Balance, executive functions and falls in elderly with Alzheimer's disease (AD): A longitudinal study

Pedroso, Renata Valle; Coelho, Flávia Gomes de Melo; Santos-Galduróz, Ruth Ferreira; Costa, José Luiz Riani; Gobbi, Sebastião; Stella, Florindo

doi:10.1016/j.archger.2011.05.029

Cited by 55 publications

(48 citation statements)

References 22 publications

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“…25 In six studies at least one cognitive activity was applied as a secondary task. [19][20][21][22][23][24] Only three studies used motor dual tasking. [25][26][27] The time of each session varied between 30 minutes 23 and 1 hour per day, 21,23,24 and between 4 weeks 27 and 4 months.…”

Section: Resultsmentioning

confidence: 99%

“…Among the nine articles included, eight were published in the last 5 years. [19][20][21][22][23][24][25][26] The composition of samples ranged between 12 and 92 individuals [20][21][22] with a total of 303 subjects. The neurological conditions varied, with the most prevalent being stroke and brain injury, with 4 and 2 studies, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…19,[21][22][23][24] Cognitive impairment is an important risk factor for falls, doubling the risk of this type of event occurring, mainly when the individuals are in multitasking situations. 28 Executive dysfunctions are widely documented in the neurological population.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies evaluated the gait parameters 22,24,26,27 and five studies also evaluated executive functions. 19,[21][22][23][24] Other variables evaluated were postural control, 21,24,26 the number of falls, 24 and the performance in tasks of everyday living. 19,21 All the studies presented improvement of the variables analyzed post-training in experimental groups.…”

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confidence: 99%

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Dual task training as a therapeutic strategy in neurologic physical therapy: a literature review

Mendel

Barbosa²,

Sasaki

2015

Acta Fisiátrica

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Objective: Discuss the possibilities of dual task in the ambit of neurological rehabilitation. Methods: A survey was conducted in PUBMED, MEDLINE, LILACS, and PEDro, using the keywords "dual task" associated with each of the following terms separately: treatment, physical therapy, rehabilitation, exercise, training, divided attention, executive functions, and attentional demands. We selected only clinical trials that used dual task training in adults with neurological disease. Results: From the 2,024 articles found, 1,017 were excluded because they are duplicate. Among the remaining 1,007 articles, 998 were excluded after reviewing the abstracts. Nine articles were selected that included patients with stroke, brain injuries, Alzheimer's, and Parkinson's disease. Most articles used gait as the primary task, and in six studies the second task was cognitive. The training programs ranged between a total of 9 and 48 hours of training. Conclusion: Dual task training appears to improve gait, cognition, automation skills, and transference of learning, suggesting that this may be a valuable strategy for neurological rehabilitation. Nevertheless, it is still necessary to explain which tasks are more efficient and how long the learning retention lasts.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Dual task training as a therapeutic strategy in neurologic physical therapy: a literature review

Mendel

Barbosa²,

Sasaki

2015

Acta Fisiátrica

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“…[2][3][4][5] Para o tratamento, indica-se terapia farmacológica, mas também a não farmacológica, que pode incluir: estimulação cognitiva, convívio social 6,7 e prática regular de atividade física. 8 A literatura científica tem mostrado que, de uma forma geral, a prática regular de atividade física é capaz de proporcionar benefícios cognitivos, comportamentais e funcionais, [9][10][11] além de contribuir para um bom desempenho nas atividades de vida diária. 12 Nota-se, no entanto, que a maioria das estratégias não farmacológicas, sobretudo a intervenção motora, em geral são desenvolvidas em clínicas ou universidades, o que pode dificultar o acesso ao tratamento, principalmente para aqueles que se encontram no estágio avançado da doença, por apresentarem maior comprometimento cognitivo e motor e, consequentemente, maior dificuldade de acesso a tratamentos fora de seu domicílio.…”

Section: Introductionunclassified

Análise de protocolos com intervenção motora domiciliar para pacientes com doença de Alzheimer: uma revisão sistemática

Santos

Andrade

Pereira

et al. 2013

Rev. bras. geriatr. gerontol.

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ResumoA prática regular de atividade física é indicada como uma terapia não farmacológica ao tratamento da doença de Alzheimer por promover benefícios cognitivos, comportamentais e funcionais. Pouco se sabe, porém, sobre os protocolos com intervenção motora domiciliar para essa população. Pensando nisso, esta revisão teve como objetivo investigar e analisar os protocolos de intervenção motora domiciliar para idosos com doença de Alzheimer descritos em artigos científicos. Realizou-se busca sistemática, sem limite de data, nas seguintes bases de dados: Web of Science, PubMed, PsycINFO e Scopus. Utilizaram-se os seguintes operadores booleanos e palavras-chave: "homebased exercise" OR "home-based physical exercise" OR "home-based physical fitness" OR "home-based rehabilitation" OR "home-based physical therapy" OR "home-based physical activity" OR "home-based motor intervention" and "AD" OR "Alzheimer's disease" OR "Alzheimer" OR "Alzheimer's dementia". Realizou-se também uma busca manual nas listas de referência dos artigos selecionados. Dos cinco artigos que atenderam aos critérios de inclusão adotados, três realizaram um protocolo de intervenção motora domiciliar, conseguindo boa adesão ao programa, melhora geral da saúde e diminuição de sintomas depressivos. Os outros dois estudos limitaram-se a descrever os protocolos. Apesar de serem necessários mais estudos, com protocolos mais detalhados, esta revisão permitiu mostrar que protocolos de intervenção motora domiciliar também podem produzir efeitos positivos tanto para pacientes quanto para cuidadores. AbstractThe regular practice of physical therapy is indicated as a non-pharmacological treatment of Alzheimer's disease by promoting cognitive, behavioral and functional benefits. However, little is known about the protocols with home-based motor intervention for this population. Thinking about it, this review aimed to investigate and analyze the protocols for home-based motor intervention for elderly with Alzheimer's disease described in scientific articles. A systematic search was performed in the following

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The Therapeutic Potential of Exercise to Improve Mood, Cognition, and Sleep in Parkinson's Disease

et al. 2015

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In addition to the classic motor symptoms, Parkinson’s disease (PD) is associated with a variety of non-motor symptoms that significantly reduce quality of life, even in the early stages of the disease. There is an urgent need to develop evidence-based treatments for these symptoms, which include mood disturbances, cognitive dysfunction, and sleep disruption. We focus here on exercise interventions, which have been used to improve mood, cognition, and sleep in healthy older adults and clinical populations, but to date have primarily targeted motor symptoms in PD. We synthesize the existing literature on the benefits of aerobic exercise and strength training on mood, sleep, and cognition as demonstrated in healthy older adults and adults with PD, and suggest that these types of exercise offer a feasible and promising adjunct treatment for mood, cognition, and sleep difficulties in PD. Across stages of the disease, exercise interventions represent a treatment strategy with the unique ability to improve a range of non-motor symptoms while also alleviating the classic motor symptoms of the disease. Future research in PD should include non-motor outcomes in exercise trials with the goal of developing evidence-based exercise interventions as a safe, broad-spectrum treatment approach to improve mood, cognition, and sleep for individuals with PD.

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Balance, executive functions and falls in elderly with Alzheimer's disease (AD): A longitudinal study

Cited by 55 publications

References 22 publications

Dual task training as a therapeutic strategy in neurologic physical therapy: a literature review

Dual task training as a therapeutic strategy in neurologic physical therapy: a literature review

Análise de protocolos com intervenção motora domiciliar para pacientes com doença de Alzheimer: uma revisão sistemática

The Therapeutic Potential of Exercise to Improve Mood, Cognition, and Sleep in Parkinson's Disease

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