Paired integrative exercise for people with dementia and caregiviers (paired plié study)

We have recently developed a novel, multi-modal, group movement program for people with mild to moderate dementia and their primary caregivers called the Paired PLIÉ (Preventing Loss of Independence through Exercise) Program. The program is offered in community classes taught by trained exercise instructors to dyads of affected individuals with their caregivers. Paired PLIÉ is grounded in neuroscience and focuses on abilities that are relatively well-maintained in people with dementia (procedural ‘muscle’ memory, mindful body awareness, social connection). We have performed two pilot studies of 4 dyads each. The first pilot study met two days/week for 12 weeks followed by 3 monthly refresher classes. Study participants indicated that they preferred ongoing classes; therefore, the second pilot study met two days/week for 8 weeks followed by weekly classes for another 8 weeks. Qualitative results suggest noticeable improvements in physical function (ability to sit and stand), cognitive function (ability to express thoughts and feelings) and social function (ability to connect with others in a group setting) in affected individuals and greater acceptance and engagement in caregivers. Data analyses are ongoing. At the end of the second pilot study, all participants requested to continue the classes on a weekly basis. A larger randomized, controlled trial of the Paired PLIE program will begin in August, 2016.