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

Abstract:

: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.

journal_name

Clin Interv Aging

authors

de Macedo LD,De Oliveira TC,Soares FC,Bento-Torres J,Bento-Torres NV,Anthony DC,Picanço-Diniz CW

doi

10.2147/CIA.S80997

subject

Has Abstract

pub_date

2015-08-19 00:00:00

pages

1351-9

eissn

1176-9092

issn

1178-1998

pii

cia-10-1351

journal_volume

10

pub_type

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