Effects of executive function training on balance and auditory-cognitive dual-task performance in adults with and without hearing loss
Notice bibliographique
Résumé
BACKGROUND: Multitasking, such as listening while balancing, relies on integrated processing in the sensory, cognitive, and motor systems; systems that often decline with age. Hearing loss is linked to increased risks of both falls and cognitive decline. Improving cognitive processing through executive function (EF) training may support balance, especially in older adults with hearing loss. This randomized controlled study conducted across age groups and hearing abilities, examined the effects of a 12-week EF training program on postural outcomes (center of pressure (COP)) using an auditory-cognitive-postural dual-task paradigm. METHODS: Sixty-five participants including middle-aged adults with normal hearing (MA; n = 19), older adults with normal hearing (OA; n = 23), and older adults with hearing loss who used hearing aids (OAHL; n = 23) were randomly assigned within each age group to an EF training condition or a control condition. Primary outcome measures were auditory-cognitive reaction time on an auditory 2-back working memory task and postural measures (COP path length variability), which were collected in single- and dual-task conditions. Secondary analyses examined whether sensory, cognitive, and mobility performance, as evaluated by baseline standardized assessments, predicted training-related outcomes. RESULTS: Across MA, OA, and OAHL groups, cognitive performance generally improved following EF training and transfer of these training effects were observed during experimental postural tasks and auditory-cognitive tasks, but differed depending on age, pure-tone hearing thresholds, and cognitive abilities. Specifically, for postural outcomes, performance improved after training, but only for older adults with better hearing, while those with poorer hearing at any age did not improve. For auditory-cognitive task performance, older adults with the poorest hearing and cognition benefited the most from training. CONCLUSIONS: EF training may support balance and cognition in older adults, although its benefits for balance may be limited by severe hearing loss, underscoring the value of early intervention. TRIAL REGISTRATION: Registry Name: ClinicalTrials.gov. Registration/Trial number: NCT05418998. Trial URL: https://clinicaltrials.gov/ct2/show/NCT05418998.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».