Impact of physical activity on activity of daily living in moderate to severe dementia: a critical review

Elisabeth Burge, Nicolas Kuhne, André Berchtold, Christine Maupetit, Armin von Gunten, Elisabeth Burge, Nicolas Kuhne, André Berchtold, Christine Maupetit, Armin von Gunten

Abstract

The objectives of this study were to describe the different modalities of physical activity programs designed for moderate to severe dementia and to identify their impact on functional independence in activities of daily living (ADL). A critical review of randomized controlled trials related to the impact of physical activity programs in moderately to severely demented persons on ADL performance and meta-analysis of the identified studies were performed. Among the 303 identified articles, five responded to the selection criteria. Four out of the five studies demonstrated limited methodological quality. In one high-quality study, physical activity programs significantly delayed deterioration of ADL performance. The program components and ADL assessment tools vary widely across studies. Although the proposed treatments have not proven their efficiency in improving the ADL status of the patients, they were able to limit the decline in ADL functioning. Future research is warranted in order to identify clinically relevant modalities for physical activity programs for people with moderate to severe dementia.

Figures

Fig. 1
Fig. 1
Flowchart of identified and included studies. The first column represents the number of articles identified on the consulted databases (Medline, CINAHL, PEDro, ISI Social Sciences Citation Index, Cochrane, OTseeker) and those found by hand search. The second column refers both to the articles excluded after reading the title or the abstract and to the reason of exclusion. The last column contains the number of the articles that were assessed
Fig. 2
Fig. 2
Meta-analysis conducted for the comparison of the pre- and post-treatment values in the experimental group
Fig. 3
Fig. 3
Meta-analysis conducted for the comparison of the pre- and post-treatment values in the control group
Fig. 4
Fig. 4
Meta-analysis conducted for the comparison of the pre- and post-treatment values in the both groups

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Source: PubMed

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