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      Effect of Virtual Reality Exercises on the Cognitive Status and Dual Motor Task Performance of the Aging Population

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          Abstract

          Aging is a global phenomenon affecting numerous developed and developing countries. During this process, the functional state of the body, especially the cognitive state, declines. This research investigated the impact of virtual reality exercises on the cognitive status and dual-task performance in the elderly of Tabriz city, Iran. Forty men with a mean age of 71.5 were selected and assigned to either the experimental ( n = 20) or control groups ( n = 20). Both groups completed the Mini-Mental State Examination for cognitive status. The pre-test was performed through the Timed Up and Go test (TUG) along with a countdown of numbers. Then, the experimental group practiced virtual driving for six weeks, while the control group received no treatment. After the treatment, both groups completed the post-test. At each stage, the test was performed as a dual motor task as well. Data were analyzed using the paired t-test and the independent sample t-test to show the intra-group and inter-group differences, respectively. The results showed a significant improvement in the cognitive status and dual-task performance of the elderly men after the six-week training period, which was also significant compared to the control group. Virtual reality driving can be used to improve the cognitive status and dual task performance of elderly men.

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          Most cited references49

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          Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test.

          This study examined the sensitivity and specificity of the Timed Up & Go Test (TUG) under single-task versus dual-task conditions for identifying elderly individuals who are prone to falling. Fifteen older adults with no history of falls (mean age=78 years, SD=6, range=65-85) and 15 older adults with a history of 2 or more falls in the previous 6 months (mean age=86.2 years, SD=6, range=76-95) participated. Time taken to complete the TUG under 3 conditions (TUG, TUG with a subtraction task [TUGcognitive], and TUG while carrying a full cup of water [TUGmanual]) was measured. A multivariate analysis of variance and discriminant function and logistic regression analyses were performed. The TUG was found to be a sensitive (sensitivity=87%) and specific (specificity=87%) measure for identifying elderly individuals who are prone to falls. For both groups of older adults, simultaneous performance of an additional task increased the time taken to complete the TUG, with the greatest effect in the older adults with a history of falls. The TUG scores with or without an additional task (cognitive or manual) were equivalent with respect to identifying fallers and nonfallers. The results suggest that the TUG is a sensitive and specific measure for identifying community-dwelling adults who are at risk for falls. The ability to predict falls is not enhanced by adding a secondary task when performing the TUG.
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            A meta-analysis and systematic literature review of virtual reality rehabilitation programs

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              Posture control, aging, and attention resources: models and posture-analysis methods.

              This paper reviews the literature on balance and cognitive function in normal aging. The first part provides a general background of dual tasking (postural performance under a concurrent cognitive activity) and summarizes the main relevant models capable of explaining the poorer postural performance of older-healthy adults compared to younger-healthy adults: the cross-domain competition model, the nonlinear interaction model, and the task-prioritization model. In the second part, we discuss the main limitations of the traditional-posturographic analyses used in most of the dual-task investigations and explain how these can account for some discrepancies found in the literature. New methods based on the stabilogram-diffusion analysis and the wavelet transform are proposed as better approaches to understand posture control. The advantages of these new methods are illustrated in young adults and elderly people performing a simple postural task (quiet standing) simultaneously with a mental or a spatial task.
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                Author and article information

                Contributors
                Role: Academic Editor
                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                28 July 2021
                August 2021
                : 18
                : 15
                : 8005
                Affiliations
                [1 ]Department of Physical Education and Sports, University of Granada, 18010 Granada, Spain
                [2 ]HEME Research Group, Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain; jorgepg100@ 123456gmail.com
                [3 ]Departments of Physical Education and Sport Sciences, University of Tehran, Tehran 6619-14155, Iran; saeed_rezaye@ 123456yahoo.com
                [4 ]Didactic and Behavioral Analysis of Sports (ADICODE) Research Group, Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain; jpfuent@ 123456unex.es
                Author notes
                Author information
                https://orcid.org/0000-0001-7951-8977
                https://orcid.org/0000-0001-9362-8208
                https://orcid.org/0000-0002-8299-1092
                https://orcid.org/0000-0002-4054-9132
                Article
                ijerph-18-08005
                10.3390/ijerph18158005
                8345705
                34360294
                abcbc479-c219-47fe-8417-eed60565d9d1
                © 2021 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( https://creativecommons.org/licenses/by/4.0/).

                History
                : 01 July 2021
                : 27 July 2021
                Categories
                Article

                Public health
                virtual driving,physical activity,behavioral status,mental state,older men
                Public health
                virtual driving, physical activity, behavioral status, mental state, older men

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