Effects of motor intervention in elderly patients with dementia: An analysis of randomized controlled trials
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2007-04-01
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The objective of this study was to analyze randomized controlled trials published in the last decades involving motor intervention as a treatment for dementia, based on Physiotherapy Evidence Database (PEDro) criteria. A database search was performed using the following keywords: randomized controlled trial, dementia, physiotherapy, physical therapy, occupational therapy, physical education, motor approach, exercise, and physical activity. Ten trials were found: 4 related to physiotherapy, 3 to occupational therapy, 1 to physical education, and 2 to interdisciplinary motor intervention. The efficacy of motor intervention was confirmed in the following variables: psychosocial function, physical health and function, affective status, and caregiver's distress (P < .05). Results related to mobility were not significant (P > .05). Behavior, cognitive performance, activities of daily living, and risk of falls were not similar among the articles. From a total score of 10 points, with excellence characterized as the highest punctuation, the articles were classified between 3 and 7 by PEDro. Motor intervention was shown to be an alternative for minimizing physical and mental decline. PEDro has been confirmed as a very reliable tool to analyze studies and as an evaluation criteria, both qualitative and quantitative, allowing the establishment of motor intervention strategies for the treatment of patients with dementia. © 2007 Lippincott Williams & Wilkins, Inc.
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Dementia, Motor intervention, Randomized controlled trials, affect, aged, behavior, caregiver, clinical trial, cognition, controlled clinical trial, controlled study, daily life activity, data base, dementia, distress syndrome, elderly care, exercise, falling, female, health, human, major clinical study, male, occupational therapy, patient mobility, physical activity, physical education, physiotherapy, qualitative analysis, quantitative analysis, randomized controlled trial, reliability, risk assessment, social psychology
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Topics in Geriatric Rehabilitation, v. 23, n. 2, p. 149-154, 2007.