Feasibility, safety and preliminary evidence of the effectiveness of a home-based exercise programme for older people with Alzheimer's disease: A pilot randomized controlled trial

Plaiwan Suttanon, Keith D. Hill, Catherine M. Said, Susan B. Williams, Karin N. Byrne, Dina Logiudice, Nicola T. Lautenschlager, Karen J. Dodd

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78 Citations (Scopus)

Abstract

Objective: To evaluate the feasibility and safety of a home-based exercise programme for people with Alzheimer's disease, and to provide preliminary evidence of programme effectiveness in improving balance and mobility and reducing falls risk. Design: A randomized controlled trial. Setting: Community. Participants: Forty people with mild to moderate Alzheimer's disease (mean age 81.9, SD 5.72; 62.5% female). Interventions: Participants were randomized to a six-month home-based individually tailored balance, strengthening and walking exercise programme (physiotherapist) or a six-month home-based education programme (control) (occupational therapist). Both programmes provided six home-visits and five follow-up phone calls. Main measures: Balance, mobility, falls and falls risk were measured at baseline and programme completion. Intention-to-treat analysis using a generalized linear model with group allocation as a predictor variable was performed to evaluate programme effectiveness. Feasibility and adverse events were systematically recorded at each contact. Results: Fifty-eight per cent of the exercise group finished the programme, completing an average of 83% of prescribed sessions, with no adverse events reported. Functional Reach improved significantly (P = 0.002) in the exercise group (mean (SD), 2.28 (4.36)) compared to the control group (-2.99 (4.87)). Significant improvement was also observed for the Falls Risk for Older People - Community score (P = 0.008) and trends for improvement on several other balance, mobility, falls and falls risk measures for the exercise group compared to the control group. Conclusions: The exercise programme was feasible and safe and may help improve balance and mobility performance and reduce falls risk in people with Alzheimer's disease.

Original languageEnglish
Pages (from-to)427-438
Number of pages12
JournalClinical Rehabilitation
Volume27
Issue number5
DOIs
Publication statusPublished - 6 May 2013
Externally publishedYes

Keywords

  • Alzheimer's disease
  • Balance and strengthening exercise
  • falls risk
  • randomized controlled trial

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