Lancioni Giulio E, Singh Nirbhay N, O'Reilly Mark F, Sigafoos Jeff, D'Amico Fiora, Sasanelli Giovanni, De Vanna Floriana, Signorino Mario
University of Bari, Italy.
Medical College of Georgia, Georgia Regents University, Augusta, USA.
Res Dev Disabil. 2015 Feb;37:55-63. doi: 10.1016/j.ridd.2014.11.004. Epub 2014 Nov 26.
Three studies were conducted to assess technology-aided programs to promote leisure engagement and mild physical activity in persons with Alzheimer's disease. Specifically, Study I assessed a program aimed at enabling three patients with mild or moderate Alzheimer's disease to choose among different music options and activate the preferred ones. Studies II and III were directed at patients in the low moderate or severe stages of the Alzheimer's disease who were no longer capable of ambulating and spent their time generally inactive, sitting in their wheelchairs. In particular, Study II used a program to help three patients exercise an arm-raising movement. Study III used a program to help three patients exercise a leg-foot movement. Each study was carried out according to a nonconcurrent multiple baseline design across patients. Results were very encouraging. The patients of Study I learned to choose and activate their preferred music pieces. The patients of Studies II and III enhanced their performance of the target movements and increased their indices of positive participation (e.g., smiles and verbalizations) during the sessions. The applicability of the programs in daily contexts and their implications for the patients involved are discussed.
开展了三项研究,以评估技术辅助项目对促进阿尔茨海默病患者休闲参与和轻度身体活动的作用。具体而言,研究I评估了一个项目,该项目旨在让三名轻度或中度阿尔茨海默病患者在不同音乐选项中进行选择并播放他们喜欢的音乐。研究II和III针对的是处于阿尔茨海默病低中度或重度阶段的患者,这些患者已无法行走,通常无所事事地坐在轮椅上。具体来说,研究II使用一个项目帮助三名患者进行举臂运动。研究III使用一个项目帮助三名患者进行腿部 - 脚部运动。每项研究均按照针对患者的非同期多重基线设计进行。结果非常令人鼓舞。研究I的患者学会了选择并播放他们喜欢的音乐曲目。研究II和III的患者在训练期间提高了目标动作的表现,并增加了积极参与指标(如微笑和发声)。讨论了这些项目在日常环境中的适用性及其对相关患者的意义。