Can physical training have an effect on well-being in adults with mild intellectual disability?

Carmeli, Eli; Zinger-Vaknin, Tzvia; Morad, Mohammed; Merrick, Joav

doi:10.1016/j.mad.2004.08.021

Cited by 110 publications

(147 citation statements)

References 26 publications

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“…8 These individuals are affected by apraxia, agnosia, spatial deterioration and abnormal executive functions, all of which gain significance with the evolution of the disease, which explains the fact that the patients with moderate and severe dementia in the present study exhibited a higher risk of falls. Carameli et al 30 reported that the risk of falls is high among elderly individuals with cognitive disorders as these individuals are usually exposed to negligence, social exclusion and depressive symptoms. These factors in turn contribute to a reduction in the performance of physical activity and an increase in global muscular weakness.…”

Section: Discussionmentioning

confidence: 99%

Equilíbrio, quedas e funcionalidade em idosos com alteração da função cognitiva

Bortoli

Piovezan

Piovesan

et al. 2015

Rev. bras. geriatr. gerontol.

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Objective: To assess the relationship between cognitive function, balance, risk of falls and functionality in elderly persons with impaired cognitive function and verify if those with mild cognitive impairment had better balance, functionality and a lower risk of falls than those with dementia. Methods: An analytical cross-sectional study of 33 elderly persons of both genders, aged over 60 years, were evaluated using the Mini Mental State Examination (MMSE), Timed Up and Go (TUG) test, Berg Balance Scale (BBS), Clinical Dementia Rating Scale (CDR) and Barthel Index. Four groups were considered: mild cognitive impairment (MCI; n=9), mild dementia (MID; n=12), moderate dementia (MOD; n=7) and severe dementia (SD; n=5). Data comparison was performed by the Mann Whitney U-test and correlation by Spearman's rank Correlation Coefficient, whit a significance level of ( p<0.05). Results: There was a statistically significant difference in the risk of falls and functionality between the MID and MOD groups, functionality between the MOD and SD groups, and balance, functionality and risk of falls between the MID and SD groups. A moderate correlation between MMSE and BBS (r=0.543; p=0.006) was observed in the MCI group, and a moderate negative correlation between p<0.001) and a strong correlation between MMSE and Barthel (r=0.708; p<0.001) were observed in the dementia group. Conclusion: The deterioration in cognitive function was associated with greater impairment of functionality, balance and an increased risk of falls in elderly persons with dementia, compared to elderly subjects with mild cognitive impairment.

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Section: Discussionmentioning

confidence: 99%

Equilíbrio, quedas e funcionalidade em idosos com alteração da função cognitiva

Bortoli

Piovezan

Piovesan

et al. 2015

Rev. bras. geriatr. gerontol.

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“…Bartlo and Klein (2011) conducted a review into the effects of physical activity programs (balance training, aerobic training, and resistance training) for adults with intellectual disability and found evidence of an increase in balance and muscle strength (e.g., Carmeli, Kessel, Coleman, & Ayalon, 2002;Carmeli, Merrick, & Berner, 2004;Carmeli, Zinger-Vaknin, Morad, & Merrick, 2005), heart rate (e.g., Cluphf, O'Connor, & Vanin, 2001), functional mobility and gait (e.g., Podgorski, Kessler, Cacia, Peterson, & Henderson, 2004), and physical fitness (e.g., Rimmer, Heller, Wang, & Valerio, 2004). In addition to these positive effects in physical variables, evidence of positive effects in the domain of mental health was also found (Bartlo & Klein, 2011), such as a reduction in anxiety (Carmeli, Barak, Morad, & Kodesh, 2009), an increase in life satisfaction (Heller, Hsieh, & Rimmer, 2004), wellbeing (Carmeli et al, 2005), and quality of life (Carmeli et al, 2009;Heller et al, 2004). The participants in the studies included were, however, only adults of whom the majority had a mild to moderate intellectual disability.…”

Section: Introductionmentioning

confidence: 99%

Motor activation in people with profound intellectual and multiple disabilities in daily practice

Putten

Bossink

Frans

et al. 2016

Journal of Intellectual & Developmental Disability

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Background People with profound intellectual and multiple disabilities (PIMD) are at risk of being motorically inactive. This study investigated the degree and type of motor activation in daily practice and its relationship to personal and contextual factors. Method A total of 58 participants with PIMD participated in the study. Data concerning the motor activation were collected by means of a diary over a period of 14 days. Relationships to personal and contextual factors were analysed using multilevel analyses. Results The mean number of transfers was 3.1 times per day (range: 0-9, SD = 1.4), the mean number of relocations was 7.7 times per day (range: 2-13, SD = 2.5), and the mean number of motor activities offered was 1.5 per day (range: 0-10, SD = 1.9). Relationships to age, gender, location, and day of week were found. Conclusion Motor activation seems to be a minor part of the support provided to people with PIMD.

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“…Entretanto, processos motores regulados por mecanismos corticais complexos, como sentar-se e levantar-se da cadeira, podem estar afetados nos estágios leve e moderado da DA, predispondo o paciente ao risco de quedas 18 . No estágio avançado, no entanto, o aumento do risco de quedas está relacionado ao provável comprometimento visual e às alterações cognitivas 17,19 . Carmeli et al 19 observaram que o risco de quedas é alto em idosos com déficit cognitivo, pois, geralmente, esse se encontra associado à negligência, exclusão social e sintomas depressivos.…”

Section: Introductionunclassified

“…No estágio avançado, no entanto, o aumento do risco de quedas está relacionado ao provável comprometimento visual e às alterações cognitivas 17,19 . Carmeli et al 19 observaram que o risco de quedas é alto em idosos com déficit cognitivo, pois, geralmente, esse se encontra associado à negligência, exclusão social e sintomas depressivos. Esses fatores, por sua vez, contribuem para reduzir o desempenho em atividade física e aumentar a fraqueza muscular global.…”

Section: Introductionunclassified

Risco de quedas em idosos com doença de Parkinson e demência de Alzheimer: um estudo transversal

Christofoletti¹,

Oliani²,

Gobbi³

et al. 2006

Rev. bras. fisioter.

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RESUMOObjetivo: Comparar o risco de quedas entre idosos com doença de Parkinson (DP), demência de Alzheimer (DA) e saudáveis (controle). Além disso, pretendeu-se analisar as relações do risco de quedas com declínio cognitivo e com nível de atividade física. Método: vinte idosos, sendo sete com DP (69,57 ± 2,40 anos), seis com DA (77,5 ± 2,32 anos) e sete saudáveis (74,71 ± 2,58 anos), foram avaliados por meio dos seguintes instrumentos: Escala de Equilíbrio Funcional de Berg (EEFB), Timed Up and Go test (TUG), Mini-Exame do Estado Mental (MEEM) e Questionário Baecke Modificado para Idosos (QBMI). Resultados: O teste de Kruskal-Wallis apontou diferença significativa entre os grupos, tanto em relação à EEFB (KW=9,67, p<0,01), quanto em relação ao TUG (KW=9,14, p<0,01, para tempo despendido, e KW=10,04, p<0,01, para número de passos). A "análise aos pares" do teste post-hoc de Bonferroni apontou comprometimento maior do equilíbrio no grupo DA, no qual também foram observados menores valores no MEEM. O grupo DP foi caracterizado por apresentar um maior nível de atividade física. A análise de correlação de Spearman apontou correlação baixa entre MEEM e EEFB (r s =0,59); entre MEEM e TUG (r s =-0,62 e r s =-0,52); entre QBMI e EEFB (r s =0,54); e entre QBMI e TUG (r s =-0,39 e r s =-0,42). Conclusões: As baixas correlações observadas devem ser analisadas com cautela, pois tais variáveis sofrem influência de múltiplos fatores. No grupo DA, o declínio cognitivo pode estar relacionado ao maior risco de quedas e, no grupo DP, a atividade física pode ter auxiliado a manter um risco de quedas próximo ao grupo controle.Palavras-chave: risco de quedas, doença de Parkinson, demência de Alzheimer. ABSTRACT Risk of Falls Among Elderly People with Parkinson's Disease and Alzheimer's Dementia: A Cross-Sectional StudyObjective: To compare the risk of falls among elderly people with Parkinson's disease (PD) and Alzheimer's dementia (AD) and among healthy peers (controls). In addition, the aim was to analyze relationships between risk of falls and cognitive decay and between risk of falls and physical activity. Method: Twenty subjects were assessed: seven with PD (69.57 ± 2.40 years), six with AD (77.5 ± 2.32 years) and seven healthy peers (74.71 ± 2.58 years). The following instruments were used: Berg Balance Scale (BBS), Timed Up and Go test (TUG), Mini-Mental State Examination (MMSE) and Modified Baecke Questionnaire for Older Adults (MBQOA). Results: The Kruskal-Wallis (KW) test indicated significant differences between the groups, relating to BBS (KW = 9.67, p<0.01) and TUG (KW = 9.14, p<0.01, for time expended, and KW = 10.04, p<0.01, for number of steps). Bonferroni post--hoc pairs analysis showed that balance was highly compromised in the AD group, such that lower MMSE values were observed. The PD group was characterized by presenting higher levels of physical activity. Spearman's test produced low correlations between MMSE and BBS (r s =0.59); MMSE and TUG (r s =-0.52 and r s =-0.62); MBQOA and BBS (r s =0.54); and MBQOA and...

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Can physical training have an effect on well-being in adults with mild intellectual disability?

Cited by 110 publications

References 26 publications

Equilíbrio, quedas e funcionalidade em idosos com alteração da função cognitiva

Equilíbrio, quedas e funcionalidade em idosos com alteração da função cognitiva

Motor activation in people with profound intellectual and multiple disabilities in daily practice

Risco de quedas em idosos com doença de Parkinson e demência de Alzheimer: um estudo transversal

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