Boer Dennis, Schmidt Charlotte, Sterke Shanty, Schoones Jan, Elbers Roy, Vliet Vlieland Thea
Physiotherapy, Kennemerhart, Haarlem, The Netherlands.
Department of Orthopedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands.
Innov Aging. 2024 Jun 20;8(7):igae061. doi: 10.1093/geroni/igae061. eCollection 2024.
Although physical therapy, in particular exercise therapy, is widely used in nursing home residents with dementia, the literature on this topic is relatively scarce. This systematic review aimed to summarize the literature on the characteristics and effectiveness of exercise interventions supervised by physical therapists in nursing home residents with dementia.
Six electronic databases were systematically searched for relevant studies up to August 17, 2022. Randomized controlled trials (RCTs) comparing exercise interventions supervised by a physical therapist to any other form of intervention or usual care in nursing home residents with dementia were selected. Data were narratively analyzed and forest plots visualizing exercise effects were created.
From the 1 377 records retrieved and screened, 6 RCTs, reported in 11 papers, met the selection criteria. Included studies used multimodal or aerobic exercise interventions, with the frequency, duration and intensity varying across studies. Three of the 6 studies were at high risk of bias. Due to inconsistency in the findings and variety in outcome measures, results on the effectiveness of the interventions are inconclusive.
Our review emphasizes the need for more robust studies to offer understanding of the efficacy of exercise interventions supervised by physical therapists for nursing home residents with dementia.
尽管物理治疗，尤其是运动疗法，在患有痴呆症的养老院居民中被广泛使用，但关于这一主题的文献相对较少。本系统评价旨在总结有关物理治疗师监督下的运动干预对患有痴呆症的养老院居民的特征和有效性的文献。
系统检索了六个电子数据库，以查找截至2022年8月17日的相关研究。选择了将物理治疗师监督下的运动干预与患有痴呆症的养老院居民的任何其他形式的干预或常规护理进行比较的随机对照试验（RCT）。对数据进行了叙述性分析，并创建了直观显示运动效果的森林图。
从检索和筛选的1377条记录中，11篇论文报道的6项RCT符合入选标准。纳入的研究采用了多模式或有氧运动干预，不同研究的频率、持续时间和强度各不相同。6项研究中有3项存在高偏倚风险。由于研究结果不一致且结局测量方法多样，干预措施有效性的结果尚无定论。
我们的综述强调需要进行更有力的研究，以了解物理治疗师监督下的运动干预对患有痴呆症的养老院居民的疗效。
