Safety and feasibility of a Dalcroze eurhythmics and a simple home exercise program among older adults with mild cognitive impairment (MCI) or mild dementia: the MOVE for your MIND pilot trial
| Autor: | Ursina Meyer, Heike A. Bischoff-Ferrari, Irene Bopp, Andreas Egli, Reto W. Kressig, Patricia O. Chocano-Bedoya, Michèle Mattle, Melanie Fischbacher |
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| Přispěvatelé: | University of Zurich, Bischoff-Ferrari, Heike Annette |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
11221 Clinic for Geriatric Medicine Eurhythmics Population Psychological intervention Medicine (miscellaneous) 610 Medicine & health law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law medicine Clinical endpoint Dementia 030212 general & internal medicine Mild cognitive impairment (MCI) education Exercise lcsh:R5-920 education.field_of_study business.industry Research Cognition 2701 Medicine (miscellaneous) medicine.disease MCI Older adults Physical therapy lcsh:Medicine (General) business 030217 neurology & neurosurgery Fall prevention |
| Zdroj: | Pilot and Feasibility Studies Pilot and Feasibility Studies, Vol 6, Iss 1, Pp 1-8 (2020) |
| DOI: | 10.5167/uzh-192885 |
| Popis: | Background Falls represent a major health problem for older adults with cognitive impairment, and the effects of exercise for fall reduction are understudied in this population. This pilot randomized controlled trial evaluated the feasibility, safety, and exploratory effectiveness of a Dalcroze eurhythmics program and a home exercise program designed for fall prevention in older adults with mild cognitive impairment (MCI) or early dementia. Methods For this three-arm, single-blind, 12-month randomized controlled pilot trial, we recruited community-dwelling women and men age 65 years and older with MCI or early dementia through participating memory clinics in Zurich, Switzerland. Participants were randomly assigned to a Dalcroze eurhythmics group program, a simple home exercise program (SHEP), or a non-exercise control group. All participants received 800 IU of vitamin D3 per day. The main objective of the study was to test the feasibility of recruitment and safety of the interventions. Additional outcomes included fall rate, gait performance, and cognitive function. Results Over 12 months, 221 older adults were contacted and 159 (72%) were screened via telephone. Following screening, 12% (19/159) met the inclusion criteria and were willing to participate. One participant withdrew at the end of the baseline visit and 18 were randomized to Dalcroze eurhythmics (n = 7), SHEP (n = 5), or control (n = 6). Adherence was similarly low in the Dalcroze eurhythmics group (56%) and in the SHEP group (62%; p = 0.82). Regarding safety and pilot clinical endpoints, there were no differences between groups. Conclusion The MOVE for your MIND pilot study showed that recruitment of older adults with MCI or early dementia for long-term exercise interventions is challenging. While there were no safety concerns, adherence to both exercise programs was low. Trial registration ClinicalTrials.gov, NCT02279316. Registered on 31 October 2014 |
| Databáze: | OpenAIRE |
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