A Pilot Study of the Effects of Individualized Home Dual Task Training by Mobile Health Technology in People with Dementia

Author:

Villamil-Cabello Eduardo12,Meneses-Domínguez Mercedes3,Fernández-Rodríguez Ángela4,Ontoria-Álvarez Patricia5,Jiménez-Gutiérrez Alfonso12ORCID,Fernández-del-Olmo Miguel1

Affiliation:

1. Centre for Sport Studies, Rey Juan Carlos University, 28943 Madrid, Spain

2. GO fitLAB, Ingesport, 28003 Madrid, Spain

3. AFA Coslada, 28822 Madrid, Spain

4. Instituto Cántabro de Servicios Sociales, 39006 Cantabria, Spain

5. Servicio Cántabro de Salud, 39011 Cantabria, Spain

Abstract

The objective of this pilot study was to evaluate the effects of dual-task training implemented by mobile health technology on performance on motor and dual-task tests in subjects with dementia. Nineteen subjects with a medical diagnosis of dementia were assigned to an experimental group (EG, n = 12) or control group (CG, n = 7). The EG participated in 24 sessions (3/week) of a homebase dual-task exercises program, in addition to their ongoing cognitive and physiotherapy treatment. The training program was implemented individually in the patient’s home by caregivers or relatives through electronic devices controlled by a mobile application. Before (Pre) and after (Post) the program, performance on motor and motor/cognitive (dual-task) tests were evaluated. Motor evaluation included gait at preferred and maximal speed, the Up and Go, and the Handgrip Strength test. Dual-task tests included gait with subtraction 3 s from 100 and naming animals (verbal fluency). The CG only performed the evaluations in addition to their cognitive and physiotherapy treatment. The statistical analysis (ANOVA Group*Test) showed a statically significant improvement for both dual-task tests in the EG after the training program, while the CG showed an impairment in the verbal fluency test. Conclusion: the implementation of a home exercise program carried out with mobile technology in people with dementia is feasible and positively affects their performance on dual tasks.

Funder

Programa Doctorado Industrial Comunidad de Madrid

A-champs interactive training solutions S.L.

Publisher

MDPI AG

Subject

Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health

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