CAJ | 학술논문

目的：探讨系统多元化平衡运动对阿尔茨海默病患者认知功能的影响。方法入组阿尔茨海默病(AD)样本(n=50)分为干预组(n =24)和对照组(n =26)。干预项目分为同时提高平衡、正性认知能力,参加者每周训练3次,每一阶段1 h,共24周,对照组在相同时间内不参加任何训练。检查认知功能用蒙特利尔认知评定量表、画钟实验、BeHery正性评定量表、符号寻找子测验。机体体能用定时上下试验：30秒的坐下和起立实验,坐下和指鼻实验,Berg 功能平衡量表。结果干预组在正性认知功能中有了显著的提高(P <0．01),在蒙特利尔认知评估中,干预组得分更高(P <0．01),尤其在注意、定向、抽象思维能力及语言表达方面改善明显。在画钟实验方面也较对照组有明显提高( P <0．01)。干预组在平衡控制方面表现失衡减少,而对照组表现失衡增加,两组间干预前后比较,干预组出现失衡概率明显减少(P =0．04)。结论与对照组相比,受干预者认知功能改善,具有更好的身体平衡能力和更强的体能。
목적：탐토계통다원화평형운동대아이자해묵병환자인지공능적영향。방법입조아이자해묵병(AD)양본(n=50)분위간예조(n =24)화대조조(n =26)。간예항목분위동시제고평형、정성인지능력,삼가자매주훈련3차,매일계단1 h,공24주,대조조재상동시간내불삼가임하훈련。검사인지공능용몽특리이인지평정량표、화종실험、BeHery정성평정량표、부호심조자측험。궤체체능용정시상하시험：30초적좌하화기립실험,좌하화지비실험,Berg 공능평형량표。결과간예조재정성인지공능중유료현저적제고(P <0．01),재몽특리이인지평고중,간예조득분경고(P <0．01),우기재주의、정향、추상사유능력급어언표체방면개선명현。재화종실험방면야교대조조유명현제고( P <0．01)。간예조재평형공제방면표현실형감소,이대조조표현실형증가,량조간간예전후비교,간예조출현실형개솔명현감소(P =0．04)。결론여대조조상비,수간예자인지공능개선,구유경호적신체평형능력화경강적체능。
Objective To explore the effects of a systematized multimodal exercise intervention program on frontal cognitive function of individuals with Alzheimers Disease (AD). Methods Samples of older adults with AD (n =50) were assigned to a training (n = 24) and a control (n = 26) group. The intervention program was evaluated with the degree of simultaneously promoting better balance and frontal cognitive capacity. The participants received an 1-hour session three times a week for 24 weeks, whereas the control group did not participate in any activity dur-ing the same period. Frontal cognitive function was assessed by using the Montreal Cognitive Assessment(MCoA), the Frontal Assessment Battery(FAB), Clock Drawing Test (CDT) and the Symbol Search Subtest. Functional ca-pacity components were analyzed by using the Timed Up and Go Test, the 30-second sit-to-stand test, the sit-and-reach test, and the Berg Functional Balance Scale. Results Intervention group participants showed a significant increase in frontal cognitive function in MCoA (P < 0. 01), intervention group participants got more scores, espe-cially improvement in attention, orientation abstraction and language expression, intervention group participants showed a significant increase in CDT as well. Intervention group participants showed less body sway in postural bal-ance, however, controls showed more body sway. The intervention group participants’ imbalance chance decreased significantly, comparing with the two groups before and after intervention (P = 0. 04). Conclusion Intervention participants have better postural balance and greater functional capacity than the controls.