Integrating Health Promotion into Physical Therapy Practice to Improve Brain Health and Prevent Alzheimer Disease

Ellen McGough, Neva J Kirk-Sanchez, Teresa Liu-Ambrose

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background and Purpose: Alzheimer disease is the most common cause of dementia, and brain pathology appears years before symptoms are evident. Primary prevention through health promotion can incorporate lifestyle improvement across the lifespan. Risk factor assessment and identifying markers of disease might also trigger preventive measures needed for high-risk individuals and groups. Summary of Key Points: Many potential risk factors are modifiable through exercise, and may be responsive to early intervention strategies to reduce the downward slope toward disability. Through the use of common clinical tests to identify cognitive and noncognitive functional markers of disease, detection and intervention can occur at earlier stages, including preclinical stages of disease. Physical activity and exercise interventions to address modifiable risk factors and impairments can play a pivotal role in the prevention and delay of functional decline, ultimately reducing the incidence of dementia. This article discusses prevention, prediction, plasticity, and participation in the context of preserving brain health and preventing Alzheimer disease and related dementias in aging adults. Recommendations for Clinical Practice: Rehabilitation professionals have opportunities to slow disease progression through research, practice, and education initiatives. From a clinical perspective, interventions that target brain health through lifestyle changes and exercise interventions show promise for preventing stroke and associated neurovascular diseases in addition to dementia. Physical therapists are well positioned to integrate primary health promotion into practice for the prevention of dementia and other neurological conditions in older adults.

Original languageEnglish (US)
Pages (from-to)S55-S62
JournalJournal of Neurologic Physical Therapy
Volume41
DOIs
StatePublished - Jul 1 2017

Fingerprint

Health Promotion
Dementia
Alzheimer Disease
Exercise
Health
Brain
Life Style
Therapeutics
Professional Practice
Physical Therapists
Primary Prevention
Disease Progression
Rehabilitation
Stroke
Pathology
Education
Incidence
Research

Keywords

  • brain health
  • exercise
  • movement system
  • primary prevention

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology

Cite this

Integrating Health Promotion into Physical Therapy Practice to Improve Brain Health and Prevent Alzheimer Disease. / McGough, Ellen; Kirk-Sanchez, Neva J; Liu-Ambrose, Teresa.

In: Journal of Neurologic Physical Therapy, Vol. 41, 01.07.2017, p. S55-S62.

Research output: Contribution to journalArticle

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