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Geriatrics AND Physical Therapy AND Strengthening

Ferdinand M Gerlach, Joachim Szecsenyi
BACKGROUND AND RESEARCH QUESTION: Pursuant to Section 73b, volume V of the German Social Security Code (SGB V), the agreement on family doctor-centred care (HzV), which went into effect in Baden-Wuerttemberg on July 1, 2008, provides for spatially inclusive and comprehensive medical coverage. The most important elements of the agreement are: the voluntary registration of family practices and patients, the strengthening of the coordinative function of family practices, the fulfilment of certain training, quality and qualification requirements, the standardised remuneration system and the use of specified practice software for billing and the prescription of drugs...
2013: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
Barbara Politynska, René J T van Rijsselt, Jolanta Lewko, Ian Philp, Daniella Figueiredo, Lilliana De Sousa
Quality assurance (QA) in gerontological and geriatric education programs is regarded as essential to maintain standards, strengthen accountability, improve readability of qualifications, and facilitate professional mobility. In this article the authors present a summary of international developments in QA and elaborate four international trends, including the pros and cons of QA. Furthermore, the authors focus on accreditation and credit transfer opportunities in vocational and academic education programs for primary care practitioners, including nurses, home care workers, social workers, physiotherapists, and family doctors involved in the care of older people in nine European countries and highlight changes that have occurred over the last decade...
2012: Gerontology & Geriatrics Education
N Kutay Ordu Gokkaya, Yesim Gokce-Kutsal, Pinar Borman, Esma Ceceli, Asuman Dogan, Sibel Eyigor, Hale Karapolat
PURPOSE: The aims of this study were to evaluate the effects of demographic and clinical determinants on pain and to investigate the possible risk factors that disrupt QoL. MATERIALS AND METHODS: The design of this research was a prospective study performed in tertiary care hospital-based physical medicine and rehabilitation departments. A comprehensive geriatric pain assessment (Geriatric Pain Scale, GPS) and health-related quality of life (HR-QOL) assessment (Nottingham Health Profile, NHP) were performed...
September 2012: Archives of Gerontology and Geriatrics
Katherine I Ites, Elizabeth J Anderson, Megan L Cahill, Jenny A Kearney, Emily C Post, Laura S Gilchrist
Diabetic Peripheral Neuropathy (DPN) is a complication of diabetes experienced by more than 30% of all diabetic patients. It causes decreased sensation, proprioception, reflexes, and strength in the lower extremities, leading to balance dysfunction. The purpose of this study was to assess the effectiveness of interventions used by physical therapists to minimize balance dysfunction in people with DPN. Currently, no systematic review exists that explores the effectiveness of these interventions. When conducting this systematic review, we searched the electronic databases CINAHL, EMBASE, Cochrane Review, and Medline using specific search terms for the period from inception of each database to June 2009...
July 2011: Journal of Geriatric Physical Therapy
Steven W Forbush, Terry Cox, Eric Wilson
STUDY DESIGN: Retrospective clinical case series. OBJECTIVE: To describe the management of 10 patients with advanced cervical spondyloarthrosis with radiculopathy, using manual therapy, intermittent mechanical cervical traction, and home exercises. BACKGROUND: Predictors and short-term outcomes of cervical radiculopathy have been published. These predictors have not been developed for, or applied to, geriatric patients with spondylitic radiculopathy...
October 2011: Journal of Orthopaedic and Sports Physical Therapy
Tony Szturm, Aimee L Betker, Zahra Moussavi, Ankur Desai, Valerie Goodman
BACKGROUND: Due to the many problems associated with reduced balance and mobility, providing an effective and engaging rehabilitation regimen is essential to progress recovery from impairments and to help prevent further degradation of motor skills. OBJECTIVES: The purpose of this study was to examine the feasibility and benefits of physical therapy based on a task-oriented approach delivered via an engaging, interactive video game paradigm. The intervention focused on performing targeted dynamic tasks, which included reactive balance controls and environmental interaction...
October 2011: Physical Therapy
Claire Peel, Cynthia J Brown, Amanda Lane, Elizabeth Milliken, Kinnery Patel
BACKGROUND AND PURPOSE: Falls are a common problem for older adults, often resulting in injury, fear of falling, and decreased quality of life. Fall risk can be decreased by modifying risk factors. Because many of the modifiable risk factors involve physical function, physical therapists play a key role in both risk factor assessment and intervention. The purpose of this study was to determine home health physical therapists' (1) knowledge of fall risk factors and interventions, and (2) practice patterns regarding assessment of fall risk...
2008: Journal of Geriatric Physical Therapy
Cheng-Ching Wang, Chi-Hua Yen, Wen-Chun Liao, Su-Chuan Yuan, Yu-Ru Chen, Meng-Chih Lee, Hsin-Ju Lu, Patricia Bloom
The elderly population will approach 20% within the next 20 years. This enhances the need for skilled and experienced health care providers. There is a critical need to strengthen gerontology curricula to prepare health-related professionals for a graying population. The purpose of this article is to investigate student satisfaction with the first National Project for Excellence in Gerontological Care Education (NPEGCE) in Taiwan. A cross-sectional design was used. A sample of 151 medical, nursing, and physical therapy students, who had enrolled in the NPEGCE and had taken at least one core course, completed a satisfaction questionnaire...
March 2010: Archives of Gerontology and Geriatrics
Katherine Beissner, Charles R Henderson, Maria Papaleontiou, Yelena Olkhovskaya, Janet Wigglesworth, M C Reid
BACKGROUND: Increasing evidence supports the use of cognitive-behavioral therapy (CBT) for patients with chronic pain. OBJECTIVE: This study determined whether physical therapists incorporate CBT techniques (eg, relaxation, activity pacing) when treating older patients with chronic pain, ascertained their interest in and barriers to using CBT, and identified participant-related factors associated with interest in CBT. DESIGN: This cross-sectional study used a telephone survey...
May 2009: Physical Therapy
Patricia A Adler, Beverly L Roberts
Tai Chi is a slow and gentle exercise that is suitable for older adults with chronic illness. This exercise offers the benefits of flexibility, muscle strengthening, and endurance training. Tai Chi has the capability of improving the health of elders without exacerbating existing impairments. Therefore, older adults may be more inclined to participate in and maintain an exercise program. The purpose of this article is to (1) compare Tai Chi to muscle-strengthening and aerobic exercise, (2) describe possible mechanisms for the effects of Tai Chi on factors that contribute to disability, and (3) identify nursing interventions to promote the use of Tai Chi...
March 2006: Orthopaedic Nursing
Anita Alonte Roma
BACKGROUND AND PURPOSE: The purpose of this case report is to highlight the Head Shake (HS) Sensory Organization Test (SOT) (HS-SOT) as an outcome measure in the rehabilitation of a patient with head movement provoked symptoms of dysequilibrium. Despite complaints of imbalance and head movement provoked symptoms, there are individuals who are able to score within normal limits on measures such as the SOT and Berg Functional Balance Test. The HS modification to the SOT can objectively identify abnormal vestibular inputs associated with head motion and maintaining balance...
2005: Journal of Geriatric Physical Therapy
Karen J Dodd, Meg E Morris
OBJECTIVES: To measure the amplitude and symmetry of lateral pelvic displacement (LPD) in patients with acute hemiparetic stroke; to assess the relationship between LPD and walking speed; and to quantify changes in LPD during 1- and 4-week intervals in the early stages of gait rehabilitation. DESIGN: LPD amplitude and symmetry were measured in stroke patients on admission to acute rehabilitation, 1 week later, and at 4-week follow-up. Performance was compared with sex-, height-, and age-matched control subjects...
August 2003: Archives of Physical Medicine and Rehabilitation
K Hauer, B Rost, K Rütschle, H Opitz, N Specht, P Bärtsch, P Oster, G Schlierf
OBJECTIVE: To determine the safety and efficacy of an exercise protocol designed to improve strength, mobility, and balance and to reduce subsequent falls in geriatric patients with a history of injurious falls. DESIGN: A randomized controlled 3-month intervention trial, with an additional 3-month follow-up. SETTING: Out-patient geriatric rehabilitation unit. PARTICIPANTS: Fifty-seven female geriatric patients (mean age 82 +/- 4...
January 2001: Journal of the American Geriatrics Society
J Werle, A Zimber
Falls can result in physical injuries as well as anxieties about falling and decreases in physical activities. For elderly osteoporotic people falls are a serious problem. In the progression of impairment the loss of bone density decreases the resistance of bone structure. Prevention of falls is therefore an important task for patients with osteoporosis. Numerous studies document the positive effects of physical activities and exercise on muscular strength, on balance, and gait; other studies focussed on the efficacy of intervention programs in consideration of the use of medication...
October 1999: Zeitschrift Für Gerontologie und Geriatrie
L F Teixeira-Salmela, S J Olney, S Nadeau, B Brouwer
OBJECTIVE: To evaluate the impact of a program of muscle strengthening and physical conditioning on impairment and disability in chronic stroke subjects. DESIGN: A randomized pretest and posttest control group, followed by a single-group pretest and posttest design. SUBJECTS: Thirteen community-dwelling stroke survivors of at least 9 months. INTERVENTION: A 10-week (3 days/week) program consisting of a warm-up, aerobic exercises, lower extremity muscle strengthening, and a cool-down...
October 1999: Archives of Physical Medicine and Rehabilitation
K D Hill, J M Dwyer, J A Schwarz, R D Helme
A Falls and Balance Clinic for the elderly has been developed with the aim of identifying those at risk of subsequent falls, and recommending intervention strategies to reduce this risk. The physical and functional status of 149 clients referred to the Clinic are reported. Neurological and musculoskeletal pathologies were identified as the cause of falls in the majority of clients. Measures of gait velocity and stride length, and ability to stand on one leg were markedly reduced compared with normative data for healthy elderly...
1994: Physiotherapy Canada. Physiothérapie Canada
J M Chandler, P W Duncan, G Kochersberger, S Studenski
BACKGROUND: Strength loss is strongly associated with functional decline and is reversible with exercise. The effect of increased strength on function has not been clearly established. The purpose of this study was to determine whether strength gain is associated with improvement in physical performance and disability. METHODS: One hundred functionally impaired community-dwelling men and women (77.6 +/- 7.6 yrs) were tested at baseline and outcome for lower extremity strength, physical performance, and disability...
January 1998: Archives of Physical Medicine and Rehabilitation
O Shirado
Aging is typically accompanied by gradual but progressive physiological changes and an increased prevalence of acute and chronic illness in any organs. Musculoskeltal system is one of the most involved organs in geriatric patients. Appropriate roles in geriatric rehabilitation for musculoskeltal disorders should be emphasized not only to treat the disorders, but also to prevent many complications cause by specific disease or injury. Representative management methods in geriatric rehabilitation are introduced in this section...
July 1997: [Hokkaido Igaku Zasshi] the Hokkaido Journal of Medical Science
G M Tibbitts
Approximately 30% of persons over age 65 who are independent and living on their own will fall each year. Falls in this age group result in a bone fracture 5% of the time and account for 250,000 hip fractures each year. Risk factors for falls involve both environmental hazards and host issues. Evaluation of the patient, his or her living conditions, and any personal unsafe behaviors can identify those at risk for falling. Efforts to prevent falls in the elderly have involved education, strengthening exercises, medication evaluation, and environmental improvements...
September 1996: Geriatrics
C MacKnight, K Rockwood
Elderly patients often have impaired balance and loss of mobility. Regular assessment of mobility status is essential to ensure that appropriate support is provided and to monitor recovery. Functions that should be assessed include mobility in bed, ability to rise to a sitting position, ability to transfer from bed to chair and in and out of a bathtub, balance, ambulation, and gait. Evaluation can be performed quickly at the patient's bedside. For some patients, stretching and strengthening exercises may help restore function...
March 1996: Postgraduate Medicine
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