Improved Functional Performance in Individuals With Dementia After a Moderate-Intensity Home-Based Exercise Program: A Randomized Controlled Trial

Abstract

The current intervention used a Strength-Based Approach to facilitate implementation of exercise activities that could be completed by the sample. Therefore, integration of these techniques into mainstream clinical practice and research should be feasible with this patient population. Future research directions and implications of these findings also are discussed.

The Applicability of a High-Intensity Functional Exercise Program Among Older People With Dementia Living in Nursing Homes

“…The incidence of recorded adverse events during exercise sessions in the study was higher than previously reported incidences in people with dementia 27,45. This difference could be explained by a relatively high prevalence of medical conditions such as osteoarthritis, stroke, depression, and delirium in our cohort.…”

Effects of a 16-week multimodal exercise program on gait performance in individuals with dementia: a multicenter randomized controlled trial

“…These inconsistent findings may be related to different study designs, gait assessments, interventions, and sample characteristics between previous research and our study. For example, studies considering walking speed in single task condition and reporting positive effects are characterized by more walking tasks included in the intervention [ 17 , 19 – 21 , 23 , 40 , 41 , 43 ], higher exercise intensities [ 19 , 20 , 43 ], participants with less cognitive impairments [ 19 , 21 , 43 ], worse baseline walking performance [ 17 , 18 , 22 , 23 , 46 ], better baseline walking performance [ 19 , 20 , 43 ], as well as assessing gait performance during fast walking [ 27 , 29 , 31 , 48 ] compared to our study. While the first four observations reflect the results and indications of this study, better baseline walking performance may enable instructors to implement higher exercise intensities and larger amounts of specific walking tasks.…”

Vestibular Physical Therapy in Individuals With Cognitive Impairment: A Theoretical Framework

“…Practice with appropriate level of challenge and intensity [5][6][7][8]44 All components of training:…”

“…A recent study demonstrated that a functional exercise program using this framework improved strength, balance, and gait speed outcomes in individuals with dementia. 5 We apply the Strength-Based model to guide therapists in recognizing, understanding, and exploiting the motor learning and relationship capabilities of IwCI in the context of VPT.…”