Articles

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.

What is neurogenesis?

Neurogenesis — the creation of new brain cells — occurs of course at a great rate in the very young. For a long time, it was not thought to occur in adult brains — once you were grown, it was thought, all you could do was watch your brain cells die!

Adult neurogenesis (the creation of new brain cells in adult brains) was first discovered in 1965, but only recently has it been accepted as a general phenomenon that occurs in many species, including humans (1998).

One of the points I mention in my book on notetaking is that the very act of taking notes helps us remember — it’s not simply about providing yourself with a record. There are a number of reasons for this, but a recent study bears on one of them. The researchers were interested in whether physically writing by hand has a different effect than typing on a keyboard.

The two types of first-letter mnemonics

First-letter mnemonics are, as their name suggests, memory strategies that use the initial letters of words as aids to remembering. This can be an effective technique because initial letters are helpful retrieval cues, as anyone who has endeavored to remember something by mentally running through the letters of the alphabet can attest to.

There are two types of first-letter mnemonic:

There are two well-established strategies for remembering people’s names. The simplest basically involves paying attention. Most of the time our memory for someone’s name fails because we never created an effective memory code for it.

An easy strategy for improving your memory for names

We can dramatically improve our memory for names simply by:

There is a very common form of forgetfulness that is not really a failure of memory. When we get in our car to drive to place A and find ourselves instead on the road to the more familiar place B, this is not a failure of memory. When we clear the table and find ourselves putting the margarine in the dishwasher or the dirty plate in the fridge, this is not a failure of memory. When we go into a room intending to do one thing and do something else instead, this is not, really, a failure of memory.

The conventional view of brain development has been that most of this takes place in utero and in the first three years, with the further development continuing until the brain is fully mature at around 10-12 years of age. The turbulence of adolescent behavior has been deemed to be mostly caused by hormonal changes. Piaget, who identified four stages of cognitive development, assessed that his highest stage — that of formal, abstract reasoning — occurred around 13-14 years (although not everyone reaches this level, which requires appropriate education).

The effects of exercise on cognitive function in older adults

A number of studies in the past few years have provided evidence that physical exercise can ameliorate the effects of aging on the brain, in terms both of preventing or postponing dementia, and reducing the more normal age-related decline in cognitive function. The reasons for the effect are almost certainly multiple, for example:

Flashcards are cards with a word (or phrase) on one side and its translation on the other. You can buy ready-made flashcards, and these can certainly be helpful, particularly if you're inexperienced at learning another language. However, it is more effective if you make them yourself. Not only will the cards be customized to your own use, but the activity of selecting words and writing them down help you learn them.

As I said in my discussion of different scripts, Russian uses the Cyrillic alphabet. Here it is (the 3rd column shows the English counterpart):

А  а   a

Б  б   b

В  в   v

Г  г   g

Д  д   d

Е  е   ye