Investigation of the Effects of Aerobic Exercise, Balance Exercise and Combined Exercise Practices on Frailty, Balance, Fall Risk, Reaction Time, Cognitive Functions and Quality of Life in Dementia Patients
Condition: Dementia; Aerobic Exercise; Balance Exercise; Cognitive Function; Frailty; Reaction Time
MeSH terms: Dementia; Frailty
Study type: Interventional

Summary: 
      Dementia is a clinical disorder characterized by progressive and permanent loss of multiple
      cognitive functions, especially memory, at a level that affects activities of daily living.
      There is no pharmacologic treatment method that can change the prognosis in dementia. The
      methods used today are symptomatic and cause various side effects. For this reason,
      non-pharmacologic approaches are on the agenda in the treatment of dementia. Among these
      approaches, physical activity approaches such as symptomatic treatment or exercise come to
      the forefront due to their prognosis-slowing effects. There are also many studies showing
      that dementia is directly related to physical performance and frailty. Deterioration of
      physical performance, increased frailty, and decreased muscle strength create a vicious
      circle with the prognosis of dementia. In addition, patients with dementia have balance
      problems due to prolonged reaction time, cognitive impairment and physical problems, and the
      risk of falls increases. In order to prevent the risk of falls, exercise practices are of
      great importance. Although the effects of aerobic exercise on dementia have been examined
      many times in the literature, there are very few studies examining the effects of balance
      exercises and combined exercises. In addition, physical characteristics such as frailty and
      muscle weakness, which are very common in patients with dementia, have not been evaluated as
      a whole in studies on patients with dementia. Therefore, this study will be conducted to
      comparatively examine the effects of combined aerobic exercise and balance exercises on
      balance and falls, frailty, muscle strength, cognitive functions, and reaction time in
      patients with dementia.
    


Intervention name(s): Aerobic Exercise; Balance Exercise; Combined Exercise
Intervention type(s): Other; Other; Other
Intervention description(s): The aerobic exercise program will be specially prepared for the participants and will aim to rhythmically exercise large muscle groups. The exercise will be performed twice a week for 6 weeks at 50-75% of maximum heart rate for 20-50 minutes per session. Each exercise will last 30-60 minutes in total, after adding 5 minutes of warm-up and 5 minutes of cool-down before and after the exercise. The participant's pulse will be monitored continuously during the exercise.; Balance exercises belonging to the Otago Exercise Program and other balance exercises used in the elderly will be prepared specifically for the participant and will be applied 2 days a week for 6 weeks in combination. Before and after the exercise, a 5-minute warm-up and 5-minute cool-down exercise will be performed.; In the combined exercise program, first balance exercises and then aerobic exercise program will be applied 2 days a week for 6 weeks.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment