Dementia
Conditions
Brief summary
Purpose -To investigate whether older adults with dementia who have balance and gait problems can improve their balance and gait function after an individualized 4-week tasks-oriented balance training with sensory manipulation. Hypothesis -There is significant difference of Timed Up and Go Test, Berg Balance Scale, walking speed, 30-s chair-stand test, Chair sit-and-reach test and Barthel Index between dementia patients who received tasks-oriented balance training and those didn't receive after 4-weeks training and one month follow-up.
Interventions
OTHERTask-oriented balance training
4 weeks individualized task-oriented balance training, twice a week and 1 hour each session
OTHERUpper extremities exercise
4 weeks upper extremities exercise in sitting position, twice a week and 1 hour each session weeks
Sponsors
National Taiwan University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient provides oral consent, and written consent obtains from next of kin * Older than 65 years * Diagnosis of dementia, based on Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) or The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) * Can follow order to complete the screening test(Timed Up and Go test) * Has balance and gait problems * Can standing independently with/without assistive device or can standing with minimal assistance
Exclusion criteria
* Newly developed cardiopulmonary disease and other exercise contraindications * Other neuromuscular or musculoskeletal disease that might affect the outcome(ex. Recent stroke, fracture or orthopedic surgery)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Timed Up and Go test | baseline, post-treatment, 1-month follow up | Change from Baseline of Timed Up and Go test |
| Berg Balance Scale | baseline, post-treatment, 1-month follow up | Change from Baseline of Berg Balance Scale |
| walking speed | baseline, post-treatment, 1-month follow up | Change from Baseline of walking speed |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 30-s chair-stand test | baseline, post-treatment, 1-month follow up | Change from Baseline of 30-s chair-stand test |
| Barthel index | baseline, post-treatment, 1-month follow up | Change from Baseline of Barthel index |
| chair sit-and-reach test | baseline, post-treatment, 1-month follow up | Change from Baseline of chair sit-and-reach test |
| Saint Louis University mental status examination | baseline, post-treatment, 1-month follow up | Change from Baseline of Saint Louis University mental status examination |
Countries
Taiwan
Outcome results
None listed