A controlled clinical trial on the effects of motor intervention on balance and cognition in institutionalized elderly patients with dementia.
| Autor: | Christofoletti G; State University of Goiás, Department of Physical Therapy, Brasil. gustavo_physio@yahoo.com.br, Oliani MM, Gobbi S, Stella F, Bucken Gobbi LT, Renato Canineu P |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Clinical rehabilitation [Clin Rehabil] 2008 Jul; Vol. 22 (7), pp. 618-26. |
| DOI: | 10.1177/0269215507086239 |
| Abstrakt: | Purpose: To analyse the effects of two interventions on the cognition and balance of institutionalized elderly people with mixed dementia. Methods: Fifty-four participants were allocated into three groups. Group 1 was assisted by an interdisciplinary programme comprising physiotherapy, occupational therapy and physical education. A physiotherapist alone carried out the intervention in group 2. Group 3 was considered as control. Assessors were blinded to guarantee the absence of bias. Cognitive functions were analysed with the Mini-Mental State Examination and the Brief Cognitive Screening Battery. Balance was assessed with the Berg Balance Scale and the Timed Get-Up-and-Go Test. Multiple analysis of variance (MANOVA) was used to test possible main effects of the interventions. Results: The results showed benefits on the balance of subjects in both groups 1 (F=3.9, P<0.05) and 2 (F=3.1, P<0.05), compared with group 3. MANOVA did not indicate benefits on the cognitive functions between groups 1 and 3 (F=1.1, P>0.05) and groups 2 and 3 (F=1.6, P>0.05). However, univariate analysis indicated some benefits of the interdisciplinary intervention on two specific domains measured by the Brief Cognitive Screening Battery (F=26.5, P<0.05; F=4.4, P<0.05). Conclusion: Six months of multidisciplinary or physiotherapeutic intervention were able to improve a person's balance. Although global cognition did not improve through treatment, when the intervention was carried out on a multidisciplinary basis we observed an attenuation in the decline of global cognition on two specific cognitive domains. Exercises applied in different contexts may have positive outcomes for people with dementia. |
| Databáze: | MEDLINE |
| Externí odkaz: |
|