Burge Elisabeth, Kuhne Nicolas, Berchtold André, Maupetit Christine, von Gunten Armin
Eur Rev Aging Phys Act. 2012 Apr;9(1):27-39. doi: 10.1007/s11556-011-0092-y. Epub 2011 Dec 15.
The objectives of this study were to describe the different modalities of physical activity programs designed for moderate to severe dementia and to identify their impact on functional independence in activities of daily living (ADL). A critical review of randomized controlled trials related to the impact of physical activity programs in moderately to severely demented persons on ADL performance and meta-analysis of the identified studies were performed. Among the 303 identified articles, five responded to the selection criteria. Four out of the five studies demonstrated limited methodological quality. In one high-quality study, physical activity programs significantly delayed deterioration of ADL performance. The program components and ADL assessment tools vary widely across studies. Although the proposed treatments have not proven their efficiency in improving the ADL status of the patients, they were able to limit the decline in ADL functioning. Future research is warranted in order to identify clinically relevant modalities for physical activity programs for people with moderate to severe dementia.
本研究的目的是描述为中度至重度痴呆症设计的体育活动计划的不同形式，并确定其对日常生活活动（ADL）中功能独立性的影响。对与体育活动计划对中度至重度痴呆症患者ADL表现的影响相关的随机对照试验进行了批判性综述，并对已确定的研究进行了荟萃分析。在303篇已确定的文章中，有5篇符合选择标准。五项研究中有四项显示出有限的方法学质量。在一项高质量研究中，体育活动计划显著延缓了ADL表现的恶化。各研究中的计划组成部分和ADL评估工具差异很大。尽管所提出的治疗方法尚未证明其在改善患者ADL状况方面的有效性，但它们能够限制ADL功能的下降。有必要进行未来研究，以确定针对中度至重度痴呆症患者的体育活动计划的临床相关形式。
