Literature DB >> 17984150

Group physical activity for demented older adults feasibility and effectiveness.

Yael Netz1, Salit Axelrad, Ester Argov.   

Abstract

OBJECTIVES: (1) To examine the feasibility of group physical activity in a day-care routine. (2) To assess the impact of this programme on functional fitness.
DESIGN: Ten-week observational period, followed by 12 weeks of intervention in randomized controlled design, followed by 12 weeks of intervention only.
SETTING: A day-care centre for demented older individuals. PARTICIPANTS: Twenty-nine demented (Mini-Mental State Exam score 13.3 +/- 5.83) day-care attendees, mean +/- SD age 76.9 +/- 6.72. INTERVENTION: Group physical activity vs. social activity, followed by increased-intensity physical activity for both groups. MEASUREMENTS: Performance rate (PR) in physical activity sessions, Timed Get Up and Go (TGUG), Sit-to-Stand (STS) and Functional Reach (FR).
RESULTS: Approximately 60% of the participants performed almost all movements or repetitions in both intervention phases. No improvements were observed following the first phase of physical activity. A reduction of 3.2 seconds (+/-1.2 SE) was noted in the time needed to perform the TGUG following the increased-intensity physical activity.
CONCLUSION: A carefully tailored group physical activity, conducted twice weekly with a group of 12-15 participants in a medium size room, and led by a physical activity teacher assisted by a staff aide, is feasible. Although physical activity performed mainly while sitting is ineffective, it can be effective to a meaningful degree when performed while standing or walking.

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Year:  2007        PMID: 17984150     DOI: 10.1177/0269215507078318

Source DB:  PubMed          Journal:  Clin Rehabil        ISSN: 0269-2155            Impact factor:   3.477


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