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Honjo Y, Nagai K, Yuri T, Nakai H, Kawasaki I, Harada S, Suganuma I, Ogawa N. Shoulder Joint Range of Motion Related to Dementia. Dement Geriatr Cogn Disord 2024:1-8. [PMID: 39197430 DOI: 10.1159/000541158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2024] [Accepted: 08/26/2024] [Indexed: 09/01/2024] Open
Abstract
INTRODUCTION Dementia is caused by various diseases, including Alzheimer's disease dementia (ADD) and dementia with Lewy bodies (DLB). We often encounter patients with dementia who have limited shoulder joint range of motion (ROM), especially those with behavioral and psychological symptoms of dementia (BPSD). But the relationship between the diseases of dementia and restricted shoulder joint ROM is currently unclear. METHODS We examined cognitive function and shoulder joint ROM in 234 new outpatients at 7 memory clinics in Japan. We assessed cognitive function using the Mini-Mental State Examination (MMSE) and Revised Hasegawa Dementia Scale (HDS-R) and BPSD using the Neuropsychiatric Inventory Questionnaire (NPI-Q). Patients were categorized by dementia diagnosis (ADD, DLB, other dementia, and control). Right, left, and total shoulder joint ROM was assessed using validated the Japanese Orthopaedic Association (JOA) score. RESULTS We found significant associations of lower right, left, and total shoulder joint ROM scores with male sex, advanced age, higher NPI-Q score, lower HDS-R, and MMSE scores. Little difference was found between right and left shoulder joint ROM scores. Restricted shoulder joint ROM was related to serial 7, verbal frequency domain scores on the HDS-R and repeat score on the MMSE. It was also related to the hallucinations, irritability/lability and nighttime disturbances scores on the NPI-Q. Furthermore, the dementia groups, especially the DLB group, showed worse shoulder joint ROM than the control group. CONCLUSIONS Dementia was significantly related to restricted shoulder joint ROM. Maintaining communication and social interaction may help maintain shoulder joint ROM.
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Affiliation(s)
- Yasuyuki Honjo
- Department of Memory Clinic, Kyoto Kaisei Hospital, Kyoto, Japan
- Department of Occupational Therapy, Faculty of Health Science, Kyoto Tachibana University, Kyoto, Japan
| | - Kuniaki Nagai
- Department of Occupational Therapy, Faculty of Rehabilitation, Reiwa Health Sciences University, Fukuoka, Japan
| | - Takuma Yuri
- Department of Occupational Therapy, Faculty of Health Science, Kyoto Tachibana University, Kyoto, Japan
| | - Hideaki Nakai
- Department of Occupational Therapy, Faculty of Health Science, Kyoto Tachibana University, Kyoto, Japan
| | - Ippei Kawasaki
- Department of Occupational Therapy, Faculty of Health Science, Kyoto Tachibana University, Kyoto, Japan
| | - Shun Harada
- Department of Occupational Therapy, Faculty of Health Science, Kyoto Tachibana University, Kyoto, Japan
| | - Ippei Suganuma
- Department of Occupational Therapy, Faculty of Health Science, Kyoto Tachibana University, Kyoto, Japan
| | - Noriyuki Ogawa
- Department of Occupational Therapy, Faculty of Health Science, Kyoto Tachibana University, Kyoto, Japan
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Lee H, Lee H, Choi J, Hwang G, Lee H, Lee H, Kim S, Kim M, Nam H, Shim J, Jaber H, Yim J. Investigation of the Approaches to Optimal Exercise Interventions Based on Dementia Type: A Theoretical Review. Healthcare (Basel) 2024; 12:576. [PMID: 38470687 PMCID: PMC10931380 DOI: 10.3390/healthcare12050576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2024] [Revised: 02/21/2024] [Accepted: 02/29/2024] [Indexed: 03/14/2024] Open
Abstract
The aim of this study is to enhance comprehension of the different types and features of dementia, including their symptoms, diagnosis and medical treatment, and to propose various evidence-based exercise interventions and their clinical applications tailored to each specific type of dementia. The theoretical review includes the analysis of publications in the scientific databases PubMed/Medline, Ebsco, Scielo, and Google. A total of 177 articles were found, of which 84 were studied in depth. With the prevalence of all forms of dementia projected to increase from 57.4 million in 2019 to 152.8 million in 2050, personalized treatment strategies are needed. This review discusses various forms of dementia, including their pathologies, diagnostic criteria, and prevalence rates. The importance of accurate diagnosis and tailored care is emphasized, as well as the effectiveness of physical exercise in improving cognitive function in dementia patients. For Alzheimer's, a combination of drug therapies and exercises is recommended to enhance cerebral blood flow and neurotransmitter activity. To improve cognitive and motor functions in Lewy body dementia, a combination of pharmacological and physical therapies is recommended. For managing frontotemporal dementia, a mix of medication and exercises aimed at emotion regulation, including aerobic exercises, and a unified protocol, is suggested. For mild cognitive impairment, aerobic and functional exercises are important in delaying cognitive decline and enhancing cognitive performance. In conclusion, individualized care and treatment plans tailored to the specific characteristics of each disease type can improve the quality of life for individuals with this condition and effectively manage this growing global health issue.
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Affiliation(s)
- Hyun Lee
- Department of Physical Therapy, Graduate School of Sahmyook University, Seoul 01795, Republic of Korea; (H.L.); (H.L.); (J.C.); (G.H.); (H.L.); (H.L.); (S.K.); (M.K.); (H.N.); (J.S.)
| | - Hyeongmin Lee
- Department of Physical Therapy, Graduate School of Sahmyook University, Seoul 01795, Republic of Korea; (H.L.); (H.L.); (J.C.); (G.H.); (H.L.); (H.L.); (S.K.); (M.K.); (H.N.); (J.S.)
| | - Jinhyung Choi
- Department of Physical Therapy, Graduate School of Sahmyook University, Seoul 01795, Republic of Korea; (H.L.); (H.L.); (J.C.); (G.H.); (H.L.); (H.L.); (S.K.); (M.K.); (H.N.); (J.S.)
| | - Gyujeong Hwang
- Department of Physical Therapy, Graduate School of Sahmyook University, Seoul 01795, Republic of Korea; (H.L.); (H.L.); (J.C.); (G.H.); (H.L.); (H.L.); (S.K.); (M.K.); (H.N.); (J.S.)
| | - Hyemin Lee
- Department of Physical Therapy, Graduate School of Sahmyook University, Seoul 01795, Republic of Korea; (H.L.); (H.L.); (J.C.); (G.H.); (H.L.); (H.L.); (S.K.); (M.K.); (H.N.); (J.S.)
| | - Hyunmin Lee
- Department of Physical Therapy, Graduate School of Sahmyook University, Seoul 01795, Republic of Korea; (H.L.); (H.L.); (J.C.); (G.H.); (H.L.); (H.L.); (S.K.); (M.K.); (H.N.); (J.S.)
| | - Sujeong Kim
- Department of Physical Therapy, Graduate School of Sahmyook University, Seoul 01795, Republic of Korea; (H.L.); (H.L.); (J.C.); (G.H.); (H.L.); (H.L.); (S.K.); (M.K.); (H.N.); (J.S.)
| | - Minjeong Kim
- Department of Physical Therapy, Graduate School of Sahmyook University, Seoul 01795, Republic of Korea; (H.L.); (H.L.); (J.C.); (G.H.); (H.L.); (H.L.); (S.K.); (M.K.); (H.N.); (J.S.)
| | - Huiju Nam
- Department of Physical Therapy, Graduate School of Sahmyook University, Seoul 01795, Republic of Korea; (H.L.); (H.L.); (J.C.); (G.H.); (H.L.); (H.L.); (S.K.); (M.K.); (H.N.); (J.S.)
| | - Jaeyoon Shim
- Department of Physical Therapy, Graduate School of Sahmyook University, Seoul 01795, Republic of Korea; (H.L.); (H.L.); (J.C.); (G.H.); (H.L.); (H.L.); (S.K.); (M.K.); (H.N.); (J.S.)
| | - Hatem Jaber
- College of Rehabilitative Sciences, University of St. Augustine for Health Sciences, Austin, TX 78739, USA;
| | - Jongeun Yim
- Department of Physical Therapy, Graduate School of Sahmyook University, Seoul 01795, Republic of Korea; (H.L.); (H.L.); (J.C.); (G.H.); (H.L.); (H.L.); (S.K.); (M.K.); (H.N.); (J.S.)
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von Schnehen A, Hobeika L, Houot M, Recher A, Puisieux F, Huvent-Grelle D, Samson S. Sensorimotor Impairment in Aging and Neurocognitive Disorders: Beat Synchronization and Adaptation to Tempo Changes. J Alzheimers Dis 2024; 100:945-959. [PMID: 38995777 PMCID: PMC11307093 DOI: 10.3233/jad-231433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/27/2024] [Indexed: 07/14/2024]
Abstract
Background Understanding the nature and extent of sensorimotor decline in aging individuals and those with neurocognitive disorders (NCD), such as Alzheimer's disease, is essential for designing effective music-based interventions. Our understanding of rhythmic functions remains incomplete, particularly in how aging and NCD affect sensorimotor synchronization and adaptation to tempo changes. Objective This study aimed to investigate how aging and NCD severity impact tapping to metronomes and music, with and without tempo changes. Methods Patients from a memory clinic participated in a tapping task, synchronizing with metronomic and musical sequences, some of which contained sudden tempo changes. After exclusions, 51 patients were included in the final analysis. Results Participants' Mini-Mental State Examination scores were associated with tapping consistency. Additionally, age negatively influenced consistency when synchronizing with a musical beat, whereas consistency remained stable across age when tapping with a metronome. Conclusions The results indicate that the initial decline of attention and working memory with age may impact perception and synchronization to a musical beat, whereas progressive NCD-related cognitive decline results in more widespread sensorimotor decline, affecting tapping irrespective of audio type. These findings underline the importance of customizing rhythm-based interventions to the needs of older adults and individuals with NCD, taking into consideration their cognitive as well as their rhythmic aptitudes.
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Affiliation(s)
- Andres von Schnehen
- ULR 4072 – PSITEC – Psychologie: Interactions, Temps, Emotions, Cognition, Lille University, Lille, France
| | - Lise Hobeika
- ULR 4072 – PSITEC – Psychologie: Interactions, Temps, Emotions, Cognition, Lille University, Lille, France
- Institut du Cerveau – Paris Brain Institute – ICM, Inserm, CNRS, APHP, Hôpital de la Pitié Salpêtrière, Sorbonne Université, Paris, France
- Institut Pasteur, Inserm, Institut de l’Audition, Université Paris Cité, Paris, France
| | - Marion Houot
- Centre of Excellence of Neurodegenerative Disease (CoEN), AP-HP, Pitié-Salpêtrière Hospital, Paris, France
- Department of Neurology, Institute of Memory and Alzheimer’s Disease (IM2A), AP-HP, Pitié-Salpêtrière Hospital, Paris, France
- Clinical Investigation Centre, Institut du Cerveau et de la Moelle épinière (ICM), Pitié-Salpêtrière Hospital, Paris, France
| | - Arnaud Recher
- STMS, IRCAM, Sorbonne Université, CNRS, Ministère de la Culture, Paris, France
| | - François Puisieux
- Hôpital Gériatrique les Bateliers, Pôle de Gérontologie, CHU Lille, Lille, France
| | | | - Séverine Samson
- ULR 4072 – PSITEC – Psychologie: Interactions, Temps, Emotions, Cognition, Lille University, Lille, France
- Institut du Cerveau – Paris Brain Institute – ICM, Inserm, CNRS, APHP, Hôpital de la Pitié Salpêtrière, Sorbonne Université, Paris, France
- Institut Pasteur, Inserm, Institut de l’Audition, Université Paris Cité, Paris, France
- Epilepsy Unit, AP-HP, GHU Pitié-Salpêtrière-Charles Foix, Paris, France
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