Effects of Diabetes and Attentional Focus on Learning of a Novel Balance Task.
Background and Purpose: Chronic diabetes is a prevalent systemic disease that impairs neuromotor functioning and often leads to increased risk of falls. Adopting an external focus of attention during motor skill practice has been shown to improve learning outcomes; however, it has not been examined...
| Publicado en: | Journal of Neurologic Physical Therapy Vol. 49; no. 1; pp. 42 - 51 |
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| Autores principales: | , , , , , , , , |
| Formato: | pictorial research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jan2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181539304&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181539304 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15570576 1FUT jtl: Journal of Neurologic Physical Therapy issn: 15570576 maglogo: N pubinfo: dt: Jan2025 vid: 49 iid: 1 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 181539304 181539304 181539304 10.1097/NPT.0000000000000501 181539304 ppf: 42 ppct: 9 formats: tig: atl: Effects of Diabetes and Attentional Focus on Learning of a Novel Balance Task. aug: au: Lee, Szu-Ping Shih, Hui-Ting Wu, Fu-Lien Armagnac, Rebeca Lee, Yinny Letkiewicz, Alicia Mamauag, Mieko Hooyman, Andrew Winstein, Carolee affil: Department of Physical Therapy, University of Nevada, Las Vegas, Nevada (S.-P.L., F.-L..W., R.A., Y.L., A.L., M.M.) sug: subj: Diabetes Mellitus Complications Below-Knee Amputation Rehabilitation Balance Training, Physical Methods Attention Motor Skills Evaluation Learning Evaluation Balance, Postural Evaluation Task Performance and Analysis Treatment Outcomes Accidental Falls Prevention and Control Human Funding Source Male Female Middle Age Aged Nevada Randomized Controlled Trials Random Assignment Comparative Studies Matched Case Control Exploratory Research Diabetic Patients Questionnaires Clinical Assessment Tools Descriptive Statistics Confidence Intervals Geriatric Functional Assessment Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background and Purpose: Chronic diabetes is a prevalent systemic disease that impairs neuromotor functioning and often leads to increased risk of falls. Adopting an external focus of attention during motor skill practice has been shown to improve learning outcomes; however, it has not been examined in this population. We examined how attentional focus instructions (internal vs external) affect balance performance and learning in older adults with and without diabetes. Methods: Fifty-three older adults (27 with diabetes, 63.7 ± 7.0 years) participated in the randomized, pre-post intervention study. The balance training involved 50 practice trials of a stabilometer task that was novel to all participants. Participants were randomized to receive either internal or external focus task instruction. Task performance was assessed at baseline, during training, and during a retention test. Primary outcomes were changes in balance task performance before and after training. Results: Participants who received external focus instruction showed a significantly greater increase in balance performance than individuals who received internal focus instruction (95% confidence interval, 0.02-4.05; P = 0.048). While participants with diabetes exhibited poorer baseline task performance (P = 0.02), both groups improved their relative task performance after training (95% confidence interval, 5.25-18.14; P < 0.0001). Discussion and Conclusions: Adopting an external focus of attention benefits performance during short-term training of a novel balance task in older adults with and without diabetes. Participants with diabetes were capable of learning the challenging balance task with practice, at a relative rate similar to those without diabetes. This information may be useful for designing interventional strategies to improve physical function and mitigate fall risks in older adults with diabetes. pubtype: Academic Journal doctype: pictorial research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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