Table 3 Physical and cognitive training program
Periods | Exercises | Progression |
|---|---|---|
Warm-up (5–10 min) | Calisthenics and general flexibility | |
Multicomponent exercise programme (60–90 min) | Walking with executive function training • From a mixed set of objects (30 pieces) on a table at the start of the line, bring one object at a time walking over 10 m towards another table to sort the objects properly in 3–4 separate groups. Walking is done forward, backward, sideward, in figure of 8, or tandem. | 10–12 rounds; 1–3 sets Increase step length and speed Walking over obstacles |
Sit-to-stand with orientation training • Stand every time to answer questions about orientation to person, place and time | 8–12 repetitions; 1–3 sets Lower chair height | |
Heel and toe raises with attention training • Follow visual cues to do heel or toe raises | 8–12 repetitions; 1–3 sets Hold or raise for longer | |
Stepping in different directions with memory training • Stepping on a set of specified number and sequence of markers on the floor | 8–12 repetitions; 1–3 sets Longer or faster steps | |
Step-ups with attention training • Follow verbal instructions on which foot to use to step-up | 8–12 repetitions; 1–3 sets Increase step height | |
Graded reaching in standing with executive function training a. Table setting activity (arrange plates, utensils, glasses based on picture model) b. Arranging objects from smallest to largest, or in alternating pattern c. Copying a drawing (pyramid, cylinder, house); dot copy d. Computation of allowance, expenses, change | 8–12 repetitions; 1–3 sets Narrower foot placement Increase distance to reach Standing on a softer surface (rubber mat) Stepping while reaching | |
Cool-down (5–10 min) | Calisthenics and general flexibility With memory training (summarize what activities were accomplished after the session in correct sequence and details) | |