The role of motivation factors in exergame interventions for fall prevention in older adults: A systematic review and meta-analysis

Balance disorders and falls are common in the elderly population. Regular balance exercises are an evidence-based physical intervention to prevent falls in older adults, while patient motivation and adherence are important factors for intervention outcome. Exergames are a relatively new, alternative intervention for physical rehabilitation as they improve balance and strength in older adults. The aims of this systematic review and meta-analysis were to assess the (1) effect of motivation factors as per the Capability, Opportunity and Motivation model of Behavior change (COM-B) on the effectiveness of exergame interventions in healthy older adults, (2) effectiveness of exergames to improve balance in older healthy adults and, (3) impact of exergames on cognitive outcomes. Results show that motivation and capability components influence the general outcome of the exergame training. Motivational factors should thus be considered when setting-up an exergame intervention. Furthermore, exergame intervention appears to be a promising training method in comparison to traditional exercise training. However, exergame training in itself might not be sufficient to improve fall risk and cognitive performance

The influence of domain-specific and domain-general factors on the mathematical performances of deaf individuals

This work investigates the mechanisms underlying numerical processing in deaf individuals. The focus is put on certain specific and general factors that influence different mathematical abilities. The first study of this thesis shows that the linguistic status of signed numbers gives them a specific brain representation. Two other studies suggest that verbal numerical tasks are more affected by deafness than non-verbal numerical tasks. A final study shows that deafness may decrease the involvement of order memory in arithmetic skills. A thorough discussion concludes the thesis by interpreting the new findings and suggesting future directions. Although deaf individuals present heterogeneous profiles, overall, early and full access to language seems crucial for a good understanding of the numerical system.Ce travail examine les mécanismes sous-tendant le développement numérique des personnes sourdes. L'accent est mis sur certains facteurs spécifiques et généraux qui influencent différentes capacités mathématiques. La première étude de ce travail montre que le statut linguistique des nombres signés leur confère une représentation cérébrale spécifique. Deux autres études suggèrent que les tâches numériques verbales sont davantage affectées par la surdité que les tâches numériques non-verbales. Une dernière étude démontre enfin que la surdité peut diminuer l’implication de la mémoire de l’ordre dans les compétences arithmétiques. Une discussion approfondie conclut la thèse en interprétant les nouveaux résultats et en suggérant des orientations futures. Bien que les individus sourds présentent des profils hétérogènes, dans l'ensemble, un accès précoce et complet au langage semble crucial à la bonne compréhension du système numérique.(BIFA - Sciences biomédicales et pharmaceutiques) -- UCL, 202

Deafness and early language deprivation influence arithmetic performances

It has been consistently reported that deaf individuals experience mathematical difficulties compared to their hearing peers. However, the idea that deafness and early language deprivation might differently affect verbal (i.e., multiplication) vs. visuospatial (i.e., subtraction) arithmetic performances is still under debate. In the present paper, three groups of 21 adults (i.e., deaf signers, hearing signers, and hearing controls) were therefore asked to perform, as fast and as accurately as possible, subtraction and multiplication operations. No significant group effect was found for accuracy performances. However, reaction time results demonstrated that the deaf group performed both arithmetic operations slower than the hearing groups. This group difference was even more pronounced for multiplication problems than for subtraction problems. Weaker language-based phonological representations for retrieving multiplication facts, and sensitivity to interference are two hypotheses discussed to explain the observed dissociation

Impact of deafness on numerical tasks implying visuospatial and verbal processes

The literature suggests that deaf individuals lag behind their hearing peers in terms of mathematical abilities. However, it is still unknown how unique sensorimotor experiences, like deafness, might shape number-space interactions. We still do not know either the spatial frame of reference deaf individuals use to map numbers onto space in different numerical tasks. To examine these issues, deaf, hearing signer and hearing control adults were asked to perform a number comparison and a parity judgment task with the hands uncrossed and crossed over the body midline. Deafness appears to selectively affect the performance of the numerical task relying on verbal processes while keeping intact the task relying on visuospatial processes. Indeed, while a classic SNARC effect was found in all groups and in both hand postures of the number comparison task, deaf adults did not show the SNARC effect in both hand postures of the parity judgment task. These results are discussed in light of the spatial component characterizing the counting system used in sign language

Data_Sheet_1_Deafness and early language deprivation influence arithmetic performances.docx

It has been consistently reported that deaf individuals experience mathematical difficulties compared to their hearing peers. However, the idea that deafness and early language deprivation might differently affect verbal (i.e., multiplication) vs. visuospatial (i.e., subtraction) arithmetic performances is still under debate. In the present paper, three groups of 21 adults (i.e., deaf signers, hearing signers, and hearing controls) were therefore asked to perform, as fast and as accurately as possible, subtraction and multiplication operations. No significant group effect was found for accuracy performances. However, reaction time results demonstrated that the deaf group performed both arithmetic operations slower than the hearing groups. This group difference was even more pronounced for multiplication problems than for subtraction problems. Weaker language-based phonological representations for retrieving multiplication facts, and sensitivity to interference are two hypotheses discussed to explain the observed dissociation.</p

Stronger neural response to canonical finger-number configurations in deaf compared to hearing adults revealed by FPVS-EEG

The linguistic counting system of deaf signers consists of a manual counting format that uses specific structures for number words. Interestingly, the number signs from 1 to 4 in the Belgian sign languages correspond to the finger-montring habits of hearing individuals. These hand configurations could therefore be considered as signs (i.e., part of a language system) for deaf, while they would simply be number gestures (not linguistic) for hearing controls. A Fast Periodic Visual Stimulation design was used with electroencephalography recordings to examine whether these finger-number configurations are differently processed by the brain when they are signs (in deaf signers) as compared to when they are gestures (in hearing controls). Results showed that deaf signers show stronger discrimination responses to canonical finger-montring configurations compared to hearing controls. A second control experiment furthermore demonstrated that this finding was not merely due to the experience deaf signers have with the processing of hand configurations, as brain responses did not differ between groups for finger-counting configurations. Number configurations are therefore processed differently by deaf signers, but only when these configurations are part of their language system

Functional Gait Can Be Affected by Noise:Effects of Age and Cognitive Function: A Pilot Study

Background: The ageing process may degrade an individual's balance control, hearing capacity, and cognitive function. Older adults perform worse on simultaneously executed balance and secondary tasks (i.e., dual-task performance) than younger adults and may be more vulnerable to auditory distraction. / Aim: The purpose of this study was to determine the effect of passive listening on functional gait in healthy older vs. younger adults, and to investigate the effect of age, functional gait, hearing ability and cognitive functioning on dual-task performance. / Methods: Twenty young and 20 older healthy adults were recruited. Functional gait (Functional Gait Assessment in silent and noisy condition), hearing function (audiogram; Speech in Babble test), and cognitive ability (Cambridge Neuropsychological Test Automated Battery) were measured. / Results: Overall, a significant difference between functional gait performance in silent vs. noisy conditions was found (p = 0.022), with no significant difference in dual-task cost between the two groups (p = 0.11). Correlations were found between increasing age, worse functional gait performance, poorer hearing capacity and lower performance on cognitive function tasks. Interestingly, worse performance on attention tasks appeared to be associated with a worse functional gait performance in the noisy condition. / Conclusion: Passive listening to multi-talker babble noise can affect functional gait in both young and older adults. This effect could result from the cognitive load of the babble noise, due to the engagement of attention networks by the unattended speech