Stopping dementia in its tracks

By Lesley Dobson , Monday 12 December 2011

If you care for someone with dementia, a study suggests ways to make life better for both of you
CroquetMotor stimulation exercises, such as playing croquet, are shown to help patients living with Alzheimer's

While there is, as yet, no medical treatment that can cure dementia, a new study has shown that it is possible to stop its progress without using drugs. The German research team worked with 98 patients with dementia, in five nursing homes in Bavaria. 50 of these patients took part in the group therapy programme of regular behavioural and mental exercises, which happened six days a week for 12 months. The remaining 48 patients continued with their normal treatment. All 98 carried on taking their normal medication, and were able to take part in the usual nursing home activities.

The group therapy, known as MAKS, involved a variety of regular activities. The researchers started each session off with a 10-minute introduction where they talked about topics like happiness, or sang songs or hymns. They then went on to motor stimulation, playing games like bowling and croquet, or doing balancing exercises. Individual and group puzzles made up the cognitive stimulation element of the session, and they also practised ‘daily living’ activities, such as gardening, doing crafts and preparing snacks.

After a year, the researchers assessed members of both groups, using the Alzheimer’s Disease Assessment Scale (ADAS). Those in the MAKS group had kept the same level as they’d achieved a year before, and their ability to carry out daily living activities had stayed the same over those 12 months.

Professor Graessel, from Friedrich-Alexander-Universität Erlangen, who led the research, said “While we observed a better result for patients with mild to moderate dementia, the result of MAKS therapy on ADAS (cognitive function) was at least as good as treatment with cholinesterase inhibitors. Additionally we found that the effect on the patients’ ability to perform daily living tasks was twice as high as achieved by medication. This means that MAKS therapy is able to extend the quality of, and participation in, life for people with dementia within a nursing home environment.”

“Really what this is tapping into, is enabling most people with dementia, and particularly those in care homes, to do activities that they enjoy,” said Dr Anne Corbett, Research Communications Manager for the Alzheimer’s Society. “This is what we call person-centred care, which means that care is tailored and personalised to the person, and means they will have enjoyable moments throughout their day.

“There’s a lot of evidence that this is a really important aspect of caring for people with dementia. Although it’s a very difficult condition to treat and to care for, these people are still the same people they always were, their interests don’t tend to change and by working with them and their family, and developing a care package that works for them, it makes sense that their condition and their quality of life improves.

“In particular we can see the effects with people in a care home setting who have experienced behavioural symptoms, such as aggression and agitation, which are particularly difficult to deal with. We see that this personalisation of care is very effective in reducing the chance of someone having behavioural symptoms, and in managing those behavioural symptoms when they emerge.

“By improving care, we’ve seen that it can actually reduce the use of anti-psychotic drugs, which is absolutely a good thing.” But of course it’s up to the GP to decide when and if, it would be a good idea to reduce the amount of medication prescribed.

If you are looking after someone with dementia at home, it’s worth thinking about how you might adapt the study’s findings to your daily lives. You may well already be making an effort to talk about topics you know once interested the person you care for, but you could encourage visitors to do the same. Old photos can be a focus for conversation, as can other mementoes of the past, such as holiday souvenirs or sports trophies. “Physical activity can be really valuable to people with dementia,” said Dr Corbett. “It could be as simple as a walk in the garden, or if they’re able, they might enjoy dancing. It’s really about remembering who that person is, and keeping them interested.”

The study is published in the journal BMS Medicine.

Useful websites

Alzheimer’s Society

Alzheimer’s Research UK


The opinions expressed are those of the author and are not held by Saga unless specifically stated.

The material is for general information only and does not constitute investment, tax, legal, medical or other form of advice. You should not rely on this information to make (or refrain from making) any decisions. Always obtain independent, professional advice for your own particular situation.

Related

  • Family birthday

    Spot the signs of dementia

    Seeing a friend or family member after a gap, you may notice they don’t seem as mentally sharp as they were: what should you do?

    Read on

  • Dementia

    Who cares about dementia?

    The Government's dementia 'tsar' Professor Alistair Burns and care minister Paul Burstow are optimistic about the future for patients and carers. Rachel Carlyle reports

    Read on

  • Carer

    Ten tips for better dementia caring

    Sarah Reed, creator of reminiscence activity 'Many Happy Returns' on how to interact more successfully with people who have dementia

    Read on

  • Carer

    How to help a family living with dementia

    The Alzheimer's Society has put together this useful guide to helping people who are living with dementia.

    Read on

  • Care home patient speaking to staff member

    How a speech and language therapist could help

    An estimated one in five of us experiences difficulties in communication at some point in our lives. If you – or someone you care for - are one of them, a speech and language therapist can help you find your voice

    Read on

  • Health Club

    Health Club

    Free membership and free online assessment to see how healthy you could be.

    MORE DETAILS

  • HCP thumbnail

    Health Cash Plan

    You can claim up to 75% of your common everyday healthcare expenses including dental and optical treatments.

    MORE DETAILS

  • Saga Health Insurance

    Health insurance

    A comprehensive range of competitively priced HealthPlans. 3 months free when you pay by monthly Direct Debit.

    MORE DETAILS


  • Barbara Burrett

    Posted: Friday 16 December 2011

    I have been watching the TV programme 'Living with the Amish' and considering how happy and hard working the Amish community seem to be I wonder if any study had been done to see if the instances of dementia is lower among groups such as the Amish rather than our lifestyles. My reason for writing is that I strongly feel that our lifestyle play a part in some people getting this terrible disease whilst others don't.

  • Pam Lye

    Posted: Friday 16 December 2011

    In Scotland we have Alzheimer Scotland who give great support to people with dementia and their families. The Dementia Helpline is available 24 hours/7 days a week Tel no 08088083000

  • Paula Schuck

    Posted: Monday 12 December 2011

    Thisbis very important work. Thank you for sharing. I hope these findings will trickle down to every caregiver and LTC working with people who have dementia and Alzheimer's disease.


    @inkscrblr

COMMENTS

Type your comment here


 characters remaining.

Saga Magazine

For more fascinating stories and insightful articles, why not try Saga Magazine for just £1 for 3 issues.

Saga Magazine e-newsletter

Sign up to our free newsletter today

Subscribe to our weekly newsletter for all the latest recipes, gardening tips, prize draws, interviews and more delivered to your inbox every Friday.

Saga Magazine app

You can now read your Saga Magazine on a huge range of mobile devices - from the Kindle Fire to an iPhone or iPad.

Saga Magazine's 2014 calendar

Snap up your calendar for just £7.99

From deep midwinter to the heady days of summer, we've chosen 12 winners from our readers' stunning images. To see for yourself why they were chosen, buy your 2014 Saga Magazine calendar today.