Developing an Interactive Physical Activity Group in a Geriatric Psychiatry Facility

Holliman, Diane C.; Orgassa, Ute Cornelia; Forney, Jennie Pillion

doi:10.1300/j016v26n01_04

Cited by 10 publications

(8 citation statements)

References 19 publications

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“…Both groups had a relatively small sample size of 35 patients. However, other studies investigating the effects of exercise programs on neuropsychiatric signs and symptoms in acute dementia care had about the same [ 31 ] or markedly lower sample sizes as compared to our study [ 6 , 27 , 32 ]. We found these clinically relevant and highly significant effects in our relatively small sample size.…”

Section: Discussionmentioning

confidence: 52%

Structured physical exercise improves neuropsychiatric symptoms in acute dementia care: a hospital-based RCT

et al. 2017

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BackgroundThe primary objective of this trial is to investigate the effects of a short-term exercise program on neuropsychiatric signs and symptoms in acute hospital dementia care.MethodsWithin a hospital-based randomized controlled trial, the intervention group conducted a 2-week exercise program with four 20-min exercise sessions on 3 days per week. The control group conducted a social stimulation program. Effects on neuropsychiatric signs and symptoms were measured via the Alzheimer’s Disease Cooperative Study-Clinical Global Impression of Change, the Neuropsychiatric Inventory, and the Cohen-Mansfield Agitation Inventory. The antipsychotic and sedative dosage was quantified by olanzapine and diazepam equivalents.ResultsEighty-five patients were randomized via minimization to an intervention group (IG) and a control group (CG). Seventy patients (82%) (mean age 80 years, 33 females, mean Mini Mental State Examination score 18.3 points) completed the trial. As compared to the CG (n = 35), the IG (n = 35) showed significantly reduced neuropsychiatric signs and symptoms. Especially, agitated behavior and lability improved. There were no between-group differences concerning antipsychotic and benzodiazepine medication.ConclusionsThis exercise program is easily applicable in hospital dementia care and significantly reduces neuropsychiatric signs and symptoms in patients suffering from predominantly moderate stages of dementia.Trial registrationGerman Clinical Trial Register DRKS00006740. Registered 28 October 2014.

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Section: Discussionmentioning

confidence: 52%

Structured physical exercise improves neuropsychiatric symptoms in acute dementia care: a hospital-based RCT

et al. 2017

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“…For Alzheimer's disease (AD), preliminary evidence suggests that EX interventions may improve communication performance [78], Mini Mental State Examination scores and verbal fluency [79], and disruptive behavior [80]. Four studies [81-84] found that PA slowed down and partially reversed the decline in performance of activities of daily living and progression of the cognitive symptoms related to dementia, in contrast to an older study, which did not find improvements in functional ability [85].…”

Section: Results: Exercise Interventions In Mental Disordersmentioning

confidence: 99%

Exercise and Physical Activity in Mental Disorders: Clinical and Experimental Evidence

Zschucke

Gaudlitz

Ströhle

2013

J Prev Med Public Health

214

115

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Several epidemiological studies have shown that exercise (EX) and physical activity (PA) can prevent or delay the onset of different mental disorders, and have therapeutic benefits when used as sole or adjunct treatment in mental disorders. This review summarizes studies that used EX interventions in patients with anxiety, affective, eating, and substance use disorders, as well as schizophrenia and dementia/mild cognitive impairment. Despite several decades of clinical evidence with EX interventions, controlled studies are sparse in most disorder groups. Preliminary evidence suggests that PA/EX can induce improvements in physical, subjective and disorder-specific clinical outcomes. Potential mechanisms of action are discussed, as well as implications for psychiatric research and practice.

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“…Two studies have examined the effects of structured movement therapies on NPS in moderately severe dementia. Both combined movement with interactive activities such as balloon volleyball, clapping hands, passing a ball (Holliman et al , 2001) and imagined bread baking, swimming, and flying with birds (Heyn et al , 2003). Heyn et al incorporated exercise into a multi-sensory activity that also included music and storytelling in their intervention.…”

Section: Resultsmentioning

confidence: 99%

Research on treating neuropsychiatric symptoms of advanced dementia with non-pharmacological strategies, 1998–2008: a systematic literature review

Kverno

Black

Nolan

et al. 2009

Int. Psychogeriatr.

114

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Background-Advanced dementia is characterized by severe cognitive and functional impairments that lead to almost total dependency in self-care. Neuropsychiatric symptoms (NPS) are common in advanced dementia, diminishing quality of life and increasing the care burden. The challenge for health care providers is to find safe and effective treatments. Non-pharmacological interventions offer the potential for safer alternatives to pharmacotherapy, but little is known about their efficacy. This review evaluates the published literature on non-pharmacological interventions for treating NPS in advanced dementia.

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Developing an Interactive Physical Activity Group in a Geriatric Psychiatry Facility

Cited by 10 publications

References 19 publications

Structured physical exercise improves neuropsychiatric symptoms in acute dementia care: a hospital-based RCT

Structured physical exercise improves neuropsychiatric symptoms in acute dementia care: a hospital-based RCT

Exercise and Physical Activity in Mental Disorders: Clinical and Experimental Evidence

Research on treating neuropsychiatric symptoms of advanced dementia with non-pharmacological strategies, 1998–2008: a systematic literature review

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