Comparison of the effects of explicit and implicit learning on the balance of the elderly

Document Type : Research Paper

Authors

1 Sports Science Department, Shiraz University, Shiraz, Iran

2 Department of Motor Behavior, Faculty of Education and Psychology, Shiraz University, Shiraz, Iran

Abstract

Background: In recent years, the examination of the impact of various types of different exercises as the key influential components on balance has gained considerable popularity. Numerous studies have investigated the effects of diverse exercise modalities on the enhancement of balance abilities.
Aim: The aim of this research was to compare the effects of different types of learning (explicit and implicit) on the balance of elderly individuals.
Materials and Methods: Forty-two elderly participants (both women and men), after initial health assessments and medical history reviews, voluntarily participated in the study. They were randomly assigned to three groups: explicit learning group (14 participants), implicit learning group (14 participants), and control group (14 participants). Before the implementation of the targeted learning exercises, the static balance of the participants was assessed using the Flamingo Test, and dynamic balance was measured using the Timed Up and Go (TUG) test. After two sessions of learning exercises, the participants were reassessed. Statistical analysis was conducted using descriptive statistics (mean and standard deviation) and inferential statistics (ANCOVA and Shapiro-Wilk test) at a significance level of P<0.05.
Results: The findings indicated that there was no significant difference between the groups in the pre-test, but after performing the learning exercises, the static balance of the implicit learning group showed a statistically significant improvement compared to the explicit learning group and the control group. However, there was no significant increase in dynamic balance performance in any of the groups.
Conclusion: The results of this study support the claim that implicit learning exercises can have a positive and significant impact on the static balance performance of elderly individuals. It was also shown that implicit cognitive training had no effect on dynamic balance, which may indicate the important role of other variables such as motor control abilities.

Keywords

References

[1] Payne VG, Isaacs LD. Human Motor Development: A Lifespan Approach. Routledge. 2017.
[2] Horak FB. "Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls?". Age and Ageing. 2006; 35(suppl_2): ii7-ii11.
[3] Balasubramaniam R, Torre K. "Complexity in neurobiology: Perspectives from the study of noise in human motor systems". Critical Reviews™ in Biomedical Engineering. 2012; 40(6). DOI: 10.1615/critrevbiomedeng.2013006841.
[4] Seidler RD, Bernard JA, Burutolu TB, Fling BW, Gordon MT, Gwin JT, et al. "Motor control and aging: links to age-related brain structural, functional, and biochemical effects". Neuroscience & Biobehavioral Reviews. 2010; 34(5): 721-33. DOI: 10.1016/j.neubiorev.2009.10.005.
[5] Organization WH, Ageing WHO, Unit LC. "Gérontologie UdGCid. A global response to elder abuse and neglect: Building primary health care capacity to deal with the problem worldwide: Main report". World Health Organization. 2008.
[6] Osoba MY, Rao AK, Agrawal SK, Lalwani AK. "Balance and gait in the elderly: A contemporary review". Laryngoscope Investigative Otolaryngology. 2019; 4(1): 143-53. DOI: 10.1002/lio2.252.
[7] Peng HT, Tien CW, Lin PS, Peng HY, Song CY. "Novel mat exergaming to improve the physical performance, cognitive function, and dual-task walking and decrease the fall risk of community-dwelling older adults". Frontiers in Psychology. 2020; 11: 1620. DOI: 10.3389/fpsyg.2020.01620.
[8] Stinchcombe A, Kuran N, Powell S. "Seniors' falls in Canada: Second report: Key highlights". Chronic Diseases & Injuries in Canada. 2014; 34. DOI: 10.24095/hpcdp.34.2/3.13.
[9] Woollacott MH, Shumway-Cook A. Development of Posture and gait across the Life Span. Springer. 1989.
[10] Seidler RD. "Aging affects motor learning but not savings at transfer of learning". Learning & Memory. 2007; 14(1-2): 17-21.
[11] Rieckmann A, Bäckman L. "Implicit learning in aging: extant patterns and new directions". Neuropsychology Review. 2009; 19: 490-503.
[12] Schmidt RA, Lee TD, Winstein C, Wulf G, Zelaznik HN. Motor Control and Learning: A Behavioral Emphasis. Human Kinetics. 2018.
[13] Wulf G, Schmidt RA. "Variability of practice and implicit motor learning". Journal of Experimental Psychology: Learning, Memory, and Cognition. 1997; 23(4): 987.
[14] Gentile AM. "Movement science: Implicit and explicit processes during acquisition of functional skills". Scandinavian Journal of Occupational Therapy. 1998; 5(1): 7-16.
[15] Poldrack RA. "Imaging brain plasticity: conceptual and methodological issues—A theoretical review". Neuroimage. 2000; 12(1): 1-13.
[16] Allahverdipour H, Dianat I, Mameh G, Asghari Jafarabadi M. "Effects of cognitive and physical loads on dynamic and static balance performance of healthy older adults under single-, dual-, and multi-task conditions". Human Factors. 2021; 63(7): 1133-40. DOI: 10.1177/0018720820924626.
[17] Verneau M, van der Kamp J, Savelsbergh GJ, de Looze MP. "Age and time effects on implicit and explicit learning". Experimental Aging Research. 2014; 40(4): 477-511. DOI: 10.1080/0361073X.2014.926778.
[18] Abdoli DB, Behrouz D, Ashayeri Z, Defa Farakhi B. "Comparison of the effects of implicit and explicit learning on reaction time in a Chain". Movement. 2004; 19(19). https://joh.ut.ac.ir/article_10386.html.
[19] Nazemzadegan GH, Yousefi M. "The Effect of explicit and implicit learning on static balance". International Journal of Motor Control and Learning. 2020; 2(4): 41-5. DOI: 10.29252/ijmcl.1.2.41.
[20] Jie LJ, Kleynen M, Meijer K, Beurskens A, Braun S. "Implicit and explicit motor learning interventions for gait in people after stroke: A process evaluation on fidelity and feasibility performed alongside a randomized controlled trial". Research Center of Nutrition, Lifestyle and Exercise. Zuyd University of Applied Sciences, Heerlen, Netherlands; 2020 Jan 24.
[21] Shephard RJ. "PAR-Q, Canadian Home Fitness Test and exercise screening alternatives". Sports Medicine. 1988; 5(3): 185-95.
[22] Tahmasbi F, Salehi SK, Sina S. "The effect of a functional training on the cognitive functions (working memory) and mental health components of healthy elderly men". Journal of Applied Psychological Research. 2024. DOI: 10.22059/japr.2024.361911.644669.
[23] Springer BA, Marin R, Cyhan T, Roberts H, Gill NW. "Normative values for the unipedal stance test with eyes open and closed". Journal of Geriatric Physical Therapy. 2007; 30(1): 8-15.
[24] Podsiadlo D, Richardson S. "The timed 'Up & Go': A test of basic functional mobility for frail elderly persons". Journal of the American Geriatrics Society. 1991; 39(2): 142-8.
[25] Steffen TM, Hacker TA, Mollinger L. "Age-and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds". Physical Therapy. 2002; 82(2): 128-37.
[26] Jongbloed-Pereboom M, Janssen AJ, Steiner K, Steenbergen B, Nijhuis-van der Sanden MW. "Implicit and explicit motor sequence learning in children born very preterm". Research in Developmental Disabilities. 2017; 60: 145-52. DOI: 10.1016/j.ridd.2016.11.014.
[27] Masters RS, Maxwell JP. "Implicit motor learning, reinvestment and movement disruption: What you don’t know won’t hurt you". Skill Acquisition in Sport. Routledge; 2004.
[28] Buszard T, Farrow D, Verswijveren SJ, Reid M, Williams J, Polman R, et al. "Working memory capacity limits motor learning when implementing multiple instructions". Frontiers in Psychology. 2017; 8: 1350. DOI: 10.3389/fpsyg.2017.01350.
[29] Nishimoto R, Inokuchi H, Fujiwara S, Ogata T. "Implicit learning provides advantage over explicit learning for gait-cognitive dual-task interference". Scientific Reports. 2024; 14(1): 18336. DOI: 10.1038/s41598-024-68284-z.
[30] Kal E, Prosée R, Winters M, Van Der Kamp J. "Does implicit motor learning lead to greater automatization of motor skills compared to explicit motor learning? A systematic review". PloS one. 2018; 13(9): e0203591. DOI: 10.1371/journal.pone.0203591.
[31] Miyake A, Shah P. Models of Working Memory: Citeseer. 1999.
[32] Janacsek K, Nemeth D. "Implicit sequence learning and working memory: Correlated or complicated?". Cortex. 2013; 49(8): 2001-6. DOI: 10.3390/jintelligence11100201.
[33] Baddeley A. "Working memory: Theories, models, and controversies". Annual Review of Psychology. 2012; 63: 1-29. DOI: 10.1146/annurev-psych-120710-100422.
[34] Gazzaley A, D'esposito M. "Top‐down modulation and normal aging". Annals of the New York Academy of Sciences. 2007; 1097(1): 67-83.
[35] Karbach J, Verhaeghen P. "Making working memory work: A meta-analysis of executive-control and working memory training in older adults". Psychological Science. 2014; 25(11): 2027-37. DOI: 10.1177/0956797614548725.
[36] Skelton DA. "Effects of physical activity on postural stability". Age and Ageing. 2001; 30(suppl_4): 33-9.
[37] Lauenroth A, Ioannidis AE, Teichmann B. "Influence of combined physical and cognitive training on cognition: A systematic review". BMC Geriatrics. 2016; 16: 1-14. DOI: 10.1186/s12877-016-0315-1.
[38] Schwenk M, Zieschang T, Oster P, Hauer K. "Dual-task performances can be improved in patients with dementia: a randomized controlled trial". Neurology. 2010; 74(24): 1961-8.
Sport Sciences and Health Research
Volume 16, Issue 2
July 2024
Pages 295-306

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