This is to find out the effectiveness of cognitive and physical function training for patients with mild cognitive impairment. It is for the prevention and treatment of dementia in the future. randomized, Pilot Study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
24
Cognitive training programs corresponding to memory, attention, time and space, and orientation are conducted for 35 to 60 minutes.
The fitness program consisting of stretching, muscle strength, coordination, and aerobic exercise lasts 20 to 30 minutes, and additional 3-4 times/mainly 30 to 40 minutes of aerobic exercise.
Montreal Cognitive Assessment (MoCA)
K-MoCA is a measure of memory loss or other symptoms of cognitive decline. It includes 30 questions and a task that takes about 12 minutes to complete. The score can range from 0 to 30. A score of 26 or higher is considered normal.
Time frame: screening - 6 weeks - 3 months
Korean-Mini Mental Status Examination (K-MMSE)
K-MMSE is a measurement of cognitive level. Any score of 24 or more (out of 30) indicates a normal cognition. Below this, scores can indicate severe(≤9 points), moderate (10-18 points) or mild (19-23 points) cognitive impairment. The raw score may also need to be corrected for educational attainment and age.
Time frame: Baseline - 6 weeks - 3months
Clinical Dementia Rating (CDR)
CDR is a rating scale for staging patients diagnosed with dementia. The CDR evaluates cognitive, behavioral and functional aspects of Alzheimer disease and other dementias. It is calculated on the basis of testing six different cognitive and behavioral domains such as memory, orientation, judgment and problem solving, community affairs, home and hobbies performance, and personal care. The CDR is based on a scale of 0-3: no dementia (CDR = 0), questionable dementia (CDR = 0.5), MCI (CDR = 1), moderate cognitive impairment (CDR = 2) and severe cognitive impairment (CDR = 3)
Time frame: Baseline - 3months
Clinical Global Impressions of Change (CGIC)
CGIC is a commonly used measure to measure the severity, treatment rate, and treatment effectiveness of symptoms in the treatment process or research of patients with mental illness.
Time frame: Baseline - 6 weeks- 3months
Instrumental Activities of Daily Living (I-ADL)
I-ADL consists of skills and behaviors necessary for social life such as "money management," "households," "phone use," and "drugs," and helps evaluate the degree of social and professional functioning of the elderly with dementia.
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Time frame: Baseline - 6 weeks- 3months
Berg Balance Scale (BBS)
BBS is a measurement of balancing function. A five-point ordinal scale, ranging from 0-4. "0" indicates the lowest level of function and "4" the highest level of function. Total score = 56
Time frame: Baseline - 6 weeks- 3months
Geriatric Quality of Life-Dementia (GQOL-D)
GQOL-D is a tool for evaluating the quality of life of the elderly with dementia and consists of a four-point scale of 15 items, including 13 items that measure physical health, psychological health, social relationships and environment, and two items that measure overall health and life satisfaction.
Time frame: Baseline - 6 weeks- 3months
Geriatric Depression Scale (GDSd)
GDS is a 30-item self-report assessment used to identify depression in the elderly. One point is assigned to each answer and the cumulative score is rated on a scoring grid. The grid sets a range of 0-9 as "normal", "10-19" as "mildly depressed", and 20-30 as "severely depressed".
Time frame: Baseline - 6 weeks- 3months
Global Deterioration Scale (GDS)
GDS is one of the representative rating scales that suggests the severity of dementia patients and is used as a useful test tool for clinical trials of dementia treatments and early diagnosis of dementia.
Time frame: Baseline - 3months
Electroencephalography
EEG is a measurement of electrical activity in the brain using small electrodes attached to the scalp for diagnose brain disorders.
Time frame: Baseline - 6 weeks- 3months