a Department of Physiotherapy , University School of Physical Education , Wroclaw , Poland.
b Department and Division of Medical Rehabilitation , Medical University , Wroclaw , Poland.
Disabil Rehabil. 2019 Apr;41(7):815-819. doi: 10.1080/09638288.2017.1410859. Epub 2017 Nov 30.
The aim of this study was to assess the efficacy of physiotherapy in nursing home patients with comorbid dementia.
The study group consisted of 88 patients, including 48 people with dementia and 40 people without dementia. Before and after physiotherapy, the Mini Mental State Examination and Barthel Index were used.
Elderly patients without dementia achieved a greater improvement in functional status. The level of cognitive functioning at the time of admission to a nursing home, but not the patient's functional status, had a significant impact on physiotherapy efficacy.
Understanding the role of dementia in the rehabilitation process is important for care planning. More research is required to ascertain the efficacy of physiotherapy in people with moderate to severe dementia, including the best strategies to improve their functional status. Implications for Rehabilitation The level of cognitive function is important in the rehabilitation process, and it influences effectiveness of physiotherapy. Physiotherapy efficacy in the group of patients with coexisting dementia is lower than that in patients without dementia. Regular physiotherapy can also improve functional status in patients with coexisting dementia. The results of the study may have utilitarian implications, leading to a change in therapy regimens at physiotherapy centres treating disabled chronically ill people with coexisting dementia.
本研究旨在评估物理疗法对伴有共病痴呆的养老院患者的疗效。
研究组包括 88 名患者，其中 48 名患有痴呆症，40 名没有痴呆症。在物理治疗前后，使用简易精神状态检查和巴氏指数进行评估。
无痴呆症的老年患者在功能状态方面有更大的改善。养老院入院时的认知功能水平，而不是患者的功能状态，对物理治疗效果有显著影响。
了解痴呆症在康复过程中的作用对于护理计划很重要。需要进一步研究以确定中重度痴呆症患者物理治疗的疗效，包括改善其功能状态的最佳策略。
认知功能水平在康复过程中很重要，它影响物理治疗的效果。伴有共病痴呆的患者群体的物理治疗效果低于无痴呆症的患者。定期物理治疗也可以改善伴有共病痴呆的患者的功能状态。研究结果可能具有实用意义，导致治疗方案在治疗患有共病痴呆的残疾慢性病患者的物理治疗中心发生改变。
