The Effects of Whole-body Exercise to Improve Swallowing Function in Older Adults With Dementia

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

9 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-01

Study Completion Date

2022-09-30

Brief Summary

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Swallowing impairment (dysphagia) is extremely common in older adults living with dementia due to age-related changes in swallowing and other disease-specific impairments. Dysphagia is commonly managed by modifying diet textures rather than engaging in rehabilitative swallowing therapy. This means that countless people with dementia are left to eat pureed foods and drink thickened liquids, which are unpalatable and lead to malnutrition. As the disease progresses, many are transferred to nursing homes. In Canada, speech-language pathologists, who manage dysphagia, are consultants within nursing homes; therefore, swallowing therapy is non-existent. However, exercise therapy is more commonly available. Rodent models have demonstrated that physical exercise strengthens tongue and vocal-fold musculature, which are critical components of swallowing. Therefore, it is possible that whole-body physical exercise, which increases rate of respiration, will help to strengthen swallowing-related musculature in older adults with dementia. In this study, older adults (65+) with early-stage dementia will complete a 12-week physical exercise program to determine improvement of swallowing function.

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Detailed Description

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Conditions

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Old Age; Dementia Swallowing Disorder Cough Parkinson Disease Neuro-Degenerative Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Whole-body exercise

Group Type EXPERIMENTAL

Whole-body exercise

Intervention Type BEHAVIORAL

10-week one-on-one, virtual, whole-body exercise class, 3x/week, focused on increasing respiratory rate through moderate-intensity aerobic exercises.

Interventions

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Whole-body exercise

10-week one-on-one, virtual, whole-body exercise class, 3x/week, focused on increasing respiratory rate through moderate-intensity aerobic exercises.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* \> 59 years of age
* able to walk independently with or without an assistive device for a distance of at least 10 meters
* able to be active for 60 minutes with rest breaks
* abe to independently follow directions
* not involved in active rehabilitation
* a diagnosis of a progressive neurologic disease
* a maximum value for tongue strength \<40 kPa

Exclusion Criteria

* neurological conditions other than a progressive neurologic disease
* significant cardiovascular conditions
* severe aphasia
* pain, other medical conditions or behavioural issues that would limit safe participation in the exercise program
* individuals with known structural causes of dysphagia
* individuals with known allergies to latex
* individuals receiving swallowing rehab

Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No