Cognitive training interventions for dementia and mild cognitive impairment in Parkinson’s Disease

Orgeta, Vasiliki; McDonald, Kathryn; Poliakoff, Ellen; Hindle, John V.; Clare, Linda; Leroi, Iracema

doi:10.1002/14651858.cd011961

Cited by 11 publications

(10 citation statements)

References 94 publications

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“…Cognitive training therapies included in this review are divided into two commonly accepted types (Bahar-Fuchs et al, 2013; Orgeta et al, 2015): (a) cognitive stimulation therapy (CST) and (b) brain training activities (BTA).…”

Section: Resultsmentioning

confidence: 99%

Mindfulness and cognitive training interventions that address intersecting cognitive and aging needs of older adults

Eaton,

Rourke,

Craig

et al. 2023

Journal of Social Work

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Summary Mindfulness and cognitive training interventions are promising models to address impacts (e.g., anxiety and stress) of cognitive impairment among older adults. Combining strategies may yield better outcomes than models offered in isolation. However, there are numerous uncertainties about these interventions, potential for combination, and implementation. Social workers are well placed to offer these interventions. Findings From an initial search of 3,538 records, 13 studies were included in the final review. Mindfulness studies focused on stress reduction or cognitive behavioral therapy. Cognitive training studies applied stimulation or activity approaches. Results indicate that the field is still emerging, as most studies were pilot or feasibility trials. A combination of mindfulness-based stress reduction and brain training activities may offer the most promising model for older adults with cognitive impairment, based on outcome assessments and other factors. A common limitation among the reports was detailed on engaging older adults with cognitive challenges in the design and implementation of these interventions. Applications This realist review deepens the understanding of how, why, for whom, and in what circumstances a combination of mindfulness and cognitive training could be most successful for social workers to address intersecting cognitive and aging needs of older adults. Building evidence on combining mindfulness-based stress reduction and brain training activities among older adults with cognitive impairment could yield promising results, and this review identifies implementation considerations. The review also found a need for psychometric scale development on the benefits of brain training activities.

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Section: Resultsmentioning

confidence: 99%

Mindfulness and cognitive training interventions that address intersecting cognitive and aging needs of older adults

Eaton,

Rourke,

Craig

et al. 2023

Journal of Social Work

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“…Seven reviews [4, 13‒18] used 76 articles, and 30 met the inclusion criteria [19‒48] (Table 1). The 30 articles examined 18 of the 38 items in Dodd’s outcome categories, while 20 items were not examined, and 78 different survey methods were used.…”

Section: Resultsmentioning

confidence: 99%

The Assessments of Music Therapy for Dementia Based on the Cochrane Review

Abe

Tabei

Satoh

2022

Dement Geriatr Cogn Disord Extra

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Background: Research on music therapy for dementia has taken a variety of measures and has been slow to consolidate evidence. Examining the outcomes that are currently being investigated and the measures that have been used can be useful for future research on music therapy for dementia. Objectives: This study used cited original papers from a review in the Cochrane Database of Systematic Reviews to determine if there are items that should be measured or scales that should be used in conducting research on music therapy for dementia. The rating scales used and the outcomes examined were extracted. Method: We used Dodd’s criteria to identify (1) the outcome domains examined in music therapy for dementia, (2) the measures used, and (3) the measures capable of detecting significant intervention effects. Result: A search for reviews was conducted, and 7 systematic reviews (78 articles) were identified. Among them, 30 articles met the inclusion criteria. The 30 articles examined 18 of the 38 items in Dodd’s outcome categories, while 20 items were not examined, and 78 different survey methods were used. The items most frequently surveyed in the studies were psychiatric outcomes, cognitive functioning, and global quality of life general outcomes. Conclusions: We found that many studies investigated cognitive function, behavioral and psychological symptoms of dementia (BPSD), and quality of life; compared to BPSD, various types of rating scales were used for cognitive function. By standardizing the rating scales, we can contribute to the accumulation of evidence for music therapy for dementia.

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“…While motor symptoms are the hallmark of PD, the presence of cognitive deficits is a well-established non-motor impairment ( Meireles and Massano, 2012 ) that worsens with disease duration ( Dubois et al, 2007 ) and may appear prior to the onset of motor symptoms ( Pont-Sunyer et al, 2015 ). Cognitive training in PD has also shown specific benefits for targeted areas of treatment, including global cognition, attention, and verbal memory ( Orgeta et al, 2020 ). The vast majority of these studies isolated cognition from motor impairments but there is recent work addressing both movement and cognition through enriched environment ( Wang et al, 2021 ) and dual task training (for review, see De Freitas TB MS et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Immersive Technology for Cognitive-Motor Training in Parkinson’s Disease

Lau

Regis

Burke

et al. 2022

Front. Hum. Neurosci.

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Background: Parkinson’s disease (PD) is a neurodegenerative disease in which the progressive loss of dopaminergic neurons (DA) leads to initially sporadic and eventually widespread damage of the nervous system resulting in significant musculoskeletal and cognitive deterioration. Loss of motor function alongside increasing cognitive impairment is part of the natural disease progression. Gait is often considered an automatic activity; however, walking is the result of a delicate balance of multiple systems which maintain the body’s center of mass over an ever-changing base of support. It is a complex motor behavior that requires components of attention and memory to prevent falls and injury. In addition, evidence points to the critical role of salient visual information to gait adaptability. There is a growing understanding that treatment for PD needs to address movement as it occurs naturally and walking needs to be practiced in more complex environments than traditional therapy has provided.MethodsIn this single-blinded randomized-controlled pilot study, an immersive treadmill training was piloted to determine feasibility and preliminary efficacy on gait and cognition in people with PD. Eighteen participants with Hoehn and Yahr stages I-III PD were randomized to either an intervention or a waitlist control group. Following baseline data collection, the intervention group trained for 30 min, three times/week for 4 weeks on a split belt treadmill combined with a first-person immersive video game targeting visuospatial skills and working memory. Assessment was repeated after 4 weeks of training for the experimental group and 1-month after baseline for the control group. Primary motor outcomes were captured with the APDM Opal sensors during 6 MWT, TUG, and TUG Cognitive. Secondary outcomes of cognition were measured with the Montreal Cognitive Assessment (MoCA), Verbal Fluency (Fruit, Vegetable, and Animal) and the Symbol Digit Modality Test (SDMT). Within subject differences were calculated using the Wilcoxon Signed Ranked Test and between subject comparisons were analyzed using the Mann Whitney U-test.ResultsThis novel treadmill training program was well-tolerated with all participants in the intervention group completing 4 weeks of training three times a week without any adverse effects. After immersive cognitive motor training, the experimental group made clinically relevant improvements in gait speed and walking distance during the 6 MWT while members of the control group showed no change or decreased gait speed and walking distance over the 1-month trial. In addition, the experimental group demonstrated significant improvement for the TUG Cognitive (p = 0.05) and those changes were greater than the control group (between group p = 0.040). The experimental group also improved scores on MoCA (p = 0.007) and SDMT (p = 0.01) cognitive outcome measures while the control group did not.ConclusionThe use of immersive gaming technology to engage specific areas of cognition related to gait is feasible in PD. The treadmill training program paired with a customized interactive video game improved walking velocity in addition to non-significant but consistent improvements in other gait measures and cognitive performance in participants with early to mid-stage PD.

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Cognitive training interventions for dementia and mild cognitive impairment in Parkinson’s Disease

Abstract: What we foundCognitive training interventions for dementia and mild cognitive impairment in Parkinson's disease (Review)

Cited by 11 publications

References 94 publications

Mindfulness and cognitive training interventions that address intersecting cognitive and aging needs of older adults

Mindfulness and cognitive training interventions that address intersecting cognitive and aging needs of older adults

The Assessments of Music Therapy for Dementia Based on the Cochrane Review

Immersive Technology for Cognitive-Motor Training in Parkinson’s Disease

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