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Exercise-Based Pain Interventions for People with Dementia Using a Biopsychosocial-Environmental (BPSE) Model
Journal article   Open access   Peer reviewed

Exercise-Based Pain Interventions for People with Dementia Using a Biopsychosocial-Environmental (BPSE) Model

Annalisa Na, Joke Bradt, Gediminas Gliebus, Julie A. Fritz and Laura N Gitlin
Current geriatrics reports, v 14(1), 23
10 Nov 2025
PMID: 41229923
Featured in Collection :   Research Supported by Drexel Libraries' OA Programs
url
https://doi.org/10.1007/s13670-025-00450-1View
Published, Version of Record (VoR)Open Access via Drexel Libraries Read and Publish Program 2025CC BY V4.0 Open

Abstract

Pain Dementia Exercise Aging Mobility Comorbidity Dementia Occupational Therapy Rehabilitation or Therapy
Purpose of review To introduce the Biopsychosocial-Environmental (BPSE) model to guide an exercise intervention to address pain related to osteoarthritis (OA) among people living with dementia (PLWD). This review [1] synthesizes literature on the biological, psychological, social, and environmental aspects of pain from OA in the knee, neurodegeneration in PLWD, and exercise implications for these comorbidities, and [2] demonstrates the clinical utility of the BPSE model in designing tailored exercise interventions to manage knee OA pain in PLWD. Recent findings Research indicates that pain from knee OA and neurodegeneration from dementia interact across multiple factors, including psychological, social, and environmental. These factors compound the biological interactions of the comorbidities, further challenging function and quality of life. Summary The BPSE model provides a structured framework for tailoring exercise interventions to PLWDs’ interests and preserved abilities. Applying this model may improve pain management, mobility, and quality of life while informing future chronic disease management in PLWD.

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Collaboration types
Domestic collaboration
Web of Science research areas
Geriatrics & Gerontology
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