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Can functional task exercise improve executive function and contribute to functional balance in older adults with mild cognitive impairment? A pilot study / Lawla L.F. Law in The British Journal of Occupational Therapy, Vol.81 Issue 9 (Septembre 2018)
[article]
Titre : Can functional task exercise improve executive function and contribute to functional balance in older adults with mild cognitive impairment? A pilot study Type de document : texte imprimé Auteurs : Lawla L.F. Law ; Kenneth N.K. Fong ; Matthew K. Yau Année de publication : 2018 Article en page(s) : p. 495-502 Langues : Anglais (eng) Mots-clés : Mild cognitive impairment functional task exercise functional balance Résumé : Introduction
Individuals with cognitive impairment are more susceptible to falls associated with decreased executive function and balance. This pilot study investigated whether functional task exercise could improve executive function, which might further affect the functional balance in older adults with mild cognitive impairment.
Method
This was a single-group pre-test/post-test pilot. A total of 43 participants completed a 10-week structured functional task exercise programme, performing simulated functional tasks. Paired-samples t-test was performed to evaluate intervention effects. Associations between variables were examined using Pearson's correlation coefficient. Multiple regression analysis was performed to explore the contribution of cognitive variables to functional balance.
Results
Significant improvements were shown in general cognitive functions, executive function, functional balance and functional status. All executive function outcomes were significantly associated with functional balance. Everyday problem-solving ability was the only significant cognitive contributor (β = 0.407, p < 0.05) to functional balance after controlling for the confounding factors.
Conclusion
This pilot showed functional task exercise using simulated functional task as a means of intervention was feasible and was associated with observed improvements in executive function and functional balance in older adults with mild cognitive impairment, whereas everyday problem-solving ability was found to be associated with functional balance. Further well-designed controlled studies are needed to draw more definitive conclusions.Permalink : ./index.php?lvl=notice_display&id=80199
in The British Journal of Occupational Therapy > Vol.81 Issue 9 (Septembre 2018) . - p. 495-502[article] Can functional task exercise improve executive function and contribute to functional balance in older adults with mild cognitive impairment? A pilot study [texte imprimé] / Lawla L.F. Law ; Kenneth N.K. Fong ; Matthew K. Yau . - 2018 . - p. 495-502.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.81 Issue 9 (Septembre 2018) . - p. 495-502
Mots-clés : Mild cognitive impairment functional task exercise functional balance Résumé : Introduction
Individuals with cognitive impairment are more susceptible to falls associated with decreased executive function and balance. This pilot study investigated whether functional task exercise could improve executive function, which might further affect the functional balance in older adults with mild cognitive impairment.
Method
This was a single-group pre-test/post-test pilot. A total of 43 participants completed a 10-week structured functional task exercise programme, performing simulated functional tasks. Paired-samples t-test was performed to evaluate intervention effects. Associations between variables were examined using Pearson's correlation coefficient. Multiple regression analysis was performed to explore the contribution of cognitive variables to functional balance.
Results
Significant improvements were shown in general cognitive functions, executive function, functional balance and functional status. All executive function outcomes were significantly associated with functional balance. Everyday problem-solving ability was the only significant cognitive contributor (β = 0.407, p < 0.05) to functional balance after controlling for the confounding factors.
Conclusion
This pilot showed functional task exercise using simulated functional task as a means of intervention was feasible and was associated with observed improvements in executive function and functional balance in older adults with mild cognitive impairment, whereas everyday problem-solving ability was found to be associated with functional balance. Further well-designed controlled studies are needed to draw more definitive conclusions.Permalink : ./index.php?lvl=notice_display&id=80199 Exemplaires (1)
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Exclu du prêtDetermining fitness to drive among drivers with Alzheimer’s disease or cognitive decline / Carolyn Unsworth in The British Journal of Occupational Therapy, Vol.79 N°2 (February 2016)
[article]
Titre : Determining fitness to drive among drivers with Alzheimer’s disease or cognitive decline Type de document : texte imprimé Auteurs : Carolyn Unsworth ; Siew-Pang Chan Année de publication : 2016 Article en page(s) : p.102-110 Langues : Anglais (eng) Mots-clés : automobile driving driver assessment evaluation mild cognitive impairment Résumé : Introduction Fitness to drive skills progressively deteriorate following a diagnosis of Alzheimer’s disease/cognitive decline. Occupational therapists require standardised assessments to help them make recommendations to clients and licensing authorities regarding client fitness to drive. This research aimed to determine whether drivers in the early stages of Alzheimer’s disease/cognitive decline can drive safely, and if this could be predicted using the occupational therapy – driver off-road assessment battery (OT-DORA Battery).
Method Drivers with Alzheimer’s disease/cognitive decline were assessed by one of nine driver assessors over 18 months. Client data were collected on the OT-DORA Battery and following on-road assessment; the outcome was recorded as pass, pass with conditions, or fail.
Results A total of 63 clients were assessed, and n = 40 (63.5%) were passed as fit to drive, of whom 33(83%) had at least one condition placed on their licence. Client age and scores on four subtests of the OT-DORA Battery were predictive of outcome.
Conclusion A diagnosis of Alzheimer’s disease/cognitive decline should not automatically preclude driving. Scores on four of the subtests from the OT-DORA Battery may be used to help determine whether a client is fit to drive or not fit to drive, or whether a client should be referred for specialist occupational therapy driver assessment.Permalink : ./index.php?lvl=notice_display&id=42391
in The British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.102-110[article] Determining fitness to drive among drivers with Alzheimer’s disease or cognitive decline [texte imprimé] / Carolyn Unsworth ; Siew-Pang Chan . - 2016 . - p.102-110.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.102-110
Mots-clés : automobile driving driver assessment evaluation mild cognitive impairment Résumé : Introduction Fitness to drive skills progressively deteriorate following a diagnosis of Alzheimer’s disease/cognitive decline. Occupational therapists require standardised assessments to help them make recommendations to clients and licensing authorities regarding client fitness to drive. This research aimed to determine whether drivers in the early stages of Alzheimer’s disease/cognitive decline can drive safely, and if this could be predicted using the occupational therapy – driver off-road assessment battery (OT-DORA Battery).
Method Drivers with Alzheimer’s disease/cognitive decline were assessed by one of nine driver assessors over 18 months. Client data were collected on the OT-DORA Battery and following on-road assessment; the outcome was recorded as pass, pass with conditions, or fail.
Results A total of 63 clients were assessed, and n = 40 (63.5%) were passed as fit to drive, of whom 33(83%) had at least one condition placed on their licence. Client age and scores on four subtests of the OT-DORA Battery were predictive of outcome.
Conclusion A diagnosis of Alzheimer’s disease/cognitive decline should not automatically preclude driving. Scores on four of the subtests from the OT-DORA Battery may be used to help determine whether a client is fit to drive or not fit to drive, or whether a client should be referred for specialist occupational therapy driver assessment.Permalink : ./index.php?lvl=notice_display&id=42391 Exemplaires (1)
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Exclu du prêtReliability of P-drive in occupational therapy following a short training session: A promising instrument measuring seniors’ on-road driving competencies / Paul Vaucher in The British Journal of Occupational Therapy, Volume 78 numéro 2 (Fébrier 2015)
[article]
Titre : Reliability of P-drive in occupational therapy following a short training session: A promising instrument measuring seniors’ on-road driving competencies Type de document : texte imprimé Auteurs : Paul Vaucher, Auteur ; Cyndia Di Biase, Auteur ; Emma Lobsiger, Auteur Année de publication : 2015 Article en page(s) : p. 131-139 Langues : Anglais (eng) Mots-clés : Ageing Mild cognitive impairment Automobile driving On-road evaluation Reliability Résumé : Introduction Occupational therapists could play an important role in facilitating driving cessation for ageing drivers. This, however, requires an easy-to-learn, standardised on-road evaluation method. This study therefore investigates whether use of ‘P-drive’ could be reliably taught to occupational therapists via a short half-day training session.
Method Using the English 26-item version of P-drive, two occupational therapists evaluated the driving ability of 24 home-dwelling drivers aged 70 years or over on a standardised on-road route. Experienced driving instructors’ on-road, subjective evaluations were then compared with P-drive scores.
Results Following a short half-day training session, P-drive was shown to have almost perfect between-rater reliability (ICC2,1 = 0.950, 95% CI 0.889 to 0.978). Reliability was stable across sessions including the training phase even if occupational therapists seemed to become slightly less severe in their ratings with experience. P-drive’s score was related to the driving instructors’ subjective evaluations of driving skills in a non-linear manner (R 2 = 0.445, p = 0.021).
Conclusion P-drive is a reliable instrument that can easily be taught to occupational therapists and implemented as a way of standardising the on-road driving test.En ligne : http://bjo.sagepub.com/content/78/2.toc Permalink : ./index.php?lvl=notice_display&id=35932
in The British Journal of Occupational Therapy > Volume 78 numéro 2 (Fébrier 2015) . - p. 131-139[article] Reliability of P-drive in occupational therapy following a short training session: A promising instrument measuring seniors’ on-road driving competencies [texte imprimé] / Paul Vaucher, Auteur ; Cyndia Di Biase, Auteur ; Emma Lobsiger, Auteur . - 2015 . - p. 131-139.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 78 numéro 2 (Fébrier 2015) . - p. 131-139
Mots-clés : Ageing Mild cognitive impairment Automobile driving On-road evaluation Reliability Résumé : Introduction Occupational therapists could play an important role in facilitating driving cessation for ageing drivers. This, however, requires an easy-to-learn, standardised on-road evaluation method. This study therefore investigates whether use of ‘P-drive’ could be reliably taught to occupational therapists via a short half-day training session.
Method Using the English 26-item version of P-drive, two occupational therapists evaluated the driving ability of 24 home-dwelling drivers aged 70 years or over on a standardised on-road route. Experienced driving instructors’ on-road, subjective evaluations were then compared with P-drive scores.
Results Following a short half-day training session, P-drive was shown to have almost perfect between-rater reliability (ICC2,1 = 0.950, 95% CI 0.889 to 0.978). Reliability was stable across sessions including the training phase even if occupational therapists seemed to become slightly less severe in their ratings with experience. P-drive’s score was related to the driving instructors’ subjective evaluations of driving skills in a non-linear manner (R 2 = 0.445, p = 0.021).
Conclusion P-drive is a reliable instrument that can easily be taught to occupational therapists and implemented as a way of standardising the on-road driving test.En ligne : http://bjo.sagepub.com/content/78/2.toc Permalink : ./index.php?lvl=notice_display&id=35932 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt