Benefits of Multimodal Exercise Intervention for Postural Control and Frontal Cognitive Functions in Individuals with Alzheimer's Disease: A Controlled Trial

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dc.contributor.authorAndrade, Larissa P. de [UNESP]
dc.contributor.authorGobbi, Lilian T. B. [UNESP]
dc.contributor.authorCoelho, Flavia G. M. [UNESP]
dc.contributor.authorChristofoletti, Gustavo
dc.contributor.authorRiani Costa, Jose L. [UNESP]
dc.contributor.authorStella, Florindo [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade Federal de Mato Grosso do Sul (UFMS)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.date.accessioned2014-12-03T13:11:26Z
dc.date.available2014-12-03T13:11:26Z
dc.date.issued2013-11-01
dc.description.abstractObjective 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).DesignNonrandomized controlled trial with pre- and posttraining tests in a training group and a control group.SettingKinesiotherapy program for seniors with AD, SAo Paulo State University.ParticipantsConvenience sample of older adults with AD (n=30) were assigned to a training (n=14; aged 78.67.1) and a control (n=16; aged 77.06.3) group.InterventionThe 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 16weeks, whereas the control group did not participate in any activity during the same period.MeasurementsFrontal 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.ResultsIntervention group participants showed a significant increase in frontal cognitive function (P<.001, partial (2)=0.838), with less body sway (P=.04, partial (2)=0.04) during the dual tasks, and greater functional capacity (P=.001, partial (2)=0.676) after the 16-week period.ConclusionIntervention participants performed better on dual-task activities and had better postural balance and greater functional capacity than controls.en
dc.description.affiliationUNESP Univ Estadual Paulista, Biosci Inst, Lab Aging & Phys Act, BR-13506900 Rio Claro, Brazil
dc.description.affiliationUniv Fed Mato Grosso do Sul, Dept Physiotherapy Biol & Hlth Sci, Campo Grande, Brazil
dc.description.affiliationUniv Sao Paulo, Fac Med, Inst Psychiat, Neurosci Lab, Sao Paulo, Brazil
dc.description.affiliationUnespUNESP Univ Estadual Paulista, Biosci Inst, Lab Aging & Phys Act, BR-13506900 Rio Claro, Brazil
dc.description.sponsorshipLaboratory for the Study of Posture and Locomotion
dc.description.sponsorshipLaboratory of Aging and Physical Activity
dc.description.sponsorshipFoundation for Research Support of Sao Paulo, Coordination of Improvement of Higher Education Personnel
dc.description.sponsorshipUniversity Extension Program
dc.format.extent1919-1926
dc.identifierhttp://dx.doi.org/10.1111/jgs.12531
dc.identifier.citationJournal Of The American Geriatrics Society. Hoboken: Wiley-blackwell, v. 61, n. 11, p. 1919-1926, 2013.
dc.identifier.doi10.1111/jgs.12531
dc.identifier.issn0002-8614
dc.identifier.lattes7964386240653380
dc.identifier.urihttp://hdl.handle.net/11449/113124
dc.identifier.wosWOS:000326961300009
dc.language.isoeng
dc.publisherWiley-Blackwell
dc.relation.ispartofJournal of the American Geriatrics Society
dc.relation.ispartofjcr4.155
dc.relation.ispartofsjr2,174
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjectrehabilitationen
dc.subjectcognitionen
dc.subjectpostural controlen
dc.subjectdual tasken
dc.subjectAlzheimer'sen
dc.titleBenefits of Multimodal Exercise Intervention for Postural Control and Frontal Cognitive Functions in Individuals with Alzheimer's Disease: A Controlled Trialen
dc.typeArtigo
dcterms.licensehttp://olabout.wiley.com/WileyCDA/Section/id-406071.html
dcterms.rightsHolderWiley-Blackwell
unesp.author.lattes7964386240653380
unesp.author.orcid0000-0003-3984-3403[2]
unesp.author.orcid0000-0002-8860-5818[1]
unesp.author.orcid0000-0002-7879-239X[4]
unesp.campusUniversidade Estadual Paulista (Unesp), Instituto de Biociências, Rio Claropt

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