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Effectiveness of Meaningful Task-Oriented Intervention on Independence in Activities of Daily Living, Cognitive and Physical skills in Elderly with Dementia: A Randomized Controlled Trial | ||
| Journal of Rehabilitation Sciences & Research | ||
| مقالات آماده انتشار، پذیرفته شده، انتشار آنلاین از تاریخ 21 مرداد 1402 | ||
| نوع مقاله: Original Articles | ||
| شناسه دیجیتال (DOI): 10.30476/jrsr.2023.97679.1340 | ||
| نویسندگان | ||
| Farzad Rabiei1؛ Malahat Akbarfahimi* 2؛ Mahtab Roohi-Azizi3؛ Marjan Ghandi4 | ||
| 1Master of Occupational Therapy, Department of Occupational Therapy, School of Rehabilitation, Rehabilitation Research Center, Iran University of Medical Sciences, Tehran, Iran. | ||
| 2Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran | ||
| 3Rehabilitation Research Center, Department of Rehabilitation Basic Sciences, Iran University of Medical Sciences | ||
| 4Master of Health Technology Assessment, Faculty of Management and Medical Information Sciences, Kerman University of Medical Sciences | ||
| چکیده | ||
| Background: Dementia is a neurodegenerative condition that gradually causes serious cognitive, motor, and functional impairments in affected individuals. The purpose of this study was to investigate the effects of a meaningful task-oriented intervention on independence in activities of daily living, cognitive status, and physical abilities (including gait speed and balance) in elderly patients with mild to moderate dementia. Methods: A randomized controlled trial was conducted with 40 participants aged 60-70 years who had a Functional Assessment Staging Tool (FAST Scale) score of 1-5. Participants were assigned randomly to either a control group (n=20) that received standard care (i.e., medication and routine consultation) or an intervention group (n=20) that received standard care plus eight 45–60-minute sessions of task-oriented interventions based on familiar daily life activities in the home environment, conducted twice a week. The primary outcome was independence in activities of daily living, which was assessed using the Barthel Index. Secondary outcomes included cognitive function (measured with the Addenbrooke’s Cognitive Examination-Revised) and physical performance (measured with the Timed Up and Go test, 10 Meter Walk Test, and Berg Balance Scale). Results: The meaningful task-oriented intervention was associated with significant improvements in independence in activities of daily living (p<0.01) compared to the control group, as well as in cognitive function and physical performance (including balance, lower limb strength, and walking speed) (p<0.05). Conclusion: Meaningful task-oriented interventions that incorporate familiar activities in the home environment can help elderly patients with dementia to maintain their routine skills and preserve independence. | ||
| کلیدواژه‌ها | ||
| dementia؛ cognitive function؛ physical functional performance؛ Task؛ activities of daily living | ||
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آمار تعداد مشاهده مقاله: 2,435 |
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