Why Not a Global Postural Reeducation as an Alternative Therapy Applied to Alzheimer's Patients in Nursing Homes? A Pioneer Randomized Controlled Trial

Dement Geriatr Cogn Disord. 2019;48(3-4):172-179. doi: 10.1159/000505397. Epub 2020 Jan 31.

Abstract

Introduction: The classical gymnastics has always given great importance to exercises of -rachis extension and abduction of the arms during deep inhalation to acquire a greater -thoracic capacity.

Objective: The aim of this study is to organize the concentration and the self-limited capacity of patients with Alzheimer's disease (AD) thanks to the physical and -respiratory exercise modalities of global postural reeducation.

Design: A randomized controlled trial was conducted.

Setting: Nursing homes.

Participants: Patients with probable AD diagnosis.

Intervention: The global postural reeducation method (GPR) was implemented for a total of 72 treatment sessionswith a frequency of 3 times a week, for 24 weeks consecutively.

Main outcome measures: The Neuropsychiatric Inventory, Mini Mental State Examination, Geriatric Depression Scale, Quality of Life in Alzheimer's Disease and Tinetti Scale and respiratory rate frequency (RSP/F) were applied.

Results: Ninety elderly people participated in this study, precisely 50 women and 40 men aged 67-92 years (mean age = 81.17, SD = 5.24). The therapy had a significant effect on the difference between groups in all the outcomes (p < 0.05 in all cases) with a large effect size with exception of the RSP/F (p > 0.05).

Conclusion: This study demonstrated a very good tolerance rate on behalf of the significant results achieved.

Keywords: Alzheimer’s disease; Gymnastics; Posture; Reeducation; Respiration.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Aged, 80 and over
  • Alzheimer Disease / rehabilitation*
  • Breathing Exercises
  • Exercise Therapy / methods*
  • Female
  • Geriatric Assessment
  • Humans
  • Male
  • Mental Status and Dementia Tests
  • Nursing Homes
  • Posture*
  • Quality of Life
  • Treatment Outcome