วันพฤหัสบดีที่ 23 เมษายน พ.ศ. 2558

Major Project : Draft 2



                                                                                      Chomlak Kongart
ID: 5779051153
Major Project  : Draft 2

Effect of  Hatha –Yoga Program on a Group with Alzheimer Disease
1.      Summary of the paper with citation
Gallego et al. (2011) conducted effect of hatha-yoga on , flexibility and equilibrium was
evident. As people get older, these capacities are very important because articulations become
rigid, and it is more probable to fell. According to these was a patient who did not present any  
change, the only person who did not attend sessions and suffered more physical deterioration.
Some reported that Hatha-yoga poses increase flexibility (Terri L., Gibbons L., 2003).
Equilibrium and flexibility improvement make possible to improve in other aspects such as
Instrumental  functionality. From the caregivers report, it can be established that patients
started to get dressed and stand up, sit down faster; moreover, to go into or out of the car
more easily. Besides, these patients become tougher because they can  walk faster, get less
tired and have less possibility of falling down. In spite of the equilibrium poses difficulty,
participants got a good performance without  help. The healthy aged between 60 and 75 years
old have a prevalence ranging from 15% to 30% of having a fall. However, this percentage
increases in people over 71 years old. So, having a fall is one of the main causes of disability
in the aged (Manoux et al.,2005)
       One of the features of the program was precisely the simplicity of the instructions.
Additionally, repeated practice and visual feedback, which are the two variables that have
been considered as important in the relearning of motor skills people with dementia
(Chapman et al.,2005). In fact, Mangone(2004) suggest that because Alzheimer’s patients
have problem with episodic memory, constant and consistent practice is more effective for
the reason of the repeated execution of the same motor program does not require an intact
episodic memory, or other skills that can be  impaired in this population. The patients in this
program were able to acquire the movements positions by a constant repetition, without
showing awareness of learning from them. This ability of implicit learning, which is
preserved in Alzheimer’s patients, can be used as a starting point in non pharmacological
intervention programs.

2.Limitations or problems are listed and explained
       The following limitations are important to consider in work:
1.      To used hetero applied instruments. The person who answered pre-test and
post-test
2.      Home extra sessions were not developed by all the participants.
3.      Some instruments had a ceiling, which made it not possible to clarify quantitative
changes exactly
4.      There were not : waiting for a control group and aerobic control group.

3 Strength of this study are noted
            The strength of this research has shown that the underlying neuron anatomical system
Responsible for procedural memory is independent of declarative memory; and, therefore,
Patients with Alzheimer’s can acquire motor, perceptual and cognitive skills. Procedural
learning and implicit memory, kept until last stages of Alzheimer, is an opportunity of
learning a physical activity routine which implies the execution of motor skills. Changes
produced by skills practice are the result of moving from an attention processing situation
to an automatic processing one.

 Reference
Chapman D, Marshall S, Strine T, Anda R, Moore M (2005). Dementia and Its
Implication for public health.3: 1-3.
Mangone CA (2004) Clinical heterogeneity of Alzheimer’s disease. Different clinical
Profiles can predict the progression rate. Rev Neurol 38: 675-681.

Manoux A, Hillsdon M, Brunner E.(2005) Effects of physical activity on cognitive
Functioning in middle age: Evidence from the Whitehall II prospective cohort study.
        American Journal of Public Health; 95:2252-2258.

Teri L., Gibbon L.(2003) Exercise plus behavioral management in Patient with
        Alzheimer Disease. A randomized controlled trial. Journal of the American Medical
        Association; 290: 2015-2022.












วันพุธที่ 22 เมษายน พ.ศ. 2558

Major project



Major Project

Effect of  Hatha –Yoga Program on a Group with Alzheimer Disease
1.      Summary of the paper with citation
Yoga effect on mental health ,physical functioning, flexibility and equilibrium was
evident. As people get older, these capacities are very important because articulations become
rigid, and it is more probable to fell. According to these was a patient who did not present any  
change, the only person who did not attend sessions and suffered more physical deterioration.
Some reported that Hatha-yoga poses increase flexibility (Terri L., Gibbons L., 2003).
Equilibrium and flexibility improvement make possible to improve in other aspects such as
Instrumental  functionality. From the caregivers report, it can be established that patients
started to get dressed and stand up, sit down faster; moreover, to go into or out of the car
more easily. Besides, these patients become tougher because they can  walk faster, get less
tired and have less possibility of falling down. In spite of the equilibrium poses difficulty,
participants got a good performance without  help. The healthy aged between 60 and 75 years
old have a prevalence ranging from 15% to 30% of having a fall. However, this percentage
increases in people over 71 years old. So, having a fall is one of the main causes of disability
in the aged (Manoux et al.,2005)
       One of the features of the program was precisely the simplicity of the instructions.
Additionally, repeated practice and visual feedback, which are the two variables that have
been considered as important in the relearning of motor skills people with dementia
(Chapman et al.,2005). In fact, Mangone(2004) suggest that because Alzheimer’s patients
have problem with episodic memory, constant and consistent practice is more effective for
the reason of the repeated execution of the same motor program does not require an intact
episodic memory, or other skills that can be  impaired in this population. The patients in this
program were able to acquire the movements positions by a constant repetition, without
showing awareness of learning from them. This ability of implicit learning, which is
preserved in Alzheimer’s patients, can be used as a starting point in non pharmacological
intervention programs.

2.Limitations or problems are listed and explained
       The following limitations are important to consider in work:
1.      To used hetero applied instruments. The person who answered pre-test and
post-test
2.      Home extra sessions were not developed by all the participants.
3.      Some instruments had a ceiling, which made it not possible to clarify quantitative
changes exactly
4.      There were not : waiting for a control group and aerobic control group.

3 Strength of this study are noted
            The strength of this research has shown that the underlying neuron anatomical system
Responsible for procedural memory is independent of declarative memory; and, therefore,
Patients with Alzheimer’s can acquire motor, perceptual and cognitive skills. Procedural
learning and implicit memory, kept until last stages of Alzheimer, is an opportunity of
learning a physical activity routine which implies the execution of motor skills. Changes
produced by skills practice are the result of moving from an attention processing situation
to an automatic processing one.

 Reference
1.      Mangone CA (2004) Clinical heterogeneity of Alzheimer’s disease. Different clinical
Profiles can predict the progression rate. Rev Neurol 38: 675-681.

2.      Chapman D, Marshall S, Strine T, Anda R, Moore M (2005). Dementia and Its
Implication for public health.3: 1-3.












วันพฤหัสบดีที่ 26 กุมภาพันธ์ พ.ศ. 2558

Minor Project



Minor assignment
My research question is how to improves  balance in older adult with Thai yoga.     The incidence of accident in older adults is fall down because poor balance function, low ability to movement bring about to bedridden. The bedridden conduce to poor quality of life.  The solution of this problem is improve physical functioning with physical activities.
            Thai yoga is an alternative method that compare with other physical activities it’s suitable for older adults  because the process of Thai yoga use breath with slowly body movement  can improve mental health and physical functioning.
            Researchers who have to investigated at this subject are Chen et al. Oken et al. The former argues that result with yoga for older adults.
            Chen et al. (2008) argue that the older adults residing in assisted-living centers who engaged in 6 months of yoga reported an increase in overall physical fitness in cardio respiratory function, body composition,  range of motion, and the ability to sleep; improved daytime  function ; and decreased depression  compared to the control group.
            Oken et al. (2006) argue that improved flexibility, balance, energy level, emotional health  less anxiety and depression  ; moreover, sense of well being in older participants compared to the control group, though no significant improvement was reported for cognition or alertness.
            Debate center on the basic issue of  effective of Thai yoga to improve balance and physical functioning.
            My work will be closer to Chen’s because my experimental design is Quasi pattern. The quasi pattern have to use the intervention as Thai yoga in order to improve balance and physical functioning . This study will be conducting a controlled experiment to investigated whether if Chen’s advice is followed under 6 months period a treatment group will significantly improve in their balance and physical functioning.
            Hopefully my contribution will be to ensure a carefully controlled experiment is engage in compare a treatment group who are given Thai yoga with a control who are not.
Reference list
Chen, K. M., Hong, S.M., Chao, H., & Lin, H.(2008). Physical fitness older adults in senior activity after 24 week silver yoga exercises. Journal of Clinical Nursing, 17, 2634-2646.
Oken, B. S., Flegal, K., Dehen, C., & Hass, M.(2006). Randomized, controlled, six-month trial of yoga in healthy senior: Effects on cognition and quality of life. Alternatives therapies, 12, 40-47.
                                                                                          Chomlak  Kongart ID. 5779051153