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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

Content

Title variants

PL
Wpływ programu stymulującego funkcje językowe na otępienie typu alzheimerowskiego i na utrzymanie sprawności językowych

Languages of publication

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

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
author
  • Memory Disorders Treatment Centre, EuroMedis Medical Centre, Szczecin, Poland
  • Memory Disorders Treatment Centre, EuroMedis Medical Centre, Szczecin, Poland

References

  • Abrahams JP, Camp CJ: Maintenance and generalization of object naming training in anomia associated with degenerative dementia. Clin Gerontol 1993; 12: 57–72.
  • Amieva H, Jacqmin-Gadda H, Orgogozo JM et al.: The 9 year cognitive decline before dementia of the Alzheimer type: a prospective population-based study. Brain 2005; 128: 1093–1101.
  • Arkin SM: Alzheimer rehabilitation by students: interventions and outcomes. Neuropsychol Rehabil 2001; 11: 273–317.
  • Bayles KA: Language function in senile dementia. Brain Lang 1982; 16: 265–280.
  • Casarin FS, Branco L, Pereira N et al.: Rehabilitation of lexical and semantic communicative impairments: an overview of available approaches. Dement Neuropsychol 2014; 8: 266–277.
  • Castera M, Kuhn V, Medina F: Stimulating access to words in patients with Alzheimer’s disease. Ann Phys Rehabil Med 2016; 59 Suppl: e101.
  • Croot K, Nickels L, Laurence F et al.: Impairment- and activity/participation-directed interventions in progressive language impairment: clinical and theoretical issues. Aphasiology 2009; 23: 125–160.
  • Domagała A: Mowa we wczesnej fazie demencji typu Alzheimera. Logopedia 2003; 32: 105–126.
  • Domagała A: „Teraz i dawniej” – propozycja ćwiczeń logopedycznych dla pacjentów z otępieniem alzheimerowskim. Logopedia 2007; 36: 239–248.
  • Domagała A: The Fading Cues Method in logopedic diagnosis and therapy of dementia patients. Logopedia 2011; 39/40: 197–206.
  • Edwards JD, Xu H, Clark D et al.: The ACTIVE study: what we have learned and what is next? Cognitive training reduces incident dementia across ten years. Alzheimers Dement 2016; 12 (Suppl): P212.
  • Emery VO: Language impairment in dementia of the Alzheimer type: a hierarchical decline? Int J Psychiatry Med 2000; 30: 145–164.
  • Farina E, Mantovani F, Fioravanti R et al.: Evaluating two group programmes of cognitive training in mild-to-moderate AD: is there any difference between a ‘global’ stimulation and a ‘cognitive-specific’ one? Aging Ment Health 2006; 10: 211–218.
  • Fritsch T, McClendon MJ, Smyth KA et al.: Effects of educational attainment and occupational status on cognitive and functional decline in persons with Alzheimer-type dementia. Int Psychogeriatr 2002; 14: 347–363.
  • Gates NJ, Sachdev P: Is cognitive training an effective treatment for preclinical and early Alzheimer’s disease? J Alzheimers Dis 2014; 42 Suppl 4: S551–S559.
  • Harley TA, Jessiman LJ, MacAndrew SBG et al.: I don’t know what I know: evidence of preserved semantic knowledge but impaired metalinguistic knowledge in adults with probable Alzheimer’s disease. Aphasiology 2008; 22: 321–335.
  • Henry JD, Crawford JR, Phillips LH: Verbal fluency performance in dementia of the Alzheimer’s type: a meta-analysis. Neuropsychologia 2004; 42: 1212–1222.
  • Hort J, O’Brien JT, Gainotti G et al.; EFNS Scientist Panel on Dementia: EFNS guidelines for the diagnosis and management of Alzheimer’s disease. Eur J Neurol 2010; 17: 1236–1248.
  • Jelcic N, Cagnin A, Meneghello F et al.: Effects of lexical-semantic treatment on memory in early Alzheimer disease: an observerblinded randomized controlled trial. Neurorehabil Neural Repair 2012; 26: 949–956.
  • Mahendra N, Arkin S: Effects of four years of exercise, language, and social interventions on Alzheimer discourse. J Commun Disord 2003; 36: 395–422.
  • Nicholas M, Barth C, Obler LK et al.: Naming in normal aging and dementia of the Alzheimer’s type. In: Goodglass H, Wingfield A (eds.): Anomia: Neuroanatomical and Cognitive Correlates. Academic Press, San Diego, CA 1997: 166–188.
  • Nickels L: Therapy for naming disorders: revisiting, revising, and reviewing. Aphasiology 2002; 16: 935–979.
  • Orrell M, Woods B, Spector A: Should we use individual cognitive stimulation therapy to improve cognitive function in people with dementia? BMJ 2012; 344: e633.
  • Ousset PJ, Viallard G, Puel M et al.: Lexical therapy and episodic word learning in dementia of the Alzheimer type. Brain Lang 2002; 80: 14–20.
  • Quayhagen MP, Quayhagen M: Testing of a cognitive stimulation intervention for dementia caregiving dyads. Neuropsychol Rehabil 2001; 11: 319–332.
  • Quayhagen MP, Quayhagen M, Corbeil RR et al.: A dyadic remediation program for care recipients with dementia. Nurs Res 1995; 44: 153–159.
  • Ramström I: Linguistic development in Alzheimer’s disease: 12 months language training including use of a personal computer system: a pilot study. Dev Neurorehabil 2011; 14: 156–163.
  • Spector A, Orrell M, Hall L: Systematic review of neuropsychological outcomes in dementia from cognition-based psychological interventions. Dement Geriatr Cogn Disord 2012; 34: 244–255.
  • Spector A, Orrell M, Woods B: Cognitive Stimulation Therapy (CST): effects on different areas of cognitive function for people with dementia. Int J Geriatr Psychiatry 2010; 25: 1253–1258.
  • Szatloczki G, Hoffmann I, Vincze V et al.: Speaking in Alzheimer’s disease, is that an early sign? Importance of changes in language abilities in Alzheimer’s disease. Front Aging Neurosci 2015; 7: 195.
  • Ullman MT: Contributions of memory circuits to language: the declarative/procedural model. Cognition 2004; 92: 231–270.
  • Woods B, Aguirre E, Spector AE et al.: Cognitive stimulation to improve cognitive functioning in people with dementia. Cochrane Database Syst Rev 2012; (2): CD005562.
  • Yu F, Rose KM, Burgener SC et al.: Cognitive training for early-stage Alzheimer’s disease and dementia. J Getontol Nurs 2009; 35: 23–29.

Document Type

article

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.psjd-f2af71f7-5519-4b09-885d-bae282184b29
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