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Movement with Meaning: A Multisensory Program for Individuals in Early-Stage Alzheimer's Disease

Those of us in the field of dementia care are reexamining our philosophical beliefs and exploring practical, hands-on approaches in our relationships with individuals living with Alzheimer's disease. We are creating innovative programs and developing a new framework for preserving the emotional health, autonomy, and dignity of those who need us to walk hand in hand with them, witnessing the process of their experiences with empathy and respect.

Have you ever been driving a car and suddenly you’re not sure what to do? You’re traveling along in usual automatic fashion and there comes a moment when you need to engage a new subroutine — say, you need to give way at an intersection, or you stall at the traffic lights, or you stop the car — and suddenly, you don’t know what to do. There’s a flash of panic, even while you’re thinking, “This is stupid, I’ve done this a thousand times”, and then, maybe it’s all right, maybe you have to take a moment to get your head in the right space, and ...

K. Anders Ericsson, the guru of research into expertise, makes a very convincing case for the absolutely critical importance of what he terms “deliberate practice”, and the minimal role of what is commonly termed “talent”. I have written about this question of talent and also about the principles of expertise. Here I would like to talk briefly about Ericsson’s concept of deliberate practice.

Keyword mnemonic

The one mnemonic strategy that has been investigated quite extensively by researchers is the keyword mnemonic. This has been used successfully in a variety of learning areas, but its chief use has been in the area of learning vocabulary.

The story method (sometimes called the sentence mnemonic) is the most easily learned list-mnemonic strategy, although it is not as widely known as the other simple methods we’ve talked about so far.

As its name suggests, the story method involves linking words to be learned in a story. While this is most obviously useful for learning actual lists, it can also be used for remembering the main points of a passage. In such a case, you need to reduce each point to a single word, which hopefully has the power to recall the whole point.

What are external memory aids?

External memory aids include such strategies as:

Except in the cases of stroke or traumatic brain injury, loss of cognitive function is not something that happens all at once. Cognitive impairment that comes with age may be thought of as belonging on a continuum, with one end being no cognitive impairment and the other end being dementia, of which Alzheimer's is the most common type.

The use of worked examples

We're all familiar, I'm sure, with the use of worked-out examples in mathematics teaching. Worked-out examples are often used to demonstrate problem-solving processes. They generally specify the steps needed to solve a problem in some detail. After working through such examples, students are usually given the same kind of problems to work through on their own. The strategy is generally helpful in teaching students to solve problems that are the same as the examples.

The Proto-Indo-European language (PIE) is the ultimate ancestor of many European and Indian languages. The word "proto" indicates it was spoken thousands of years in the past and we have no direct record of it. What we do have is the clear evidence in its descendant languages, from the consistent patterns in the way their words vary, that there was such an ancestor. Following these patterns, scholars have deduced a quite extensive vocabulary — but they are still reconstructed, not ‘real’ words. We can never know exactly how these words were pronounced, or precisely how they were used.

Prevalence of Parkinson's Disease

After Alzheimer's disease, the second most common neurodegenerative disorder is Parkinson’s disease. In the U.S., at least 500,000 are believed to have Parkinson’s, and about 50,000 new cases are diagnosed every year¹ (I have seen other estimates of 1 million and 1.5 million — and researchers saying the numbers are consistently over-estimated while others that they are consistently under-estimated!). In the U.K., the numbers are 120,000 and 10,000².