A Randomized Controlled Trial of an Activity Specific Exercise Program for Individuals With Alzheimer Disease in Long-term Care Settings

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Objective:To determine whether an activity specific exercise program could improve ability to perform basic mobility activities in long-term care residents with Alzheimer disease (AD).Design:Randomized, controlled, single-blinded clinical trial.Setting:Residents of 7 long-term care facilities.Participants:Eighty-two long-term care residents with mild to severe AD.Intervention:An activity specific exercise program was compared to a walking program and to an attention control.Measurements:Ability to perform bed mobility and transfers was assessed using the subscales of the Acute Care Index of Function; functional mobility was measured using the 6-Minute Walk test.Results:Subjects receiving the activity specific exercise program improved in ability to perform transfers, whereas subjects in the other 2 groups declined.

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