THERAPY-Magazin
Dementia Care Using Advanced Rehabilitation Technology
Discover how virtual reality and smart rehab devices like OmniVR®, OmniCycle®, and OmniStand® improve cognition, mobility, and confidence in people with dementia through personalized, evidence-based therapy.
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THERAPY Magazin
According to the CDC (Centers for Disease Control and Prevention are an agency of the U.S. Department of Health and Human Services, headquartered in Druid Hills.), dementia affects one’s ability to remember, think, and make decisions that impact daily activities and safety. Alzheimer’s disease (AD) is the most common type of dementia accounting for 60-80% of cases. As dementia progresses to increased levels of memory loss and confusion, the individual becomes more sedentary and frail. Rehabilitation in this population should be tailored to patient needs addressing cognition, strength, gait, balance, endurance, and function.
Research:
• Promoting lifestyle changes to include regular exercise in pre-symptomatic individuals may have the potential for delaying one-third of dementias worldwide. (De la Rosa et al., 2020)
• A systematic review found strong evidence for the use of physical exercise in people with mild cognitive impairment (MCI) or mild-to-moderate dementia to improve strength, sit-to-stand, step length, balance, walking speed, and endurance. (Lam et al., 2018)
• Individuals with AD who performed six months of aerobic exercise (progressing from 60 to 150 minutes/week) had increased cardiorespiratory fitness resulting in improved memory performance. (Morris et al., 2017)
• In community dwelling older adults with MCI, 12 weeks of VR-based physical and cognitive training using biofeedback improves cognitive function and was superior in improving IADLs compared to traditional physical and cognitive training. (Liao et al., 2020)
• Promoting lifestyle changes to include regular exercise in pre-symptomatic individuals may have the potential for delaying one-third of dementias worldwide. (De la Rosa et al., 2020)
• A systematic review found strong evidence for the use of physical exercise in people with mild cognitive impairment (MCI) or mild-to-moderate dementia to improve strength, sit-to-stand, step length, balance, walking speed, and endurance. (Lam et al., 2018)
• Individuals with AD who performed six months of aerobic exercise (progressing from 60 to 150 minutes/week) had increased cardiorespiratory fitness resulting in improved memory performance. (Morris et al., 2017)
• In community dwelling older adults with MCI, 12 weeks of VR-based physical and cognitive training using biofeedback improves cognitive function and was superior in improving IADLs compared to traditional physical and cognitive training. (Liao et al., 2020)
OmniStand® assists the therapist by providing the patient with an appropriate level of support to challenge and progress balance, improve patient’s sense of security while performing activities, and it can be combined with virtual reality exercises.
OmniCycle® includes upper and lower extremity cycling to improve strength, endurance, and coordination. Participation is increased with biofeedback activities that are selected based on patient performance.
Advanced Rehab Technology can play an important role in the rehabilitation of individuals with dementia.
OmniVR® engages and challenges cognitive and physical abilities within a virtual environment. Exercises can be simplified to allow for less visual stimulation, as needed for patients with dementia.
OmniVR® engages and challenges cognitive and physical abilities within a virtual environment. Exercises can be simplified to allow for less visual stimulation, as needed for patients with dementia.
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References:
- De la Rosa, A., Olaso-Gonzalez, G., Arc-Chagnaud, C., Millan, F., Salvador-Pascual, A., García-Lucerga, C., Blasco-Lafarga, C., Garcia-Dominguez, E., Carretero, A., Correas, A. G., Viña, J., & Gomez-Cabrera, M. C. (2020). Physical exercise in the prevention and treatment of Alzheimer’s disease. Journal of sport and health science, 9(5), 394–404. https://doi.org/10.1016/j.jshs.2020.01.004
- Morris, J. K., Vidoni, E. D., Johnson, D. K., Van Sciver, A., Mahnken, J. D., Honea, R. A., Wilkins, H. M., Brooks, W. M., Billinger, S. A., Swerdlow, R. H., & Burns, J. M. (2017). Aerobic exercise for Alzheimer’s disease: A randomized controlled pilot trial. PloS one, 12(2), e0170547. https://doi.org/10.1371/journal.pone.0170547
- Lam, F. M., Huang, M. Z., Liao, L. R., Chung, R. C., Kwok, T. C., & Pang, M. Y. (2018). Physical exercise improves strength, balance, mobility, and endurance in people with cognitive impairment and dementia: a systematic review. Journal of physiotherapy, 64(1), 4–15. https://doi.org/10.1016/j.jphys. 2017.12.001
- Liao, Y. Y., Tseng, H. Y., Lin, Y. J., Wang, C. J., & Hsu, W. C. (2020). Using virtual reality-based training to improve cognitive function, instrumental activities of daily living and neural efficiency in older adults with mild cognitive impairment. European journal of physical and rehabilitation medicine, 56(1), 47–57. https://doi.org/10.23736/S1973-9087.19.05899-4
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