41 research outputs found

    Benefits of Dance for Geriatrics

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    Drawing from recent related research, this paper analyzes the cognitive, physical, and social benefits of dance for geriatrics. By comparing studies involving both dance and geriatrics from around the world, as well as collecting original data, this work suggests significant positive effects when people age 65 and older participate in regular dance activity. Given the U.S. Census Bureau’s estimate that the number of people age 65 and older will outnumber children under 18 for the first time in U.S. history by 2034, the need for dance for older people is reaching an all-time high. As more long-term care facilities, community centers, and retirement homes begin to see the need for this type of activity, it is important to offer guidance; effective dance class structure, length, and frequency is discussed. When everything is considered, dance can clearly be seen as a vehicle for social, emotional, and physical healing within the geriatric community

    Future research direction from the perspective of music therapy

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    Authors and colleagues have continued various activity and research of music therapy in Shikoku Island division of Integrative Medicine Japan (IMJ) for years. There are scientific methods for studying music therapy, in which near-infrared spectroscopy (NIRS) has been used for monitoring tissue oxygenation. It would be important to consider the method for not only the quantitative and qualitative research axes, but also the impressions for the music and art from each subject. Among them, Mixed Method Research (MMR) has been applied so far. We expect that further research in various perspectives will be developed in the future

    Tango-therapy vs physical exercise in older people with dementia; a randomized controlled trial

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    [EN] Background: Dementia is a growing health concern that affects millions of people worldwide. Gait and mobility disorders are often present and represent a major risk factor for falls. The purpose of this study was to investigate the effectiveness of tango-therapy in gait speed, functional mobility, balance, falls, ability to perform activities of daily living and quality of life. Methods: A randomised controlled trial with 31 participants living in a specialised dementia unit, aged 65 to 93 years old, who were randomly assigned to tango group (IG) or physical exercise group (CG). The primary outcome was gait speed and Timed Up and Go test. The secondary outcomes include the Short Physical Performance Battery, the ability to perform activities of daily living (Katz Index) and quality of life (Quality of life in Alzheimer Disease). Measurements were performed at baseline, and after one and three months of training. Results: After 3 months, IG improved gait speed (p = 0.016), implying a statistically significant difference between groups in favour of IG (p = 0.003). CG significantly worsened the time to complete the TUG (p = 0.039). Both groups declined in their ability to perform activities of daily living, being statistically significant only in the CG (p < 0.001). Conclusion: Tango interventions showed efficacy in improving gait speed and in mitigating the decline in functional mobility and ADL skill capacities. Allowing older people with dementia access to non-pharmacological interventions may be a successful strategy to prevent functional decline.SISociété de Gérontologie de l’Est, ISATIS Association and the Conférence des Financeurs de Paris

    Measuring the Efficiency of Managerial and Technical Performances in Forestry Activities by Means of Data Envelopment Analysis (DEA)

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    The relation between the most productive scale size for particular input and output mixes and returns to scale for multiple-input multiple-output situations is explicitly developed. Data Envelopment Analysis (DEA) has been extensively applied in a range of empirical settings to identify relative inefficiencies, and provide targets for improvements. It accomplishes this by developing peer groups for each unit being operated (Decision Making Unit: DMU). This paper introduces the technique and focuses on some of the key issues that arise in applying DEA in practice. Some illustrations of the practical applications of these results to the estimation of most productive scale sizes and returns to scale for Forest Owner's Associations (FOAs) at the local level in Japan are also provided to emphasize the advantage of this method in examining specific segments of the efficient production surface

    Safety and feasibility of a Dalcroze eurhythmics and a simple home exercise program among older adults with mild cognitive impairment (MCI) or mild dementia: the MOVE for your MIND pilot trial

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    Background Falls represent a major health problem for older adults with cognitive impairment, and the effects of exercise for fall reduction are understudied in this population. This pilot randomized controlled trial evaluated the feasibility, safety, and exploratory effectiveness of a Dalcroze eurhythmics program and a home exercise program designed for fall prevention in older adults with mild cognitive impairment (MCI) or early dementia. Methods For this three-arm, single-blind, 12-month randomized controlled pilot trial, we recruited community-dwelling women and men age 65 years and older with MCI or early dementia through participating memory clinics in Zurich, Switzerland. Participants were randomly assigned to a Dalcroze eurhythmics group program, a simple home exercise program (SHEP), or a non-exercise control group. All participants received 800 IU of vitamin D3 per day. The main objective of the study was to test the feasibility of recruitment and safety of the interventions. Additional outcomes included fall rate, gait performance, and cognitive function. Results Over 12 months, 221 older adults were contacted and 159 (72%) were screened via telephone. Following screening, 12% (19/159) met the inclusion criteria and were willing to participate. One participant withdrew at the end of the baseline visit and 18 were randomized to Dalcroze eurhythmics (n = 7), SHEP (n = 5), or control (n = 6). Adherence was similarly low in the Dalcroze eurhythmics group (56%) and in the SHEP group (62%; p = 0.82). Regarding safety and pilot clinical endpoints, there were no differences between groups. Conclusion The MOVE for your MIND pilot study showed that recruitment of older adults with MCI or early dementia for long-term exercise interventions is challenging. While there were no safety concerns, adherence to both exercise programs was low

    Exercise with music : an innovative approach to increase cognition and reduce depression in institutionalized elderly

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    Concerning dementia and depression prevention, non-pharmacological interventions such as cognitive-training are currently recommended as an alternative for the elderly, for the reason that they produce less side effects.Based on this perspective, the aim of this study was to identify the effects of movement with music upon cognition and depression in institutionalized elderly.A longitudinal study was conducted from November 2013 to February 2014 in Vila Real, Portugal. The sample included thirty-nine institutionalized healthy seniors over 60 years of age who were divided into two groups: music plus movement (MMG, n=20, 80.65±6.59 years) and cognitive training group without music (CTG, n=19, 83.68±6.54 years); both groups were submitted to an intervention period (4 months, 3x/week, 90min/session). Before and after the intervention period the following instruments were applied in both groups: Mini Mental State Examination (MMSE), Raven's Coloured Progressive Matrices (MPCR), and Geriatric Depression Scale (GDS-27).Both interventions proved to improve cognitive function, mental ability and depression. The interaction effect between programs' intervention and time was observed in language, mental ability, and depression indicators. Considering these variables, the magnitude of variation between moments was higher in the MMG in language and depression with a high effect value for depression (η2ρ =.342). In conclusion, this study emphasises the role of music and movement as a broad intervention in mental health, acting simultaneously as cognitive training and an anti-depressive.Actualmente las intervenciones no farmacológicas se recomiendan como alternativas en la prevención de la demencia y la depresión en los ancianos, porque tienen menos efectos secundarios.En esta perspectiva, este estudio tiene como objetivo identificar los efectos de una intervención que combina música y ejercicio en la cognición y la depresión en ancianos institucionalizados.Se realizó un estudio longitudinal de noviembre de 2013 a febrero de 2014 en dos instituciones de ancianos, en la ciudad de Vila Real, Portugal. La muestra incluyó a 39 individuos ancianos sanos institucionalizados mayores de 60 años que se dividieron en dos grupos: "grupo de música y ejercicios" (MMG, n = 20, 80.65 ± 6.59 años) y "grupo de entrenamiento cognitivo" (CTG, n = 19; 83.68 ± 6.54 años). Ambos fueron sometidos a un período de intervención (4 meses, 3 veces por semana, 90 minutos por sesión). Antes y después de la intervención, se utilizaron los siguientes instrumentos en ambos grupos: Mini Mental State Examination (MMSE), Test de Matrices Coloridas de Raven (MPCR) y Escala de Depresión Geriátrica (GDS-27).Ambas intervenciones mostraron mejoras en la función cognitiva, la capacidad mental y la depresión. El efecto de interacción entre los programas de intervención y el tiempo se observó en el lenguaje, la capacidad mental y la depresión. Teniendo en cuenta estas variables, la amplitud de la variación entre los momentos fue mayor en el lenguaje y la depresión en el grupo MMG, y se encontró un alto valor de efecto para la depresión (η2ρ = 0.342). En conclusión, este estudio enfatiza el papel de la música y del movimiento como una intervención más completa en la salud mental, actuando simultáneamente en el entrenamiento cognitivo y en la depresión.Hoje em dia, as intervenções não farmacológicas são recomendadas como alternativas na prevenção da demência e depressão em idosos, porque apresentam menos efeitos secundários. No âmbito desta perspetiva, o presente estudo tem como objetivo identificar os efeitos de uma intervenção combinando a música e o exercício na cognição e depressão em idosos institucionalizados. Foi realizado um estudo longitudinal de Novembro de 2013 a Fevereiro de 2014 em duas instituições de idosos, na cidade de Vila Real, Portugal. A amostra incluiu 39 idosos saudáveis institucionalizados, com idade superior a 60 anos, que foram divididos em dois grupos: "grupo música e exercício" (MMG, n= 20; 80.65±6.59 anos) e "grupo de treino cognitivo" (CTG, n=19; 83.68±6.54 anos). Ambos foram sujeitos a um período de intervenção (4 meses, 3x/semana, 90min/sessão). Antes e depois da intervenção foram utilizados os seguintes instrumentos em ambos os grupos: Mini Mental State Examination (MMSE), Matrizes Coloridas de Raven (MPCR), e a Escala de Depressão Geriátrica (GDS-27). Ambas as intervenções evidenciaram melhorias na função cognitiva, capacidade mental e na depressão. O efeito de interação entre os programas de intervenção e o tempo foi observado na linguagem, capacidade mental e depressão. Considerando estas variáveis, a amplitude da variação entre os momentos foi maior na linguagem e na depressão no grupo MMG, sendo o tamanho do efeito grande na depressão (η2ρ = 0,342). Em conclusão, este estudo enfatiza o papel da música e do movimento como uma intervenção mais completa na saúde mental, atuando simultaneamente no treino cognitivo e na depressão

    The psychophysiological effects of different tempo music on endurance versus high-intensity performances

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    The use of music during training represents a special paradigm for trainers to stimulate people undertaking different types of exercise. However, the relationship between the tempo of music and perception of effort during different metabolic demands is still unclear. Therefore, the aim of this research was to determine whether high intensity exercise is more sensitive to the beneficial effects of music than endurance exercise. This study assessed 19 active women (age 26.4 \ub1 2.6 years) during endurance (walking for 10' at 6.5 km/h on a treadmill) and high intensity (80% on 1-RM) exercise under four different randomly assigned conditions: no music (NM), with music at 90-110 bpm (LOW), with music at 130-150 bpm (MED), and with music at 170-190 bpm (HIGH). During each trial, heart rate (HR) and the rating of perceived exertion (RPE) were assessed. Repeated analysis of variance measures was used to detect any differences between the four conditions during high intensity and low intensity exercise. RPE showed more substantial changes during the endurance exercises (11%), than during high intensity exercise (6.5%), between HIGH and NM conditions. The metabolic demand during the walking exercise increased between NM and HIGH bpm conditions. This study indicates the benefits of music under stress conditions as well as during endurance and high intensity training. The results demonstrate that the beneficial effects of music are more likely to be seen in endurance exercise. Consequently, music may be considered an important tool to stimulate people engaging in low intensity physical exercise

    The Effect of Multimodal Non-pharmacological Interventions on Cognitive Function Improvement for People With Dementia:A Systematic Review

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    Introduction: Dementia is a progressive brain degeneration characterized by a progressive deterioration in cognition and independent living capacity. Since dementia is a complex syndrome, multimodal non-pharmacological interventions (MNPIs) are highly recommended. Currently, there is less available evidence to describe the content, length, and frequency of multimodal interventions for cognitive function improvement for people with dementia (PWD). Method: A comprehensive search was performed in PubMed, EMBASE, CINAHL, Web of Science, and Medline international databases. The quality appraisal of the studies was done by the Cochrane risk of bias assessment tools. Results: A total of 19 controlled trial studies were included. Most of the included studies reported that MNPIs resulted in improvement, stability, or attenuation of decline in cognitive function of PWD. The reported effectiveness of MNPIs on cognitive function ranged from medium (0.29 Cohen's d) to large (2.02 Cohen's d) effect sizes. The median duration of intervention was 12 weeks for a 1-h session. Conclusion: This systematic review showed that MNPIs might improve people's cognitive functions for PWD. Physical exercise, music, and cognitive interventions were used in the content of multimodal interventions in a majority of the studies. Therefore, high-quality randomized controlled trial (RCT) studies with repeated-measured design on the combined effect of physical exercise, music, and cognitive intervention on cognitive function for PWD are recommended

    Development of GERAS DANcing for Cognition and Exercise (DANCE) : a feasibility study

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    Background: Dance is a mind-body activity of purposeful rhythmic movement to music. There is growing interest in using dance as a form of cognitive and physical rehabilitation. This manuscript describes the development of GERAS DANcing for Cognition and Exercise (DANCE) and evaluates its feasibility in older adults with cognitive and mobility impairments. Methods: The progressive dance curricula were delivered for 15 weeks (1-h class; twice weekly). Participants were eligible if they were community-dwelling older adults aged 60+ with early cognitive or mobility impairment able to follow three-step commands and move independently. Feasibility outcomes included recruitment/retention, adherence, participant satisfaction, safety, and adverse events. Results: Twenty-fve older adults (mean (standard deviation [SD]) age=77.55 (6.10) years, range 68–90 years) with early cognitive (Montreal Cognitive Assessment score (SD)=21.77 (4.05)) and mobility (92% were pre-frail/frail as indicated on the Fried Frailty Phenotype) impairments were recruited from a geriatric out-patient clinic or within the community. A total of 20/25 (80%) participants completed the study. Average class attendance was 72%, and self-reported homework adherence “most-days / every day” was 89%. A stepwise progression in the dance curricula was observed with increases in motor complexity and balance demands, and 95% of participants rated the program as a “just-right” challenge. Ninety percent of participants rated GERAS DANCE as excellent, and 100% would recommend the program to a friend or family member. Over 50% of participants connected outside of class time for a self-initiated cofee club. Adverse events of falls and fractures were reported for 2 participants, which occurred at home unrelated to the dance intervention during the study period. Pre-determined thresholds for feasibility were met for all outcomes. Discussion: GERAS DANCE is a feasible and enjoyable program for older adults with early cognitive or mobility impairments. GERAS DANCE curriculum grading (duration; sequence; instructions) and motor complexity increases in agility, balance, and coordination appear appropriately tailored for this population. Future work will explore the feasibility of GERAS DANCE in new settings (i.e., virtually online, community centers, or retirement homes) and the mind-body-social benefts of dance