Quantitative analysis of balance function characteristics in older patients with mild to moderate cognitive impairment
Background: Cognitive decline in older adults may affect balance function, but the relationship between the two is not fully understood, especially in the early stages of cognitive impairment. Mild to moderate cognitive impairment can be assessed with the Montreal Cognitive Assessment (MOCA). Aim: T...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | Experimental Gerontology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0531556523002231 |
| _version_ | 1797655161268600832 |
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| author | Yao Cui Bo Liu Jian Zhou Qian Liu Hui Ye |
| author_facet | Yao Cui Bo Liu Jian Zhou Qian Liu Hui Ye |
| author_sort | Yao Cui |
| collection | DOAJ |
| description | Background: Cognitive decline in older adults may affect balance function, but the relationship between the two is not fully understood, especially in the early stages of cognitive impairment. Mild to moderate cognitive impairment can be assessed with the Montreal Cognitive Assessment (MOCA). Aim: This study quantitatively analyzed balance function in older adults with mild to moderate cognitive impairment using computerized dynamic posturography (CDP) testing. Methods: 248 older patients were divided into a cognitive impaired group (MOCA <26, n = 126) and a normal group (MOCA ≥26, n = 122) based on the Montreal Cognitive Assessment (MOCA) Beijing Version. Patients underwent CDP testing, which included the sensory organization test (SOT) and the limits of stability test (LOS). Results: The cognitive impaired group had significantly lower SOT composite and visual scores, as well as reaction time (RT), movement velocity (MVL), endpoint excursion (EPE), maximum excursion (MXE), and directional control (DCL) of the LOS test. Binary logistic regression analysis revealed that RT and MXE were independent factors significantly associated with MOCA, even after adjustment for age and sex. Conclusions: Older patients with mild to moderate cognitive impairment may have reduced sensory integration and balance stability limits, mainly manifested as prolonged motor reaction time and shortened maximum movement distance. |
| first_indexed | 2024-03-11T17:10:08Z |
| format | Article |
| id | doaj.art-3ba0ade9c44542f2ac8a1e05437921f3 |
| institution | Directory Open Access Journal |
| issn | 1873-6815 |
| language | English |
| last_indexed | 2024-03-11T17:10:08Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Experimental Gerontology |
| spelling | doaj.art-3ba0ade9c44542f2ac8a1e05437921f32023-10-20T06:38:10ZengElsevierExperimental Gerontology1873-68152023-10-01182112302Quantitative analysis of balance function characteristics in older patients with mild to moderate cognitive impairmentYao Cui0Bo Liu1Jian Zhou2Qian Liu3Hui Ye4Department of Geriatrics, Beijing Tongren Hospital, China Capital Medical University, Beijing 100730, ChinaDepartment of Geriatrics, Beijing Tongren Hospital, China Capital Medical University, Beijing 100730, China; Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, China Capital Medical University, Beijing 100730, China; Beijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery, Ministry of Education, Beijing 100730, China; Corresponding author at: Department of Geriatrics, Beijing Tongren Hospital, China Capital Medical University, Beijing 100730, China.Department of Geriatrics, Beijing Tongren Hospital, China Capital Medical University, Beijing 100730, ChinaDepartment of Geriatrics, Beijing Tongren Hospital, China Capital Medical University, Beijing 100730, ChinaDepartment of Geriatrics, Beijing Tongren Hospital, China Capital Medical University, Beijing 100730, ChinaBackground: Cognitive decline in older adults may affect balance function, but the relationship between the two is not fully understood, especially in the early stages of cognitive impairment. Mild to moderate cognitive impairment can be assessed with the Montreal Cognitive Assessment (MOCA). Aim: This study quantitatively analyzed balance function in older adults with mild to moderate cognitive impairment using computerized dynamic posturography (CDP) testing. Methods: 248 older patients were divided into a cognitive impaired group (MOCA <26, n = 126) and a normal group (MOCA ≥26, n = 122) based on the Montreal Cognitive Assessment (MOCA) Beijing Version. Patients underwent CDP testing, which included the sensory organization test (SOT) and the limits of stability test (LOS). Results: The cognitive impaired group had significantly lower SOT composite and visual scores, as well as reaction time (RT), movement velocity (MVL), endpoint excursion (EPE), maximum excursion (MXE), and directional control (DCL) of the LOS test. Binary logistic regression analysis revealed that RT and MXE were independent factors significantly associated with MOCA, even after adjustment for age and sex. Conclusions: Older patients with mild to moderate cognitive impairment may have reduced sensory integration and balance stability limits, mainly manifested as prolonged motor reaction time and shortened maximum movement distance.http://www.sciencedirect.com/science/article/pii/S0531556523002231OlderCognitive impairmentBalance functionSensory organization testLimits of stability test |
| spellingShingle | Yao Cui Bo Liu Jian Zhou Qian Liu Hui Ye Quantitative analysis of balance function characteristics in older patients with mild to moderate cognitive impairment Experimental Gerontology Older Cognitive impairment Balance function Sensory organization test Limits of stability test |
| title | Quantitative analysis of balance function characteristics in older patients with mild to moderate cognitive impairment |
| title_full | Quantitative analysis of balance function characteristics in older patients with mild to moderate cognitive impairment |
| title_fullStr | Quantitative analysis of balance function characteristics in older patients with mild to moderate cognitive impairment |
| title_full_unstemmed | Quantitative analysis of balance function characteristics in older patients with mild to moderate cognitive impairment |
| title_short | Quantitative analysis of balance function characteristics in older patients with mild to moderate cognitive impairment |
| title_sort | quantitative analysis of balance function characteristics in older patients with mild to moderate cognitive impairment |
| topic | Older Cognitive impairment Balance function Sensory organization test Limits of stability test |
| url | http://www.sciencedirect.com/science/article/pii/S0531556523002231 |
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