Ageing is the strongest known risk factor for many of the neurodegenerative diseases causing cognitive decline and dementia. Identification of cognitive impairment may be a prelude to appropriate treatment, hopefully disease-modifying. Use of cognitive screening instruments may be an equitable way to identify cognitive impairment. This study examined the use of two such instruments, Free-Cog and Mini-Addenbrooke’s Cognitive Examination (MACE), in patient cohorts referred to a dedicated cognitive disorders clinic based at a tertiary neurosciences centre. Results showed that: (1) specificity and positive predictive value increased with patient age for both tests with some loss of sensitivity and negative predictive value. (2) In the oldest age groups (≥75 and ≥70 years respectively) where specificity was at maximum, a positive test result (i.e. below the specified test cut-off) rules in the diagnosis of cognitive impairment. (3) Values of an “Efficiency Index” for each test indicated qualitatively a moderate change in the probability of correct diagnosis and quantitatively an approximately 15-25% increase in the probability of correct diagnosis. These findings show that both Free-Cog and MACE may be used with confidence for the identification of cognitive impairment and dementia in older patient cohorts. These findings may have implications for public health policies directed to case-finding in clinical practice as opposed to population-based screening.

Jump rope is a widely-applied basic training in various sports, yet it is understudied biomechanically. This study investigates the impact of cycle-tempo-induced motor control changes in elite jump rope athletes, addressing the biomechanical gap of cyclic skill control. The hypothesis posited two accelerations per jump cycle—one in front of and one behind the body—and anticipated that increased cycle frequency would alter the distribution of acceleration time within a cycle. Using 3D motion analysis, kinematic parameters were obtained and analyzed. The results confirmed the presence of two distinct accelerations per cycle. As tempo increased, the percentage of rear acceleration time increased while front acceleration time decreased, along with peak velocities increasing significantly (p<0.01). Rope trajectory analysis indicated a consistent movement pattern across tempos, primarily in the sagittal plane. Variations in skill control showed shorter contact phases and reduced vertical range of motion for the center of gravity and feet at higher tempos (p<0.05), along with significant reductions in joint range of motion for the lower limbs (p<0.01). These findings enhance the understanding of motor control adaptations to different tempos and have practical implications for developing coaching programs aimed at optimizing performance, stability, and efficiency in jump rope training.