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KMID : 1211620190140040143
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Journal of the Korean Society of Physical Medicine
2019 Volume.14 No. 4 p.143 ~ p.152
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Effects of Music-based Sling Exercise Program on Cognition, Walking, and Functional Mobility in Elderly with Dementia: Single-blinded, Randomized Controlled Trial
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Park Hyun-Ju
Kang Tae-Woo
Oh Duck-Won
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Abstract
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PURPOSE: This examined the effects of a sling exercise based on music on the cognition, physical performance of patients with dementia.
METHODS: Thirty subjects with dementia volunteered to participate in this study. All subjects were allocated randomly to either the experimental group or control group, with 15 subjects in each group. All subjects underwent the exercise program for an average of 60 minutes per day for 16 weeks. The experimental group performed sling exercise based on music, and the control group performed the general exercise program. Assessments were made using the Korean version of mini-mental state examination (MMSE-K), 10 m walk test (10MWT), Tinetti mobility test (TMT), and Katz’s Index of Independence in activity daily living (KIIADL) to detect changes in the cognitive level and physical performance before and after the 16-week training period. A paired t-test was conducted to compare the within-group change before and after the intervention. An independent t-test was performed to compare the between-group difference. The statistical significance level was set to α=.05 for all variables.
RESULTS: The experimental group showed significant within-group changes in the MMSE-K, 10MWT, TMT, and KIIADL (p<.05). The control group showed a significant change in only the KIIADL (p<.05). A significant difference was observed between the experimental group and the control group regarding the change in MMSE-K and KIIADL after the interventions (p<.05).
CONCLUSION: A music-based sling exercise program effectively improves cognition, physical performance, and ADL in patients with dementia. Further studies with a wider range of subjects and scientific equipment will be needed to strengthen the results of this study.
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KEYWORD
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Dementia, Sling, Music, Cognition, Physical performance
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