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Effects of Motor Intervention in Elderly Patients With Dementia: An Analysis of Randomized Controlled Trials

Christofoletti, Gustavo MS; Oliani, Merlyn Mércia MS; Gobbi, Sebastiao PhD; Stella, Florindo PhD

Topics in Geriatric Rehabilitation: April-June 2007 - Volume 23 - Issue 2 - p 149–154
doi: 10.1097/01.TGR.0000270183.90778.8e
SPECIAL FEATURE
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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.

UNESP – State University of Sao Paulo, Campus of Rio Claro (Mr Christofoletti, Ms Oliani, and Drs Gobbi and Stella), and UNICAMP – State University of Campinas (Dr Stella), Sao Paulo, Brazil.

Corresponding author: Gustavo Christofoletti, MS, Rua Hilario da Silva Miranda, 118, Jardim Novo Chapadao, Campinas, Sao Paulo 13070-034, Brazil (e-mail: gustavo_physio@yahoo.com.br).

The authors thank LAFE (UNESP-IB-Rio Claro), FINEP, FNS-MS, FUNDUNESP, and PROEX-UNESP for their support.

© 2007 Lippincott Williams & Wilkins, Inc.