Effects of Fumanet exercise on Korean older adults with mild dementia

Abstract

Aim: This study aimed to examine the effects of Fumanet exercise on cognitive function, walking ability, and depression in older adults with mild dementia. Methods: A quasi-experimental pre-and post-test design with a non-equivalent control group was used. Participants were 45 patients with mild dementia (experimental group = 22, control group = 23). In the experimental group, Fumanet exercise was performed 60 minutes per day, once per week for 8 weeks. Data were analyzed using descriptive statistics, t test, Chi-square, Fisher's exact test, and twoway repeated measures analysis of variance. Results: Gait ability in the experimental group was significantly improved compared with the control group (F = 9.08, P = .004). There were no significant differences in cognitive function or depression between the experimental and control groups. Although the intervention did not show a reduction in depression, participants exhibited a high participation rate and brighter mood with increasing sessions. Conclusions: It was confirmed that Fumanet exercise is an effective nursing intervention to improve gait ability among older adults with mild dementia.

O que sabemos sobre os efeitos do exercício físico na demência, excluindo a doença de Alzheimer? a revisão sistemática de ensaios clínicos internacionais

“…The total sample consisted of 65.7% of women (n=1054) aged ≥60 years. Most of the studies evaluated older people who were at different stages of the disease: all stages (Tanaka et al, 2021;Henskens, Nauta, Van Eekeren, & Scherder, 2018;Lamb et al, 2018;Okamura et al, 2018;Cancela, Ayán, Varela, & Seijo, 2016), mild to moderate phases (Swinnen et al, 2021;Trautwein et al, 2020), and moderate to severe phases (Higuti, Barbosa, Corrêa, Izzo, & Ansai, 2020;Karssemeijer et al, 2019), and seven studies evaluated a sample of older people at the same stage: early (Tay et al, 2016), mild (Ho et al, 2020;Lee, Joung, & Shin, 2019;Cheng et al, 2014;Burgener, Yang, Gilbert, & Marsh-Yant, 2008), and moderate (Liu et al 2020;Styliadis et al, 2015;Stevens, & Killeen, 2006). These and other characteristics can be seen in table 3.…”

“…It is noteworthy that only seven studies used PE as a single intervention (Ho et al, 2020;Liu et al, 2020;Karssemeijer et al, 2019;Lee et al, 2019;Lamb et al, 2018;Cancela et al, 2016;Stevens, & Killeen, 2006), while another five studies combined PE and cognitive therapy (Swinnen et al, 2021;Tanaka et al, 2021;Okamura et al 2018;Tay et al, 2016;Styliadis et al, 2015;Cheng et al, 2014;Burgener, Yang, Gilbert, & Marsh-Yant, 2008). Higuti et al (2020) associated PE practice with music and Henskens et al (2018) used the combination of PE and activities of daily living.…”

“…Higuti et al (2020) associated PE practice with music and Henskens et al (2018) used the combination of PE and activities of daily living. Regarding the types of PE, aerobic exercise, in walking, exergaming, and cycling modalities, in isolation or combined with resistance exercise was used in almost all studies, except in the studies by Cheng et al (2014) and Burgener et al (2008) which investigated Tai Chi (Table 3) and the studies by Higuti et al (2020) and by Lee et al (2019) which investigated mobility exercises.…”

“…When analyzing the intervention protocol, six studies submitted patients to intervention three times a week (Swinnen et al, 2021;Karssemeijer et al, 2019;HenskenS et al, 2018;Cheng et al, 2014;Burgener et al, 2008, Stevens, & Killeen, 2006, four studies to once a week (Higuti et al, 2020;Lee et al, 2019;Okamura et al, 2018;Tay et al, 2016), three studies to twice a week (Tanaka et al, 2021;Ho et al, 2020;Trautwein et al, 2020), two studies to five interventions a week (Liu et al, 2020;Styliadis et al, 2015), and one study to daily sessions (Cancela et al, 2016). Regarding the intervention time, the shortest study lasted four weeks (Liu et a., 2020), while the longest studies lasted 65 (Cancela et al, 2016) and 40 weeks (Burgener et al, 2008) (Table 4).…”

“…Liu et al (2020) Both exercises (AE and RE) improve the performance of activities of daily living, cognitive functions and biochemical markers for dementia (MCP-1 and IGF-1). Karssemeijer et al (2019) Exergaming and AE improves psychomotor speed, as psychomotor speed is an important predictor of functional decline Lee, Joung & Shin (2019) The Fumanet exercise improve gait ability among older adults with mild dementia. Henskens et al (2018) Exercise training (AE and RE) benefitted only grip strength of participants with mild-to-moderate cognitive impairment.…”