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      Effects of masticatory exercise on cognitive function in community-dwelling older adults

      research-article
      Technology and Health Care
      IOS Press
      Cognitive function, masticatory exercise, older adults

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          Abstract

          BACKGROUND:

          Mastication improves cognitive function by activating cerebral cortical activity, and it is important to demonstrate the cognitive effects of masticatory training using a variety of different interventions.

          OBJECTIVE:

          This study aimed to evaluate the effects of masticatory exercise on cognitive function in healthy older adults living in the community.

          METHODS:

          For six weeks, twelve participants performed a masticatory exercise using a NOSICK exerciser device, and thirteen subjects performed daily life without masticatory exercises. Trail Making Test, Digit Span Test, and Stroop test were used to measure the cognitive function.

          RESULTS:

          The participants in the experimental group showed significant improvements in TMT-A/B ( p = 0.001 and 0.004), DST-forward ( p = 0.001), and ST-word ( p = 0.001). The effect sizes after the intervention were calculated as (1.2 and 0.8) for TMT-A/B, (0.8 and 0.2) for Digit Span Test forward/backward, and (0.6 and 0.2) for Stroop test color/word.

          CONCLUSIONS:

          We suggest that the masticatory exercises improve cognitive function in healthy older adults. Therefore, masticatory exercises can be used as a therapeutic exercise during cognitive rehabilitation.

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          Most cited references31

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          Testing the efficiency and independence of attentional networks.

          In recent years, three attentional networks have been defined in anatomical and functional terms. These functions involve alerting, orienting, and executive attention. Reaction time measures can be used to quantify the processing efficiency within each of these three networks. The Attention Network Test (ANT) is designed to evaluate alerting, orienting, and executive attention within a single 30-min testing session that can be easily performed by children, patients, and monkeys. A study with 40 normal adult subjects indicates that the ANT produces reliable single subject estimates of alerting, orienting, and executive function, and further suggests that the efficiencies of these three networks are uncorrelated. There are, however, some interactions in which alerting and orienting can modulate the degree of interference from flankers. This procedure may prove to be convenient and useful in evaluating attentional abnormalities associated with cases of brain injury, stroke, schizophrenia, and attention-deficit disorder. The ANT may also serve as an activation task for neuroimaging studies and as a phenotype for the study of the influence of genes on attentional networks.
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            Memory consolidation, retrograde amnesia and the hippocampal complex.

            Results from recent studies of retrograde amnesia following damage to the hippocampal complex of human and non-human subjects have shown that retrograde amnesia is extensive and can encompass much of a subject's lifetime; the degree of loss may depend upon the type of memory assessed. These and other findings suggest that the hippocampal formation and related structures are involved in certain forms of memory (e.g. autobiographical episodic and spatial memory) for as long as they exist and contribute to the transformation and stabilization of other forms of memory stored elsewhere in the brain.
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              Pathways towards and away from Alzheimer's disease.

              Slowly but surely, Alzheimer's disease (AD) patients lose their memory and their cognitive abilities, and even their personalities may change dramatically. These changes are due to the progressive dysfunction and death of nerve cells that are responsible for the storage and processing of information. Although drugs can temporarily improve memory, at present there are no treatments that can stop or reverse the inexorable neurodegenerative process. But rapid progress towards understanding the cellular and molecular alterations that are responsible for the neuron's demise may soon help in developing effective preventative and therapeutic strategies.
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                Author and article information

                Journal
                Technol Health Care
                Technol Health Care
                THC
                Technology and Health Care
                IOS Press (Nieuwe Hemweg 6B, 1013 BG Amsterdam, The Netherlands )
                0928-7329
                1878-7401
                26 February 2021
                25 March 2021
                2021
                : 29
                : Suppl 1
                : 125-131
                Affiliations
                Department of Occupational Therapy, Division of Health Sciences, Dongseo University , 47 Jurye-ro, Sasang-gu, Busan 47011, Korea
                Tel.: +82 51 320 2718; Fax: +82 51 320 2721; E-mail: context@ 123456dongseo.ac.kr
                Author notes
                [* ]Corresponding author: Department of Occupational Therapy, Division of Health Sciences, Dongseo University, 47 Jurye-ro, Sasang-gu, Busan 47011, Korea. Tel.: +82 51 320 2718; Fax: +82 51 320 2721; E-mail: context@ 123456dongseo.ac.kr .
                Article
                THC218013
                10.3233/THC-218013
                8150491
                33682752
                28625710-5ec4-4827-aa5f-cf1688c7169d
                © 2021 – The authors. Published by IOS Press.

                This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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                Research Article

                cognitive function,masticatory exercise,older adults

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