None listed
Conditions
Brief summary
Dementia is a neurodegenerative disorder associated with high levels of disability, dependency and carer burden. Non-pharmacological interventions for dementia can provide an improvement in cognitive impairment and psychosocial aspects without little if any side effects. Cognitive Stimulation Therapy (CST) is a structured and manualised group treatment specifically developed for people with mild to moderate dementia. It involves 14 sessions (twice a week over 7 weeks) of themed activities. Sessions aim to actively stimulate and engage people with dementia, whilst providing an optimal learning environment and the social benefits of a group of 6 to 8 participants with 2 facilitators. Prince et al. reviewed the evidence on cognitive stimulation in dementia and reported its effect size (for cognitive outcomes ADAS-Cog and MMSE) are comparable to those seen for acetylcholinesterase inhibitor medication. Mind-body interventions such as yoga, tai chi and mindfulness meditation have promising effects on cognitive issues related to aging. Yoga consists of the practice of specific posture (asana), regulated breathing (Pranayama) and meditation. It integrates the physical, mental, and spiritual components of an individual in order to improve health and well-being. Lacking the opportunity to exercise on a regular basis, persons with mild to moderate dementia can benefit as exercise is reported to improve cognition, specifically executive function, and general well-being. Older adults engaging in yoga with and without cognitive impairment experience positive outcomes. Cognitively and physically challenging activities provide the most efficient stimuli to induce neuroplastic changes. It has been suggested that future studies should consider combined intervention approaches because they may use complementary physiological and mutually enhancing routes to maximize the therapeutic effect. This single-blinded pilot study will test a novel intervention combining cognitive stimulation and physical activities using yoga in the treatment of mild to moderate dementia. The primary aim of this study is to compare CST+Chair Yoga with CST alone and Chair Yoga alone on cognition and neurobehavioural symptoms in people with mild to moderate dementia.
Interventions
Cognitive Stimulation Therapy (CST) + Chair Yoga: 2 Selwyn Foundation staff will deliver CST, followed by a yoga instructor delivering Chair Yoga in a 90-minute session (45-minute CST; 45 minute Chair Yoga), ..
- CST (45 minutes): CST is a structured and manualised group treatment specifically developed for people with mild to moderate dementia. It involves 14 or more sessions of themed activities. They were designed to run twice a week over a seven-week period. Sessions are aimed to actively s
Cognitive Stimulation Therapy (CST) + Chair Yoga: 2 Selwyn Foundation staff will deliver CST, followed by a yoga instructor delivering Chair Yoga in a 90-minute session (45-minute CST; 45 minute Chair Yoga), .. - CST (45 minutes): CST is a structured and manualised group treatment specifically developed for people with mild to moderate dementia. It involves 14 or more sessions of themed activities. They were designed to run twice a week over a seven-week period. Sessions are aimed to actively stimulate and engage people with dementia, while providing an optimal learning environment and the social benefits of a group. The following themes are covered in the 14 sessions: physical games, sound, childhood, food, current affairs, faces /scenes, word association, being creative, categorising objects, orientation, using money, number games, word games, team quiz. - Chair Yoga (45 minutes): The Chair Yoga protocol will include: breath work; sit, breathe, notice breath; alternate nostril breathing/bee’s breath to calm-move within; exercises for joints and lymph system-seated; lion’s breath; face, forehead, sinus, ear massage; neck rolls (only side to side gently); shoulder shrugs; keep spine long, relax chin to chest in chai; side bends; knee lifts; Sa, Ta, Na, Ma with finger mudra (bringing together thumb and middle finger in a circle); and sit and notice. - 2 Selwyn Foundation staff who attended a 1-day CST training workshop will deliver the CST; a qualified yoga instructor delivering Chair Yoga - The mode of administration of CST and Chair Yoga involves face-to-face groups of 8 participants; - A total of 20 CST and Chair Yoga sessions (90 minutes per session, 2 sessions per week for 10 weeks. - the location where the intervention occurs: a Selwyn Foundation residential care facility
Sponsors
University of Auckland
Study design
Allocation
Non-randomised trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. People aged 50 years and over with a diagnosis of mild to moderate dementia (Montreal Cognitive Assessment score of 10 or more). 2. The person can have a ‘meaningful’ conversation. 3. The person can hear well enough to participate in a 1 to 1 discussion. 4. The person’s vision is good enough to see most pictures. 5. The person is likely to remain in a session for 50-90 minutes.
Exclusion criteria
1. Those within the past 6 weeks who have had a recent acute medical illness such as stroke or heart attack. 2. Those who is currently participating in a cognitive stimulation treatment
Outcome results
None listed