Beneficial effects of multisensory and cognitive stimulation in institutionalized elderly: 12-months follow-up

Liliane Dias E Dias de Macedo,1 Thaís Cristina Galdino De Oliveira,1 Fernanda Cabral Soares,1 João Bento-Torres,1,2 Natáli Valim Oliver Bento-Torres,1,2 Daniel Clive Anthony,3 Cristovam Wanderley Picanço-Diniz1 1Laboratory of Investigations in Neurodegener...

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Autores principales:	Dias de Macedo LD, De Oliveira TCG, Soares FC, Bento-Torres J, Bento-Torres NVO, Anthony DC, Picanço-Diniz CW
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Age-related cognitive decline multisensory and cognitive stimulation long-term care institutions community living language assessment. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/201c8729937447dc9769f7fb6ee6f426
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spelling	oai:doaj.org-article:201c8729937447dc9769f7fb6ee6f4262021-12-02T05:53:01ZBeneficial effects of multisensory and cognitive stimulation in institutionalized elderly: 12-months follow-up1178-1998https://doaj.org/article/201c8729937447dc9769f7fb6ee6f4262015-08-01T00:00:00Zhttps://www.dovepress.com/beneficial-effects-of-multisensory-and-cognitive-stimulation-in-instit-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Liliane Dias E Dias de Macedo,1 Thaís Cristina Galdino De Oliveira,1 Fernanda Cabral Soares,1 João Bento-Torres,1,2 Natáli Valim Oliver Bento-Torres,1,2 Daniel Clive Anthony,3 Cristovam Wanderley Picanço-Diniz1 1Laboratory of Investigations in Neurodegeneration and Infection, Institute of Biological Sciences, University Hospital João de Barros Barreto, Federal University of Pará, 2College of Physical Therapy and Occupational Therapy, Federal University of Para, Belem, Para, Brazil; 3Laboratory of Experimental Neuropathology, Department of Pharmacology, University of Oxford, Oxford, England, UKAbstract: We previously demonstrated the beneficial effects of a multisensory and cognitive stimulation program, consisting of 48 sessions, twice a week, to improve the cognition of elderly subjects living either in long-term care institutions (institutionalized – I) or in communities with their families (noninstitutionalized – NI). In the present study, we evaluated these subjects after the end of the intervention and compared the rate of age-related cognitive decline of those living in an enriched community environment (NI group, n=15, 74.1±3.9 years old) with those living in the impoverished environment of long-term care institutions (I group, n=20, 75.1±6.8 years old). Both groups participated fully in our stimulation program. Over 1 year, we conducted revaluations at five time points (2 months, 4 months, 6 months, 8 months, and 12 months) after the completion of the intervention. Both elderly groups were evaluated with the mini-mental state examination and selected language tests. Progressive cognitive decline was observed in both groups over the period. Indeed, it took only 4–6 months after the end of the stimulation program for significant reductions in language test scores to become apparent. However, earlier reductions in test scores were mainly associated with I group, and linguistic prosody test scores were significantly affected by institutionalization and time, two variables that interacted and reduced these scores. Moreover, I group reduced the Montréal cognitive assessment battery language tests scores 4 months before NI group. It remains to be investigated what mechanisms may explain the earlier and more intense language losses in institutionalized elderly. Keywords: age-related cognitive impairment, multisensory and cognitive stimulation, long-term care institutions, community living, language assessmentDias de Macedo LDDe Oliveira TCGSoares FCBento-Torres JBento-Torres NVOAnthony DCPicanço-Diniz CWDove Medical PressarticleAge-related cognitive declinemultisensory and cognitive stimulationlong-term care institutionscommunity livinglanguage assessment.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 1351-1360 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Age-related cognitive decline multisensory and cognitive stimulation long-term care institutions community living language assessment. Geriatrics RC952-954.6
spellingShingle	Age-related cognitive decline multisensory and cognitive stimulation long-term care institutions community living language assessment. Geriatrics RC952-954.6 Dias de Macedo LD De Oliveira TCG Soares FC Bento-Torres J Bento-Torres NVO Anthony DC Picanço-Diniz CW Beneficial effects of multisensory and cognitive stimulation in institutionalized elderly: 12-months follow-up
description	Liliane Dias E Dias de Macedo,1 Thaís Cristina Galdino De Oliveira,1 Fernanda Cabral Soares,1 João Bento-Torres,1,2 Natáli Valim Oliver Bento-Torres,1,2 Daniel Clive Anthony,3 Cristovam Wanderley Picanço-Diniz1 1Laboratory of Investigations in Neurodegeneration and Infection, Institute of Biological Sciences, University Hospital João de Barros Barreto, Federal University of Pará, 2College of Physical Therapy and Occupational Therapy, Federal University of Para, Belem, Para, Brazil; 3Laboratory of Experimental Neuropathology, Department of Pharmacology, University of Oxford, Oxford, England, UKAbstract: We previously demonstrated the beneficial effects of a multisensory and cognitive stimulation program, consisting of 48 sessions, twice a week, to improve the cognition of elderly subjects living either in long-term care institutions (institutionalized – I) or in communities with their families (noninstitutionalized – NI). In the present study, we evaluated these subjects after the end of the intervention and compared the rate of age-related cognitive decline of those living in an enriched community environment (NI group, n=15, 74.1±3.9 years old) with those living in the impoverished environment of long-term care institutions (I group, n=20, 75.1±6.8 years old). Both groups participated fully in our stimulation program. Over 1 year, we conducted revaluations at five time points (2 months, 4 months, 6 months, 8 months, and 12 months) after the completion of the intervention. Both elderly groups were evaluated with the mini-mental state examination and selected language tests. Progressive cognitive decline was observed in both groups over the period. Indeed, it took only 4–6 months after the end of the stimulation program for significant reductions in language test scores to become apparent. However, earlier reductions in test scores were mainly associated with I group, and linguistic prosody test scores were significantly affected by institutionalization and time, two variables that interacted and reduced these scores. Moreover, I group reduced the Montréal cognitive assessment battery language tests scores 4 months before NI group. It remains to be investigated what mechanisms may explain the earlier and more intense language losses in institutionalized elderly. Keywords: age-related cognitive impairment, multisensory and cognitive stimulation, long-term care institutions, community living, language assessment
format	article
author	Dias de Macedo LD De Oliveira TCG Soares FC Bento-Torres J Bento-Torres NVO Anthony DC Picanço-Diniz CW
author_facet	Dias de Macedo LD De Oliveira TCG Soares FC Bento-Torres J Bento-Torres NVO Anthony DC Picanço-Diniz CW
author_sort	Dias de Macedo LD
title	Beneficial effects of multisensory and cognitive stimulation in institutionalized elderly: 12-months follow-up
title_short	Beneficial effects of multisensory and cognitive stimulation in institutionalized elderly: 12-months follow-up
title_full	Beneficial effects of multisensory and cognitive stimulation in institutionalized elderly: 12-months follow-up
title_fullStr	Beneficial effects of multisensory and cognitive stimulation in institutionalized elderly: 12-months follow-up
title_full_unstemmed	Beneficial effects of multisensory and cognitive stimulation in institutionalized elderly: 12-months follow-up
title_sort	beneficial effects of multisensory and cognitive stimulation in institutionalized elderly: 12-months follow-up
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/201c8729937447dc9769f7fb6ee6f426
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Beneficial effects of multisensory and cognitive stimulation in institutionalized elderly: 12-months follow-up

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