ENHANCING COGNITIVE RECOVERY IN ELDERLY ATHLETES POST-STROKE: THE ROLE OF PROGRESSIVE ATTENTION TRAINING AND ITS IMPACT ON NEUROBIOLOGICAL MARKERS

Abstract

Objective: To study and explore the efficacy of comprehensive intervention of sarcopenia training in elderly athletes with secondary sarcopenia after stroke and its risk factors. Method: 100 elderly stroke athletes who carried out routine rehabilitation training and 100 athletes who carried out comprehensive intervention of sarcopenia training during the rehabilitation period were selected from the elderly stroke athletes receiving treatment in the department of neurology of the hospital in the period ranging from January 2018 to December 2022 and the two groups of sufferers were set as the control group and the study group respectively. To make a retrospective analysis on the clinical data of the control one and the study one, and the incidence rate of sarcopenia, skeletal muscle thickness, grip strength, limb functions, daily living ability, comfort levels, sleep status and life quality of the 2 groups were compared. Based on the occurrence of sarcopenia in the study group, the sufferers were divided into a successful prevention group (no sarcopenia) and a failure prevention group (sarcopenia). The clinical data of the successful prevention one and the failure prevention one of sarcopenia were retrospectively analyzed to analyze the risk factors of sarcopenia prevention failure in elderly stroke sufferers after comprehensive intervention of sarcopenia training. Results: The incidence of sarcopenia in the study one was less than the control one (P<0.05). After therapy, compared with the measured thicknesses of biceps and anterior tibial flexor measured before treatment, the thicknesses of biceps and anterior tibial flexor were significantly decreased in both groups, but compared with the thicknesses of biceps and anterior tibial flexor between groups, the values were greater in the research one (P<0.05). After therapy, the grip strength of both groups on the healthy side and the affected side was significantly higher than that before treatment, while compared with the control one, the grip strength of the research one on the healthy side and the affected side was higher (both P<0.05). After therapy, compared with the control one, the scores in limb functions, ability of daily life and comfort level in the study group were higher, while compared with those before therapy, the points in three aspects were significantly increased in the 2 groups (all P<0.05). After therapy, compared with the control one, the sleep latency of sufferers in the research one was shorter, the actual sleep duration of sufferers in the research one was longer, and the sleep quality scores of sufferers in the research one was lower (all P<0.05). After therapy, the points of all aspects of life quality in the 2 groups were significantly increased compared with those before therapy, and the scores of all aspects of life quality were compared between the 2 groups and the results showed that the research one was higher than the control one (all P<0.05). In the univariate analysis, there was no obvious difference in gender data between the failure prevention group and the successful prevention group (P>0.05), but statistically obvious distinctions were found in age, body mass index, osteoporosis, diabetes, serum albumin, anemia and other data between the failure prevention group and the successful prevention group (P<0.05); after multi-factor Logistics regression analysis was carried out for the statistical analysis of age ≥75 years old, BMI ≥24 kg/m², combined with osteoporosis, combined with diabetes, serum albumin <30g/L, combined with anemia and other data and the results showed that P<0.05, which were all the risk factors for the failure prevention of sarcopenia in elderly stroke sufferers after comprehensive intervention of sarcopenia training. Conclusions: The implementation of comprehensive intervention of sarcopenia training in the rehabilitation stage of elderly athletes can not only effectively prevent the occurrence of sarcopenia, but also increase the skeletal muscle thickness and grip strength, which is helpful to help the recovery of limb functions and self-care ability of daily living, and reduce the impact on their sleep and daily life. Elderly athletes are affected by age, body mass index, osteoporosis, diabetes and other factors, the prevention effects of sarcopenia is weakened after the implementation of comprehensive intervention measures for sarcopenia training, so it is necessary to develop targeted improvement countermeasures according to its risk factors.