A Novel Exercise for Enhancing Visuospatial Ability in Older Adults with Frailty: Development, Feasibility, and Effectiveness

We aimed to develop a novel exercise to improve visuospatial ability and evaluate its feasibility and effectiveness in older adults with frailty. A non-randomized preliminary trial was conducted between June 2014 and March 2015. We recruited 35 adults with frailty (24 women), aged 66–92 years. Parti...

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Main Authors: Miyuki Nemoto, Hiroyuki Sasai, Noriko Yabushita, Keito Tsuchiya, Kazushi Hotta, Yoshihiko Fujita, Taeho Kim, Takehiko Tsujimoto, Tetsuaki Arai, Kiyoji Tanaka
Format: Article
Language:English
Published: MDPI AG 2020-05-01
Series:Geriatrics
Subjects:
Online Access:https://www.mdpi.com/2308-3417/5/2/29
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author Miyuki Nemoto
Hiroyuki Sasai
Noriko Yabushita
Keito Tsuchiya
Kazushi Hotta
Yoshihiko Fujita
Taeho Kim
Takehiko Tsujimoto
Tetsuaki Arai
Kiyoji Tanaka
author_facet Miyuki Nemoto
Hiroyuki Sasai
Noriko Yabushita
Keito Tsuchiya
Kazushi Hotta
Yoshihiko Fujita
Taeho Kim
Takehiko Tsujimoto
Tetsuaki Arai
Kiyoji Tanaka
author_sort Miyuki Nemoto
collection DOAJ
description We aimed to develop a novel exercise to improve visuospatial ability and evaluate its feasibility and effectiveness in older adults with frailty. A non-randomized preliminary trial was conducted between June 2014 and March 2015. We recruited 35 adults with frailty (24 women), aged 66–92 years. Participants were assigned to either locomotive- or visuospatial-exercise groups. All participants exercised under the supervision of physiotherapists for 90 min/week for 12 weeks. The visuospatial exercise participants used cubes with six colored patterns and were instructed to “reproduce the same colored pattern as shown in the photo”, using the cubes. In the locomotive exercise group, lower extremity functional training was provided. Rates of retention and attendance measured feasibility. Most participants completed the intervention (77.3%, locomotive; 84.6%, visuospatial) and had good attendance (83.8%, locomotive; 90.7%, visuospatial). Mini-mental state examination (MMSE), clock drawing test (CDT), and seven physical performance tests were conducted before and after interventions. The improvement in the MMSE score, qualitative analysis of CDT, grip strength, and sit and reach assessments were significantly greater in the visuospatial exercise group than in the locomotive exercise group. The cube exercise might be a feasible exercise program to potentially improve visuospatial ability and global cognition in older adults with frailty.
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spelling doaj.art-54469a239a51494593fb5ac9bcddd2342023-11-19T23:24:51ZengMDPI AGGeriatrics2308-34172020-05-01522910.3390/geriatrics5020029A Novel Exercise for Enhancing Visuospatial Ability in Older Adults with Frailty: Development, Feasibility, and EffectivenessMiyuki Nemoto0Hiroyuki Sasai1Noriko Yabushita2Keito Tsuchiya3Kazushi Hotta4Yoshihiko Fujita5Taeho Kim6Takehiko Tsujimoto7Tetsuaki Arai8Kiyoji Tanaka9Dementia Medical Center, University of Tsukuba Hospital, Tsukuba 3058575, JapanResearch Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 1730015, JapanUpten Health Support, Tsukuba 3050047, JapanSchool of Health and Physical Education, University of Tsukuba, Tsukuba 3058577, JapanDepartment of Occupational Therapy, Ibaraki Prefectural University of Health Sciences, Ami 3000394, JapanDepartment of Occupational Therapy, Ibaraki Prefectural University of Health Sciences, Ami 3000394, JapanGraduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba 3058577, JapanFaculty of Human Sciences, Shimane University, Matsue 6900823, JapanFaculty of Medicine, University of Tsukuba, Tsukuba 3058575, JapanFaculty of Health and Sport Sciences, University of Tsukuba, Tsukuba 3058577, JapanWe aimed to develop a novel exercise to improve visuospatial ability and evaluate its feasibility and effectiveness in older adults with frailty. A non-randomized preliminary trial was conducted between June 2014 and March 2015. We recruited 35 adults with frailty (24 women), aged 66–92 years. Participants were assigned to either locomotive- or visuospatial-exercise groups. All participants exercised under the supervision of physiotherapists for 90 min/week for 12 weeks. The visuospatial exercise participants used cubes with six colored patterns and were instructed to “reproduce the same colored pattern as shown in the photo”, using the cubes. In the locomotive exercise group, lower extremity functional training was provided. Rates of retention and attendance measured feasibility. Most participants completed the intervention (77.3%, locomotive; 84.6%, visuospatial) and had good attendance (83.8%, locomotive; 90.7%, visuospatial). Mini-mental state examination (MMSE), clock drawing test (CDT), and seven physical performance tests were conducted before and after interventions. The improvement in the MMSE score, qualitative analysis of CDT, grip strength, and sit and reach assessments were significantly greater in the visuospatial exercise group than in the locomotive exercise group. The cube exercise might be a feasible exercise program to potentially improve visuospatial ability and global cognition in older adults with frailty.https://www.mdpi.com/2308-3417/5/2/29cube exercisevisuospatial abilityfrailty
spellingShingle Miyuki Nemoto
Hiroyuki Sasai
Noriko Yabushita
Keito Tsuchiya
Kazushi Hotta
Yoshihiko Fujita
Taeho Kim
Takehiko Tsujimoto
Tetsuaki Arai
Kiyoji Tanaka
A Novel Exercise for Enhancing Visuospatial Ability in Older Adults with Frailty: Development, Feasibility, and Effectiveness
Geriatrics
cube exercise
visuospatial ability
frailty
title A Novel Exercise for Enhancing Visuospatial Ability in Older Adults with Frailty: Development, Feasibility, and Effectiveness
title_full A Novel Exercise for Enhancing Visuospatial Ability in Older Adults with Frailty: Development, Feasibility, and Effectiveness
title_fullStr A Novel Exercise for Enhancing Visuospatial Ability in Older Adults with Frailty: Development, Feasibility, and Effectiveness
title_full_unstemmed A Novel Exercise for Enhancing Visuospatial Ability in Older Adults with Frailty: Development, Feasibility, and Effectiveness
title_short A Novel Exercise for Enhancing Visuospatial Ability in Older Adults with Frailty: Development, Feasibility, and Effectiveness
title_sort novel exercise for enhancing visuospatial ability in older adults with frailty development feasibility and effectiveness
topic cube exercise
visuospatial ability
frailty
url https://www.mdpi.com/2308-3417/5/2/29
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