The effects of group music with movement intervention on agitated behaviours of institutionalized elders with dementia in Taiwan

Effects of Physical Exercise on Health and Well-Being of Individuals Living With a Dementia in Nursing Homes: A Systematic Review

“…Full texts of the remaining 102 studies were read and the inclusion criteria applied: 15 eligible studies of which three were excluded due to low methodological quality. Twelve studies were included in the systematic review: 11 RCTs (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24) and one cluster RCTs (25) , of which one RCT had generated three separate publications. Williams C (2015 pers.…”

“…Both reviewers were able to agree on the scores for all studies without the need to consult the third reviewer. Fifty seven percent of the studies received a score of seven or above which suggests the results were less likely to be bias (12,15,17,18,20,22,25) . Eight was the highest score obtained: achieved by four studies (12,15,17,18) .…”

“…The level of functional ability and how it was measured varied widely across the studies. Some studies only stated tasks that participants were able to complete: sit and engage in simple activities (16,20) , have no hand disabilities (25) , be able to walk with or without assistance (type and level of assistance varied between studies) (12,13,15,19,24) , or be dependent in an activity of daily living (ADL) and have the ability to walk with or without assistance (14,22,23) . Other studies used more rigorous methods of functional assessment, such as the Barthel Index (BI) (21) , the Performance Orientated Mobility Assessment (21) and the German scale of medical care (17) .…”

“…All groups received the control activity for the same duration and frequency as the intervention group. Six control groups received no extra input but continued to participate in the usual care and activities provided at the nursing homes (15,17,(19)(20)(21)24) . One control group had no motor intervention (the meaning of 'no motor intervention' was not clarified by the authors) (18) .…”

“…Some studies only included individuals with a specific level of severity, others included individuals with a range of severity levels; the most common selection was individuals across the spectrum of mild to severe dementia (n=4). When determining the severity, tools such as the Clinical Dementia Rating and the Global Deterioration Scale should be used as they assess multiple aspects of dementia: cognition, emotion, memory and functional ability (29) ; both scale were used in one study each (20,21) . Often, cognitive screening tools such as the Mini Mental State Examination (MMSE) are used to determine severity of dementia, and in this review it was the most commonly used approach to assessing severity of dementia (n=10).…”