@article{ref1,
title="Long-term home and community-based exercise programs improve function in community-dwelling older people with cognitive impairment: a systematic review",
journal="Journal of physiotherapy",
year="2016",
author="Lewis, Michelle and Peiris, Casey L. and Shields, Nancy",
volume="63",
number="1",
pages="23-29",
abstract="QUESTION: Do long-term (> 3 months) home or community-based exercise programs improve function, reduce falls and prevent hospital readmissions in older people with cognitive impairment? DESIGN: Systematic review and meta-analysis of randomised, controlled trials. Electronic databases (CINAHL, PubMed, Medline, Embase, AMED) were searched from the earliest date possible until March 2016. PARTICIPANTS: Older adults (≥ 65 years) with cognitive impairment living in the community. INTERVENTION: Supervised home or community-based exercise programs longer than 3 months. OUTCOME MEASURES: The primary outcomes were function (including balance and activities of daily living), falls and hospital readmissions. <br><br>RESULTS: Of 1011 studies identified, seven trials with 945 participants met the inclusion criteria. Compared with no intervention, long-term exercise programs improved functional independence in basic activities of daily living by a moderate and significant amount (SMD 0.77, 95% CI 0.17 to 1.37, I(2)=67%), and improved functional independence in instrumental activities of daily living by a small and significant amount (SMD 0.44, 95% CI 0.03 to 0.86, I(2)=42%). Long-term exercise improved balance (mean difference in functional reach test 5.2cm, 95% CI 0.5 to 9.9, I(2)=76%). Data from two individual trials suggest that long-term exercise programs also reduce falls in older people with cognitive impairment. However, there was limited reporting of the effect of exercise on hospital readmissions for this group of people. <br><br>CONCLUSIONS: Long-term home and community-based exercise programs improve function in older adults living in the community with cognitive impairment. Review registration: PROSPERO CRD42015029602. [Lewis M, Peiris CL, Shields N (2016) Long-term home and community-based exercise programs improve function in community-dwelling older people with cognitive impairment: a systematic review.Journal of PhysiotherapyXX: XX-XX]].<br><br>Copyright © 2016 Australian Physiotherapy Association. Published by Elsevier B.V. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="1836-9553",
doi="10.1016/j.jphys.2016.11.005",
url="http://dx.doi.org/10.1016/j.jphys.2016.11.005"
}