一种新的方法来个性化痴呆症患者的体育活动干预:基于身体和认知表现的集群分析
Bettina Barisch-Fritz1, Jelena Bezold, Andrea Scharpf
1Karlsruhe Institute of Technology, Institute of Sports and Sports Science, Karlsruhe, Germany.
Journal of geriatric physical therapy (2001)
|October 11, 2023
概括
这项研究根据认知和身体表现确定了四个不同的痴呆症个体群. 这些集群可以帮助量身定制体育活动干预措施,以便在养老院获得更好的结果.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 康复科学 康复科学 康复科学
背景情况:
- 身体活动 (PA) 对痴呆症 (IWD) 患者的认知和身体功能有好处.
- 在养老院,以小组为基础的PA干预措施可能由于IWD的异质性而变得不那么有效.
- 需要个性化的PA干预措施来优化IWD的好处.
研究的目的:
- 根据认知和身体表现来确定IWD的集群.
- 为养老院居民提供个性化PA干预措施的发展提供信息.
- 提高对痴呆症患者的PA计划的有效性.
主要方法:
- 集群分析了230名内在劳动者认知和身体表现数据.
- 评估全球认知 (MMSE),移动性 (6-MWT),平衡 (FIT-subtest-4) 和下肢功能 (30秒 CST).
- 使用沃德的方法进行分层集群分析;二次结果的1因子ANOVA.
主要成果:
- 确定一个4集群解决方案是最适合个性化PA干预的.
- 集群大小相对相似,从73个到79个个体不等.
- 轮系数表明集群的区分能力中等 (0.150.34).
结论:
- 已识别的集群可以指导创建更同质的PA干预组.
- 基于这些集群的个性化PA干预措施可能会提高养老院的有效性.
- 这些发现对治疗师和护理人员来说是有价值的,他们正在为IWD设计PA程序.
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