Article

Alzheimer's disease (AD) results in a loss of independence in
activities of daily living (ADLs), which in turn affects the quality of life of
affected people and places a burden on caretakers. Limited research has examined
the influence of physical training (aerobic, balance, and strength training) on
ADL performance of people with AD. METHOD. Six randomized controlled trials
(total of 446 participants) fit the inclusion criteria. For each study, we
calculated effect sizes for primary and secondary outcomes. RESULTS. Average
effect size (95% confidence interval) for exercise on the primary outcome (ADL
performance) was 0.80 (p < .001). Exercise had a moderate impact on the secondary
outcome of physical function (effect size = 0.53, p = .004). CONCLUSION.
Occupational therapy intervention that includes aerobic and strengthening
exercises may help improve independence in ADLs and improve physical performance
in people with AD. Additional research is needed to identify specific components
of intervention and optimal dosage to develop clinical guidelines.
CI - Copyright (c) 2014 by the American Occupational Therapy Association, Inc.

Langue : ANGLAIS