Presenter :JIA-HONG,DONG Advisor : Yen- Ting, Chen

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Presentation transcript:

Presenter :JIA-HONG,DONG Advisor : Yen- Ting, Chen Effect of a Kinect-based exercise game on improving executive cognitive performance in community-dwelling elderly H. Kayama, S. Nishiguchi, M. Yamada, T. Aoyama, K. Okamoto, and T. Kuroda, 7th International Conference on Pervasive Computing Technologies for Healthcare, PP. 362 ~ 365, 2013. Presenter :JIA-HONG,DONG Advisor : Yen- Ting, Chen

Outline Introduction Methods Results Discussion Conclusion

Introduction Elderly individuals Reversible Dementia disorders Degenerative Alzheimer 's disease Parkinson's disease Etc. Vascular Post-stroke vascular dementia Dementia with small vessel diseases Reversible < 5~10% 失智症: 退化性:阿茲海默、帕金森、ECT 血管性:中風後血管性失智症、小血管性失智症可治癒性:5~10%

Introduction Cognitive impairment Dual-Task (DT) Physical exercise training Balance Mobility Walking 認知功能障礙: DT:雙重任務檢驗，是指檢驗其分散注意力的表現，在同時執行兩個任務前，各個任務都會單獨先施測，執行雙重任務時比個別施測時表現所差異，阿茲海默症的人在執行單一項目時與常人無異，但是執行雙重任務時表現則會出現嚴重下降。 DT內包含物理運動訓練，經由DT 訓練可以改善認知功能障礙 DT training is now recognized as a fall prevention tool that enhances physical functions among elderly people.

Introduction Dual-Task Tai Chi (DTTC) Using Kinect Include Balance Cognitive ability 12-week program of DTTC training A total of 41 elderly individuals Training group: n = 26 Control group: n = 15 DTTC

Methods Participants Age>= 65 Independent ambulation Measurement of physical fitness Rapid Dementia Screening Test(RDST) scored 8 or greater 參與測試者刪選方式: 年齡65歲以上，可以獨立行走，經過量測體能(內包含聽力、視力、心肺功能、骨骼與肌肉疾病、摔倒的風險與相關的症狀…..) 快速失智症篩選試驗 (8分或以上)這個測驗分為兩部分，一個是關於文字組成，另一個數字的對應轉換，總測試時間只需3分鐘。

Methods Device Kinect

Methods Device 距離 KINECT 3公尺又腳在前開始訓練。

Methods Interventions Control group(CG) Training group(TG) 75-min standardized training Training group(TG) 5-min DTTC training 分組訓練控制組:75分鐘培訓會(由物理治療師進行監督，包含:有氧運動15分，力量訓練15分，10分中柔韌度訓練，10分鐘休息，力量平衡，25分鐘藝術音樂治療+) 訓練組:75分鐘培訓會，5分中的DTTC培訓。

Methods Outcome measures Trail-making test (TMT) Visual-scanning task Cognitive flexibility Verbal fluency test (VFT) TMT :分A與B部分。 VFT :語言流暢性，參與者在1分鐘內盡可能說出被要求的類別動物名稱。

Results Study population A total of 41 of the 48 selected subjects TG: n = 26, CG: n = 15 最後經過篩選有48位，但是最後完成全部課程的指有41位(85.4%) 所以整理 TG 與CG 的人數。經過比對後發現兩組基線，並無明顯的差異性。

Results

Results ΔTMT 最後經過篩選有48位，但是最後完成全部課程的指有41位(85.4%) 所以整理 TG 與CG 的人數。經過比對後發現兩組基線，並無明顯的差異性。

Discussion Using ΔTMT score significantly improved after DTTC training. DTTC training, has a positive impact on DT ability and the prevention of falling. TMT-A & B scores were not significantly improved. VFT was not significantly changed. 使用 ΔTMT分數對於 DTTC 有顯著的差異性。 DTTC TRING 再對於DT 能力與預防跌倒有積極正向力。 TMT A與B 分數沒有顯著性差異，其原因是推斷A是用來評估視覺掃描的，B則是認知靈活度，其結果反應特別是在任知功能的改善因為DTTC訓練它涉及的目標是以目標為導向的行動，和適應性行為。 VFT之所以沒有顯著性的改變是因為DTTC設計內容不包含回憶的訓練。

Discussion Limitations Interventions Health issues Not due solely to the DTTC Health issues Fall risk minimization 本研究有幾項限制: 第一、不單純只有 DTTC 的干預。第二、

Conclusion ANCOVA results of ΔTMT reveal Group x time DTTC training Statistically significant DTTC training Effective to improve Executive Cognitive Functions 主旨: 二因子變數分析對於ㄉ呦他TMT 的結果來說，是有明顯差異的。

Thank you for your attention 主旨: