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2017 | 17 | 4 | 227–244
Article title

The effect of a training programme stimulating language functions on Alzheimer-type dementia and maintenance of language skills

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Title variants
PL
Wpływ programu stymulującego funkcje językowe na otępienie typu alzheimerowskiego i na utrzymanie sprawności językowych
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EN PL
Abstracts
EN
In dementia of the Alzheimer’s type, memory and language impairments coexist, occur early and aggravate with time. The aim of this study was to assess the effect of our proprietary language function stimulating programme on cognitive functions and the maintenance of language skills in patients with mild-to-moderate Alzheimer-type dementia as well as to evaluate the programme’s effectiveness depending on patients’ age, sex, education, severity of dementia and level of motivation. The intervention group (54 patients) and the control group (34 patients) were divided into subgroups according to the severity of dementia (mild/moderate). Tests such as the Mini-Mental State Examination, the Clock-Drawing Test, the Boston Naming Test and picture description were performed at 1, 3, 6, 9 and 12 months. In the course of 1 year, the Mini-Mental State Examination scores in the intervention group improved on average by 0.87 points, whilst in the control group they declined by 1.32 points over the same period of time. Statistically significant differences in the Clock-Drawing Test were found at 6 and 12 months, with the mean score differing by 0.98 and 1.35 points respectively across the groups. The score difference in the Boston Naming Test grew gradually. At 3 months it was 3.67 points, amounting to as much as 7.96 points at 12 months. For the picture description task, the mean scores at 12 months increased by 1.18 points in the intervention group in the mild dementia subgroup and by 0.66 points in the moderate dementia subgroup. In the control group, the scores decreased. The use of our proprietary training programme, specially designed to stimulate language functions in patients with mild-to-moderate Alzheimer-type dementia, facilitates the maintenance of general cognitive function and improvement of language skills, and its effectiveness increases with the patient’s motivation. This confirms the importance of supplementing non-pharmacological interventions used in Alzheimer-type dementia with language therapy programmes.
PL
W otępieniu alzheimerowskim zaburzenia pamięci i języka współwystępują ze sobą, pojawiają się wcześnie i narastają w czasie. Celem badań była ocena wpływu autorskiego programu stymulującego funkcje językowe na funkcje poznawcze i utrzymanie sprawności językowych u osób z łagodnym i umiarkowanym otępieniem alzheimerowskim, a także ocena skuteczności programu w zależności od wieku, płci, wykształcenia, stopnia zaawansowania otępienia i poziomu motywacji. Grupę badaną (54 osoby) i kontrolną (34 osoby) podzielono na podgrupy według stopnia otępienia (łagodne/umiarkowane). Testy – Krótka Skala Oceny Stanu Psychicznego, Test Rysowania Zegara, Bostoński Test Nazywania i opis ilustracji – przeprowadzono w 1., 3., 6., 9. i 12. miesiącu. W ciągu roku wynik w Krótkiej Skali Oceny Stanu Psychicznego w grupie badanej poprawił się średnio o 0,87, a w kontrolnej obniżył średnio o 1,32 punktu. Statystycznie istotne różnice w Teście Rysowania Zegara wystąpiły w 6. i 12. miesiącu – wynik między grupami różnił się odpowiednio o 0,98 i 1,35 punktu. Różnica w Bostońskim Teście Nazywania stopniowo się powiększała: w 3. miesiącu wynosiła 3,67, a w 12. miesiącu – już 7,96 punktu. W opisie ilustracji w 12. miesiącu średnie wyniki wzrosły w grupie badanej o 1,18 punktu w łagodnym i o 0,66 punktu w umiarkowanym otępieniu. W grupie kontrolnej stwierdzono obniżenie wyników. Stosowanie autorskiego programu stymulującego funkcje językowe u osób z łagodnym i umiarkowanym otępieniem alzheimerowskim przyczynia się do utrzymania ogólnych sprawności poznawczych i do poprawy sprawności językowych, co jest tym efektywniejsze, im wyższy jest poziom motywacji pacjentów. Potwierdza to znaczenie uzupełniania terapii pozafarmakologicznych stosowanych w otępieniu alzheimerowskim o językowe programy terapeutyczne.
Discipline
Publisher

Year
Volume
17
Issue
4
Pages
227–244
Physical description
Contributors
  • Department of Clinical Psychology and Psychoprophylaxis, Institute of Psychology, University of Szczecin, Szczecin, Poland, andrzej.potemkowski@wp.pl
author
  • Memory Disorders Treatment Centre, EuroMedis Medical Centre, Szczecin, Poland
  • Memory Disorders Treatment Centre, EuroMedis Medical Centre, Szczecin, Poland
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Document Type
article
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YADDA identifier
bwmeta1.element.psjd-f2af71f7-5519-4b09-885d-bae282184b29
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