Global Postural Reeducation in Mild Alzheimer's Disease: A Secondary Analysis of an RCT.

IF 2.7
Orges Lena, Jasemin Todri
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Abstract

BackgroundDepression and neuropsychiatric symptoms are common in Alzheimer's disease (AD) and may contribute to functional decline and reduced quality of life.MethodsThis secondary analysis used data from a randomized controlled trial (NCT03732053). Fifty-eight participants were analyzed: 36 received supervised GPR twice weekly for 24 weeks and 22 received usual care. Outcomes included the Geriatric Depression Scale (GDS), Neuropsychiatric Inventory (NPI), Mini-Mental State Examination (MMSE), Barthel Index, and Performance-Oriented Mobility Assessment (POMA). Repeated-measures ANOVA and baseline-adjusted analyses were performed.ResultsAt 24 weeks, GDS scores were lower with GPR than usual care (4.72 ± 2.36 vs. 8.41 ± 2.15; p < 0.001). Significant group × time effects were observed for NPI, MMSE, Barthel Index, and POMA (all p < 0.001).ConclusionGPR may provide complementary benefits across psychological, cognitive, and functional outcomes in mild AD, although baseline imbalance and differential attrition warrant cautious interpretation.

轻度阿尔茨海默病的整体体位再教育:一项随机对照试验的二次分析。
抑郁和神经精神症状在阿尔茨海默病(AD)中很常见,可能导致功能下降和生活质量下降。方法该二次分析数据来自一项随机对照试验(NCT03732053)。对58名参与者进行分析:36名接受监督GPR,每周两次,持续24周,22名接受常规护理。结果包括老年抑郁量表(GDS)、神经精神量表(NPI)、迷你精神状态检查(MMSE)、Barthel指数(Barthel Index)和绩效导向活动能力评估(POMA)。进行重复测量方差分析和基线校正分析。结果24周时,GPR组GDS评分低于常规护理组(4.72±2.36∶8.41±2.15;p < 0.001)。NPI、MMSE、Barthel指数和POMA均观察到显著的组×时间效应(p < 0.001)。结论:尽管基线失衡和差异消耗值得谨慎解释,但在轻度AD患者中,ongpr可能在心理、认知和功能结局方面提供互补益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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