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Title: Audiovisual integrative training for augmenting cognitive - motor functions in older adults with mild cognitive impairment
Authors: Lee, LP 
Har, AWY 
Ngai, CH 
Lai, DWL 
Lam, BYH 
Chan, CCH 
Issue Date: 2020
Source: BMC geriatrics, 2020, v. 20, no. 1, 64
Abstract: Background: Previous studies indicated that the behavioral performances of older adults could be enhanced by multisensory integration. This pilot study tested the benefits of an audiovisual integrative (AV) training for improving the cognitive and upper limb motor functions in older adults with mild cognitive impairment (MCI).
Methods: Twenty participants, according to their MoCA scores, with ten in each of a MCI (mean age = 63.3 years) and healthy older adult group (mean age = 64.7 years), engaged in AV integrative training. They were recruited from the Institute of Active Ageing at the Hong Kong Polytechnic University. The screening was conducted from February to March 2018 and the training program which consisted of three sessions (2 h each) was conducted from 14-28th May 2018. Their executive function, attention and upper limb functions were measured by the Stroop Test and Purdue Pegboard Test respectively.
Results: The mixed linear model analysis results showed significant Time x Group interaction effects in the time used in the Stroop Test (dots) (p = 0.042) and the Purdue Pegboard scores (non-dominant hand use) (p = 0.025). The MCI group exhibited significantly more improvements in attentional control and non-dominant hand motor functions after the training.
Conclusions: The findings suggest that the AV integrative training has the potential for enhancing the cognitive and motor functions of older adults with MCI. Furthermore, AV integrative training can serve as an alternative non-pharmacological intervention for combating neurodegeneration in older adults. Trial registration: This study has been retrospectively registered at the Chinese Clinical Trial Registry which is a World Health Organisation approved registry. Trial registration: Current Controlled Trials ChiCTR2000029408, January 29th, 2020.
Keywords: Attentional control
Audiovisual integration
Mild cognitive impairment
Upper limb motor functions
Publisher: BioMed Central
Journal: BMC geriatrics 
EISSN: 1471-2318
DOI: 10.1186/s12877-020-1465-8
Rights: © The Author(s). 2020 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.
The following publication Lee, L., Har, A.W., Ngai, C. et al. Audiovisual integrative training for augmenting cognitive- motor functions in older adults with mild cognitive impairment. BMC Geriatr 20, 64 (2020), is available at
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