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Improvements in gait characteristics after intensive resistance and functional training in people with dementia: a randomised controlled trial


Schwenk, Michael, Zieschang, Tania, Englert, Stefan, Grewal, Gurtej, Najafi, Bijan, Hauer, Klaus


BMC Geriatrics, Volume: 14, Pages.: 73-73

Year of Publication



Background: Preventing and rehabilitating gait disorders in people with dementia during early disease stage is of high importance for staying independent and ambulating safely. However, the evidence gathered in randomized controlled trials (RCTs) on the effectiveness of exercise training for improving spatio-temporal gait parameters in people with dementia is scarce. The aim of the present study was to determine whether a specific, standardized training regimen can improve gait characteristics in people with dementia.; Methods: Sixty-one individuals (mean age: 81.9 years) with confirmed mild to moderate stage dementia took part in a 3-month double-blinded outpatient RCT. Subjects in the intervention group (IG) received supervised, progressive resistance and functional group training for 3 months (2 times per week for two hours) specifically developed for people with dementia. Subjects in the control group (CG) conducted a low-intensity motor placebo activity program. Gait characteristics were measured before and after the intervention period using a computerized gait analysis system (GAITRite®).; Results: Adherence to the intervention was excellent, averaging 91.9% in the IG and 94.4% in the CG. The exercise training significantly improved gait speed (P < 0.001), cadence (P = 0.002), stride length (P = 0.008), stride time (P = 0.001), and double support (P = 0.001) in the IG compared to the CG. Effect sizes were large for all gait parameters that improved significantly (Cohen's d: 0.80-1.27). No improvements were found for step width (P = 0.999), step time variability (P = 0.425) and Walk-Ratio (P = 0.554). Interestingly, low baseline motor status, but not cognitive status, predicted positive training response (relative change in gait speed from baseline).; Conclusion: The intensive, dementia-adjusted training was feasible and improved clinically meaningful gait variables in people with dementia. The exercise program may represent a model for preventing and rehabilitating gait deficits in the target group. Further research is required for improving specific gait characteristics such as gait variability in people with dementia.; Trial Registration: ISRCTN49243245.;

Bibtex Citation

@article{Schwenk_2014, doi = {10.1186/1471-2318-14-73}, url = {}, year = 2014, publisher = {Springer Nature}, volume = {14}, number = {1}, pages = {73}, author = {Michael Schwenk and Tania Zieschang and Stefan Englert and Gurtej Grewal and Bijan Najafi and Klaus Hauer}, title = {Improvements in gait characteristics after intensive resistance and functional training in people with dementia: a randomised controlled trial}, journal = {{BMC} Geriatr} }


aged, aged, 80 and over, and, dementia, double-blind method, early diagnosis, exercise therapy, female, gait, humans, length, male, methods, physiology, physiopathology, postural balance, psychology, resistance training, speed, therapy, time, treatment outcome, trends

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Randomised Controlled Trial

Type of Outcomes



Hospital Outpatient Care

Type of Interventions

Non-pharmacological Treatment

Non-Pharmaceutical Interventions

Exercise (inc. dancing)