Combining Stochastic Resonance Vibration With Exergaming for Motor-Cognitive Training in Long-Term Care; A Sham-Control Randomized Controlled Pilot Trial
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Physical and mental functions allow classifying older adults as "Go-Go" (independent functioning); "Slow-Go" (in need of care with a slight handicap); and "No-Go" (in need of care with severe functional limitation). The latter group exhibits reduced exercise tolerance. More recently technology-based motor-cognitive types of training services emerged as a possible training service. This study examined the use of technology including stochastic resonance whole-body vibration and Exergame-dance training for motor-cognitive training in care home dwelling adults. Seventeen older adults (10 women, 7 men, age range: 79-98) were randomly assigned to the intervention (IG, = 9) or the sham group (SG, = 8). IG performed five sets of 1-min whole-body vibration with 1-min rest in between, three times a week for the first 4 weeks of the training period with varying frequency. From weeks five to eight the Exergame-dance training was conducted after the vibration sessions. SG performed a stochastic resonance whole-body vibration training with the same terms applied, however, with a fixed frequency of 1 Hz, Noise 1. From weeks five to eight a passive trampoline-programme of 5 min was applied following the vibration sessions. Primary outcome was the Short Physical Performance Battery (SPPB). Secondary outcomes were the Trail Making Test A and B (TMT A & B) and the Falls Efficacy Scale-International (FES-I). Outcomes were measured at baseline, after 4 and 8 weeks of intervention and at follow-up (4 weeks after the intervention). The non-parametric Puri and Sen rank-order test was applied, followed by an ANOVA for repeated measures to analyse main and interaction effects. Mann-Whitney -Test was used to determine differences between the groups. The analysis showed significant effects on the SPPB total score with large effect sizes from baseline to 8 weeks (+72%, = 0.005, η = 0.423). The TMT part B displayed significant improvements with large effect sizes from baseline to 8 weeks (+17.5%, = 0.002, η = 0.779) and to follow-up (+21%, = 0.001, η = 0.827). The technology based 8-week training programme consisting of a combination of stochastic resonance whole-body vibration and Exergame-dance training showed beneficial effects on both physical and cognitive performance in older care home dwelling adults.
Ahuja G, Arenales Arauz Y, van Heuvelen M, Kortholt A, Oroszi T, van der Zee E Front Neurol. 2024; 15:1422152.
PMID: 39144715 PMC: 11323691. DOI: 10.3389/fneur.2024.1422152.
Sanudo B, Reverte-Pagola G, Seixas A, Masud T Phys Ther. 2024; 104(5).
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Rogan S, Taeymans J Front Sports Act Living. 2023; 5:1083617.
PMID: 37139302 PMC: 10149870. DOI: 10.3389/fspor.2023.1083617.
Effects of whole-body vibration training on cognitive function: A systematic review.
Wen J, Leng L, Hu M, Hou X, Huang J Front Hum Neurosci. 2023; 17:854515.
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Whole body vibration, an alternative for exercise to improve recovery from surgery?.
Oroszi T, Oberman K, Nyakas C, van Leeuwen B, van der Zee E, de Boer S Brain Behav Immun Health. 2022; 26:100521.
PMID: 36203743 PMC: 9531049. DOI: 10.1016/j.bbih.2022.100521.