The Efficacy and Safety of Physiotherapy in People with Dementia: A Systematic Review

J Alzheimers Dis. 2023;94(3):909-917. doi: 10.3233/JAD-230463.

Abstract

Background: Physiotherapy has become increasingly relevant as a new therapeutic intervention for dementia. However, it is unclear which interventions are the most suitable.

Objective: This study sought to summarize and critically appraise the evidence on physiotherapy interventions in dementia.

Methods: A systematic review conducted using CENTRAL, MEDLINE, and PEDro databases, from their inception to July 2022, identified all experimental studies of dementia that included physiotherapy interventions.

Results: Of 194 articles included, the most frequently used interventions were aerobic training (n = 82, 42%), strength training (n = 79, 41%), balance training (n = 48, 25%), and stretching (n = 22, 11%). These were associated with a positive effect on several motor and cognitive outcomes. A total number of 1,119 adverse events were reported.

Conclusion: Physiotherapy has several motor and cognitive benefits in dementia. Future research should focus on establishing a physiotherapy prescription protocol for people with mild cognitive impairment and for each stage of dementia.

Keywords: Alzheimer’s disease; clinical exercise; dementia; motor function; physiotherapy.

Publication types

  • Systematic Review

MeSH terms

  • Cognitive Dysfunction* / therapy
  • Dementia* / therapy
  • Humans
  • Physical Therapy Modalities
  • Resistance Training*