Findings from a strength-based moderate-intensity exercise interventions for individuals with dementia (innovative practice)

Dementia ◽  
2017 ◽  
Vol 19 (4) ◽  
pp. 1265-1273 ◽  
Author(s):  
Nicole Dawson ◽  
Hayden Gerhart ◽  
Katherine S Judge
Keyword(s):  
Exercise Program ◽  
Moderate Intensity ◽  
Exercise Science ◽  
Moderate Intensity Exercise ◽  
Exercise Interventions ◽  
Home Based ◽  
Strength Based ◽  
Functional Exercise ◽  
Sample Age ◽  
Future Practice

Limited evidence exists regarding exercise interventions with individuals with dementia, which is often due to heterogeneity of methodology and outcomes being assessed. This led to the development and evaluation of a moderate-intensity home-based functional exercise program guided by theories from exercise science and the Strength-Based Approach. Data indicated excellent treatment adherence (99.04%) along with high levels of acceptability and feasibility in this sample (age 76.63 years (9.84); Mini Mental State Exam 18.87 (6.40)). This article informs future practice by highlighting the merits of a Strength-Based Approach in research examining exercise and physical rehabilitation to improve adherence and compliance with individuals with dementia.

scholarly journals Accepting the Challenge—Moderate-Intensity Exercise with Individuals with Dementia: A Case Series

2019 ◽  
Vol 8 ◽  
pp. 117957271985359
Author(s):  
Nicole Dawson ◽  
Katherine Judge
Keyword(s):  
Case Series ◽  
Exercise Program ◽  
Moderate Intensity ◽  
Exercise Science ◽  
Moderate Intensity Exercise ◽  
Perceived Difficulty ◽  
Clinical Presentations ◽  
Strength Based ◽  
Functional Exercise ◽  
Two Measures

Background and purpose: The global impact of dementia demands a response from researchers and clinicians to not only assist with prevention and a cure, but also to assist in the management of symptoms related to this progressive disease. The purpose of this case series is to highlight the participation of 3 individuals with varying levels of dementia in a moderate-intensity functional exercise program. Intervention: The intervention, developed using principles from exercise science and a Strength-Based Approach, consisted of 24 sessions of moderate-intensity exercises delivered in participant’s home. Outcomes: Each participant completed a pre- and post-assessment including gait speed, strength, balance, depressive symptoms, cognition, and perceived difficulty with activities of daily living. Despite various clinical presentations, each participant successfully completed all 24 sessions with noted improvements in at least two measures. Discussion: These findings highlight the flexibility of using the Strength-Based Approach to enhance participation in a standardized exercise program.

Rehabilitation of elderly fallers: Pilot study of a low to moderate intensity exercise program

1996 ◽  
Vol 77 (10) ◽  
pp. 1030-1036 ◽  
Author(s):  
Kevin M. Means ◽  
Daniel E. Rodell ◽  
Patricia S. O'Sullivan ◽  
Lillian A. Cranford
Keyword(s):  
Pilot Study ◽  
Exercise Program ◽  
Moderate Intensity ◽  
Moderate Intensity Exercise

scholarly journals Acute Moderate Intensity Exercise Decreases Oxygen Saturation In Obese Women

2020 ◽  
Vol 9 (2) ◽  
pp. 310-315
Author(s):  
Cornelius Coli ◽  
Gadis Meinar Sari ◽  
Purwo Sri Rejeki
Keyword(s):  
Oxygen Saturation ◽  
Acute Exercise ◽  
Fasting Blood Glucose ◽  
Moderate Intensity ◽  
Control Group ◽  
Obese Women ◽  
Moderate Intensity Exercise ◽  
Control Group Design ◽  
Percentage Body Fat ◽  
Exercise Interventions

This study aims to analyze acute moderate intensity exercise decreases oxygen saturation in obese women. True experiment with a randomized control group design posttest-only design using 14 obese women aged 19-24 years, body mass index 27-33 kg/m2, percentage body fat (PBF) above 30 % and fasting blood glucose (FBG) below 100 mg/dL, normal hemoglobin, normal systolic and diastolic blood pressure, normal resting heart rate and randomly divided into two groups, namely CON (n=7, control without intervention) and MIE (n=7, moderate intensity exercise). Moderate intensity exercise interventions carried out for 40 minutes using a treadmill. Blood sampling is done 10 minutes after the intervention. Measurement of oxygen saturation using a Pulse Oximeter. The results obtained mean oxygen saturation at CON (98.428±0.534) % and MIE (96.571±0.975) % (p=0.001). Based on the results of the study concluded that moderate moderate intensity acute exercise reduces oxygen saturation in obese women.

scholarly journals Hippocampal Blood Flow Is Increased After 20 min of Moderate-Intensity Exercise

2019 ◽  
Vol 30 (2) ◽  
pp. 525-533 ◽  
Author(s):  
J J Steventon ◽  
C Foster ◽  
H Furby ◽  
D Helme ◽  
R G Wise ◽  
...  
Keyword(s):  
Blood Flow ◽  
Temporal Dynamics ◽  
Therapeutic Potential ◽  
Cerebrovascular Reactivity ◽  
Moderate Intensity ◽  
Moderate Intensity Exercise ◽  
Exercise Interventions ◽  
Before And After ◽  
Exercise Induced

Abstract Long-term exercise interventions have been shown to be a potent trigger for both neurogenesis and vascular plasticity. However, little is known about the underlying temporal dynamics and specifically when exercise-induced vascular adaptations first occur, which is vital for therapeutic applications. In this study, we investigated whether a single session of moderate-intensity exercise was sufficient to induce changes in the cerebral vasculature. We employed arterial spin labeling magnetic resonance imaging to measure global and regional cerebral blood flow (CBF) before and after 20 min of cycling. The blood vessels’ ability to dilate, measured by cerebrovascular reactivity (CVR) to CO2 inhalation, was measured at baseline and 25-min postexercise. Our data showed that CBF was selectively increased by 10–12% in the hippocampus 15, 40, and 60 min after exercise cessation, whereas CVR to CO2 was unchanged in all regions. The absence of a corresponding change in hippocampal CVR suggests that the immediate and transient hippocampal adaptations observed after exercise are not driven by a mechanical vascular change and more likely represents an adaptive metabolic change, providing a framework for exploring the therapeutic potential of exercise-induced plasticity (neural, vascular, or both) in clinical and aged populations.

scholarly journals Feasibility and Effects of a Supervised Exercise Program Suitable for Independent Training at Home on Physical Function and Quality of Life in Head and Neck Cancer Patients: A Pilot Study

2020 ◽  
Vol 19 ◽  
pp. 153473542091893 ◽  
Author(s):  
Sabine Felser ◽  
Martin Behrens ◽  
Jan Liese ◽  
Daniel Fabian Strueder ◽  
Kirsten Rhode ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Physical Function ◽  
Exercise Program ◽  
Moderate Intensity ◽  
Attendance Rate ◽  
Home Based ◽  
Physical Functions ◽  
Eortc Qlq

Introduction: Head and neck cancer patients often suffer from physical and cognitive impairments after cancer treatment. During rehabilitation, exercise therapy can improve physical function and quality of life (QoL). Surveys demonstrated patients’ preference for home training with low- to moderate-intensity. This study was conducted in order to develope a suitable home-based training program. Therefore, the feasibility and effects of a low- to moderate-intensity exercise intervention on physical functions and QoL were evaluated. Methods: Training was conducted as supervised group training and consisted of mobilization, coordination, resistance, stretching, and relaxation exercises. The intervention lasted 12 weeks with 2 training sessions per week. Feasibility, attendance rate, physical function (eg, range of motion, 6-minute walk test [6MWT]), and QoL (eg, EORTC QLQ-30) were analyzed. Results: Ten out of 12 participants completed the intervention (83%) with an average attendance rate of 83%. Participants showed significant improvements in selected physical functions. For example, head rotation increased by 11.2° ( P = .042), walking distance in the 6MWT increased by an average of 43.3 m ( P = .010), and the global QoL scale improved by 8.2 points ( P = .059). Additionally, there were positive changes in the physical function scale ( P = .008), cognitive function scale ( P = .015), and social function scale ( P = .031) of the EORTC QLQ-30. Conclusion: Data indicate that the exercise program was feasible and had positive effects on physical function and QoL. Future research will analyze the effects of a home-based exercise program on physical function and QoL in a large-scale study.

scholarly journals Acceptability and Feasibility of an Isometric Resistance Exercise Program for Abdominal Cancer Surgery: An Embedded Qualitative Study

2020 ◽  
Vol 27 (1) ◽  
pp. 107327482095085
Author(s):  
Ferhana Hashem ◽  
David Stephensen ◽  
Amanda Bates ◽  
Tracy Pellatt-Higgins ◽  
Ralph (Nobby) Peter Hobbs ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Resistance Exercise ◽  
Usual Care ◽  
Intervention Group ◽  
Exercise Program ◽  
Cancer Surgery ◽  
Feasibility Trial ◽  
Moderate Intensity ◽  
Care Group ◽  
Exercise Interventions

Although it is recognized in the early stages of cancer recovery that changes in lifestyle including increases in physical activity improves physical function, there are no clear findings whether low versus moderate intensity activity or home or gym exercise offer optimal benefit. Isometric-resistance exercises can be carried out with very little equipment and space and can be performed while patients are bed-bound in hospital or at home. This embedded qualitative study, based in an English hospital trust providing specialist cancer care, was undertaken as a component of a feasibility trial to evaluate the acceptability and feasibility of an isometric-resistance exercise program and explore the suitability of functional assessments by drawing from the experiences of abdominal cancer patients following surgery. Telephone interviews were undertaken with 7 participants in the intervention group, and 8 interviews with the usual care group (n = 15). The gender composition consisted of 11 females and 4 males. Participants’ ages ranged from 27 to 84 (M = 60.07, SD = 15.40). Interviews were conducted between August 2017 and May 2018, with audio files digitally recorded and data coded using thematic framework analysis. Our results show that blinding to intervention or usual care was a challenge, participants felt the intervention was safe and suitable aided by the assistance of a research nurse, yet, found the self-completion questionnaire tools hard to complete. Our study provides an insight of trial processes, participants’ adherence and completion of exercise interventions, and informs the design and conduct of larger RCTs based on the experiences of abdominal cancer surgery patients.

Affect and Self-Efficacy Responses During Moderate-Intensity Exercise Among Low-Active Women: The Effect of Cognitive Appraisal

2010 ◽  
Vol 32 (2) ◽  
pp. 154-175 ◽  
Author(s):  
Amy S. Welch ◽  
Angie Hulley ◽  
Mark Beauchamp
Keyword(s):  
Self Efficacy ◽  
Acute Exercise ◽  
Cognitive Appraisal ◽  
Ventilatory Threshold ◽  
Rebound Effect ◽  
Exercise Program ◽  
Exercise Duration ◽  
Moderate Intensity ◽  
Moderate Intensity Exercise ◽  
Ergometer Exercise

To investigate the relationship between cognitive and affective responses during acute exercise, 24 low-active females completed two 30-min bouts of cycle ergometer exercise at 90% of the ventilatory threshold. In one condition participants had full knowledge of the exercise duration (KD); in the other, exercise duration was unknown (UD). Affect and self-efficacy were measured before and every 3 min during exercise, and affect was also measured postexercise. Affect declined throughout the first half of both conditions, and continued its decline until the end of the UD condition, when a rebound effect was observed. Self-efficacy during exercise displayed a similar pattern. Hierarchical regression analyses demonstrated that during-exercise self-efficacy was a stronger predictor of during-exercise affect than preexercise self-efficacy, and that this relationship was strongest at the end of exercise when duration was unknown. These results indicate that repetitive cognitive appraisal of self and the task could impact the exercise experiences of low-active women during the adoption phase of an exercise program.

Differential Predictors of Adherence in Exercise Programs with Moderate versus Higher Levels of Intensity and Frequency

2005 ◽  
Vol 27 (2) ◽  
pp. 171-187 ◽  
Author(s):  
Stephen D. Anton ◽  
Michael G. Perri ◽  
Joseph Riley ◽  
William F. Kanasky ◽  
James R. Rodrigue ◽  
...  
Keyword(s):  
Exercise Program ◽  
Exercise Adherence ◽  
Moderate Intensity ◽  
Heart Rate Reserve ◽  
Maximum Heart Rate ◽  
Exercise Programs ◽  
Moderate Intensity Exercise ◽  
Daily Exercise ◽  
Participant Characteristics ◽  
Predictors Of Adherence

This study examined whether specific participant characteristics (age, sex, BMI, exercise history, and self-efficacy) differentially predicted adherence to exercise programs of moderate vs. higher levels of intensity and frequency. Sedentary adults (N = 379) were randomly assigned in a 2 × 2 design to walk 30 min/day at a frequency of either 3 to 4 days/week or 5 to 7 days/week, at an intensity of either 45–55% or 65–75% of maximum heart rate reserve. Exercise adherence was assessed via daily exercise logs completed during Months 2–6 of the exercise program. The major finding of this study was that participants with higher levels of past exercise showed better adherence to higher intensity exercise but tended to have poorer adherence to moderate intensity exercise. Our results suggest that a person’s previous experience with exercise should be considered when prescribing higher intensity exercise, and that individuals with an extensive exercise history can be prescribed higher intensity exercise.

scholarly journals Influence of a Moderate-Intensity Exercise Program on Early NK Cell Immune Recovery in Pediatric Patients After Reduced-Intensity Hematopoietic Stem Cell Transplantation

2016 ◽  
Vol 16 (4) ◽  
pp. 464-472 ◽  
Author(s):  
Carolina Chamorro-Viña ◽  
Jaime Valentín ◽  
Lucía Fernández ◽  
Marta González-Vicent ◽  
Margarita Pérez-Ruiz ◽  
...  
Keyword(s):  
Stem Cell ◽  
Hematopoietic Stem Cell Transplantation ◽  
Stem Cell Transplantation ◽  
Cell Transplantation ◽  
Hematopoietic Stem Cell ◽  
Nk Cell ◽  
Exercise Program ◽  
Moderate Intensity ◽  
Moderate Intensity Exercise ◽  
Hematopoietic Stem

Introduction: After allogeneic hematopoietic stem cell transplantation (HSCT), NK cell reconstitution, which is crucial for positive outcomes, is dominated by the CD56bright subset with low NK cell cytotoxicity (NKCC) activity. Moderate exercise has been described as a potent NK cell stimulus in adults with cancer. Purpose: To determine the effects of a moderate-intensity exercise program on NK cell recovery early after HSCT and the feasibility of this intervention. Methods: Six children undergoing allogeneic HSCT were randomized to an exercise program (EP) or control (CT) group. The EP group performed a 10-week training combining in-hospital and home-based EP. Results: We observed a significant increase in the posttraining/pretraining ratio of the CD56dim subset (EP = 1.27 ± 0.07; CT = 0.99 ± 0.08; P < .005) of the EP group. The ratio of NKCC was 8 times greater in the EP group. Conclusion: Data suggest that a moderate-intensity EP program performed early after HSCT is feasible and might redistribute the CD56dim/CD56brigh NK cell subset, improving NKCC. The results are still preliminary and must be interpreted with caution.

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