Comparison between group and personal rehabilitation for dementia in a geriatric health service facility: single‐blinded randomized controlled study

Tanaka, Shigeya; Honda, Shinichi; Nakano, Hirofumi; Sato, Yuko; Araya, Kazufumi; Yamaguchi, Hideyo

doi:10.1111/psyg.12212

Cited by 22 publications

(30 citation statements)

References 28 publications

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“…Previous studies have shown that greater interaction with others results both in greater cognitive function and a lower incidence of dementia. 26,27 Therefore, it is expected that increased social interaction for facility residents who do not often experience contact with others will provide strong cognitive stimulation. During the intervention program, it was difficult to completely exclude elements of interpersonal contact; however, this point has been a long-standing problem in intervention studies targeting cognitive function and future examination is required.…”

Section: Discussionmentioning

confidence: 99%

Pilot Randomized Controlled Trial of the GO Game Intervention on Cognitive Function

Iizuka

Suzuki

Ogawa

et al. 2018

Am J Alzheimers Dis Other Demen

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This study investigated the effects of an intervention using the game "GO" on cognitive function in nursing home residents and evaluated the acquisition of GO according to each stage of dementia. Participants were randomly assigned to either the GO intervention group or a control group, and the intervention was performed once weekly for 15 weeks. Cognitive tests were conducted before and after intervention, and 17 participants were included in the final analysis. Analysis of covariance demonstrated that in the intervention group, the digit span total score significantly improved and the digit span backward score was maintained, whereas these scores decreased in the control group. All participants, including those who had moderate dementia, acquired the rules of the game, and participants with mild cognitive impairment and mild dementia could play the game successfully. This study indicates that GO might improve the cognitive function of residents living in nursing homes.

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Section: Discussionmentioning

confidence: 99%

Pilot Randomized Controlled Trial of the GO Game Intervention on Cognitive Function

Iizuka

Suzuki

Ogawa

et al. 2018

Am J Alzheimers Dis Other Demen

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“…The Mini-Mental State Examination (MMSE) was conducted at baseline and was used to quantitatively assess the severity of cognitive impairment. The MMSE has a satisfactory reliability, although only lower levels of sensitivity for mild degrees of dementia were found (Tombaugh & McIntyre, 1992).…”

Section: Methodsmentioning

confidence: 99%

“…In order to meet the multi-faceted needs of people with dementia, also with respect to the dementia-related lack of initiative and motivation, group rehabilitation may have unique advantages beyond those achievable through individual rehabilitation. Group rehabilitation for dementia is more effective for improving cognitive function and global severity of dementia than personal rehabilitation (Tanaka et al, 2017). In a recent systematic mixed studies review of the effect and importance of physical activity on behavioural and psychological symptoms in people with dementia, the common themes across the qualitative studies were the importance of physical activity being 'socially rewarding' (Junge, Ahler, Knudsen, & Kristensen, 2018).…”

Section: Introductionmentioning

confidence: 99%

The effect of long-term, group-based physical, cognitive and social activities on physical performance in elderly, community-dwelling people with mild to moderate dementia

2018

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Background Elderly people with dementia are known to be less physically active compared with elderly, healthy people, emphasizing the need for interventions in order to maintain a high level of independence in activities of daily living. The aim was to evaluate the effect of long-term, group-based rehabilitation including physical activity on physical performance in elderly, community-dwelling people with mild to moderate dementia. Methods A quasi-experimental study of 18 elderly, community-dwelling people, diagnosed with mild to moderate dementia, participated in an ongoing rehabilitation programme based on integrated physical, cognitive and social activities. The outcome measure was physical performance: the 30-second sit-to-stand test, Guralnik balance test, 10-metre walking speed test, timed 6-metre walk test and a timed dual task walk test. The repeated measure ANOVA was used to analyse any overall differences between related means. Results No significant effect of time was found for the five outcome measures during the entire period. The variation in the estimate of most outcome scores was higher within subjects than between subjects during the period. Profile plots illustrated that three of the participants, who experienced severe cognitive deterioration, markedly declined in all physical performance tests. Conclusion The expected, progressive deterioration in physical performance was delayed in a small group of home-dwelling people with mild to moderate dementia participating in long-term, group-based rehabilitation. Long-term, group-based rehabilitation may have the overall potential to delay deterioration in activities of daily living performance in home-dwelling people with mild to moderate dementia; however, more studies with larger samples are needed to confirm the findings of this study.

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“…Group‐based non‐pharmaceutical interventions are expected to promote success through social interaction [17,18] and have been applied in several disorders such as neuropsychiatric diseases including PD [19], traumatic brain injury [20], stroke [21], dementia [22], schizophrenia [23], depression [24], Huntington's disease [25] and multiple sclerosis [21]. Most of the group trainings are designed for cognitive rehabilitation or education since group‐based interventions in a community setting can promote communication amongst participants and encourage productive social engagement [18,26].…”

Section: Discussionmentioning

confidence: 99%

Sociability‐based fitness approach in Parkinson’s disease: Comparison with conventional rehabilitation

Mitsui

Arii

Tsukamoto

et al. 2021

Euro J of Neurology

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Background and purpose The effect of a sociability‐based fitness approach on parkinsonian disability in patients with Parkinson's disease (PD) was assessed. Methods Eighty patients diagnosed with PD were randomly assigned to either the group‐based rehabilitation (GBR) group (n = 40) or the individual‐based rehabilitation (IBR) group (n = 40). The primary outcome was the difference between the two groups in the mean change from baseline to post‐training in the total score on the Unified Parkinson's Disease Rating Scale (UPDRS). The secondary outcomes included the change in mental status and the difference in the mean change from baseline to month 3 and month 6 in the total score on the UPDRS. Results The mean (±SD) UPDRS scores were 72.0 ± 21.0 in the GBR group and 72.1 ± 18.6 in the IBR group. The UPDRS scores from baseline to post‐training were 22.8 ± 13.5 in the GBR group and 10.9 ± 8.8 in the IBR group (difference 11.8 points; 95% confidence interval [CI] 5.0–18.6; p = 0.001). The difference between the groups from baseline to month 3 (difference 10.06 points; 95% CI 3.3–16.8) and the difference between the groups from baseline to month 6 (difference 11.7 points; 95% CI 4.9–18.5) were also significant (p = 0.004 and p = 0.001, respectively). The scores of cognitive function and depression had not changed significantly. Conclusions Patients receiving GBR demonstrated significant improvements in parkinsonian symptoms, suggesting that the sociability‐based fitness can be applied to clinical treatment by sustaining the motivation in PD.

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Comparison between group and personal rehabilitation for dementia in a geriatric health service facility: single‐blinded randomized controlled study

Abstract: Group rehabilitation for dementia is more effective for improving cognitive function and global severity of dementia than personal rehabilitation in Roken.

Cited by 22 publications

References 28 publications

Pilot Randomized Controlled Trial of the GO Game Intervention on Cognitive Function

Pilot Randomized Controlled Trial of the GO Game Intervention on Cognitive Function

The effect of long-term, group-based physical, cognitive and social activities on physical performance in elderly, community-dwelling people with mild to moderate dementia

Sociability‐based fitness approach in Parkinson’s disease: Comparison with conventional rehabilitation

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