امیر دانا

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.

Previous studies have shown that autonomy support (AS) can foster a person’s motivation and facilitate motor learning. However, the effects of AS on observational motor learning are not well understood. The present study investigated this issue by manipulating to-be-observed-model. Forty-eight male students were assigned into autonomy, yoked, and no-demonstration control groups. Three male Baseball coaches acted as models A, B, and C. Model A was instructor of students of AU group and acted as a model with high social status for AU group. Models B and C were not familiar for all participants and acted as low social status models. Participants were asked to perform a Baseball-pitch into a target during pretest (10 trials), acquisition phase (5 blocks of 10 trials), and retention test (10 trials). Prior to each acquisition block, the participants of AU and YO groups observed a model three times. Participants of AU group were free to choose model A, B, or C for any single observation. Participants in YO group were matched with those in AU group. Movement outcome, movement form, self-efficacy (SE), perceived learning effect (PLE), and perceived model attractiveness (PMA) were measured as dependent variables. Results showed that AS, relative to yoked and control conditions, led to better movement outcome during acquisition and retention. Action observation enhanced movement form during acquisition and retention. AS increased SE, PLE, and PMA compared with yoked and control conditions. Results provide support for the OPTIMAL theory and indicate that AS facilitates observational motor learning.