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Passive exercise to improve quality of life, activities of daily living, care burden and cognitive functioning in institutionalized older adults with dementia - a randomized controlled trial study protocol.
BMC Geriatr. 2018 08 14; 18(1):182.BG

Abstract

BACKGROUND

Dementia affects cognitive functioning, physical functioning, activities of daily living (ADLs), and quality of life (QOL). Pharmacological treatments to manage, cure or prevent dementia remain controversial. Therefore development of non-pharmacological approaches to prevent, or at least delay the onset and progression of dementia is urgently needed. Passive exercise is proposed to be such a non-pharmacological alternative. This study primarily aims to investigate the effects of three different forms of passive exercise on QOL and ADLs of institutionalized patients with dementia. The secondary aims are to assess the effects of three different forms of passive exercise on cognitive functioning and physical functioning of institutionalized patients with dementia as well as on care burden of both the primary formal and primary informal caregivers of these patients.

METHODS

This is a multicenter randomized controlled trial. Three forms of passive exercise are distinguished; motion simulation (MSim), whole body vibration (WBV), and a combination of both MSim + WBV. Intervention effects are compared to a control group receiving regular care. Institutionalized patients with dementia follow a six-week intervention program consisting of four 4-12 min sessions a week. The primary outcome measures QOL and ADLs and secondary outcome measure care burden are assessed with questionnaires filled in by the primary formal and informal caregivers of the patient. The other secondary outcome measures cognitive and physical functioning are assessed by individual testing. The four groups are compared at baseline, after 6 weeks of intervention, and 2 weeks after the intervention has ended.

DISCUSSION

This study will provide insight in the effects of different forms of passive exercise on QOL, ADLs, cognitive and physical functioning and care burden of institutionalized patients with dementia and their primary formal and informal caregivers. The results of this study might support the idea that passive exercise can be an efficient alternative for physical activity for patients not able to be or stay involved in active physical exercise.

TRIAL REGISTRATION

The Netherlands National Trial Register (NTR6290). Retrospectively registered 29 March 2017.

Authors+Show Affiliations

Molecular Neurobiology, Groningen Institute for Evolutionary Life Sciences (GELIFES), University of Groningen, Nijenborgh 7, 9747, AG, Groningen, The Netherlands. m.heesterbeek@rug.nl.Molecular Neurobiology, Groningen Institute for Evolutionary Life Sciences (GELIFES), University of Groningen, Nijenborgh 7, 9747, AG, Groningen, The Netherlands.Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Pub Type(s)

Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30107789

Citation

Heesterbeek, Marelle, et al. "Passive Exercise to Improve Quality of Life, Activities of Daily Living, Care Burden and Cognitive Functioning in Institutionalized Older Adults With Dementia - a Randomized Controlled Trial Study Protocol." BMC Geriatrics, vol. 18, no. 1, 2018, p. 182.
Heesterbeek M, Van der Zee EA, van Heuvelen MJG. Passive exercise to improve quality of life, activities of daily living, care burden and cognitive functioning in institutionalized older adults with dementia - a randomized controlled trial study protocol. BMC Geriatr. 2018;18(1):182.
Heesterbeek, M., Van der Zee, E. A., & van Heuvelen, M. J. G. (2018). Passive exercise to improve quality of life, activities of daily living, care burden and cognitive functioning in institutionalized older adults with dementia - a randomized controlled trial study protocol. BMC Geriatrics, 18(1), 182. https://doi.org/10.1186/s12877-018-0874-4
Heesterbeek M, Van der Zee EA, van Heuvelen MJG. Passive Exercise to Improve Quality of Life, Activities of Daily Living, Care Burden and Cognitive Functioning in Institutionalized Older Adults With Dementia - a Randomized Controlled Trial Study Protocol. BMC Geriatr. 2018 08 14;18(1):182. PubMed PMID: 30107789.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Passive exercise to improve quality of life, activities of daily living, care burden and cognitive functioning in institutionalized older adults with dementia - a randomized controlled trial study protocol. AU - Heesterbeek,Marelle, AU - Van der Zee,Eddy A, AU - van Heuvelen,Marieke J G, Y1 - 2018/08/14/ PY - 2017/10/25/received PY - 2018/08/06/accepted PY - 2018/8/16/entrez PY - 2018/8/16/pubmed PY - 2019/4/30/medline KW - Activities of daily living KW - Care burden KW - Cognition KW - Dementia KW - Motion simulation KW - Physical function KW - Quality of life KW - Randomized controlled trial KW - Whole body vibration SP - 182 EP - 182 JF - BMC geriatrics JO - BMC Geriatr VL - 18 IS - 1 N2 - BACKGROUND: Dementia affects cognitive functioning, physical functioning, activities of daily living (ADLs), and quality of life (QOL). Pharmacological treatments to manage, cure or prevent dementia remain controversial. Therefore development of non-pharmacological approaches to prevent, or at least delay the onset and progression of dementia is urgently needed. Passive exercise is proposed to be such a non-pharmacological alternative. This study primarily aims to investigate the effects of three different forms of passive exercise on QOL and ADLs of institutionalized patients with dementia. The secondary aims are to assess the effects of three different forms of passive exercise on cognitive functioning and physical functioning of institutionalized patients with dementia as well as on care burden of both the primary formal and primary informal caregivers of these patients. METHODS: This is a multicenter randomized controlled trial. Three forms of passive exercise are distinguished; motion simulation (MSim), whole body vibration (WBV), and a combination of both MSim + WBV. Intervention effects are compared to a control group receiving regular care. Institutionalized patients with dementia follow a six-week intervention program consisting of four 4-12 min sessions a week. The primary outcome measures QOL and ADLs and secondary outcome measure care burden are assessed with questionnaires filled in by the primary formal and informal caregivers of the patient. The other secondary outcome measures cognitive and physical functioning are assessed by individual testing. The four groups are compared at baseline, after 6 weeks of intervention, and 2 weeks after the intervention has ended. DISCUSSION: This study will provide insight in the effects of different forms of passive exercise on QOL, ADLs, cognitive and physical functioning and care burden of institutionalized patients with dementia and their primary formal and informal caregivers. The results of this study might support the idea that passive exercise can be an efficient alternative for physical activity for patients not able to be or stay involved in active physical exercise. TRIAL REGISTRATION: The Netherlands National Trial Register (NTR6290). Retrospectively registered 29 March 2017. SN - 1471-2318 UR - https://www.unboundmedicine.com/medline/citation/30107789/Passive_exercise_to_improve_quality_of_life_activities_of_daily_living_care_burden_and_cognitive_functioning_in_institutionalized_older_adults_with_dementia___a_randomized_controlled_trial_study_protocol_ L2 - https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-018-0874-4 DB - PRIME DP - Unbound Medicine ER -