Effects and feasibility of an exercise intervention for individuals living with dementia in nursing homes: study protocol
Effects and feasibility of an exercise intervention for individuals living with dementia in nursing homes: study protocol
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对疗养院痴呆症患者进行运动干预的效果和可行性：研究方案
DOI：
10.1017/s1041610217000138
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发表时间：
2017
影响因子：
7
通讯作者：
Shahla Meedya
中科院分区：
文献类型：
--
作者：
Lindsey Brett;V. Traynor;P. Stapley;Shahla Meedya
背景：全球估计有3560万人患有痴呆症。重要的是，利用非药物疗法来帮助控制躁动等痴呆症症状，因为它们是最佳实践指南中推荐的第一种方法。方法：本协议概述了一项随机对照试验，该试验具有定性成分，评估了物理治疗师主导的体育锻炼干预对养老院痴呆症患者躁动的效果和可行性。身体表现水平被认为是次要的结果。这个基于证据的方案包括一系列针对力量、平衡、耐力和柔韧性的适应性体育锻炼。为了帮助确定这一人群的最佳参数，研究采用了两个干预组：(a)每周进行一次45分钟的体育锻炼干预；(b)体育锻炼干预，每周三次，每次15分钟（每周总时间为45分钟）。两个干预组都与对照组进行比较，对照组继续只参加常规护理（没有特定的体育锻炼干预），如基本的坐着锻炼课程，地毯碗和“扶手椅”活动。结论：本方案中详细介绍的物理治疗师主导的体育锻炼干预可以整合到养老院或其他类似环境的痴呆症护理中，以帮助减少躁动和改善身体表现。
ABSTRACT Background: Worldwide, there are an estimated 35.6 million individuals living with dementia. It is important that non-pharmacological therapies are utilized to help manage the symptoms of dementia, such as agitation, as they are the recommended first approach in best practice guidelines. Methods: This protocol outlines a randomized controlled trial with a qualitative component which evaluated the effects and feasibility of a physical therapist-led physical exercise intervention on agitation of individuals living with dementia in nursing homes. Physical performance levels were considered as a secondary outcome. This evidence-based protocol consisted of a range of adaptable physical exercises that targeted strength, balance, endurance, and flexibility. To help determine the optimum parameters for this population group, the study used two intervention groups: (a) physical exercise intervention for 45 minutes once a week; (b) physical exercise intervention for 15 minutes three times a week (total time also 45 minutes per week). Both intervention groups were compared to a control group, which continued to participate in usual care only (no specific physical exercise intervention), such as basic seated exercise class, carpet bowls, and “armchair” activities. Conclusions: The physical therapist-led physical exercise intervention detailed in this protocol could be integrated into dementia care in nursing homes or other similar settings to help reduce agitation and improve physical performance.
影响因子：
4.1
作者：
Garber, Carol Ewing;Blissmer, Bryan;Swain, David P.
通讯作者：
Swain, David P.