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| Name | Class |
|---|---|
| RenJi Hospital | OTHER |
| Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine | OTHER |
| Huashan Hospital | OTHER |
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This study evaluates the effects of "computerized cognitive training" and "cognitive training plus exercise training" on different cognitive domains in mild cognitive impairment (MCI) patients. Patients will be randomized into the computerized training group, cognitive training plus exercise training group and the control group.
Mild cognitive impairment (MCI) is an early stage of Alzheimer Disease (AD). Increasing evidence has indicated that cognitive trainings improve cognition functions of MCI patients in multiple cognitive domains, making it a promising therapy for MCI. However, the effect of long-time training has not been widely explored. It is also necessary to evaluate the extent of its function in reducing the conversion rate from MCI to AD.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| online cognitive training | Experimental | Patients will receive 3-4 times of 20-30 minutes' training game every week |
|
| no training | No Intervention | Patients will not undergo preoperative cognitive training. | |
| Cognitive training and physical exercise | Experimental | Patients will receive 3-4 times of 20-30 minutes' training game every week and 2 times of 60 minutes' Tai Chi Training |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Online cognitive training | Behavioral | A variety of cognitive domains will be involved in the training including memory, calculation, attention, visuospatial and executive skills. The difficulty level of each game will be adjusted automatically according to patients' last training results so that patients' correction rate will be kept between 70% and 80%. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of AD | The 3-year incidence of AD in each group will be compared. | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| The global cognitive function of MCI patients | Alzheimer disease assessment scale (ADAS-Cog) will be used to assess the global cognitive performance of MCI patients | 6 months |
| Memory | Memory will be assessed using the Auditory verbal learning test-Huashan version (AVLT-H). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sheng-Di Chen | Contact | 86-21-6445-4473 | chen_sd@medmail.com.cn |
| Name | Affiliation | Role |
|---|---|---|
| Sheng-Di Chen | Rui Jin Hospital affiliated to Shanghai Jiao Tong University School of Medicine | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ruijin Hospital affiliated to Shanghai Jiaotong University School of Medicine | Recruiting | Shanghai | Shanghai Municipality | 200002 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30041656 | Derived | Lin Y, Li B, Tang H, Xu Q, Wu Y, Cheng Q, Li C, Xiao S, Shen L, Tang W, Yu H, He N, Lin H, Yan F, Cao W, Yang S, Liu Y, Zhao W, Lu D, Jiao B, Xiao X, Zhou L, Chen S. Shanghai cognitive intervention of mild cognitive impairment for delaying progress with longitudinal evaluation-a prospective, randomized controlled study (SIMPLE): rationale, design, and methodology. BMC Neurol. 2018 Jul 24;18(1):103. doi: 10.1186/s12883-018-1100-x. |
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| ID | Term |
|---|---|
| D060825 | Cognitive Dysfunction |
| ID | Term |
|---|---|
| D003072 | Cognition Disorders |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D000091942 | Cognitive Training |
| D015444 | Exercise |
| ID | Term |
|---|---|
| D000066530 | Neurological Rehabilitation |
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
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|
| Cognitive training plus physical exercise | Behavioral | Online cognitive training A variety of cognitive domains will be involved in the training including memory, calculation, attention, visuospatial and executive skills. The difficulty level of each game will be adjusted automatically according to patients' last training results so that patients' correction rate will be kept between 70% and 80%. Physical Exercise Tai Chi Trainingļ¼a teacher will give two 60-min lessons per week. Participants will play Tai Chi in the lessons, following teacher's instruction. |
|
| 12 months |
| Attention | Attention will be evaluated by Trial Making Test (TMT). | 12 months |
| Executive functions | Executive functions will be evaluated by the Stroop task. | 12 months |
| Language | Language will be assessed by Boston naming test (30-item version). | 12 months |
| Visual spatial ability and visual memory | Visual spatial ability and visual memory will be evaluated by the Rey-Osterrieth complex figure test (CFT). | 12 months |
| Activities of daily living | Activities of daily living will be assessed by Alzheimer's Disease Cooperative Study-Activities of Daily Living (ADCS-ADL). | 6 months |
| Structural MRI | Volume of hippocampus and other specific brain regions | 12 months |
| Gut microbiota | Number of genera and abundence of E.coli in feces and blood | 12 months |
| D005791 |
| Patient Care |
| D013812 | Therapeutics |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |