Authors
Advisor(s)
Abstract(s)
Introdução: Os adultos mais velhos (aV) apresentam alterações físicas e cognitivas, influenciando o risco de queda (RQ). O exercício físico (EF) influencia positivamente estas alterações e, quando associado a dupla tarefa (DT), parecem ter efeitos mais evidentes. A siosLIFE™ será imprescindível para o treino de DT. Objetivos: Determinar o efeito de um protocolo de intervenção com treino de DT com recurso à plataforma siosLIFE™ em aV institucionalizados com alterações cognitivas na performance física (PF), função cognitiva (FC) e RQ. Métodos: O estudo experimental com aV institucionalizados (n=84) que satisfaziam os critérios de inclusão (n=37) foram alocados aleatoriamente em dois grupos, controlo (GC, n=21) e experimental (GE, n=16), concluindo 12 participantes no GE e 19 no GC. O GE foi sujeito a um protocolo de intervenção com treino de DT (com 6 semanas de EF mais 6 com a integração da siosLIFE™). Foram realizados três momentos de avaliação: 1ª, 6ª e 12ª semanas. Foram aplicados os instrumentos de avaliação: MoCA, PPT e TUG. Resultados: O protocolo de intervenção mostrou um efeito positivo nas FC (p=0.002), capacidade visuoespacial (p=0.011), linguagem (p=0.041), PF e RQ (p’s=0.000) e não se verificaram diferenças ao nível das funções executivas e memória. O EF parece melhorar as FC (p=0.022), PF (p=0.000), linguagem (GE, p=0.035) e orientação (GE, p=0.047). A inclusão da plataforma melhorou o RQ (p=0.008). Discussão: Um protocolo de intervenção de treino de DT revelou ter um efeito positivo em aV com alterações cognitivas nas FC, PF e RQ. O EF melhorou as FC e PF. A inclusão da siosLIFE™ potenciou essas melhorias e diminui o RQ. Conclusão: O protocolo de intervenção com treino de DT, EF e integração da siosLIFE™, mostrou ser uma abordagem terapêutica para a melhoria das FC, PF e RQ em aV com alterações cognitivas.
ABSTRACT - Background: Older adults (OA) have physical and cognitive deficits, influencing the risk of falling (RF). Physical exercise (PE) positively influences these changes and, when associated with the dual task (DT), they seem to have more evident effects. siosLIFE™ will be essential for DT training. Objective: To determine the effects of an intervention protocol with DT training using the siosLIFE™ in institutionalized OA with cognitive dysfunction in physical performance (PP), cognitive function (CF), and RF. Methods: The experimental study with institutionalized OA (n=84) that met the inclusion criteria (n=37) were randomly allocated into two groups, control (CG, n=21) and experimental (EG, n=16), concluding 12 participants in the EG and 19 in the CG. The EG was subjected to an intervention protocol with DT training (with 6 weeks of PE plus 6 with the integration of siosLIFE™). Three evaluation moments were carried out: the 1st, 6th, and 12th weeks. The assessment instruments were applied: MoCA, PPT, and TUG. Results: The intervention protocol showed a positive effect on CF (p=0.002), visuospatial ability (p=0.011), language (p=0.041), PP, and RF (p's=0.000) and there were no differences in executive functions and memory. The PE seems to improve CF (p=0.022), PP (p=0.000), language (GE, p=0.035) and orientation (GE, p=0.047). The inclusion of siosLIFE™ improved the RF (p=0.008). Discussion: A DT training intervention protocol was shown to have a positive effect on OA with cognitive dysfunction in CF, PP, and RF. The PE improved CF and PP. The inclusion of siosLIFE™ potentiated these improvements and lowers the RF. Conclusion: The intervention protocol with DT, EF, and siosLIFE™ integration, proved to be a therapeutic approach to improve CF, PP, and RF in OA with cognitive dysfunction.
ABSTRACT - Background: Older adults (OA) have physical and cognitive deficits, influencing the risk of falling (RF). Physical exercise (PE) positively influences these changes and, when associated with the dual task (DT), they seem to have more evident effects. siosLIFE™ will be essential for DT training. Objective: To determine the effects of an intervention protocol with DT training using the siosLIFE™ in institutionalized OA with cognitive dysfunction in physical performance (PP), cognitive function (CF), and RF. Methods: The experimental study with institutionalized OA (n=84) that met the inclusion criteria (n=37) were randomly allocated into two groups, control (CG, n=21) and experimental (EG, n=16), concluding 12 participants in the EG and 19 in the CG. The EG was subjected to an intervention protocol with DT training (with 6 weeks of PE plus 6 with the integration of siosLIFE™). Three evaluation moments were carried out: the 1st, 6th, and 12th weeks. The assessment instruments were applied: MoCA, PPT, and TUG. Results: The intervention protocol showed a positive effect on CF (p=0.002), visuospatial ability (p=0.011), language (p=0.041), PP, and RF (p's=0.000) and there were no differences in executive functions and memory. The PE seems to improve CF (p=0.022), PP (p=0.000), language (GE, p=0.035) and orientation (GE, p=0.047). The inclusion of siosLIFE™ improved the RF (p=0.008). Discussion: A DT training intervention protocol was shown to have a positive effect on OA with cognitive dysfunction in CF, PP, and RF. The PE improved CF and PP. The inclusion of siosLIFE™ potentiated these improvements and lowers the RF. Conclusion: The intervention protocol with DT, EF, and siosLIFE™ integration, proved to be a therapeutic approach to improve CF, PP, and RF in OA with cognitive dysfunction.
Description
Mestrado em Fisioterapia. - Área de especialização: Fisioterapia Neurológica.
Keywords
Fisioterapia Medicina de reabilitação Exercício físico Idoso institucionalizado Risco de queda Cognição Performance física Physiotherapy Rehabilitation Physical exercise Elderly Risk of falling Cognition Physical performance
Citation
Queirós BM. Efeito de um protocolo de intervenção com treino de dupla tarefa na capacidade funcional, cognição e risco de queda em idosos institucionalizados com demência com recurso à plataforma siosLife [dissertation]. Lisboa: Escola Superior de Tecnologia da Saúde de Lisboa/Instituto Politécnico de Lisboa; 2022.
Publisher
Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa