Effect of a Dual-Task Net-Step Exercise on Cognitive and Gait Function in Older Adults

Kitazawa, Kazutoshi; Showa, Satoko; Hiraoka, Akira; Fushiki, Yasuhiro; Sakauchi, Humio; Mori, Mitsuru

doi:10.1519/jpt.0000000000000029

Cited by 38 publications

(45 citation statements)

References 27 publications

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“…The NSE features characteristics of a dual task exercise with additional cognitive tasks (e.g., learning the steps, paying attention to the net while stepping over it) and walking at a slow pace, unlike aerobic exercise. In the previous study, low-frequency intervention of NSE (once a week) improved cognitive and gait functions in people 73 years or older ( Kitazawa et al, 2015 ). Moreover, NSE requires mutually interactive group participation.…”

Section: Discussionmentioning

confidence: 94%

“…NSE uses a net and features slow and low-impact physical movement and cognitive activity. Kitazawa et al (2015) reported that an NSE intervention conducted just once a week improved cognitive and gait function. This program is also intended to serve as an opportunity for social participation among older people by promoting group exercise.…”

Section: Introductionmentioning

confidence: 99%

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Influence of volunteer-led net step exercise class on older people’s self-rated health in a depopulated town: A longitudinal study

Showa

Kitazawa

Takeuchi

et al. 2016

SSM - Population Health

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In a depopulated region where population aging is advancing, it is necessary to establish a method so local residents themselves can be actively involved in older people’s health promotion. Net Step Exercise, a novel dual-task walking program, introduced residents to opportunities for physical activities and social participation without any health specialist support. In one depopulated town (Ikeda, Nakagawa-gun, Hokkaido, Japan), volunteer residents have held Net Step Exercise classes throughout the town since 2007. We longitudinally examined the influence of volunteer-led Net Step Exercise class participation on subsequent self-rated health in all individuals aged 70–79 years living in Ikeda. A total of 662 people who completed a baseline mail-in questionnaire survey in 2012 were followed until 2014. Logistic regression analysis was performed to examine the association with self-rated health after two years of class participation once a month or more at baseline, after controlling for confounds such as age, sex, years of education, living alone, baseline self-rated health, regular exercise, and other physical activities. The odds ratio of poor self-rated health in older people who participated in classes was 0.53 (95% confidence interval [CI]: 0.34–0.85) compared to older people not participating in classes. Even after confounding factors were adjusted, the odds ratio of class participation was 0.50 (95% CI: 0.29–0.85). This study showed that participation in volunteer-led Net Step Exercise might prevent poor self-rated health. Such Net Step Exercise classes are a feasible method for older people’s health promotion in depopulated municipalities.

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Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Influence of volunteer-led net step exercise class on older people’s self-rated health in a depopulated town: A longitudinal study

Showa

Kitazawa

Takeuchi

et al. 2016

SSM - Population Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…However, all these systems require their own specific sensors and have limitations in mobility, and it is rare with a smart application with wearable sensors. In addition, providing feedback if the users memorized the order of four notes correctly would be helpful to improve motivation and short-term memory function (Kitazawa, et al, 2015;Teixeira, et al, 2013). Even though a 4-note task only was tested in this test, longer sequence (up to 8-note task) will be more challenging and would be useful in the longterm training study with a special population who want to improve their physical and cognitive function.…”

Section: Functionalitymentioning

confidence: 99%

“…Short-term memory is a type of memory used to retain information for a short time (15-30 seconds) (Atkinson & Shiffrin, 1971). Previous studies revealed that a square stepping exercise, where the users were asked to memorize the number of blocks and step on each block in order, could improve cognitive functions (Kitazawa, et al, 2015;Teixeira, et al, 2013). To accomplish the abovementioned goals, it is necessary to have a userfriendly and well-functioning application.…”

Section: Introductionmentioning

confidence: 99%

Smart exercise application to improve leg function and short-term memory through game-like lunge exercises

Noh

Vasey

Phillips

et al. 2019

Kinesiology (Zagreb, Online)

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The purpose of this study was to evaluate the functionality, accuracy, and usability of a novel smart exercise application (SEA). The functionality such as counting lunges, providing task-related auditory feedback, and testing short-term memory was examined while thirteen young adults (six men, age 25.4 ± 8.3 years) performed the lunge exercise with the SEA. The accuracy of logged motion data including angles and accelerations were also tested. Another twenty-five participants (11 men, age 23.2 ± 5.7 years) evaluated the usability of the SEA interest, motivation, convenience, and strength/cognitive benefit via a questionnaire. The SEA assessed the lunge motion correctly, provided auditory feedback, and tested users’ short-term memory as required. High correlations (r = 0.90 to 0.99) with low RMSE (4.85˚ for direction angle, 0.13 to 0.22 m/s2 for acceleration) were observed between the sensor output and the reference output. Bland-Altman plot also showed a low discrepancy between each of the two measures. Most participants positively answered all questions about interest (60%), motivation (40%), convenience (80%), strength benefits (92%), and cognitive benefits (88%) of the SEA. The SEA demonstrated accurate kinematic assessment of accelerations and directions, assessed the lunge motion correctly, and created the appropriate auditory feedback on the short-term memory task. The high rate of positive responses suggested the potential of the application in future use.

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“…DT's performance is related to most of the everyday life activities and the inability of patients to perform e cient tasks may have different consequences. Recently, several studies have been conducted on healthy elderly people [12][13][14][15] or in people with mental illnesses (e.g., Parkinson's disease) [16] using DT exercises, whose results showed improvement of balance and walking. indirectly, the bene ts of walking and learning separately indicate that performance in these tasks can be improved in patients with targeted interventions.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Various Cognitive-Motor and Motor-Motor Tasks on the Motor and Cognitive Function of Patients Multiple Sclerosis: A Randomized Controlled Trial

Abasnia

Shahbazi

Ameri

2020

Preprint

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Background: 85% of multiple sclerosis patients suffer from impaired motor function and 65% from cognitive impairment. Therefore The main purpose of this study is to improve the cognitive and motor function of patients using dual tasks.Methods: The study samples were 60 women with MS (20-50 years) with an Expanded Disability Status Scale 2-4 and the duration of the period (10-14 years) who were divided into 4 groups and for eight weeks each week including two sessions 45 They practiced dual cognitive, motor, and individual training for 45 to 60 minutes. Data were analyzed by composite variance analysis at significance level of P <0.05.Results: The results of compound analysis analysis showed that the training of cognitive-motor tasks improved the significance of motor function (p = 0.0005) and cognitive performance (p = 0.0001) compared to the other three groups.Conclusion: The results of this study suggest that the physical benefits of training are always superior to cognitive changes. Dual-task training can be considered a good way to improve cognitive and cognitive function.Trial registration: This study was registered in the Iranian Clinical Trial Center with the number IRCT20200812048384N1, http://www.irct.ir/trial/50300, registered 26 August 2020.

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Effect of a Dual-Task Net-Step Exercise on Cognitive and Gait Function in Older Adults

Abstract: This study shows that dual-task NSE is capable of improving cognitive and gait performance in healthy older adults. Our results indicate that NSE offers an option for a large segment of the older population who need an easier way to maintain their cognitive health and gait function.

Cited by 38 publications

References 27 publications

Influence of volunteer-led net step exercise class on older people’s self-rated health in a depopulated town: A longitudinal study

Influence of volunteer-led net step exercise class on older people’s self-rated health in a depopulated town: A longitudinal study

Smart exercise application to improve leg function and short-term memory through game-like lunge exercises

The Effect of Various Cognitive-Motor and Motor-Motor Tasks on the Motor and Cognitive Function of Patients Multiple Sclerosis: A Randomized Controlled Trial

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