ISSN 2348-313X (Print) International Journal of Life Sciences Research ISSN 2348-3148 (online) Vol. 10, Issue 1, pp: (26-32), Month: January - March 2022, Available at: www.researchpublish.com
Gaze Stability Exercises Versus Motor Cognitive Dual Task Training On Cognition And Dynamic Postural Ability In Elderly Subjects With Mild Cognitive Impairment Vidhya Shetty1, Sudheera Kunduru*2 1
Physiotherapist, Breach Candy Hospital Trust, Bhalubhai Desai Road, Mumbai – 400026, Maharastra, India. Email id: vidhyashetty34@gmail.com 2
Associate Professor, Padmashree Institute of Physiotherapy, Bangalore, Karnataka, India.
*Corresponding Author: Sudheera Kunduru, Associate Professor, Padmashree Institute of Physiotherapy, Sulikere Post, Kommaghatta, Kengeri, Bangalore – 560060, Karnataka, India. Email id: sudheera.physio@gmail.com Source of Data: Padmashree Physiotherapy Clinic, Padmashree Diagnostics and ESIC Model Hospital, Bangalore. Ethical Clearance: Obtained from the Institutional Ethical Committee of Padmashree Institute of Physiotherapy.
Abstract: Introduction: Mild cognitive impairment, a transitional cognitive state has a 10–15% yearly progression to dementia. Along with cognitive deficits, individuals with mild cognitive impairment can experience deficits in postural stability and increased risk of fall. Early diagnosis and intervention can improve the quality of life of these individuals and prevent or delay the progression to dementia. Objectives: To compare the effect of gaze stability exercises and motor cognitive dual task training on cognition and dynamic postural ability in elderly subjects with mild cognitive impairment. Methods: 30 elderly subjects with mild cognitive impairment were recruited for the study and assigned to one of the two groups. Group A received gaze stability exercises while Group B received motor cognitive dual task training. The treatment sessions were scheduled for 45 min/day, 2 times/week for a duration of 4 weeks. Cognition and dynamic postural ability were assessed prior to the treatment and post-intervention using Montreal Cognitive Assessment scale (MoCA) and Timed Up and Go (TUG) test. Result: Both the groups improved significantly in the MoCA and TUG scores post-intervention (p<0.001). But when the scores were compared between the groups, no statistical significance was observed (p>0.05). Conclusion: The study concluded that both gaze stability exercises and motor cognitive dual task training were equally effective in improving cognition and dynamic postural ability in elderly subjects with mild cognitive impairment. The study implies the use of these exercises as a part of geriatric rehabilitation. Keywords: Mild cognitive impairment, Gaze Stability Exercises, Motor Cognitive Dual Task Training, Cognition, Dynamic postural ability.
1. INTRODUCTION Aging is continuous process of change and can be considered the final stage of human development.1 World Health Organization defines aging as a course of biological reality starting with conception and ending with death, 2 associated with many degenerative changes.3 Old age is classified using chronological categories into young old (ages 65 to 74), middle old (ages 75 to 84), and old-old (ages 85 and older).4
Page | 26 Research Publish Journals