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dc.contributor.authorSuttanon, Plaiwan-
dc.contributor.authorHill, Keith D-
dc.contributor.authorSaid, Catherine M-
dc.contributor.authorWilliams, Susan B-
dc.contributor.authorByrne, Karin N-
dc.contributor.authorLoGiudice, Dina-
dc.contributor.authorLautenschlager, Nicola T-
dc.contributor.authorDodd, Karen J-
dc.identifier.citationClinical Rehabilitation 2013, vol. 27(5) pp. 427-38.en_US
dc.description.abstractOBJECTIVE: 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.en_US
dc.subjectAccidental Falls/prevention & controlen_US
dc.subjectAged, 80 and overen_US
dc.subjectAlzheimer Disease/rehabilitationen_US
dc.subjectExercise Therapy/methodsen_US
dc.subjectFeasibility Studiesen_US
dc.subjectHome Care Servicesen_US
dc.subjectLinear Modelsen_US
dc.subjectMuscle Strength/physiologyen_US
dc.subjectNew Zealanden_US
dc.subjectPatient Education as Topicen_US
dc.subjectPatient Safetyen_US
dc.subjectPilot Projectsen_US
dc.subjectPostural Balance/physiologyen_US
dc.subjectQuality of Lifeen_US
dc.subjectRisk Assessmenten_US
dc.titleFeasibility, 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.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleClinical Rehabilitationen_US
dc.identifier.affiliationAustin Health, Heidelberg, Victoria, Australiaen_US
dc.identifier.affiliationSchool of Physiotherapy, Faculty of Health Sciences, La Trobe University, Bundoora, Victoria, Australiaen_US
dc.type.austinJournal Articleen_US, Catherine M
item.fulltextNo Fulltext-
item.openairetypeJournal Article-
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