Does Therapeutic Exercise Support Improvement in Cognitive Function and Instrumental Activities of Daily Living in Patients with Mild Alzheimer’s Disease? A Randomized Controlled Trial

This randomized controlled trial aims to investigate the effect of 12 weeks of therapeutic exercise on cognitive function and daily activities in patients with mild Alzheimer’s disease (AD). A total of 171 patients with mild AD from the Amarousion Day Care Center of the Alzheimer Society of Athens a...

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Main Authors: Vasileios Papatsimpas, Sotiria Vrouva, George Papathanasiou, Marianna Papadopoulou, Christina Bouzineki, Sophia Kanellopoulou, Dimitra Moutafi, Daphne Bakalidou
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/13/7/1112
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author Vasileios Papatsimpas
Sotiria Vrouva
George Papathanasiou
Marianna Papadopoulou
Christina Bouzineki
Sophia Kanellopoulou
Dimitra Moutafi
Daphne Bakalidou
author_facet Vasileios Papatsimpas
Sotiria Vrouva
George Papathanasiou
Marianna Papadopoulou
Christina Bouzineki
Sophia Kanellopoulou
Dimitra Moutafi
Daphne Bakalidou
author_sort Vasileios Papatsimpas
collection DOAJ
description This randomized controlled trial aims to investigate the effect of 12 weeks of therapeutic exercise on cognitive function and daily activities in patients with mild Alzheimer’s disease (AD). A total of 171 patients with mild AD from the Amarousion Day Care Center of the Alzheimer Society of Athens and the Athens General Hospital “G. Gennimatas” were randomly divided into three groups. Group A (aerobic and resistance exercise, <i>n</i> = 57), group B (resistance exercise, <i>n</i> = 57), and group C (control group, <i>n</i> = 57). Group A followed a weekly program consisting of 5 days with 30 min walking and 3 days with resistance exercises for about 45 min. Group B followed only a resistance exercise program, the same as group A. Group C did not participate in any exercise program. After the intervention, cognitive function was assessed with the Cognitive Examination-Revised (ACE-R), Trail Making Test A-B (TMT A-B), and Digit Span Test Forward and Backward (DST F-B) and daily activities with the instrumental activities of daily living scale (IADLs). A significant intervention effect was observed for all outcome measures (global cognitive function and instrumental activities of daily living). ANCOVA Bonferroni corrected post hoc tests revealed that the aerobic and resistance group improved compared to the control group on all measurement scales. The resistance group also showed an improvement compared to the control group. No significant effects were found between the aerobic and resistance group and the resistance group in any of the outcome measures.
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spelling doaj.art-0fe219737608485f94290fedf8b787822023-11-18T18:35:33ZengMDPI AGBrain Sciences2076-34252023-07-01137111210.3390/brainsci13071112Does Therapeutic Exercise Support Improvement in Cognitive Function and Instrumental Activities of Daily Living in Patients with Mild Alzheimer’s Disease? A Randomized Controlled TrialVasileios Papatsimpas0Sotiria Vrouva1George Papathanasiou2Marianna Papadopoulou3Christina Bouzineki4Sophia Kanellopoulou5Dimitra Moutafi6Daphne Bakalidou7Physiotherapy Department, School of Health and Care Sciences, University of West Attica (UNIWA), 12243 Athens, GreecePhysiotherapy Department, School of Health and Care Sciences, University of West Attica (UNIWA), 12243 Athens, GreecePhysiotherapy Department, School of Health and Care Sciences, University of West Attica (UNIWA), 12243 Athens, GreecePhysiotherapy Department, School of Health and Care Sciences, University of West Attica (UNIWA), 12243 Athens, GreeceAlzheimer Athens Association, 11636 Athens, GreeceAlzheimer Athens Association, 11636 Athens, GreecePathological Department, General Hospital Konstantopouleio, 14233 Nea Ionia, GreecePhysiotherapy Department, School of Health and Care Sciences, University of West Attica (UNIWA), 12243 Athens, GreeceThis randomized controlled trial aims to investigate the effect of 12 weeks of therapeutic exercise on cognitive function and daily activities in patients with mild Alzheimer’s disease (AD). A total of 171 patients with mild AD from the Amarousion Day Care Center of the Alzheimer Society of Athens and the Athens General Hospital “G. Gennimatas” were randomly divided into three groups. Group A (aerobic and resistance exercise, <i>n</i> = 57), group B (resistance exercise, <i>n</i> = 57), and group C (control group, <i>n</i> = 57). Group A followed a weekly program consisting of 5 days with 30 min walking and 3 days with resistance exercises for about 45 min. Group B followed only a resistance exercise program, the same as group A. Group C did not participate in any exercise program. After the intervention, cognitive function was assessed with the Cognitive Examination-Revised (ACE-R), Trail Making Test A-B (TMT A-B), and Digit Span Test Forward and Backward (DST F-B) and daily activities with the instrumental activities of daily living scale (IADLs). A significant intervention effect was observed for all outcome measures (global cognitive function and instrumental activities of daily living). ANCOVA Bonferroni corrected post hoc tests revealed that the aerobic and resistance group improved compared to the control group on all measurement scales. The resistance group also showed an improvement compared to the control group. No significant effects were found between the aerobic and resistance group and the resistance group in any of the outcome measures.https://www.mdpi.com/2076-3425/13/7/1112dementiaAlzheimer’s diseasetherapeutic exerciseaerobic exerciseresistance exercisecognitive function
spellingShingle Vasileios Papatsimpas
Sotiria Vrouva
George Papathanasiou
Marianna Papadopoulou
Christina Bouzineki
Sophia Kanellopoulou
Dimitra Moutafi
Daphne Bakalidou
Does Therapeutic Exercise Support Improvement in Cognitive Function and Instrumental Activities of Daily Living in Patients with Mild Alzheimer’s Disease? A Randomized Controlled Trial
Brain Sciences
dementia
Alzheimer’s disease
therapeutic exercise
aerobic exercise
resistance exercise
cognitive function
title Does Therapeutic Exercise Support Improvement in Cognitive Function and Instrumental Activities of Daily Living in Patients with Mild Alzheimer’s Disease? A Randomized Controlled Trial
title_full Does Therapeutic Exercise Support Improvement in Cognitive Function and Instrumental Activities of Daily Living in Patients with Mild Alzheimer’s Disease? A Randomized Controlled Trial
title_fullStr Does Therapeutic Exercise Support Improvement in Cognitive Function and Instrumental Activities of Daily Living in Patients with Mild Alzheimer’s Disease? A Randomized Controlled Trial
title_full_unstemmed Does Therapeutic Exercise Support Improvement in Cognitive Function and Instrumental Activities of Daily Living in Patients with Mild Alzheimer’s Disease? A Randomized Controlled Trial
title_short Does Therapeutic Exercise Support Improvement in Cognitive Function and Instrumental Activities of Daily Living in Patients with Mild Alzheimer’s Disease? A Randomized Controlled Trial
title_sort does therapeutic exercise support improvement in cognitive function and instrumental activities of daily living in patients with mild alzheimer s disease a randomized controlled trial
topic dementia
Alzheimer’s disease
therapeutic exercise
aerobic exercise
resistance exercise
cognitive function
url https://www.mdpi.com/2076-3425/13/7/1112
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