Alzheimer's Disease
Conditions
Brief summary
Our previous findings support the notion that group activity program, based on cognitive stimulation, recreational-occupational activities and physical-psychomotor exercises, can lead to an improvement in behavioral aspects for people with Alzheimer's Disease (AD). The purpose of this study is to clarify the efficacy of a rehabilitation program in outpatients affected by AD in mild to moderate stages.
Interventions
The MST program involved three levels of treatment. The first level was focused on PWA, the second level involved the caregiver, while the third one the dyad PWA-caregiver.
Sponsors
Study design
Eligibility
Inclusion criteria
* diagnosis of possible/probable AD * mild to moderate stage of AD (MMSE score of 15 - 24)and CDR score of 1-2 * range years in age (65-85) and in school attendance (5-17) * right handed
Exclusion criteria
* severe aphasia (Token test score \< 20) * severe auditory and/or visual loss * overt severe behavioral disturbances (delusions, hallucinations, agitation) * recent (three month before the MST) introduction or dose modification of the following pharmacological treatments: cholinesterase inhibitor, memantine, antidepressant or antipsychotic drugs.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in behavioral level | Baseline, 10ws, 22ws | Neuropsychiatric Inventory scale |
| Change from baseline in cognitive level | Baseline, 10ws, 22 ws | ADAS cog scale |
| Change from baseline in quality of life | baseline, 10ws,22 ws | SF36 questionaire |
Other
| Measure | Time frame | Description |
|---|---|---|
| Functional MRI | baseline, 10 ws | Change from baseline in brain functioning. We used fMRI with cognitive task to detect possible changes (10 ws versus baseline) in brain activation patterns in PWA as a surrogate biomarker of efficacy. |
Countries
Italy