Paratonia in dementia Mental and Behavioural Disorders Dementia
Conditions
Interventions
We propose a randomised controlled trial with a four week follow-up period. After computerised and concealed block randomisation (block-size of four) patients will be included in one of two groups. Th
Sponsors
The Caphri Institute (The Netherlands)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients with dementia (according to the Diagnostic and Statistical Manual of Mental Disorders ? fourth edition [DSM-IV-TR] Criteria) and paratonia with a score on the modified Ashworth scale of two or more in one of the limbs are included in the study. Patients are only included after Proxy consent. Added 28/07/09: 2. Male or female 3. Age range at close of recruitment was 67-98 (mean 84)
Exclusion criteria
Exclusion criteria: 1. Patients with an unstable disease like progressive malignant cancer or other diseases with an obvious progressive negative effect on the motor function 2. Patients who receive passive movement therapy prior to admission 3. The nursing home physician can decide to withdraw a participant from the study for urgent medical reasons
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Modified Ashworth scale - a five-point scale from zero to four, in which: Zero = no resistance to passive movement One = slight resistance during passive movement Two = more marked resistance to passive movement Three = considerable resistance to passive movement Four = severe resistance, passive movement is impossible | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC) 2. To assess pain as a possible side effect of PMT 3. The Clinical Global Impressions (CGI) to assess the clinical improvement and a derived form of the Patient Specifieke Klacht (PSK) assessment in which the carers are asked to address the three most difficult items in daily care and rate these items on a ten point rating scale | — |
Countries
Netherlands
Outcome results
None listed