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Adults with dementia can appropriately engage in a strengthening exercise program

Sharon D. Rogers, PhD, Shannon E. Jarrott, PhD

Abstract


Background/rationale: A group-based exercise program has the potential to promote physical, psychological, and social health of participants. This study intended to document that an exercise intervention, designed for delivery and achievability in dementia care centers, could effectively engage participants with dementia.
Methods: An exercise program for residents of two dementia care facilities was designed and implemented. The centers’ activity directors led the programs three times per week for 12 weeks. Using a modified protocol of the Menorah Park Engagement Scale and a quantitative assessment of participants’ accurate performance of exercises, participants’ (n = 17) overall engagement in the prescribed exercise routine were evaluated.
Results: Results indicated that nearly all participants were constructively engaged and appropriately performed exercises through the entirety of each session.
Conclusions: Individuals with dementia retain the capability to constructively and appropriately participate in a group-based strengthening exercise intervention. The intervention can be readily replicated at facilities serving adults with dementia.


Keywords


therapeutic activities, environmental press, quality of life, exercise and dementia

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References


Eggermont LHP, Scherder EJA: Physical activity and behaviour in dementia. Dementia. 2006; 5: 411-428.

Heyn P, Abreu BC, Ottenbacher KJ: The effects of exercise training on elderly persons with cognitive impairment and dementia: A meta-analysis. Arch Phys Med Rehabil. 2004; 85: 1694-1704.

Rolland Y, van Kan GA, Vellas B: Physical activity and Alzheimer’s disease: From prevention to therapeutic perspectives. J Am Med Dir Assoc. 2008; 9: 390-405.

Yu F, Kolanowski AM, Strumpf NE, et al.: Improving cognition and function through exercise intervention in Alzheimer’s disease. J Nurs Scholarsh. 2006; 38: 358-365.

Miller ME, Rejeski WJ, Reboussin BA, et al.: Physical activity, functional limitations, and disability in older adults. J Am Geriatr Soc. 2000; 48: 1264-1272.

Heyn P: Effect of a multisensory exercise program on engagement, behavior, and selected physiological indexes in persons with dementia. Am J Alzheimers Dis Other Demen. 2003; 18: 247-251.

Kwak YS, Um SY, Son TG, et al.: Effect of regular exercise on senile dementia patients. Int J Sports Med. 2008; 29: 471-474.

Rolland Y, Pillard F, Klapouszczak A, et al.: Exercise program for nursing home residents with Alzheimer’s disease: A 1-year randomized, controlled trial. J Am Geriatr Soc. 2007; 55: 158-165.

Santana-Sosa E, Barriopedro MI, Lopez-Mojares LM, et al.: Exercise training is beneficial for Alzheimer’s patients. Int J Sports Med. 2008; 29: 845-850.

Schneider EA, Drake EC, Simms DW, et al.: Development of an exercise program for individuals with Alzheimer’s disease or related dementia. J Geriatr Phys Ther. 2001; 24(1): 19.

Teri L, Gibbons LE, McCurry SM, et al.: Exercise plus behavioral management in patients with Alzheimer disease—A randomized controlled trial. JAMA. 2003; 290: 2015-2022.

Toulette C, Fabre C, Dangremont B, et al.: Effects of physical training on the physical capacity of frail, demented patients with a history of falling: A randomized controlled trial. Age Ageing. 2003; 32: 67-73.

Williams CL, Tappen RM: Effect of exercise on mood in nursing home residents with Alzheimer’s disease. Am J Alzheimers Dis Other Demen. 2007; 22: 389-397.

Netz Y, Axelrad S, Argov E: Group physical activity for demented older adults-feasibility and effectiveness. Clin Rehabil. 2007; 21: 977-986.

Arkin SM: Elder rehab: A student-supervised exercise program for Alzheimer’s patients. Gerontologist. 1999; 39: 729-735.

Arkin SM: Student-led exercise sessions yield significant fitness gains for Alzheimer’s patients. Am J Alzheimers Dis Other Demen. 2003; 18: 159-170.

Brill PA, Drimmer AM, Morgan LA, et al.: The feasibility of conducting strength and flexibility programs for elderly nursing home residents with dementia. Gerontologist. 1995; 35: 263-266.

Francese T, Sorrell J, Butler F: The effects of regular exercise on muscle strength and functional abilities of late stage Alzheimer’s residents. Am J Alzheimer’s Dis. 1997; May/June: 122-127.

Hageman PA, Thomas VS: Gait performance in dementia: The effects of a 6-week resistance training program in an adult day-care setting. Int J Geriatr Psychiatry. 2002; 17: 329-334.

Logsdon RG, McCurry SM, Teri L: A home health approach to exercise for persons with Alzheimer’s disease. Case Manag J. 2005; 6: 90-97.

Thomas VS, Hageman PA: Can neuromuscular strength and function in people with dementia be rehabilitated using resistance-exercise training? Results from a preliminary intervention study. J Gerontol A: Biol Sci Med Sci. 2003; 58: 746-751.

Folstein MF, Folstein SE, Mchugh PR: Mini-Mental State—Practical method for grading cognitive state of patients for clinician. J Psychiatr Res. 1975; 12: 189-198.

Buettner LL, Fitzsimmons S: Recreational therapy exercise on the special care unit: Impact on behaviors. Am J Recreat Ther. 2004; 3: 8-24.

Lawton MP, Nahemow L: An ecological theory of adaptive behavior and aging. In Eisendorf C, Lawton MP (eds.): Psychology of Adult Development and Aging. Washington, DC: American Psychological Association, 1973: 657-667.

Cevasco AM, Grant RE: Comparison of different methods for eliciting exercise-to-music for clients with Alzheimer’s disease. J Music Ther. 2003; 40: 41-56.

Kneafsey R: The therapeutic use of music in a care of the elderly setting: A literature review. J Clin Nurs. 1997; 6: 341-346.

Mathews RM, Clair AA, Kosloski K: Keeping the beat: Use of rhythmic music during exercise activities for the elderly with dementia. Am J Alzheimers Dis Other Demen. 2001; 16: 377-380.

Judge KS, Camp CJ, Orsulic-Jeras S: Use of Montessoribased activities for clients with dementia in adult day care: Effects on engagement. Am J Alzheimers Dis Other Demen. 2000; 15: 42-46.

Camp CJ, Skrajner MJ: Resident-Assisted Montessori Programming (RAMP): Training persons with dementia to serve as group activity leaders. Gerontologist. 2004; 44: 426-431.

Jarrott SE, Gozali T, Gigliotti CM: Montessori programming for persons with dementia in the group setting: An analysis of engagement and affect. Dementia. 2008; 7: 109-125.

Engleman KK, Altus DE, Mathews RM: Increasing engagement in daily activities of older adults with dementia. J Appl Behav Anal. 1999; 32: 107-110.

Lawton MP, Van Haitsma K, Perkinson M, et al.: Observed affect and quality of life in dementia: Further affirmation and problems. J Ment Health Aging. 1999; 5: 69-81.

Fleiss JL: Statistical Methods for Rates and Proportions. New York: John Wiley and Sons, 1981.

Landis JR, Koch GG: Measurement of observer agreement for categorical data. Biometrics. 1977; 33: 159-174.

Jarrott SE, Gigliotti CM: Layers of influence: Important contextual factors in directing dementia care programs. J Appl Gerontol. 2011; 30: 113-122.

Gitlin LN, Winter L, Earland TV, et al.: The tailored activity program to reduce behavioral symptoms in individuals with dementia: Feasibility, acceptability, and replication potential. Gerontologist. 2009; 49: 428-439.

Gori G, Pientini S, Vespa A: The selection of meaningful activities as a treatment for day-care in dementia. Arch Gerontol Geriatr. 2001; Supp 7: 207-212.

Harper-Ice G: Daily life in a nursing home: Has it changed in 25 years? J Aging Stud. 2002; 16: 345-359.

US Department of Health and Human Services: Trends in Residential Long-Term Care: Use of Nursing Homes and Assisted Living and Characteristics of Facilities and Residents. Washington, DC: US Department of Health and Human Services, Office of Disability, Aging and Long-Term Care Policy, February 2002. Available at http://aspe.hhs.gov/daltcp/reports/2002/rltct.htm. Accessed January 5, 2011.




DOI: http://dx.doi.org/10.5055/ajrt.2012.0017

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