Alzheimer Disease, Computerized Cognitive Stimulation, Covid-19 Pandemic, Online Physical Exercise, Telerehabilitation
Conditions
Keywords
Alzheimer's disease, Telerehabilitation, Physical exercise, Computerized Cognitive Stimulation, Covid-19 Pandemic, Cognitive Stimulation, Online physical exercise, Alzheimer disease
Brief summary
Our aim has been determined to investigate the effect of physical exercise alone and in combination with cognitive exercise, on cognitive, physical function and quality of life in individuals with Alzheimer's Disease during the Covid-19 pandemic period.
Interventions
OTHERPhysical exercise
SPEP are planned for 12 weeks, 2 times a week, once a day, 60 minutes / 1 hour
OTHERPhysical exercise and computerized cognitive training
SPEP are planned for 12 weeks, 2 times a week, once a day, 60 minutes / 1 hour. The CCSP is planned for 12 weeks, minimum 3 to maximum 5 days a week, approximately 10 minutes, for a total of 36-60 sessions
Sponsors
Yeditepe University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Intervention model description
It is planned to include 60 individuals diagnosed with AD according to DSM-IV diagnostic criteria by the neurologist. Individuals will be randomly divided into three groups; as the physical exercise group (n=20), physical exercise and cognitive stimulation (n=20) and the control group (n=20) according to inclusion criteria
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* ≥ 65 years and older * Diagnosed with AD according to DSM-IV diagnostic criteria by a neurologist, * MOCA ≥ 13 * Clinical Dementia Rating Scale \< 2 * Having sufficient wireless support or telephone connection where the person lives * Who gave consent to participate in the study * No history of any neurological or orthopedic injury that could prevent participation in the study and affect functional mobility.
Exclusion criteria
* Geriatric Depression Scale score \> 11 * Various mobility restrictions, musculoskeletal disorders, (wheelchair use, etc.) * Clinically significant aphasia (must be able to understand the therapist's commands) * Significant visual or sensory impairment * MoCA \< 13 * Having a severe musculoskeletal disorder * Having paralysis * Impaired balance * The presence of severe lung and heart disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Alzheimer's Disease Related Quality of Life Scale | 24 weeks | This scale evaluates health-related quality of life in individuals with AD. The scale includes 40 questions in total and examines 5 quality of life domains (A-Social Interaction, B-Self Awareness, C-Affect and Mood, D- Enjoying Activities, E-Interaction with the Environment). |
| Montreal Cognitive Assessment Scale | 24 weeks | MOCA is a short cognitive assessment method developed to detect particularly mild stages of cognitive impairment. |
| Berg Balance Scale | 24 weeks | Berg Balance Scale measures static and dynamic balance in elderly individuals. |
| Time up and Go Test | 24 weeks | TUG test evaluates fall risk, mobility and physical performance in the elderly |
| Sit to Stand Test | 24 weeks | Sit-to-stand test will be performed on an armless chair with a height of 46 cm to determine the physical fitness level of elderly individuals |
| Arm Curl Test | 24 weeks | The Arm Curl test is one of the subtests of the Senior fitness test and it is performed to evaluate upper extremity muscle strength |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Katz Activities of Daily Living Scale | 24 weeks | Katz ADLs consist of six questions that include information about bathing, dressing, toilet, movement, excretion, and feeding activities. |
| Lawton Instrumental Activities of Daily Living Scale | 24 weeks | Lawton IADL scale consists of 8 items and a single subscale. In addition, it consists of eight questions about using the phone, preparing meals, shopping, doing daily household chores, washing clothes, getting on the transportation vehicle, taking medicines and money management |
| Geriatric Depression Scale (Short Form) | 24 weeks | The GDS Short Form (GDS-15) is a 15-item scale that is used for the diagnosis of depression in elderly individuals |
Countries
Turkey (Türkiye)
Outcome results
None listed