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Structural Brain Changes after Traditional and Robot-Assisted Multi-Domain Cognitive Training in Community-Dwelling Healthy Elderly
Authors:Geon Ha Kim  Seun Jeon  Kiho Im  Hunki Kwon  Byung Hwa Lee  Ga Young Kim  Hana Jeong  Noh Eul Han  Sang Won Seo  Hanna Cho  Young Noh  Sang Eon Park  Hojeong Kim  Jung Won Hwang  Cindy W. Yoon  Hee Jin Kim  Byoung Seok Ye  Ju Hee Chin  Jung-Hyun Kim  Mee Kyung Suh  Jong Min Lee  Sung Tae Kim  Mun-Taek Choi  Mun Sang Kim  Kenneth M Heilman  Jee Hyang Jeong  Duk L. Na
Abstract:The purpose of this study was to investigate if multi-domain cognitive training, especially robot-assisted training, alters cortical thickness in the brains of elderly participants. A controlled trial was conducted with 85 volunteers without cognitive impairment who were 60 years old or older. Participants were first randomized into two groups. One group consisted of 48 participants who would receive cognitive training and 37 who would not receive training. The cognitive training group was randomly divided into two groups, 24 who received traditional cognitive training and 24 who received robot-assisted cognitive training. The training for both groups consisted of daily 90-min-session, five days a week for a total of 12 weeks. The primary outcome was the changes in cortical thickness. When compared to the control group, both groups who underwent cognitive training demonstrated attenuation of age related cortical thinning in the frontotemporal association cortices. When the robot and the traditional interventions were directly compared, the robot group showed less cortical thinning in the anterior cingulate cortices. Our results suggest that cognitive training can mitigate age-associated structural brain changes in the elderly.

Trial Registration

ClnicalTrials.gov NCT01596205
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