Fakkert, R.W. (2017) Feasibility and Effectiveness of Passive Exercise in a Multisensory Environment in Institutionalized Dementia Patients. thesis, Human Movement Sciences.
Full text available on request.Abstract
Background: The number of dementia patients is increasing. While exercise interventions can slow down the decline in cognition and physical functioning, low mobility and resource limitations exclude a number of patients. Passive exercise in a multisensory environment might be a time-efficient alternative. Objectives: We examined the feasibility of a passive exercise intervention in institutionalized dementia patients and explored effects on quality of life, cognition and physical function. Methods: 43 patients with dementia, recruited from three nursing homes, participated in this randomized controlled trial consisting of two phases. In phase 1, feasibility was determined based on data from six participants from one nursing home (4 female, age = 81.8 ± 6.9 years) randomized to a therapeutic motion simulation (TMS) group, whole-body vibration (WBV) or combination (TMS+WBV) group. In phase 2, 37 patients from two other nursing homes were added to the subject pool (29 female, age = 85.5 ± 6.5, MMSE = 14.1 ± 6.4) to explore effects on quality of life, cognition and physical function. Participants were offered 12-minute sessions of TMS (n=11), 4-minute sessions of WBV (n=10), 12-minute sessions of WBV+TMS (n=10), or received care as usual (n=12). 24 sessions per intervention group were offered over a period of 6 weeks. All participants underwent physical and cognitive testing at baseline and post-intervention, and caregivers filled in questionnaires. Results: Measures of feasibility revealed an adherence rate of 85% percent in phase one (97.4% excluding one drop-out), no adverse events in the remainder of participants and that our protocol was easy to adhere to. After the 6-week intervention, no significant differences on quality of life and cognition were found. Timed Up & Go performance improved significantly compared to baseline for the TMS+WBV group. Also, small to large effect sizes were found on measures of quality of life, memory and mobility. Conclusions: The present study showed that a passive exercise intervention in a multisensory environment is feasible in institutionalized dementia patients. The improvements in quality of life, memory and mobility warrant larger scaled randomized trials.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Heuvelen, dr. M.J.G. van and Heesterbeek, M. |
| Faculty: | Medical Sciences |
| Date Deposited: | 06 May 2022 10:40 |
| Last Modified: | 06 May 2022 10:40 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3233 |
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