, Hinkeldey NS. Relationships between parts A and B of the Trail Making Test. J Clin Psychol. 1987 Jul;43(4):402–9.
    1. Jorgensen MG, Laessoe U, Hendriksen C, Nielsen OB, Aagaard P. Efficacy of Nintendo Wii training on mechanical leg muscle function and postural balance in community-dwelling older adults: a randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2013 Jul;68(7):845–52. doi: 10.1093/gerona/gls222.
    1. Sullivan B, Harding AG, Dingley J, Gras LZ. Improvements in dynamic balance using an adaptive snowboard with the Nintendo Wii. Games for Health Journal. 2012 Aug;1(4):269–273. doi: 10.1089/g4h.2012.0006.
    1. Schoene D, Lord SR, Delbaere K, Severino C, Davies TA, Smith ST. A randomized controlled pilot study of home-based step training in older people using videogame technology. PLoS One. 2013;8(3):e57734. doi: 10.1371/journal.pone.0057734.

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