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. 2012 Jan;2(1):372-80.
doi: 10.1159/000342614. Epub 2012 Sep 11.

A randomized controlled trial of brain-activating rehabilitation for elderly participants with dementia in residential care homes

Tetsuya Yamagami  1 , Yoshifumi Takayama, Yohko Maki, Haruyasu Yamaguchi
Affiliations

A randomized controlled trial of brain-activating rehabilitation for elderly participants with dementia in residential care homes

Tetsuya Yamagami et al. Dement Geriatr Cogn Dis Extra. 2012 Jan.

Abstract

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.

Keywords: Alzheimer's disease; Brain activity; Dementia care; Non-pharmacological therapies; Randomized clinical trials; Rehabilitation; Reminiscence therapy.

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Figures

Fig. 1
Fig. 1
Participant flow diagram.
See this image and copyright information in PMC

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