28/08/2021
The biggest killer of women in Australia is Dementia and Alzheimer's disease! Dementia is the 2nd deadliest killer behind heart disease for all Australians π¦πΊ
In most cases, dementia occurs sporadically, besides a small minority of cases it is not directly caused by a single gene and has no clear pattern of family inheritance. Unfortunately in physiotherapy we don't have a proactive approach to dementia. We often see patients when their mobility has started to deteriorate. When we should be having discussions with patients in their 30s, 40s, 50s to start thinking about lifestyle changes for their 60s, 70s, 80s and beyond!
Brasure et al, (2018) found that resistance training in combination with functional training 2 times a week for 10 weeks had a 26% improvement in performing activities of daily living (ADLs). It was recommended older adults should exercise 2β3 times a week, using large muscle groups, for 30β60 minutes, with 2-minute rest between sets... resistance training intensity should be based on a percentage of estimated 1RM. Program onset should occur at 55% of 1RM (muscle endurance) and progress to higher intensities of 80% of 1RM (strength) as tolerated by the individual to maximise functional gains.
As physios we need to start thinking about when we hand an elderly patient a theraband or a prescribe a few sit to stand exercises, are we doing more harm than good? Even worse our aged care funding for physiotherapy is primarily based around passive interventions massage and TENS not resistance training and exercises! This is despite good quality research showing reduced rates of depression in aged care facilities with resistance training.
Put down the theraband, it's time to pick up the barbell!
Brasure, M., Desai, P., Davila, H., Nelson, V. A., Calvert, C., Jutkowitz, E., ... & Kane, R. L. (2018). Physical activity interventions in preventing cognitive decline and Alzheimer-type dementia: a systematic review. Annals of internal medicine, 168(1), 30-38.