Journal
DEMENTIA AND GERIATRIC COGNITIVE DISORDERS EXTRA
Volume 2, Issue 1, Pages 372-380Publisher
KARGER
DOI: 10.1159/000342614
Keywords
Alzheimer's disease; Brain activity; Dementia care; Non-pharmacological therapies; Randomized clinical trials; Rehabilitation; Reminiscence therapy
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Funding
- Ministry of Education, Science, Sports, Culture and Technology, Japan [22700529, 23300197, 22650123]
- Ministry of Health, Labor and Welfare of Japan [H22-Ninchisho-Ippan-004]
- Grants-in-Aid for Scientific Research [22650123, 22700529] Funding Source: KAKEN
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Background/Aims: We aimed to prove the effectiveness of brain-activating rehabilitation for dementia, which consisted of 5 principles: pleasant atmosphere, communication, praising, social role, and supportive care. Methods: The design was a randomized controlled trial that was not blinded. Fifty-four elderly participants with dementia (mean age: 85.2 years) were selected. Intervention based on the 5 principles of brain-activating rehabilitation was conducted for 1 h, twice a week, for 12 weeks (24 sessions). The control group had no treatment. Outcome measures consisted of two observation scales, namely sum of boxes in clinical dementia rating (CDR-SB) and the multidimensional observation scale for elderly subjects (MOSES), and two cognitive tests: the Hasegawa dementia scale revised (HDS-R) and trail making test A. Results: Repeated measure ANCOVA showed a significant interaction for total score of CDR-SB (F = 7.190, p = 0.015) and MOSES (F = 4.525, p = 0.038). There were no significant changes in the two cognitive test scores. Conclusion: Intervention based on the principles of brain-activating rehabilitation was effective in maintaining and improving daily life functions in elderly participants with dementia in residential care homes. Copyright (C) 2012 S. Karger AG, Basel
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