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Development and initial testing of functional task exercise on older adults with cognitive impairment at risk of Alzheimer's disease--FcTSim programme--a feasibility study.

Abstract

The purpose of this study was to illustrate the development of a new functional task-based exercise programme and initially test its feasibility as well as effectiveness for older adults with mild cognitive impairment (MCI). This study used a single-group repeated-measures design. A total of 11 patients (mean age 71.8 years) were recruited to participate in a structured functional task exercise programme for 10 weeks. All outcome measures were undertaken at baseline, post-intervention and post-3-month follow-up using the Neurobehavioral Cognitive Status Examination (NCSE), Verbal Fluency Test (VFT), Chinese Version Verbal Learning Test (CVVLT), Lawton Instrumental Activities of Daily Living Scale (Lawton IADL) and Problems in Everyday Living test (PEDL). Data were analysed using a repeated-measures analysis of variance. Cohen's d effect size was used to assess the practical significant effects. The participants showed significant improvement in NCSE composite score, VFT, CVVLT total free recall, CVVLT 10-minute delayed free recall, Lawton IADL and PEDL. Results of this study demonstrate that the newly designed functional task exercise programme, which uses simulated tasks, is feasible and beneficial to cognitive functions and functional status of older persons with MCI. The findings of the current study further reinforce occupational therapy practitioners' understanding that "occupation" is a "means" and an "end". Further study with a larger population is needed to draw more definitive conclusions.

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  • Authors+Show Affiliations

    ,

    Occupational Therapy Discipline, School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Townsville Queensland, Australia.

    , ,

    Source

    Occupational therapy international 20:4 2013 Dec pg 185-97

    MeSH

    Activities of Daily Living
    Aged
    Aged, 80 and over
    Alzheimer Disease
    Cognitive Dysfunction
    Exercise Therapy
    Feasibility Studies
    Female
    Humans
    Male
    Middle Aged
    Task Performance and Analysis

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    23761291

    Citation

    Law, Lawla L F., et al. "Development and Initial Testing of Functional Task Exercise On Older Adults With Cognitive Impairment at Risk of Alzheimer's disease--FcTSim Programme--a Feasibility Study." Occupational Therapy International, vol. 20, no. 4, 2013, pp. 185-97.
    Law LL, Barnett F, Yau MK, et al. Development and initial testing of functional task exercise on older adults with cognitive impairment at risk of Alzheimer's disease--FcTSim programme--a feasibility study. Occup Ther Int. 2013;20(4):185-97.
    Law, L. L., Barnett, F., Yau, M. K., & Gray, M. A. (2013). Development and initial testing of functional task exercise on older adults with cognitive impairment at risk of Alzheimer's disease--FcTSim programme--a feasibility study. Occupational Therapy International, 20(4), pp. 185-97. doi:10.1002/oti.1355.
    Law LL, et al. Development and Initial Testing of Functional Task Exercise On Older Adults With Cognitive Impairment at Risk of Alzheimer's disease--FcTSim Programme--a Feasibility Study. Occup Ther Int. 2013;20(4):185-97. PubMed PMID: 23761291.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Development and initial testing of functional task exercise on older adults with cognitive impairment at risk of Alzheimer's disease--FcTSim programme--a feasibility study. AU - Law,Lawla L F, AU - Barnett,Fiona, AU - Yau,Matthew K, AU - Gray,Marion A, Y1 - 2013/06/13/ PY - 2012/10/24/received PY - 2013/04/29/revised PY - 2013/04/29/accepted PY - 2013/6/14/entrez PY - 2013/6/14/pubmed PY - 2014/1/3/medline KW - functional task exercise KW - geriatric occupational therapy KW - mild cognitive impairment SP - 185 EP - 97 JF - Occupational therapy international JO - Occup Ther Int VL - 20 IS - 4 N2 - The purpose of this study was to illustrate the development of a new functional task-based exercise programme and initially test its feasibility as well as effectiveness for older adults with mild cognitive impairment (MCI). This study used a single-group repeated-measures design. A total of 11 patients (mean age 71.8 years) were recruited to participate in a structured functional task exercise programme for 10 weeks. All outcome measures were undertaken at baseline, post-intervention and post-3-month follow-up using the Neurobehavioral Cognitive Status Examination (NCSE), Verbal Fluency Test (VFT), Chinese Version Verbal Learning Test (CVVLT), Lawton Instrumental Activities of Daily Living Scale (Lawton IADL) and Problems in Everyday Living test (PEDL). Data were analysed using a repeated-measures analysis of variance. Cohen's d effect size was used to assess the practical significant effects. The participants showed significant improvement in NCSE composite score, VFT, CVVLT total free recall, CVVLT 10-minute delayed free recall, Lawton IADL and PEDL. Results of this study demonstrate that the newly designed functional task exercise programme, which uses simulated tasks, is feasible and beneficial to cognitive functions and functional status of older persons with MCI. The findings of the current study further reinforce occupational therapy practitioners' understanding that "occupation" is a "means" and an "end". Further study with a larger population is needed to draw more definitive conclusions. SN - 1557-0703 UR - https://www.unboundmedicine.com/medline/citation/23761291/Development_and_initial_testing_of_functional_task_exercise_on_older_adults_with_cognitive_impairment_at_risk_of_Alzheimer's_disease__FcTSim_programme__a_feasibility_study_ L2 - https://doi.org/10.1002/oti.1355 DB - PRIME DP - Unbound Medicine ER -