Home-based exercise program for older adults with Motoric Cognitive Risk syndrome: feasibility study

Author(s):  
Anne Felicia Ambrose ◽  
Emma Gulley ◽  
Tanya Verghese ◽  
Joe Verghese

Aim: We developed a home-based goal-directed exercise program with telephonic coaching to overcome barriers to exercise participation in cognitively impaired older adults. Methods: Six patients with Motoric Cognitive Risk syndrome at high risk for dementia were enrolled, three assigned to goal-directed exercises and three to stretching exercises. All participants underwent an in-person training session followed by a session at home with a telephonic coach. Sessions were supervised by a physiatrist, and exercise programs were personalized. Results: In-person training and remote telephonic coaching support promoted adherence. There were no adverse effects and interventions were rated highly. Participant and logistical barriers were identified that can inform design of home-based clinical trials. Conclusion: Home-based exercises are safe and feasible in older adults with Motoric Cognitive Risk.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 786-787
Author(s):  
Hyunjin Noh

Abstract This qualitative study explored the impact of pain and discomfort on the lives of cognitively impaired older adults and their caregivers from the caregiver perspective. Forty-three individuals of age 19+, who identified themselves as primary caregiver to a chronically or seriously ill older adult (age 50+) with cognitive impairment, such as Alzheimer’s Disease and Related Dementia, were recruited at various community settings. Individual, face-to-face interviews were conducted to ask participants how they thought their care-recipient’s pain and discomfort affected the care-recipient’s and the caregiver’s life respectively. Inductive, thematic analysis of interview transcripts revealed several key themes: compromised mobility, limited social interaction or activities, and depressive symptoms in both care-recipients and caregivers; aggravated cognitive decline in care-recipients; and poorer physical health in caregivers. Participants wanted more information on the disease trajectory and available services, particularly home-based therapies and social activities for care-recipients, which provides future program/practice implications.


2018 ◽  
Vol 73 ◽  
pp. 136-144 ◽  
Author(s):  
Emerson Sebastião ◽  
Edward McAuley ◽  
Ryosuke Shigematsu ◽  
Brynn C. Adamson ◽  
Rachel E. Bollaert ◽  
...  

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Meghan Ambrens ◽  
Melinda Stanners ◽  
Trinidad Valenzuela ◽  
Husna Razee ◽  
Jessica Chow ◽  
...  

2019 ◽  
Vol 67 (5) ◽  
pp. 1005-1011
Author(s):  
Kah Poh Loh ◽  
Ian R. Kleckner ◽  
Po‐Ju Lin ◽  
Supriya G. Mohile ◽  
Beverly E. Canin ◽  
...  

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Rossella Baggetta ◽  
◽  
Graziella D’Arrigo ◽  
Claudia Torino ◽  
Samar Abd ElHafeez ◽  
...  

JAMA ◽  
2019 ◽  
Vol 321 (21) ◽  
pp. 2092 ◽  
Author(s):  
Teresa Liu-Ambrose ◽  
Jennifer C. Davis ◽  
John R. Best ◽  
Larry Dian ◽  
Kenneth Madden ◽  
...  

2016 ◽  
Vol 56 (1) ◽  
pp. 16-29 ◽  
Author(s):  
Dagmar Nemček ◽  
Alexander Simon

SummaryThe aim of the study was to determine the effect of regular participation in home-based exercise programme on cognitive functioning changes in institutionalised older adults. Two groups of participants were recruited for the study: experimental (n = 17) in mean age 76 ± 5.6 years, who participated in home-based exercise program and control (n = 14) in mean age 80 ± 4.2 years. The standardised Stroop Color-Word Test-Victoria version (VST) was used to measure the level of cognitive functions. Group differences were analyzed with Mann-Whitney U-test for independent samples and for differences between pre-measurements and post-measurements on experimental and control group we used non-parametric Wilcoxon Signed - Rank Test. The level of significance was α < 0.05. Application of 3-months home-based exercise program significantly improved the cognitive functions only in one (Word condition; p<0.01) from three VST conditions in institutionalised older adults. That’s why we recommend longer participation in home-based exercise program, at least 6- months, with combination of various types of cognitive interventions, like concepts of cognitive training, cognitive rehabilitation, and cognitive stimulation to improve cognitive functioning in older adults living in old peoples’ homes.


2017 ◽  
Vol 17 (11) ◽  
pp. 2157-2163 ◽  
Author(s):  
Chitima Boongird ◽  
Prasit Keesukphan ◽  
Soontraporn Phiphadthakusolkul ◽  
Sasivimol Rattanasiri ◽  
Ammarin Thakkinstian

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