Title:

Effect of structured physical therapy program on patients with diabetes and mild cognitive impairment: randomised controlled trial

Creator:

Sewillam, Asmaa E. ; Hasan Sry, Zahra M. ; Salem, Naguib A. ; Ahmed Hussein, Ayat Allah Farouk ; Essmat, Ahmed ; Ali Abdeen, Heba Ahmed

Subject and Keywords:

diabetes mellitus ; cognitive dysfunction ; rehabilitation program ; mental status and dementia tests

Abstrakt:

Introduction. The mild cognitive impairment (MCI) refers to a condition that falls in between dementia and the normal cognitive ageing process. Aim of the study: to explore how a physical therapy rehabilitation program affected patients with type 2 dia-betes mellitus (T2DM) and MCI.Methods. The study included 37 elderly patients with T2DM and MCI from Al-Azhar University Hospital aged from 60 to 75 years old. After a physician’s referral, they were randomly allocated into two groups. Group A: 27 patients, underwent a three-session per week, 60-minute physical therapy rehabilitation program in addition to medical treatment. The twelve-week program also included resistive exercise, stretching exercises, and aerobic treadmill walking. The 10 patients in Group B only received medical treatment for a total of twelve weeks. Researchers assessed Glycosylated haemoglobin (HbA1c), the p300 neurophysiological test, Mini-Mental State Examination (MMSE) scale, and Montreal Cognitive Assessment (MOCA).Results. There were significantly decreased HbA1c and P300 post-treatment compared to pre-treatment within the study group (p = 0.0001 and p = 0.0001, respectively) and control group (p = 0.005 and p = 0.0001, respectively). The MOCA significantly increased post-treatment compared to pre-treatment within the study group, but there was no significant difference in the MOCA between pre- and post-treatment in the control group. The study group had decreased HbA1c, and increased MMS, MOCA, and P300 (13.72, 19.34, 18.7, and 7.2%, respectively) compared to the control group (11.06, 11.06, 9.3, 5.98%, respectively).Conclusions. Physical therapy rehabilitation programs are important in helping patients with T2DM for improving their memory and cognitive function as well as decreasing the MCI progression.

Publisher:

Wydawnictwo Akademii Wychowania Fizycznego im. Polskich Olimpijczyków we Wrocławiu

Place of publication:

Wrocław

Date:

2024

Resource Type:

artykuł

Language:

ang

Relation:

Physiotherapy Quarterly ; Physiotherapy Quarterly,2024,vol.32,nr2

Rights:

Wszystkie prawa zastrzeżone (Copyright)

Access Rights:

Dla wszystkich zgodnie z licencją

License:

CC BY-NC-ND 4.0

Rights Owner:

Wydawnictwo Akademii Wychowania Fizycznego im. Polskich Olimpijczyków we Wrocławiu