Falling is a major clinical problem in elderly people, demanding effective solutions. At present, the only effective intervention is motor training of balance and strength. Executive function-based training (EFt) might be effective at preventing falls according to evidence showing a relationship between executive functions and gait abnormalities. The aim was to assess the effectiveness of a motor and a cognitive treatment developed within the EU co-funded project I-DONT-FALL.In a sample of 481 elderly people at risk of falls recruited in this multicenter randomised controlled trial, the effectiveness of a motor treatment (pure motor or mixed with EFt) of 24 one-hour sessions delivered through an i-Walker with a non-motor treatment (pure EFt or control condition) was evaluated. Similarly, a 24 one-hour session cognitive treatment (pure EFt or mixed with motor training), delivered through a touch-screen computer was compared with a non-cognitive treatment (pure motor or control condition).Motor treatment, particularly when mixed with EFt, reduced significantly fear of falling (F(1,478) = 6.786, p = 0.009) although to a limited extent (ES -0.25) restricted to the period after intervention.This study suggests the effectiveness of motor treatment empowered by EFt in reducing fear of falling.
作者:Francesco, Barban;Roberta, Annicchiarico;Matteo, Melideo;Alessia, Federici;Maria Giovanna, Lombardi;Simone, Giuli;Claudia, Ricci;Fulvia, Adriano;Ivo, Griffini;Manuel, Silvestri;Massimo, Chiusso;Sergio, Neglia;Sergio, Ari?o-Blasco;Raquel, Cuevas Perez;Yannis, Dionyssiotis;Georgios, Koumanakos;Milo, Kova?ei?;Nuria, Montero-Fernández;Oscar, Pino;Niels, Boye;Ulises, Cortés;Cristian, Barrué;Atia, Cortés;Peter, Levene;Stelios, Pantelopoulos;Roberto, Rosso;José Antonio, Serra-Rexach;Angelo Maria, Sabatini;Carlo, Caltagirone
来源:Brain sciences 2017 年 7卷 2期