TY - JOUR
TI - Non-Pharmacological Interventions for Wandering/Aberrant Motor Behaviour in Patients with Dementia
AU - Dimitriou, T.
AU - Papatriantafyllou, J.
AU - Konsta, A.
AU - Kazis, D.
AU - Athanasiadis, L.
AU - Ioannidis, P.
AU - Koutsouraki, E.
AU - Tegos, T.
AU - Tsolaki, M.
JO - Brain Sciences
PY - 2022
VL - 12
TODO - 2
SP - null
PB - MDPI
SN - -
TODO - 10.3390/brainsci12020130
TODO - Addenbrooke Cognitive Examination Revised;  aged;  Alzheimer disease;  Article;  behavior disorder;  caregiver;  clinical trial;  cognition;  cognitive defect;  controlled clinical trial;  controlled study;  crossover procedure;  daily life activity;  dementia;  depression;  diffuse Lewy body disease;  education;  female;  frontotemporal dementia;  Functional Rating Scale for Symptoms in Dementia;  Geriatric Depression Scale;  human;  major clinical study;  male;  memory;  mild cognitive impairment;  Mini Mental State Examination;  music therapy;  neuropsychiatric inventory;  physical activity;  randomized controlled trial;  rating scale
TODO - Background: Aberrant motor behaviour or wandering refers to aimless movement without a specific purpose. Wandering is common in patients with dementia and leads to early institution-alization and caregivers’ burden. Non-pharmacological interventions should be also considered as a first-line solution for the wandering because current pharmacological treatment has serious side-effects. Methods: A cross-over randomised controlled trial (RCT) with 60 participants of all stages and different types of dementia was conducted in Greece. The sample was randomly as-signed in 6 different groups of 10 participants each. Every intervention lasted for 5 days, and there were 2 days as a wash-out period. There was no drop-out rate. The measurements used were the Mini Mental State Examination (MMSE), Addenbrooke’s Cognitive Examination Revised (ACE-R), Geriatric Depression Scale (GDS), Functional Rating Scale for Symptoms in Dementia (FRSSD), and Neuropsychiatric Inventory (NPI). The interventions that were evaluated were reminiscence therapy (RT), music therapy (MT), and physical exercise (PE). Results: NPI scores were reduced in the group receiving PE (p = 0.006). When MT (p = 0.018) follows PE, wandering symptoms are reduced further. RT should follow MT in order to reduce wandering more (p = 0.034). The same combination was effective for the caregivers’ burden as well; PE (p = 0.004), MT (p = 0.036), RT (p = 0.039). Conclusions: An effective combination that can reduce wandering symptoms in all stages and types of dementia was found: The best order was PH-MT-RT. The same combination in the same order reduced caregivers’ burden. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
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