Application of Variability of Practice Hypothesis in Alzheimer Patients

Ross Andel1
1Southern California College, Costa Mesa

Tóm tắt

This study examined the effects of constant versus variable practice on learning a simple motor task in eight patients diagnosed with Alzheimer's Disease (AD). According to the variability of practice hypothesis, variations in practice of a motor skill result in superior learning as evidenced by better ability to transfer the skill. Eight AD patients were matched for Mini-Mental State Exam and baseline scores and then randomly assigned to a constant or variable practice group. Then, the participants were trained in hitting a tennis ball with a small racquet against a horizontal target (practice task) over 12 sessions. Finally, they were asked to aim at a vertical target (transfer task). All participants showed improvement on the practice task. On the transfer task, three of four participants in the variable practice group outperformed their matched counterparts, suggesting learning benefits of variable practice.

Từ khóa


Tài liệu tham khảo

Anthony-Bergstone, C. R., Zarit, S. H., and Gatz, M. (1988). Symptoms of psychological distress among caregivers of Alzheimer's patients. Psychol. Aging 3: 245-248.

Backman, L., and Herlitz, A. (1990). The relationship between prior knowledge and face recognition memory in normal aging and Alzheimer's disease. J. Gerontol. Psychol. Sci. 45: 94-100.

Beck, C. K., and Shue, V. M. (1994). Interventions for treating disruptive behavior in demented elderly people. Nurs. Clin. N. Am. 29: 143-155.

Bondi, M. W., and Kasniak, A. W. (1991). Implicit and explicit memory in Alzheimer's disease and Parkinson's disease. J. Clin. Exp. Neuropsychol. 13: 339-358.

Butters, N., Heindel, W. C., and Salmon, D. P. (1990). Dissociation of implicit memory in dementia: Neurological implications. Bull. Psychonom. Soc. 28: 359-366.

Cherry, K. E., and Plauche, M. F. (1996). Memory impairment in Alzheimer's disease: Findings, interventions, and implications. J. Clin. Geropsychol. 2: 263-296.

Cohen, N. J., and Squire, L. R. (1980). Preserved learning and retention of pattern analyzing skill in amnesia: Dissociation of knowing how and knowing that. Science 210: 207-210.

Deweer, B., Ergis, A. M., Fossati, P., Pillon, B., Boller, F., Agid, Y., and Dubois, B. (1994). Explicit memory, procedural learning and lexical priming in Alzheimer's disease. Cortex 30: 113-126.

Dick, M. B. (1992). Motor and procedural learning in Alzheimer's disease. In L. Backman (ed.), Memory Functioning in Dementia, North-Holland, Amsterdam, pp. 135-150.

Dick, M. B., Kean, M.-L., and Sands, D. (1988). The preselection effect on recall facilitation of motor movements in Alzheimer-type dementia. J. Gerontol. Psychol. Sci. 43: 127-135.

Dick, M. B., Nielson, K. A., Beth, R. E., Shankle, W. R., and Cotman, C. W. (1995). Acquisition and long-term retention of a fine motor skill. Brain Cognit. 29: 294-306.

Dick, M. B., Shankle, R.W., Beth, R. E., Dick-Muehlke, C., Cotman, C.W., and Kean, M.-L. (1996). Acquisition and long term retention of a gross motor skill in Alzheimer's disease patients under constant and varied practice conditions. J. Gerontol. Psychol. Sci. 51: 103-111.

Eslinger, P. J., and Damasio, A. R. (1986). Preserved motor learning in Alzheimer's disease: Implications of anatomy and behavior. J. Neurosci. 6: 3006-3009.

Folstein, M. F., Folstein, S. E., and McHugh, P. R. (1975). “Mini-Mental State”: A practical method for grading the mental state of patients for the clinician. J. Psychiat. Res. 12: 189-198.

Gabrieli, J. D. E., Corkin, S., Mickel, S. F., and Growdon, J. H. (1993). Intact acquisition and long-term retention of mirror-tracing skill in Alzheimer's disease and in global amnesia. Behav. Neurosci. 107: 899-910.

Grosse, D. A., Wilson, R. S., and Fox, J. H. (1991). Maze learning in Alzheimer's disease. Brain Cognit. 15: 1-9.

Herlitz, A., Lipinska, B., and Backman, L. (1992). Utilization of cognitive support for episodic remembering in Alzheimer's disease. In Backman, L. (ed.), Memory Functioning in Dementia, North-Holland Elsevier Science, Amsterdam, pp. 73-96.

Kausler, D. H. (1994). Learning and Memory in Normal Aging. Academic Press, San Diego, CA.

Lee, T. D., Magill, R. A., and Weeks, D. J. (1985). Influence of practice schedule on testing schema theory predictions in adults. J. Motor Behav. 17: 282-299.

Magill, R. A., and Hall, K. G. (1990). A review of contextual interference effect in motor skill acquisition. Human Movement Sci. 9: 241-289.

Martin, A., Brouwers, P., Cox, C., and Fedio, P. (1985). On the nature of the verbal memory deficit in Alzheimer's disease. Brain Lang. 25: 323-341.

Matteson, M. A., and Linton, A. (1996).Wandering behaviors in institutionalized persons with dementia. J. Gerontol. Nurs. 22: 39-46.

McKahn, G., Drachman, D., Folstein, M., Katzman, R., Price, D., and Stadlan, E. M. (1984). Clinical diagnosis of Alzheimer's disease: Report of the NINCDS-ADRDA work group under auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology 34: 939-944.

Meiran, N., and Jelicic, M. (1995). Implicit memory in Alzheimer's disease: A meta analysis. Neuropsychology 9: 291-303.

Miziniak, H. (1994). Persons with Alzheimer's: Effects of nutrition and exercise. J. Gerontol. Nurs. 20: 27-32.

Moss, M. B., Albert, M. S., Butters, N., and Payne, M. (1986). Differential patterns of memory loss among patients with Alzheimer's disease, Huntington's disease, and alcoholic Korsakoff's syndrome. Arch. Neurol. 43: 239-246.

Nebes, R. D. (1992). Cognitive dysfunction in Alzheimer's disease. In Clark, F. I. M., and Salthouse, T. (eds.), The Handbook of Aging and Cognition, Erlbaum, Hillsdale, NJ, pp. 373-445.

Schmidt, R. A. (1975). A schema theory of discrete motor learning. Psychol. Rev. 82: 225-260.

van Rossum, J. H. A. (1990). Schmidt's schema theory: The empirical base of the variability of practice hypothesis. Human Movement Sci. 9: 387-435.

Vitaliano, P. P., Russo, J., Breen, A. R., Vitiello, M. V., and Prinz, P. N. (1986). Functional decline in the early stages of Alzheimer's disease. Psychol. Aging 1: 41-46.

Vitaliano, P. P., Russo, J., Scanlan, J. M., and Greeno, C. G. (1996). Weight changes in caregivers of Alzheimer's care recipients: Psychobehavioral predictors. Psychol. Aging 11: 155-163.

Willingham, D. B., Nissen, M. J., and Bullemer, P. (1989). On the development of procedural knowledge. J. Exp. Psychol. Learn. Mem. Cognit. 6: 1047-1060.