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Interventions to Improve Gait in Older Adults with Cognitive Impairment: A Systematic Review.
- Source :
-
Journal of the American Geriatrics Society . Feb2019, Vol. 67 Issue 2, p381-391. 11p. 1 Diagram, 4 Charts. - Publication Year :
- 2019
-
Abstract
- Objectives: To review intervention programs that measure gait to investigate what features of the intervention may contribute to improving gait in older adults with cognitive impairment or dementia. Design: Systematic review using Medline, Cinahl, Scopus, PsychInfo, Amed, Embase, Web of Science, and PubMed for original research published in English between January 1, 2000, and July 23, 2018, to identify interventional controlled trials. Narrative synthesis was undertaken. Results: Of 6,379 citations, 36 articles met inclusion criteria. Interventions were categorized as medication or medical devices (8 studies), exercise (19 studies), and exercise plus cognitive training (9 studies). Antidementia medication may improve gait variability in people with Alzheimer's disease. Exercise programs focusing on strength and balance training, especially when combined with functional mobility training, improve gait in people with mild cognitive impairment or dementia. Exercise plus cognitive training programs combining strength and balance training, functional mobility training, and training on attention and executive function also improve gait. Conlusion: Physical and cognitive factors affect gait performance, and both should be addressed in intervention programs. Physical exercises including functional mobility training, especially walking, have better results than physical programs with only static, resistance, and flexibility training. Cognitive intervention should be concomitant with physical exercises rather than separate, with a focus on attention and executive function. Combining physical training with cognitive training in a functional context may assist older adults with cognitive impairment generalize from training to everyday activity. J Am Geriatr Soc 67:381–391, 2019. [ABSTRACT FROM AUTHOR]
- Subjects :
- *GAIT disorders in old age
*COGNITION disorders in old age
*CARE of dementia patients
*MUSCLE strength
*DRUG therapy
*CARE of Alzheimer's patients
*EXERCISE therapy for older people
*COGNITIVE training
*MOBILITY training
*POSTURAL balance
*CINAHL database
*DEMENTIA patients
*EXERCISE
*MEDICAL information storage & retrieval systems
*PSYCHOLOGY information storage & retrieval systems
*MEDLINE
*ONLINE information services
*STRETCH (Physiology)
*THERAPEUTICS
*SYSTEMATIC reviews
*RESISTANCE training
*AMED (Information retrieval system)
GAIT disorder treatment
Subjects
Details
- Language :
- English
- ISSN :
- 00028614
- Volume :
- 67
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Journal of the American Geriatrics Society
- Publication Type :
- Academic Journal
- Accession number :
- 134576410
- Full Text :
- https://doi.org/10.1111/jgs.15660