Feasibility, safety and preliminary evidence of the effectiveness of a home-based exercise programme for older people with Alzheimer's disease: A pilot randomized controlled trial
Objective: To evaluate the feasibility and safety of a home-based exercise programme for people with Alzheimer’s disease, and to provide preliminary evidence of programme effectiveness in improving balance and mobility and reducing falls risk. Design: A randomized controlled trial. Setting: Communi...
| Main Authors: | , , , , , , , |
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| Format: | Journal Article |
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Sage Publications Ltd
2013
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| Online Access: | http://hdl.handle.net/20.500.11937/23425 |
| _version_ | 1848751147607654400 |
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| author | Suttanon, P. Hill, Keith Said, C. Williams, S. Byrne, K. LoGiudice, D. Lautenschlager, N. Dodd, K. |
| author_facet | Suttanon, P. Hill, Keith Said, C. Williams, S. Byrne, K. LoGiudice, D. Lautenschlager, N. Dodd, K. |
| author_sort | Suttanon, P. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objective: To evaluate the feasibility and safety of a home-based exercise programme for people with Alzheimer’s disease, and to provide preliminary evidence of programme effectiveness in improving balance and mobility and reducing falls risk. Design: A randomized controlled trial. Setting: Community. Participants: Forty people with mild to moderate Alzheimer’s disease (mean age 81.9, SD 5.72; 62.5% female). Interventions: Participants were randomized to a six-month home-based individually tailored balance, strengthening and walking exercise programme (physiotherapist) or a six-month home-based education programme (control) (occupational therapist). Both programmes provided six home-visits and five follow-up phone calls. Main measures: Balance, mobility, falls and falls risk were measured at baseline and programme completion. Intention-to-treat analysis using a generalized linear model with group allocation as a predictor variable was performed to evaluate programme effectiveness. Feasibility and adverse events were systematically recorded at each contact. Results: Fifty-eight per cent of the exercise group finished the programme, completing an average of 83% of prescribed sessions, with no adverse events reported. Functional Reach improved significantly (P = 0.002) in the exercise group (mean (SD), 2.28 (4.36)) compared to the control group (–2.99 (4.87)). Significant improvement was also observed for the Falls Risk for Older People – Community score (P = 0.008) and trends for improvement on several other balance, mobility, falls and falls risk measures for the exercise group compared to the control group. Conclusions: The exercise programme was feasible and safe and may help improve balance and mobility performance and reduce falls risk in people with Alzheimer’s disease. |
| first_indexed | 2025-11-14T07:48:06Z |
| format | Journal Article |
| id | curtin-20.500.11937-23425 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:48:06Z |
| publishDate | 2013 |
| publisher | Sage Publications Ltd |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-234252017-09-13T15:59:26Z Feasibility, safety and preliminary evidence of the effectiveness of a home-based exercise programme for older people with Alzheimer's disease: A pilot randomized controlled trial Suttanon, P. Hill, Keith Said, C. Williams, S. Byrne, K. LoGiudice, D. Lautenschlager, N. Dodd, K. Objective: To evaluate the feasibility and safety of a home-based exercise programme for people with Alzheimer’s disease, and to provide preliminary evidence of programme effectiveness in improving balance and mobility and reducing falls risk. Design: A randomized controlled trial. Setting: Community. Participants: Forty people with mild to moderate Alzheimer’s disease (mean age 81.9, SD 5.72; 62.5% female). Interventions: Participants were randomized to a six-month home-based individually tailored balance, strengthening and walking exercise programme (physiotherapist) or a six-month home-based education programme (control) (occupational therapist). Both programmes provided six home-visits and five follow-up phone calls. Main measures: Balance, mobility, falls and falls risk were measured at baseline and programme completion. Intention-to-treat analysis using a generalized linear model with group allocation as a predictor variable was performed to evaluate programme effectiveness. Feasibility and adverse events were systematically recorded at each contact. Results: Fifty-eight per cent of the exercise group finished the programme, completing an average of 83% of prescribed sessions, with no adverse events reported. Functional Reach improved significantly (P = 0.002) in the exercise group (mean (SD), 2.28 (4.36)) compared to the control group (–2.99 (4.87)). Significant improvement was also observed for the Falls Risk for Older People – Community score (P = 0.008) and trends for improvement on several other balance, mobility, falls and falls risk measures for the exercise group compared to the control group. Conclusions: The exercise programme was feasible and safe and may help improve balance and mobility performance and reduce falls risk in people with Alzheimer’s disease. 2013 Journal Article http://hdl.handle.net/20.500.11937/23425 10.1177/0269215512460877 Sage Publications Ltd restricted |
| spellingShingle | Suttanon, P. Hill, Keith Said, C. Williams, S. Byrne, K. LoGiudice, D. Lautenschlager, N. Dodd, K. Feasibility, safety and preliminary evidence of the effectiveness of a home-based exercise programme for older people with Alzheimer's disease: A pilot randomized controlled trial |
| title | Feasibility, safety and preliminary evidence of the effectiveness of a home-based exercise programme for older people with Alzheimer's disease: A pilot randomized controlled trial |
| title_full | Feasibility, safety and preliminary evidence of the effectiveness of a home-based exercise programme for older people with Alzheimer's disease: A pilot randomized controlled trial |
| title_fullStr | Feasibility, safety and preliminary evidence of the effectiveness of a home-based exercise programme for older people with Alzheimer's disease: A pilot randomized controlled trial |
| title_full_unstemmed | Feasibility, safety and preliminary evidence of the effectiveness of a home-based exercise programme for older people with Alzheimer's disease: A pilot randomized controlled trial |
| title_short | Feasibility, safety and preliminary evidence of the effectiveness of a home-based exercise programme for older people with Alzheimer's disease: A pilot randomized controlled trial |
| title_sort | feasibility, safety and preliminary evidence of the effectiveness of a home-based exercise programme for older people with alzheimer's disease: a pilot randomized controlled trial |
| url | http://hdl.handle.net/20.500.11937/23425 |