Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-11T04:51:28.017Z Has data issue: false hasContentIssue false

Using silver yoga exercises to promote physical and mental health of elders with dementia in long-term care facilities

Published online by Cambridge University Press:  09 March 2011

Jue-Ting Fan
Affiliation:
Department of Nursing, Fooyin University; Kaohsiung, Taiwan
Kuei-Min Chen*
Affiliation:
College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan
*
Correspondence should be addressed to: Kuei-Min Chen, R.N., Ph.D., Professor; College of Nursing, Kaohsiung Medical University, 100 Shih-Chuan 1st Rd., Sanmin District, Kaohsiung, Taiwan 80708. Phone: +886-7-3136900; Fax: +886-7-3218364. Email: kmc@kmu.edu.tw.

Abstract

Background: This study aimed to test the effects of yoga exercises on the physical and mental health of elderly people with dementia living in long-term care facilities.

Methods: A quasi-experimental, pretest–post-test design was used. A convenience sample of 68 residents in long-term care facilities in southern Taiwan, aged 60 years and above with mild to moderate dementia, was selected. An experimental group of 33 elders participated in a 12-week yoga training program of three 55-minute sessions a week; a control group of 35 elders maintained their usual daily activities. Data were collected before and after completing the 12-week study. Measurements included body composition, cardiopulmonary functions, body flexibility, muscle strength and endurance, balance, joints motion, depression, and problem behaviors.

Results: The yoga-trained participants had better physical and mental health than those who did not participate, including lowered blood pressure, reduced respiration rate, strengthened cardiopulmonary fitness, enhanced body flexibility, improved muscle strength and endurance, improved balance, and increased joints motion (all p values < 0.05). In addition, the depression state (p < 0.001) and problem behaviors (p < 0.001) of these demented elders were significantly reduced.

Conclusion: Yoga exercise has positive benefits for both the physical and mental health of elders with dementia living in long-term care facilities. It is recommended that yoga be included as one of the routine activities in these long-term care facilities.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alexopoulos, G. S., Abrams, R. C., Young, R. C. and Shamoian, C. A. (1988). Cornell Scale for Depression in Dementia. Biological Psychiatry, 23, 271284.Google Scholar
Anette, K., Sven, A. B., Kajsa, A., Torsten, N. and Fahri, S. (2007). Wellness through a comprehensive yogic breathing program: a controlled pilot trial. Complementary and Alternative Medicine, 7, 18.Google Scholar
Arlene, A. S., Marieke, P. and David, M. K. (2010). Effect of a 12-week yoga intervention on fear of falling and balance in older adults: a pilot study. Archives of Physical Medicine and Rehabilitation, 9, 576583.Google Scholar
Brataas, H. V., Bjugan, H., Wille, T. and Hellzen, O. (2010). Experiences of day care and collaboration among people with mild dementia. Journal of Clinical Nursing, 19, 28392848.Google Scholar
Candy, S., Sheena, S. and Dandona, P. K. (2009). A study of the effect of yoga training on pulmonary function in patients with bronchial asthma. Indian Journal of Physiology and Pharmacology, 53, 169174.Google Scholar
Chen, H. T. and Lee, M. F. (2000). Dementia care in Taiwan. Research in Applied Psychology, 7, 191199.Google Scholar
Chen, K. M. and Tseng, W. S. (2008). Pilot-testing the effects of a newly-developed silver yoga exercise program for female seniors. Journal of Nursing Research, 16, 3746.CrossRefGoogle ScholarPubMed
Chen, K. M., Tseng, W. S., Ting, L. F. and Huang, G. F. (2007). Development and evaluation of a yoga exercise programme for older adults. Journal of Advanced Nursing, 57, 432441.Google Scholar
Chen, K. M., Chen, M. H., Hong, S. M., Chao, H. C., Lin, H. S. and Li, C. H. (2008). Physical fitness of older adults in senior activity centers after 24-week silver yoga exercises. Journal of Clinical Nursing, 17, 26342646.Google Scholar
Colette, M., HerrickAllan, D. and Ainsworth Allan, D. and Ainsworth (2000). Invest in yourself: yoga as a self-care strategy. Nursing Forum, 35, 3236.Google Scholar
DiBenedetto, M. et al. (2005). Effect of a gentle Iyengar yoga program on gait in the elderly: an exploratory study. Archives of Physical Medicine and Rehabilitation, 86, 18301837.CrossRefGoogle ScholarPubMed
Kaufer, D. I., Borson, S., Kershaw, P. and Sadik, K. (2005). Reduction of caregiver burden in Alzheimer's disease by treatment with galantamine. CNS Spectrums, 10, 481488.Google Scholar
Kemoun, G. et al. (2010). Effects of a physical training programme on cognitive function and walking efficiency in elderly persons with dementia. Dementia and Geriatric Cognitive Disorders, 29, 109114.Google Scholar
Lee, S. W., Mancuso, C. A. and Charlson, M.E. (2004). Prospective study of new participants in a community-based mind-body training program. Journal of General Internal Medicine, 19, 760765.CrossRefGoogle Scholar
Lee, W. G. (2008). Health care utilization and expenditure of dementia in Taiwan. Unpublished Master's thesis. Tainan, Taiwan: Chang Jung Christian University.Google Scholar
Lin, S. J. and Pai, M. C. (2006). The stress of caregivers of Alzheimer's disease: from a viewpoint of family ecology. Journal of Long-Term Care, 10, 412425.Google Scholar
Mahoney, R., Ciaran, R., Cornelius, C. and Gill, L. (2005). Anxiety and depression in family caregivers of people with Alzheimer disease: the LASER-AD Study. American Journal of Geriatric Psychiatry, 13, 798801.CrossRefGoogle ScholarPubMed
McCaffrey, R., Ruknui, P., Hatthakit, U. and Kasetsomboon, P. (2005). The effects of yoga on hypertensive persons in Thailand. Holistic Nursing Practice, 19, 173180.CrossRefGoogle ScholarPubMed
Oken, B. S. et al. (2006). Randomized, controlled, six-month trial of yoga in health seniors: effects on cognition and quality of life. Alternative Therapies in Health Medicine, 12, 4047.Google Scholar
Polit, D. F. and Hungler, B. P. (1995). Nursing Research: Principles and Methods (5th edn). Philadelphia, PA: J. B. Lippincott.Google Scholar
Pulsford, D., Rushforth, D. and Connor, I. (2000). Woodlands therapy: an ethnographic analysis of a small-group therapeutic activity for people with moderate or severe dementia. Journal of Advanced Nursing, 32, 650657.Google Scholar
Ramaprabhu, V., Ramesh, L. B. and Kishore, K. D. (2009). The efficacy of a comprehensive lifestyle modification program based on yoga in the management of bronchial asthma: a randomized controlled trial. Pulmonary Medicine, 9, 112.Google Scholar
Ramos-Jimenez, A., Hernandez-Torres, R. P., Wall-Medrano, A., Munoz-Daw, M. D. J., Torres-Duran, P. V. and Juarez-Oropeza, M. A. (2009). Cardiovascular and metabolic effects of intensive hatha yoga training in middle-aged and older women from northern Mexico. International Journal of Yoga, 2, 4954.Google Scholar
Rikli, R. E. and Jones, C. J. (2001). Senior Fitness Test Manual. Champaign, IL: Human Kinetics.Google Scholar
Rolland, Y. et al. (2007). Exercise program for nursing home residents with Alzheimer's disease: a one-year randomized, control trial. Journal of the American Geriatrics Society, 55, 158165.Google Scholar
Tang, L. Y. (2006). The dilemma of dementia care in Taiwan. Journal of the Taipei Medical Association, 50, 5256.Google Scholar
Waelde, L. C. and Thompson, L. (2004). A pilot study of a yoga meditation intervention for dementia caregiver stress. Journal of Clinical Psychology, 60, 677687.Google Scholar
Wu, C. S. (2001). The reference sources and prospects of qigong yoga. Historical Monthly, 158, 7884.Google Scholar