scholarly journals Physical, Cognitive and Social Rehabilitation in Relation to Sleep Quality and Cognitive Functions in the Elderly

Author(s):  
Karolina Filipczyk ◽  
Joanna Smolarczyk-Kosowska ◽  
Łukasz Kunert ◽  
Przemysław Filipczyk ◽  
Paweł Dębski ◽  
...  

The aim of the study was to assess cognitive functions and sleep quality after a 3-month holistic intervention including physical, social and cognitive rehabilitation in patients 65+. Twenty-nine people participated in the study. The study was divided into two stages. In the first stage, a self-administered questionnaire consisting of sociodemographic questions was used, and cognitive functions were assessed using the Rey-Osterrieth complex figure test, Addenbrooke’s Cognitive Examination III (ACE III) test, Montreal Cognitive Function Assessment Scale (MoCA) and digit repetition test. All patients were also assessed for sleep quality using the Athens Insomnia Scale (AIS). After three months, the patients were assessed for cognitive functions and sleep quality, which was the second stage of the study. Analysis of the results obtained by patients in the study showed a statistically significant improvement in sleep quality and cognitive function. Rehabilitation activities, including physical training, cognitive exercises and occupational therapy, reduce the severity of mild cognitive disorders and reduce insomnia.

2017 ◽  
Vol 29 (9) ◽  
pp. 1473-1482 ◽  
Author(s):  
Nahid Zokaei ◽  
Christopher MacKellar ◽  
Giedrė Čepukaitytė ◽  
Eva Zita Patai ◽  
Anna Christina Nobre

Development of measures to preserve cognitive function or even reverse cognitive decline in the ever-growing elderly population is the focus of many research and commercial efforts. One such measure gaining in popularity is the development of computer-based interventions that “exercise” cognitive functions. Computer-based cognitive training has the potential to be specific and flexible, accommodates feedback, and is highly accessible. As in most budding fields, there are still considerable inconsistencies across methodologies and results, as well as a lack of consensus on a comprehensive assessment protocol. We propose that the success of training-based therapeutics will rely on targeting specific cognitive functions, informed by comprehensive and sensitive batteries that can provide a “fingerprint” of an individual's abilities. Instead of expecting a panacea from training regimens, focused and personalized training interventions that accommodate individual differences should be developed to redress specific patterns of deficits in cognitive rehabilitation, both in healthy aging and in disease.


Author(s):  
Richard Gnassounou ◽  
Bénédicte Defontaines ◽  
Séverine Denolle ◽  
Stéphanie Brun ◽  
Raphaël Germain ◽  
...  

Abstract Objective: To compare the administration of neuropsychological tests by teleneuropsychology (TeleNP) and face to face (F-F) in order to determine the feasibility and reliability of TeleNP. Method: At the inclusion visit, all participants underwent a traditional F-F neuropsychological assessment as part of their standard care. Four months after inclusion, they were randomized to undergo an additional neuropsychological assessment either by F-F administration or by TeleNP. Results: A total of 150 adults with cognitive complaints, but with no major cognitive or sensorial impairment were included. At 4 months, 69 participants were randomized in the F-F arm and 71 in TeleNP arm (10 lost in the follow-up). The overall satisfaction was high: 87.1% in the TeleNP arm were “very satisfied”, and 82.9% indicated no preference between F-F and TeleNP. In agreement with previous data from the literature, neuropsychological assessments gave similar results across both administration conditions for a large majority of tests [Mini-Mental State Examination (MMSE), Free and Cued Selective Reminding Test (FCSRT) French version, Mahieux gestural praxis battery, Frontal Assessment Battery (FAB), time of completion of the Trail making Test (TMT) A and B, number of errors of the TMT B, Rey complex figure test, categorical et phonological verbal fluency tests] and minor differences for others [80-picture naming test (DO-80), FAB, Digit Span forward and backward and number of errors in the TMT A]. Conclusions: TeleNP is a promising method to be able to test patients as an alternative to F-F condition. Before this procedure can be generalized, it is now necessary to standardize the adaptation of certain tests and to test them in populations with more significant cognitive disorders.


2019 ◽  
Vol 6 (1) ◽  
pp. 71-76 ◽  
Author(s):  
Yue Zhang ◽  
Marcia A. Petrini

Abstract Objective The elderly population has proliferated worldwide. The empty-nest family pattern has become predominant among the aging people, and they are more vulnerable to the development of cognitive disorders. However, there is no standardized service in the community nursing care that includes procedures on how to improve the cognitive function of the elderly. Meanwhile, the booming number of empty-nest elderly stimulates the community nurses to assume the responsibility for their care. All of these bring more difficulties and opportunities for community nurses who are dedicated to the prevention of geriatric cognitive disorders. Methods The authors reviewed the literature related to “empty-nest elderly”, “cognitive function”, “mahjong”, and “Chinese square dance” in the Elsevier, Web of Science (WOS), China National Knowledge Infrastructure (CNKI), Springer and PubMed databases. The study illustrates the utility possibility of an efficient and straightforward method for improving the cognitive function among the elderly in the context of community nursing care in China and even in the rest of the world. Results Mental and physical activity contributes to cognitive fitness and may be beneficial in delaying cognitive decline. Mental activities, such as playing mahjong, and physical activities, such as the Chinese square dance, are common Chinese activities. Both of them can affect cognitive function in some way. Conclusions China is experiencing one of its most severe aging problems. Community health personnel and related professionals may consider using mahjong and Chinese square dance to promote psychological health in empty-nest elderly individuals in the community.


Author(s):  
Seyed Valiollah Mousavi ◽  
Elham Montazar ◽  
Sajjad Rezaei ◽  
Shima Poorabolghasem Hosseini

Background and Objective: Physiological process of sleep is considered as one of the influential factors of human’s health and mental functions, especially in the elderly. This research aimed at studying the association between sleep quality and the cognitive functions in the elderly population. Materials and Methods: A total of 200 elderly people (65 years and older) who were the members of retirees associa-tion in Mashhad, Iran, participated in this cross-sectional study. The participants were asked to answer the questionnaire of Pittsburgh Sleep Quality Index (PSQI) and Montreal Cognitive Assessment (MoCA) test. Correlation between the total scores of PSQI and MoCA was evaluated by Pearson correlation coefficient. In order to predict the cognitive func-tion based on different aspects of PSQI, multiple regression analysis by hierarchical method was used after removing confounding variables. Results: A significant association was found between PSQI and MoCA (P < 0.001, r = -0.55) suggesting that the com-ponents of use of sleeping medication (P < 0.001, r = -0.47), sleep disorders (P < 0.001, r = -0.37), sleep latency (P < 0.001, r = -0.34), subjective sleep quality (P < 0.001, r = -0.32), sleep duration (P < 0.001, r = -0.27), sleep effi-ciency (P < 0.001, r = -0.26), and daytime dysfunction (P < 0.001, r = -0.15) had significant negative correlation with cognitive function, and the four components of subjective sleep quality (P = 0.010, β = -0.15), sleep latency (P = 0.040, β = -0.13), sleep disorders (P = 0.010, β = -0.26), and use of sleeping medication (P = 0.010, β = -0.26) played a role in prediction of cognitive function in regression analysis. Conclusion: Poor sleep quality, sleep latency, insomnia, sleep breathing disorder, and use of sleeping medication play a determining role in cognitive function of the elderly. Thus, taking care of the sleep health is necessary for the elderly.


2017 ◽  
Vol 41 (S1) ◽  
pp. S116-S117
Author(s):  
K. Hajbi ◽  
I. Baati ◽  
S. Ellouze ◽  
S. Mkaouar ◽  
I. Abida ◽  
...  

ObjectivesTo assess cognitive function in older euthymic bipolar patients. To investigate the relationship between cognitive disorders and clinical features in this population.MethodsWe conducted a cross-sectional study during the period from August to November 2015. It included 34 stable bipolar outpatients, aged at least 65 years. We used the Montreal Cognitive Assessment (MoCA) to screen for cognitive disorders. Our patients were clinically euthymic, as checked by the Hamilton depression scale and the Young mania scale.ResultsThe sex ratio was 1. The mean age of our patients was 68.2 years. Most of them were married (82.4%), unemployed (55.8%), living in urban area (82.4%), had low educational level (58.8%) and low income (64.7%).The majority was bipolar type 1 (67.6%). The most recent episode was manic in 55.9% of cases, including psychotic features in 50% of cases. Subsyndromal affective symptoms were noted between episodes in 23.5% of them. The average MoCA score was 23.6. Cognitive disorders were found in 61.5% of patients, who showed impairments across all cognitive domains. The most frequent deficits were found in attention (100%) and executive functions (85.3%).Cognitive dysfunction correlated to psychotic features during the last episode (P = 0.005), subsyndromal affective symptoms between episodes (P = 0.13), high number of mood episodes (P = 0.007) and hospitalisations (P = 0.014).ConclusionOur study confirmed that cognitive dysfunction was frequent in older bipolar patients in Tunisia. Preventing mood episodes, screening for addictive and somatic comorbidities, as well as cognitive rehabilitation, are suitable strategies for improving cognitive functioning among these patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Yusti Muzdalifa Taplo ◽  
Agnes Madianung ◽  
Esrom Kanine

Abstrack: Dominoes is one leisure activity that is familiar and easy to be played by all ages,including the elderly. When playing dominoes then the elderly will feel relaxed and relaxes themind that stimulates brain cells that eventually can maintain cognitive function, one numeracy.The Aim of the research to know the activity of playing domino as a medium to improvecognitive function counting on the elderly. The method of this research uses quasi experiment,research design with pretest-posttest approach with control group. Samples with the techniqueof sampling non probability sampling is carried out, using the method of total sampling totalsample with as many as 40 respondents. The results of research using the Mann Whitney testat 95% significance level, obtained significant value that is 0.007 or smaller than the value ofsignificance 0.05 (0.007 < 0.05). Conclusion, the results show that the activity of playingdominoes can improve the cognitive functions of the elderly so that it can be used as countingas one of the relaxing activities to enhance cognitive function of elderly, especially countingability.Keywords: Activities Playing Domino, Math AbilityAbstrak: Permainan domino adalah salah satu aktivitas santai yang familiar dan mudahdimainkan oleh berbagai usia termasuk kelompok lanjut usia. Ketika bermain domino makalansia akan merasa santai dan merilekskan pikiran sehingga menstimulasi sel-sel otak yangakhirnya dapat mempertahankan fungsi kognitif, salah satunya kemampuan berhitung. Tujuanpenelitian untuk mengetahui aktivitas bermain domino sebagai media untuk meningkatkankemampuan fungsi kognitif berhitung pada lansia. Metode penelitian ini menggunakan desainpenelitian quasi eksperimen, dengan pendekatan pretest-posttest with conrol grup. Sampeldengan teknik pengambilan sampel dilakukan secara non probability sampling, menggunakanmetode total sampling dengan jumlah sampel sebanyak 40 responden. Hasil penelitian denganmenggunakan uji Mann Whitney pada tingkat kemaknaan 95%, didapat bahwa nilai signifikanadalah 0,007 atau lebih kecil dari nilai signfikan 0,05 (0,007< 0,05). Kesimpulan, hasilpenelitian ini menunjukan bahwa aktivitas bermain domino dapat meningkatkan kemampuanfungsi kognitif berhitung lansia sehingga bisa dijadikan sebagai salah satu aktivitas santai untukmeningkatkan fungsi kognitif lansia, khususnya kemampuan berhitung.Kata kunci: Aktivitas Bermain Domino, Kemampuan Berhitung


2021 ◽  
Vol 9 (2) ◽  
Author(s):  
Auditya Agnesia ◽  
Damajanty H. C. Pangemanan ◽  
Hedison Polii

Abstract: An Elderly is someone who has reached the age of 60 years or more. The number of elderly in Indonesia in 2020 has reached 28.7 million. This number continues to increase every year. The elderly will naturally experience changes both physically and mentally which can reduce their quality of life. The quality of sleep and cognitive function in the elderly also changes due to aging factors. The purpose of this study was to determine the effect of yoga exercises on sleep quality and cognitive function in the elderly. This research is a literature review. This study studied topics related to the effect of yoga exercises on sleep quality and cognitive function in the elderly from previous studies. The literature reviewed consists of 15 literature with 8 literature discussing the effect of yoga exercises on sleep quality in the elderly and 7 other literature discussed the effect of yoga exercise on cognitive function in the elderly. The results of this study indicate that yoga exercises that are carried out regularly both in the long and short term can improve the quality of sleep in the elderly and maintain cognitive function in the elderly. It can also prevent dementia and Alzheimer's disease in the elderly.Keywords: yoga exercise, sleep quality, cognitive function, elderly  Abstrak: Lansia merupakan seseorang yang sudah mencapai usia 60 tahun atau lebih. Jumlah lansia di Indonesia pada tahun 2020 mencapai 28,7 juta jiwa. Angka ini terus meningkat tiap tahunnya. Lansia secara alamiah akan mengalami perubahan baik secara fisik dan mental yang dapat menurunkan kualitas hidupnya. Kualitas tidur dan fungsi kognitif pada lansia juga mengalami perubahan akibat faktor penuaan. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh senam yoga terhadap kualitas tidur dan fungsi kognitif pada lansia. Penelitian ini merupakan penelitian yang sifatnya literature review. Penelitian ini mempelajari topik-topik terkait pengaruh senam yoga terhadap kualitas tidur dan fungsi kognitif pada lansia dari penelitian-penelitiam sebelumnya. Literatur yang diulas dan dipelajari sebanyak 15 literatur dengan 8 literatur membahas pengaruh senam yoga terhadap kualitas tidur pada lansia dan 7 literatur lainnya mengulas pengaruh senam yoga terhadap fungsi kognitif pada lansia. Hasil penelitian ini menunjukkan bahwa senam yoga yang dilakukan secara rutin baik dalam jangka panjang maupun pendek dapat memperbaiki dan meningkatkan kualitas tidur lansia. Senam yoga juga dapat mempertahankan fungsi kognitif lansia dan mencegah lansia dari penyakit demensia dan alzheimer.Kata kunci : senam yoga, kualitas tidur, fungsi kognitif, lansia


2016 ◽  
Vol 38 (10) ◽  
pp. 1168-1176 ◽  
Author(s):  
Junhong Yu ◽  
Iris Rawtaer ◽  
Rathi Mahendran ◽  
Simon L. Collinson ◽  
Ee-Heok Kua ◽  
...  

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