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Physical Medicine and Rehabilitation Clinics of North America

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https://www.readbyqxmd.com/read/29031350/preface
#1
EDITORIAL
David A Soto-Quijano
No abstract text is available yet for this article.
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031349/aging-with-grace-dignity-and-courage-a-mission-for-physical-medicine-and-rehabilitation
#2
EDITORIAL
Santos F Martinez
No abstract text is available yet for this article.
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031348/foreword
#3
EDITORIAL
Thomas E Strax, Martha Sprowles
No abstract text is available yet for this article.
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031347/rehabilitation-needs-of-the-elder-with-traumatic-brain-injury
#4
REVIEW
Manuel F Mas, Amy Mathews, Ekua Gilbert-Baffoe
The incidence of traumatic brain injury (TBI) in older adults is increasing. As the expected life expectancy increases, there is a heightened need for comprehensive rehabilitation for this population. Elderly patients with TBI benefit from rehabilitation interventions at all stages of injury and can achieve functional gains during acute inpatient rehabilitation. Clinicians should be vigilant of unique characteristics of this population during inpatient rehabilitation, including vulnerability to polypharmacy, posttraumatic hydrocephalus, neuropsychiatric sequelae, sleep disturbances, and sensory deficits...
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031346/aging-with-spinal-cord-injury-an-update
#5
REVIEW
Joel E Frontera, Patrick Mollett
The 2016 National Spinal Cord Injury Statistical Center's Spinal Cord Injury (SCI) Facts and Figures reports approximately 17,000 new cases yearly, approximately 54 cases per million. The past 40 years has brought a significant change in patterns of injury. The average age has increased from 29 years in the 1970s to approximately 42 years currently; it is believed it has plateaued. Aging persons with SCI may have a higher risk of developing other medical complications. Studies report a perceived improvement in quality of life among persons with SCI with age, influenced by psychological, medical, and environmental factors...
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031345/rehabilitation-needs-of-the-elderly-patient-with-cancer
#6
REVIEW
Jesuel Padro-Guzman, Jennifer P Moody, Jessica L Au
Physiatrist taking care of the geriatric patient with cancer should be able to manage an array of conditions that might present from diagnosis throughout completion of treatments and beyond. The elderly cancer population is at greater risk of functional impairments. The physician should anticipate changes in clinical status and must adjust rehabilitation goals accordingly. Treatment options and rehabilitation goals should be tailored to help maximize quality of life in these patients.
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031344/clinical-considerations-for-the-use-lower-extremity-arthroplasty-in-the-elderly
#7
REVIEW
Antonio Otero-López, David Beaton-Comulada
There is an increase in the aging population that has led to a surge of reported cases of osteoarthritis and a greater demand for lower extremity arthroplasty. This article aims to review the current treatment options and expectations when considering lower extremity arthroplasty in the elderly patient with an emphasis on the following subjects: (1) updated clinical guidelines for the management of osteoarthritis in the lower extremity, (2) comorbidities and risk factors in the surgical patient, (3) preoperative evaluation and optimization of the surgical patient, (4) surgical approach and implant selection, and (5) rehabilitation and life after lower extremity arthroplasty...
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031343/musculoskeletal-injuries-and-regenerative-medicine-in-the-elderly-patient
#8
REVIEW
John C Cianca, Prathap Jayaram
Regenerative medicine has gained increasing popularity in its clinical applications, particularly in the field of musculoskeletal medicine. Regenerative medicine, a broad term, can be thought of as a particular medical strategy that strives to rebuild and restore diseased tissue to normal physiologic tissue baseline. Simply put, regenerative strategies augment the body's innate physiology to heal pathologic processes. This article focuses on specific regenerative strategies and the uses of them for common pathologies in the aging adult, including platelet-rich plasma, mesenchymal stem cells, viscosupplementation, and prolotherapy...
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031342/the-competitive-senior-athlete
#9
REVIEW
David A Soto-Quijano
Clinicians should discuss common health issues of the older population and how medical problems affect their sports performance. Patients with chronic conditions, such as hypertension and diabetes mellitus, benefit from participation in sports. However, special care should be taken to keep the patient healthy and minimize effects of these conditions and their treatments in athletic performance. Another important consideration in the older athlete is fluid ingestion and the increased risk of dehydration. There is evidence that physical exercise reduces pain in osteoarthritis and enhances physical function of affected joints...
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031341/nutritional-needs-of-the-older-adult
#10
REVIEW
Melissa Bernstein
Older adults are particularly vulnerable to compromised nutritional status. With advancing age, the consumption of a high-quality, nutritionally dense diet is increasingly essential to optimize health and well-being. Proportionally, macronutrient needs for older adults are similar to younger adults, however overall calorie requirements tend to decline with age. Unique factors influencing food intake should be considered and individualized guidance should be designed to help overcome medical, physical, and social barriers to a healthy diet...
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031340/clinical-pharmacology-and-the-risks-of-polypharmacy-in-the-geriatric-patient
#11
REVIEW
Jose Luis Pesante-Pinto
Elderly people have several characteristics that make them unique. They have several factors such as environmental factors and demographic factors such as age, sex, socioeconomic level, and schooling, which contribute to these differences being accentuated. As one ages, these various organic and systemic features are accentuated. The pace varies between people, and organs and systems suffer from several normal and adverse changes that make them more or less susceptible to diseases and injuries, and the medications are responsible for many of these threats...
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031339/balance-problems-and-fall-risks-in-the-elderly
#12
REVIEW
Ramon Cuevas-Trisan
Falls in the elderly are an increasing problem causing a high degree of morbidity, mortality, and use of health care services. Identification of risk factors through medical assessment supports the provision of appropriate interventions that reduce rates of falling. Evaluation and intervention strategies are generally challenging because of the complex and multifactorial nature of falls. The clinician should consider screening for falls an important part of the functional evaluation in older adults. Several potential interventions have proven helpful as preventive strategies...
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031338/normal-changes-in-gait-and-mobility-problems-in-the-elderly
#13
REVIEW
Maricarmen Cruz-Jimenez
There are normal physiologic changes that occur as people age. Gait and mobility are altered with aging, and these changes are a combination of alterations in the gait pattern and in the function of organs. Changes in gait are associated with functional decline, less independence, and impaired quality of life. Reduced walking speed is the most consistent age-related change, but there are other contributors to an altered gait: impaired balance and stability, lower extremity strength, and the fear of falling.
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031337/physiologic-changes-of-the-musculoskeletal-system-with-aging-a-brief-review
#14
REVIEW
Walter R Frontera
Aging is one of the important challenges of modern society. Advanced adult age is associated with changes in many physiologic systems. Of particular interest is the musculoskeletal system because it directly contributes to mobility and functional independence. Skeletal muscle mass and strength decline with age. These changes are mostly due to a reduction in the number of muscle fibers and cellular and molecular changes that reduce the force-generation process. Bone mass and architecture are compromised and may result in fractures...
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031336/psychosocial-issues-in-geriatric-rehabilitation
#15
REVIEW
Ricardo M Rodriguez
Geriatric patients present multiple age-related challenges and needs that must be taken into account during the rehabilitation process to achieve expected goals. This article examines the importance of identifying and managing psychosocial issues commonly observed in older adults and presents strategies to optimize their rehabilitation process. Depression, anxiety, fear of falling, adjustment issues, neurocognitive disorders, and caregiver support are discussed as a selection of factors that are relevant for geriatric patients undergoing rehabilitation...
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031335/can-we-increase-our-health-span
#16
REVIEW
Carlos E Rivera-Tavarez
The deterioration of physical and mental capabilities is inevitable with aging. Some hereditary factors cannot be changed, but other external factors can be manipulated to provide our body with better weapons to improve quality of life as we age. Different cellular pathways leading to cell deterioration and aging usually act through excessive oxidative damage and chronic inflammation. Suppression of inflammation is the most important driver of successful longevity and increases in importance with advancing age...
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031334/alternative-treatment-modalities-and-its-effect-in-older-populations
#17
REVIEW
Carlos E Rivera-Tavarez
Aging is an inevitable multifactorial process. Advances in health care and technology have led to an increase on expected life span that can reach an average of 90 years in the next few decades. Lifestyle changes that include activity, nutrition, stress management, and alternatives low-impact exercises like yoga and tai chi can help us modify some of these age-related changes and lead to an increase in the health span and quality of life of the older adults.
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031333/benefits-of-exercise-in-the-older-population
#18
REVIEW
Juan Galloza, Brenda Castillo, William Micheo
Older adults 65 years of age and older compose a great portion of the US population. Physiologic changes of aging that limit function and general quality of life occur at a faster rate as we get older. There is high-quality evidence that exercise activity has many favorable benefits for older adults. The ideal exercise program in older adults should include aerobic, resistance, flexibility, and balance training. The exercise recommendations should be individually tailored to the abilities, precautions, and goals of each person...
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/28676370/pelvic-pain
#19
EDITORIAL
Kelly M Scott
No abstract text is available yet for this article.
August 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/28676369/foreword
#20
EDITORIAL
Santos F Martinez
No abstract text is available yet for this article.
August 2017: Physical Medicine and Rehabilitation Clinics of North America
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