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    Feasibility, safety and preliminary evidence of the effectiveness of a home-based exercise programme for older people with Alzheimer's disease: A pilot randomized controlled trial

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    Fulltext not available
    Authors
    Suttanon, P.
    Hill, Keith
    Said, C.
    Williams, S.
    Byrne, K.
    LoGiudice, D.
    Lautenschlager, N.
    Dodd, K.
    Date
    2013
    Type
    Journal Article
    
    Metadata
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    Citation
    Suttanon, Plaiwan and Hill, Keith D. and Said, Catherine M. and Williams, Sue B. and Byrne, Karin N. and LoGiudice, Dina and Lautenschlager, Nicola T. and Dodd, Karen J. 2013. Feasibility, safety and preliminary evidence of the effectiveness of a home-based exercise programme for older people with Alzheimer's disease: A pilot randomized controlled trial. Clinical Rehabilitation 27 (5): pp. 427-438.
    Source Title
    Clinical Rehabilitation
    DOI
    10.1177/0269215512460877
    ISSN
    0269-2155
    URI
    http://hdl.handle.net/20.500.11937/23425
    Collection
    • Curtin Research Publications
    Abstract

    Objective: To evaluate the feasibility and safety of a home-based exercise programme for people with Alzheimer’s disease, and to provide preliminary evidence of programme effectiveness in improving balance and mobility and reducing falls risk. Design: A randomized controlled trial. Setting: Community. Participants: Forty people with mild to moderate Alzheimer’s disease (mean age 81.9, SD 5.72; 62.5% female). Interventions: Participants were randomized to a six-month home-based individually tailored balance, strengthening and walking exercise programme (physiotherapist) or a six-month home-based education programme (control) (occupational therapist). Both programmes provided six home-visits and five follow-up phone calls. Main measures: Balance, mobility, falls and falls risk were measured at baseline and programme completion. Intention-to-treat analysis using a generalized linear model with group allocation as a predictor variable was performed to evaluate programme effectiveness. Feasibility and adverse events were systematically recorded at each contact. Results: Fifty-eight per cent of the exercise group finished the programme, completing an average of 83% of prescribed sessions, with no adverse events reported. Functional Reach improved significantly (P = 0.002) in the exercise group (mean (SD), 2.28 (4.36)) compared to the control group (–2.99 (4.87)). Significant improvement was also observed for the Falls Risk for Older People – Community score (P = 0.008) and trends for improvement on several other balance, mobility, falls and falls risk measures for the exercise group compared to the control group. Conclusions: The exercise programme was feasible and safe and may help improve balance and mobility performance and reduce falls risk in people with Alzheimer’s disease.

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