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为什么不将全球姿势再教育作为一种替代疗法应用于养老院中的老年痴呆症患者?一项先驱性随机对照试验。

Why Not a Global Postural Reeducation as an Alternative Therapy Applied to Alzheimer's Patients in Nursing Homes? A Pioneer Randomized Controlled Trial.

机构信息

Health Sciences Department, Universidad Catolica de Murcia UCAM, Murcia, Spain,

Statistics Specialist Area. Economics Faculty, Universiteti Aleksander Xhuvani, Elbasan, Albania.

出版信息

Dement Geriatr Cogn Disord. 2019;48(3-4):172-179. doi: 10.1159/000505397. Epub 2020 Jan 31.

Abstract

INTRODUCTION

The classical gymnastics has always given great importance to exercises of -rachis extension and abduction of the arms during deep inhalation to acquire a greater -thoracic capacity.

OBJECTIVE

The aim of this study is to organize the concentration and the self-limited capacity of patients with Alzheimer's disease (AD) thanks to the physical and -respiratory exercise modalities of global postural reeducation.

DESIGN

A randomized controlled trial was conducted.

SETTING

Nursing homes.

PARTICIPANTS

Patients with probable AD diagnosis.

INTERVENTION

The global postural reeducation method (GPR) was implemented for a total of 72 treatment sessionswith a frequency of 3 times a week, for 24 weeks consecutively.

MAIN OUTCOME MEASURES

The Neuropsychiatric Inventory, Mini Mental State Examination, Geriatric Depression Scale, Quality of Life in Alzheimer's Disease and Tinetti Scale and respiratory rate frequency (RSP/F) were applied.

RESULTS

Ninety elderly people participated in this study, precisely 50 women and 40 men aged 67-92 years (mean age = 81.17, SD = 5.24). The therapy had a significant effect on the difference between groups in all the outcomes (p < 0.05 in all cases) with a large effect size with exception of the RSP/F (p > 0.05).

CONCLUSION

This study demonstrated a very good tolerance rate on behalf of the significant results achieved.

摘要

简介

经典体操一直非常重视在深度吸气时进行手臂的伸展和外展练习,以获得更大的胸廓容量。

目的

本研究旨在通过全身姿势再教育的物理和呼吸运动模式来集中和自我限制阿尔茨海默病(AD)患者的注意力。

设计

进行了一项随机对照试验。

设置

疗养院。

参与者

可能患有 AD 的患者。

干预措施

全身姿势再教育方法(GPR)共实施 72 次治疗,每周 3 次,连续 24 周。

主要观察指标

神经精神问卷、简易精神状态检查、老年抑郁量表、阿尔茨海默病生活质量量表和 Tinetti 量表以及呼吸频率频率(RSP/F)。

结果

共有 90 名老年人参加了这项研究,其中 50 名女性和 40 名男性,年龄在 67-92 岁之间(平均年龄=81.17,标准差=5.24)。治疗对所有结局的组间差异均有显著影响(p<0.05,所有情况下均有较大的效应量),除 RSP/F(p>0.05)外。

结论

这项研究表明,治疗的耐受性非常好,同时也取得了显著的效果。

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