[Editorial comments by Krik I. Erickson.]
Benefits of Multimodal Exercise Intervention for Postural Control and Frontal Cognitive Functions in Individuals with Alzheimer's Disease: A Controlled Trial
Article first published online: 5 NOV 2013
© 2013, Copyright the Authors Journal compilation © 2013, The American Geriatrics Society
Journal of the American Geriatrics Society
Volume 61, Issue 11, pages 1919–1926, November 2013
How to Cite
J Am Geriatr Soc 61:1919–1926, 2013.
- Issue published online: 12 NOV 2013
- Article first published online: 5 NOV 2013
- Laboratory for the Study of Posture and Locomotion
- Laboratory of Aging and Physical Activity
- Foundation for Research Support of São Paulo
- Coordination of Improvement of Higher Education Personnel
- University Extension Program
- postural control;
- dual task;
To verify the effects of a systematized multimodal exercise intervention program on frontal cognitive function, postural control, and functional capacity components of individuals with Alzheimer's disease (AD).
Nonrandomized controlled trial with pre- and posttraining tests in a training group and a control group.
Kinesiotherapy program for seniors with AD, São Paulo State University.
Convenience sample of older adults with AD (n = 30) were assigned to a training (n = 14; aged 78.6 ± 7.1) and a control (n = 16; aged 77.0 ± 6.3) group.
The intervention program was structured with the aim of simultaneously promoting better balance and frontal cognitive capacity. The participants attended a 1-hour session three times a week for 16 weeks, whereas the control group did not participate in any activity during the same period.
Frontal cognitive function was evaluated using the Montreal Cognitive Assessment, the Clock Drawing Test, the Frontal Assessment Battery, and the Symbol Search Subtest. Postural control (center of pressure area) was analyzed under four dual-task conditions. Functional capacity components were analyzed using the Timed Up and Go Test, the 30-second sit-to-stand test, the sit-and-reach test, and the Berg Functional Balance Scale.
Intervention group participants showed a significant increase in frontal cognitive function (P < .001, partial η2 = 0.838), with less body sway (P = .04, partial η2 = 0.04) during the dual tasks, and greater functional capacity (P = .001, partial η2 = 0.676) after the 16-week period.
Intervention participants performed better on dual-task activities and had better postural balance and greater functional capacity than controls.