Iranian Journal of Learning and Memory

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Comparing the Effects of Physical, Cognitive and Combined Rehabilitation on the Improvement of Working Memory and Cognitive Flexibility of the Elderlyy

Document Type : Original Article

Author

Department of Physical Education, Tabriz Branch, Islamic Azad University, Tabriz, Iran

Abstract

The present study aimed to compare the effects of physical, cognitive and combined rehabilitation on improving working memory and cognitive flexibility of the elderly living in the nursing home. This quasi-experimental study was carried out with a pretest-posttest design in four groups with the control group. The statistical population consisted of all elderly residents of a nursing home in Tehran. 48 people were selected randomly and divided into four groups (three experimental groups and one control group). For the experimental groups, intervention programs, including physical, cognitive, and combined rehabilitation, were conducted in three sessions of one hour each week for two months. The data were collected using a working memory capacity scale and a cognitive flexibility inventory (CFI). Data was analyzed using a one-way analysis of covariance (ANCOVA) and Bonferroni post hoc test using SPSS software version 22. The results showed that all three types of rehabilitation programs have a significant effect on improving the working memory and cognitive flexibility of the elderly (P <0.001). Also, the mean of the groups in the pre-test and post-test stages showed that among the three programs, the combined rehabilitation program had more efficacy in improving the working memory and cognitive flexibility of the elderly and there was no difference between the two types of physical and cognitive rehabilitation programs (P> 0.001) According to the findings, combined rehabilitation programs can be effective in improving the working memory and cognitive flexibility due to the focus on both physical and cognitive aspects.

Keywords

References
  1. Al Boyah, M. (2014). Effectiveness of cognitive rehabilitation therapy on improving cognitive functions and decreasing the positive and negative symptoms of patients with paranoid and non-paranoid schizophrenia admitted to Razi psychiatric hospital in Tehran. Master’s dissertation, Islamic Azad University, Khorasgan Branch.
  2. Alloni, A., Quaglini, S., Panzarasa, S., Sinforiani, E., & Bernini, S. (2018). Evaluation of an ontology-based system for computerized cognitive rehabilitation. International Journal of Medical Informatics, 115, 64-72.
  3. Amini, M., Dowlatshahi, B., Dadkhah, A., & Lotfi, M. (2010). Cognitive Rehabilitation An Effective Intervention to Decrease the Cognitive Deficits in Older Adults With Alzheimer Disease. Iranian Journal of Aging, 5(1), 78-86.
  4. Asadzadeh, H. (2009). A Study on the relationship between active memory capacity and academic performance among secondary school students in Tehran. Quarterly Journal of Education, 25(1), 53-69.
  5. Atri Ebrahimpour, R., Babapour Khairadin, J., & Ahmadi, M. (2013). The effect of computer based cognitive empowerment on active memory performance, attention, language ability, visual-spatial abilities and eloquence and fluency in elderly people. Quarterly Journal of Education and Evaluation, 6(24), 93-110.
  6. Baeler, J.S., & Snomen, L. (1993). Renewal: The anti-aging revolution. London: Rodale Press.
  7.  Bayatlou, A., Salavati, M., & Akhbari, B. (2011). The ability to selectively allocate attentional demands on walking during secondary cognitive and motor tasks in elderly people with and without a history of falls.  Salmandi Journal, 5(18), 14-20.
  8. Brown, B., Piper, E., Riggs, C., Gormann, D., Garzo, E., & Dykes, D. (1992). Acute and chronic effects of aerobic and anaerobic training upon brain neurotransmitters and cytochrome oxydase activity in muscle. International Journal Sports Medical, 13, 92-93.
  9. Bull, R. (2008). Working memory function in Aging period. Philadelphia: Dexel University.
  10. Carretti, B., Cornoldi, C., De Beni, R., & Palladino, P. (2004). What happens to information to be suppressed in working–memory tasks? Short and long term effects. The Quarterly Journal of Experimental Psychology Section A, 57(6), 1059-1084.
  11. Carrion, C., Aymerich, M., Baillés, E., & López-Bermejo, A. (2013). Cognitive psychosocial intervention in dementia: a systematic review. Dementia and Geriatric Cognitive Disorders, 36(5-6), 363-375.
  12. Carroll, N.V., Slattum, P.W., & Cox, F.M. (2005). The cost of falls among the community-dwelling elderly. Journal of Managed Care Pharmacy, 11(4), 307-316.
  13. Clare, L., & Woods, R.T. (2004). Cognitive training and cognitive rehabilitation for people with early-stage Alzheimer's disease: A review. Neuropsychological Rehabilitation, 14(4), 385-401.
  14. Clarys, D., Bugaiska, A., Tapia, G., Alexia, & Baudouin, A. (2009). Ageing, remembering, and executive function. Memory, 17(2), 158-168.
  15. Cool, I. (2006). Role of working memory in aging period. Mena Cognitive Journal, 28, 105-116.
  16. Cortese, S., Ferrin, M., Brandeis, D., Buitelaar, J., Daley, D., Dittmann, R.W, Holtmann, M., Santosh, P., Stevenson, J., Stringaris, A., & Zuddas, A. (2015). Cognitive training for attention-deficit/hyperactivity disorder: meta-analysis of clinical and neuropsychological outcomes from randomized controlled trials. Journal of the American Academy of Child & Adolescent Psychiatry, 54(3), 164-174.
  17. Daneman, M., & Carpenter, P.A. (1980). Individual differences in working memory and reading. Journal of verbal learning and verbal behavior, 19(4), 450-466.
  18. Danielle, S.M, Dana, L.R, Neil, A.C., Stan, W.S., & Nancy, H.D. (2006). A mediated of perfectionism, affect, and physical health. Journal Research Psychology, 40, 482-500.
  19. Davis, R.N., & Nolen-Hoeksema, S. (2000). Cognitive inflexibility among ruminators and nonruminators. Cognitive Therapy and Research, 24(6), 699-711.
  20. Demon, H., & Hart, T.M. (2007). Parented attitudes and the preschool child's self-concept. Journal of Instructional Psychology, 1, 45-52.
  21. Dennis, J.P., & Vander Wal, J.S. (2010). The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cognitive Therapy and Research, 34(3), 241-253.
  22. Entezari, M., Shamsipour Dehkordi, P., & Sahaf, R. (2018). Effect of physical Activity on Cognitive Flexibility and Perfectionism in the Elderly. Iranian Journal of Ageing, 12(4), 402-413.
  23. Farooqui, A.A., & Farooqui, T. (2015). Diet and exercise in cognitive function and neurological diseases. OH: John Wiley & Sons.
  24. Fazeli, M., Ehteshamzadeh, P., & Hashemi S. S. (2014). The effectiveness of cognitive behavior therapy on cognitive flexibility of depressed people. Journal of Clinical Psychology Andishe va Raftar, 9(34), 27-36.
  25. Forbes, S. C., Forbes, D., Forbes, S., Blake, C. M., Chong, L. Y., Thiessen, E. J., & Little, J. P. (2015). Exercise interventions for maintaining cognitive function in cognitively healthy people in late life. Cochrane Database of Systematic Reviews, (5).
  26. Hosseinpour, S., Behpour, N., Tadibi, V., Ramezankhani, A. (2018). Effect of cognitive-motor exercises on physical health and cognitive status in elderly (Persian). Iran Journal of Health Education Health Promotion, 5(4), 336-344.
  27. Karaminoori, R. (2004). Psychology of memory and learning: with cognitive viewpoint. Tehran:  Research organizations and universities to develop humanities books (SAMT).
  28. Kee, N., Teixeira, C.M., Wang, A.H., & Frankland, PW. (2007). Preferential incorporation of adult-generated granule cells into spatial memory networks in the dentate gyrus. Nature Neuroscience, 10(3), 355-362.
  29. Kline, L.J. (1990). Psychiatric Mental Health Nursing: The Therapeutic Use of Self. Journal of Psychosocial Nursing and Mental Health Services, 28(11), 42-43.
  30. Lange, M., Rigal, O., Clarisse, B., Giffard, B., Sevin, E., Barillet, M., Eustache, F., & Joly, F. (2014). Cognitive dysfunctions in elderly cancer patients: a new challenge for oncologists. Cancer Treatment Reviews, 40(6), 810-817.
  31. McKerracher, G., Powell, T., & Oyebode, J. (2005). A single case experimental design comparing two memory notebook formats for a man with memory problems caused by traumatic brain injury. Neuropsychological Rehabilitation, 15(2), 115-128.
  32. McQuail, J.A., Krause, E.G., Setlow, B., Scheuer, D.A., & Bizon, J.L. (2018). Stress-Induced Corticosterone Secretion Covaries with Working Memory in Aging. Neurobiology of Aging, in press.
  33. Miotto, E.C., Serrao, V.T., Guerra, G.B., Lúcia, M.C., & Scaff, M. (2008). Cognitive rehabilitation of neuropsychological deficits and mild cognitive impairment: A review of the literature. Dementia & Neuropsychologia, 2(2), 139-145.
  34. Moatamedi, A. (2017). The Psychology of aging. Tehran: SAMT, 1.
  35. Mojtaba Zadeh, M. (2006). The study of the relationship between active memory, anxiety and academic achievement among high school boy students in Zanjan city. Master’s thesis, Allameh Tabataba'i University.
  36. Moore, J.B., Mitchell, N.G., Bibeau, W.S., & Bartholomew, J.B. (2011). Effects of a 12-week resistance exercise program on physical self-perceptions in college students. Research Quarterly for Exercise and Sport, 82(2), 291-301.
  37. Nitz, J. C., & Choy, N. L. (2004). The efficacy of a specific balance-strategy training programme for preventing falls among older people: a pilot randomised controlled trial. Age and Ageing, 33(1), 52-58.
  38. Parker, R.I., & Hagan-Burke, S. (2007). Useful effect size interpretations for single case research. Behavior Therapy, 38(1), 95-105.
  39. Quested, E. (2014). Profiles of perfectionism, motivation, and selfevaluations among dancers: An extended analysis of Cumming and Duda. International Journal of Sport Psychology, 45(4), 349-368.
  40. Randles, D., Flett, G.L., Nash, K.A., McGregor, I.D., & Hewitt, P.L. (2010). Dimensions of perfectionism, behavioral inhibition, and rumination. Personality and Individual Differences, 49(2), 83-87.
  41. Ruscheweyh, R., Willemer, C., Krüger, K., Duning, T., Warnecke, T., Sommer, J., Völker, K., Ho, H.V., Mooren, F., Knecht, S., & Flöel, A. (2011). Physical activity and memory functions: An interventional study. Neurobiology of Aging, 32(7), 1304-1319.
  42. Segal, N.A., Hein, J., & Basford, J.R. (2004). The effects of pilates training on flexibility and body composition: An observational study. Archives of Physical Medicine and Rehabilitation, 85(12), 1977-1981.
  43. Stoeber, J., & Damian, L.E. (2014). The Clinical Perfectionism Questionnaire: Further evidence for two factors capturing perfectionistic strivings and concerns. Personality and Individual Differences, 61, 38-42.
  44. Stuss, D.T., Robertson, I.H., Craik, F.I., Levine, B., Alexander, M.P., Black, S., Dawson, D., Binns, M.A., Palmer, H., Downey-Lamb, M., & Winocur, G. (2007). Cognitive rehabilitation in the elderly: A randomized trial to evaluate a new protocol. Journal of the International Neuropsychological Society, 13(1), 120-131.
  45. Taranis, L., & Meyer, C. (2010). Perfectionism and compulsive exercise among female exercisers: High personal standards or self-criticism? Personality and Individual Differences, 49(1), 3-7.
  46. Wang, S., & Blazer, D.G. (2015). Depression and cognition in the elderly. Annual Review of Clinical Psychology, 11, 331-360.
  47. Zare, H., & Sharifi, A. (2017). The effect of computerized cognitive rehabilitation on working and prospective memory function in Multiple Sclerosis patients. Quarterly Journal of Cognitive Psychology, 5(1), 1-10.
Iranian Journal of Learning and Memory
Volume 2, Issue 5 - Serial Number 5
Spring 2019
Pages 67-77
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