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Elderly and Physiotherapy

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https://www.readbyqxmd.com/read/30117054/the-effects-of-balance-training-on-balance-performance-and-functional-outcome-measures-following-total-knee-arthroplasty-a-systematic-review-and-meta-analysis
#1
REVIEW
Kenji Doma, Andrea Grant, Jodie Morris
BACKGROUND: Several studies have examined the effects of balance training in elderly individuals following total knee arthroplasty (TKA), although findings appear to be equivocal. OBJECTIVES: This systematic review and meta-analysis examined the effects of balance training on walking capacity, balance-specific performance and other functional outcome measures in elderly individuals following TKA. METHODS: Data sources: Pubmed, PEDro, Cinahl, SportDiscus, Scopus...
August 16, 2018: Sports Medicine
https://www.readbyqxmd.com/read/29870444/inability-of-older-adult-patients-with-hip-fracture-to-maintain-postoperative-weight-bearing-restrictions
#2
Christian Kammerlander, Daniel Pfeufer, Leonard Adolf Lisitano, Stefan Mehaffey, Wolfgang Böcker, Carl Neuerburg
BACKGROUND: For elderly trauma patients, a basic goal is early mobilization, as immobilization can trigger various complications, such as venous thromboembolism, pneumonia, urinary tract infections, and pressure ulcers. Although partial weight-bearing has been shown to significantly increase mortality compared with unrestricted weight-bearing, it remains a frequent recommendation of aftercare following lower-extremity fracture fixation. METHODS: An insole force sensor was used to measure true postoperative weight-bearing by patients ≥75 years of age treated for hip fracture compared with patients 18 to 40 years of age treated for ankle fracture...
June 6, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29528748/fragility-fractures-in-the-upper-limb-proximal-and-distal-humerus
#3
Shyam Kumar, Ulhas Sonar, Iqbal Singh
The incidence of fragility fractures of the humerus is increasing worldwide. Although clinicians are aware of fractures of hips and wrists, fractures of the shoulder and elbow do not receive much attention. A considerable proportion of the elderly population (estimated at 10-24%) is dependent on walking aids. A well-functioning and pain-free shoulder and elbow is essential for use of these aids. The impact of loss of mobility in the elderly is well known, hence the overall impact of these fractures on the individual can be considerable...
March 2, 2018: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/29478436/polyneuropathies
#4
Claudia Sommer, Christian Geber, Peter Young, Raimund Forst, Frank Birklein, Benedikt Schoser
BACKGROUND: Polyneuropathies (peripheral neuropathies) are the most common type of disorder of the peripheral nervous system in adults, and specifically in the elderly, with an estimated prevalence of 5-8%, depending on age. The options for treatment depend on the cause, which should therefore be identified as precisely as possible by an appropriate diagnostic evaluation. METHODS: This review is based on the current guidelines and on large-scale cohort studies and randomized, controlled trials published from 2000 to 2017, with an emphasis on non-hereditary types of polyneuropathy, that were retrieved by a selective search in PubMed...
February 9, 2018: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29372027/lumbar-burner-and-stinger-syndrome-in-an-elderly-athlete
#5
Veronika Wegener, Axel Stäbler, Volkmar Jansson, Christof Birkenmaier, Bernd Wegener
Burner or stinger syndrome is a rare sports injury caused by direct or indirect trauma during high-speed or contact sports mainly in young athletes. It affects peripheral nerves, plexus trunks or spinal nerve roots, causing paralysis, paresthesia and pain. We report the case of a 57-year-old male athlete suffering from burner syndrome related to a lumbar nerve root. He presented with prolonged pain and partial paralysis of the right leg after a skewed landing during the long jump. He was initially misdiagnosed since the first magnet resonance imaging was normal whereas electromyography showed denervation...
January 2018: Korean Journal of Pain
https://www.readbyqxmd.com/read/29281171/use-of-a-functional-mobility-measure-to-predict-discharge-destinations-for-patients-admitted-to-an-older-adult-rehabilitation-ward-a-feasibility-study
#6
Trish Tillson, Maheswaran Rohan, Peter J Larmer
OBJECTIVE: To investigate whether the discharge destination for older adults can be predicted using functional mobility as measured by the Modified Elderly Mobility Scale (MEMS), associated with demographic and primary reason for admission variables. METHODS: A retrospective cohort population audit of 257 patients admitted and discharged from four tertiary older adult rehabilitation wards in a three-month period. A number of predictor variables were considered alongside the discharge destination...
March 2018: Australasian Journal on Ageing
https://www.readbyqxmd.com/read/29273048/propel-implementation-of-an-evidence-based-pelvic-floor-muscle-training-intervention-for-women-with-pelvic-organ-prolapse-a-realist-evaluation-and-outcomes-study-protocol
#7
Margaret Maxwell, Karen Semple, Sarah Wane, Andrew Elders, Edward Duncan, Purva Abhyankar, Joyce Wilkinson, Douglas Tincello, Eileen Calveley, Mary MacFarlane, Doreen McClurg, Karen Guerrero, Helen Mason, Suzanne Hagen
BACKGROUND: Pelvic Organ Prolapse (POP) is estimated to affect 41%-50% of women aged over 40. Findings from the multi-centre randomised controlled "Pelvic Organ Prolapse PhysiotherapY" (POPPY) trial showed that individualised pelvic floor muscle training (PFMT) was effective in reducing symptoms of prolapse, improved quality of life and showed clear potential to be cost-effective. However, provision of PFMT for prolapse continues to vary across the UK, with limited numbers of women's health physiotherapists specialising in its delivery...
December 22, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29239677/effects-of-kinect-adventures-games-versus-conventional-physical-therapy-on-postural-control-in-elderly-people-a-randomized-controlled-trial
#8
Jéssica Maria Ribeiro Bacha, Gisele Cristine Vieira Gomes, Tatiana Beline de Freitas, Larissa Alamino Pereira Viveiro, Keyte Guedes da Silva, Géssika Costa Bueno, Eliana Maria Varise, Camila Torriani-Pasin, Angélica Castilho Alonso, Natalia Mariana Silva Luna, Júlia Maria D'Andrea Greve, José Eduardo Pompeu
OBJECTIVE: To compare the effectiveness of Kinect Adventures games versus conventional physiotherapy to improve postural control (PC), gait, cardiorespiratory fitness, and cognition of the elderly. In addition, we evaluated the safety, acceptability, and adherence to the interventions. MATERIALS AND METHODS: The study was a randomized clinical trial in which 46 elderly individuals were selected, mean age 69.3 (5.34) years. Participants were allocated to the Kinect Adventures Training Group (KATG) or the Conventional Physical Therapy Group (CPTG), 23 individuals in each group...
February 2018: Games for Health
https://www.readbyqxmd.com/read/29198056/clinical-impact-of-recovery-room-on-post-operative-walking-performance-in-elderly-patients-submitted-to-hip-surgery-a-real-world-analysis
#9
Duccio Conti, Piercarlo Ballo, Laura Salucci, Enrico Benvenuti, Lorena Metrangolo, Riccardo Barucci, Chiara Giulietti, Sante Giardini, Rossana Boccalini, Giovanni Maria Santoro, Armando Sarti
BACKGROUND: Strategies aimed at favouring functional recovery after surgery for hip fracture may be of clinical importance. AIMS: To test the clinical utility of a recovery room (RR) in terms of postoperative walking performance in an elderly population submitted to hip fracture surgery. METHODS: Postoperative walking performance at rollator was assessed in 242 consecutive orthogeriatric patients able to follow the institutional physiotherapy protocol starting on day 1 after hip surgery...
August 2018: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29189083/effectiveness-of-physiotherapy-in-elderly-patients-with-dementia-a-prospective-comparative-analysis
#10
Joanna Kowalska, Justyna Mazurek, Natalia Kubasik, Joanna Rymaszewska
BACKGROUND: The aim of this study was to assess the efficacy of physiotherapy in nursing home patients with comorbid dementia. MATERIALS AND METHODS: The study group consisted of 88 patients, including 48 people with dementia and 40 people without dementia. Before and after physiotherapy, the Mini Mental State Examination and Barthel Index were used. RESULTS: Elderly patients without dementia achieved a greater improvement in functional status...
November 30, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29125861/identification-of-hospitalized-elderly-patients-at-risk-for-adverse-in-hospital-outcomes-in-a-university-orthopedics-and-trauma-surgery-environment
#11
Janine Gronewold, Christian Dahlmann, Marcus Jäger, Dirk M Hermann
BACKGROUND: As a consequence of demographic changes, hospitals are confronted with increasing numbers of elderly patients, who are at high risk of adverse events during hospitalization. Geriatric risk screening followed by comprehensive geriatric assessment (CGA) and treatment has been requested by geriatric societies and task forces to identify patients at risk. Since empirical evidence on factors predisposing to adverse hospital events is scarce, we now prospectively evaluated implications of geriatric risk screening followed by CGA in a university hospital department of orthopedics and trauma surgery...
2017: PloS One
https://www.readbyqxmd.com/read/29085414/burden-and-factors-associated-with-post-stroke-depression-in-east-central-nigeria
#12
Sam Chidi Ibeneme, Akachukwu Nwosu, Canice Chukwudi Anyachukwu, Georgian C Ibeneme, Muideen O Bakare, Gerhard Fortwengel, Dnyanesh Limaye
OBJECTIVE: To determine the burden and factors associated with post-stroke depression in East central Nigeria. METHOD: We carried out this cross-sectional study of 50 stroke survivors (mean age=54.8 ± 8.8 years), at the physiotherapy Department of the University of Nigeria Teaching Hospital, Enugu. Data were collected using Becks Depression Inventory , it was analyzed using Z-scores, Chi-square test and univariate logistic regression. RESULTS: PSD was more common in females (45...
September 2017: African Health Sciences
https://www.readbyqxmd.com/read/29064032/-shoulder-dislocations-in-elderly-patients
#13
REVIEW
N Hawi, D Ratuszny, E Liodakis, M Omar, C Krettek, R Meller
In contrast to shoulder dislocations in younger patients, anterior shoulder dislocation in the elderly is often associated with concomitant injuries to the rotator cuff and fractures. There is also frequent involvement of the brachial plexus or peripheral nerves. After closed reduction and a short period of immobilization, physiotherapy should be performed to restore mobility and strength. The evaluation of the rotator cuff is essential for further treatment decisions. The majority of patients are classically treated conservatively...
February 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29062210/evaluation-of-outcome-of-proximal-femur-locking-compression-plate-pflcp-in-unstable-proximal-femur-fractures
#14
Malkesh D Shah, Chirag S Kapoor, Rishit J Soni, Jagdish J Patwa, Paresh P Golwala
INTRODUCTION: Pertrochanteric fractures are most frequent factures of the proximal femur, accounts for nearly 50% of all proximal femur fractures and are most devastating and also a major cause of disability in elderly. The aim and objective of this study was to evaluate the role of proximal femoral locking compression plate in unstable proximal femur fractures. MATERIAL AND METHOD: A total of 20 cases were included in our study (M:F - 16:4), who suffered proximal femur fracture due to various modalities and all of them were operated using proximal femoral locking compression plate...
October 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29025696/usability-test-of-exercise-games-designed-for-rehabilitation-of-elderly-patients-after-hip-replacement-surgery-pilot-study
#15
Yun Ling, Louis P Ter Meer, Zerrin Yumak, Remco C Veltkamp
BACKGROUND: Patients who receive rehabilitation after hip replacement surgery are shown to have increased muscle strength and better functional performance. However, traditional physiotherapy is often tedious and leads to poor adherence. Exercise games, provide ways for increasing the engagement of elderly patients and increase the uptake of rehabilitation exercises. OBJECTIVE: The objective of this study was to evaluate Fietsgame (Dutch for cycling game), which translates existing rehabilitation exercises into fun exercise games...
October 12, 2017: JMIR Serious Games
https://www.readbyqxmd.com/read/28849886/-age-aspects-of-the-muscular-tonic-and-urological-syndromes-in-men-with-disorders-of-the-pelvic-functions-the-features-of-clinic-diagnostics-treatment
#16
V S Myakotnykh, V V Tretyakov, A A Balbert
A comparative examination of 100 patients at different ages, suffering from disorders of micturition, erectile function and pelvic pain, identified age-related peculiarities of these pathological manifestations. Irritative disorders of urination was detected significantly more frequently among persons of young and middle age than the elderly, and obstructive-related disorders were more frequent in the elderly. In elderly and senile age more prevalent was reducing of the contractility of the detrusor, and at a younger age - increased tone of striated sphincter of the urethra and bladder hyperactivity...
2017: Advances in Gerontology, Uspekhi Gerontologii
https://www.readbyqxmd.com/read/28836338/analysis-of-autonomic-modulation-of-heart-rate-in-patients-with-parkinson-s-disease-and-elderly-individuals-submitted-to-game-therapy-training
#17
Rodrigo Santiago Barbosa Rocha, Larissa Salgado De Oliveira Rocha, Elza Sara Maués Pena, Laiz Cristinna Ponce Caldas, Marlene Aparecida Moreno
AIM: Elderly patients and individuals with Parkinson's disease have a reduction in autonomic heart rate modulation, which may influence the survival of these patients, and rehabilitation can minimize this event. We tested the hypothesis that rehabilitation protocol with game console would influence the cardiac autonomic modulation of patients with Parkinson's Disease. METHODS: Eight-seven volunteers were divided into two groups, control (n = 45) and Parkinson's (n = 42), they completed the study 40 volunteers in the control group (CG) and 31 patients in the Parkinson group (PG), and subjected to 24 sessions of game therapy physiotherapy, thrice a week...
January 2018: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28830417/empirical-advances-with-text-mining-of-electronic-health-records
#18
MULTICENTER STUDY
T Delespierre, P Denormandie, A Bar-Hen, L Josseran
BACKGROUND: Korian is a private group specializing in medical accommodations for elderly and dependent people. A professional data warehouse (DWH) established in 2010 hosts all of the residents' data. Inside this information system (IS), clinical narratives (CNs) were used only by medical staff as a residents' care linking tool. The objective of this study was to show that, through qualitative and quantitative textual analysis of a relatively small physiotherapy and well-defined CN sample, it was possible to build a physiotherapy corpus and, through this process, generate a new body of knowledge by adding relevant information to describe the residents' care and lives...
August 22, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28802772/effectiveness-of-a-combined-exercise-training-and-home-based-walking-programme-on-physical-activity-compared-with-standard-medical-care-in-moderate-copd-a-randomised-controlled-trial
#19
P de Roos, C Lucas, J H Strijbos, E van Trijffel
OBJECTIVE: To estimate the effectiveness of a 10-week combined exercise training and home-based walking programme on daily physical activity (PA) compared with standard medical care in patients with moderate chronic obstructive pulmonary disease (COPD). DESIGN: Randomised controlled trial. SETTING: Primary care physiotherapy. PARTICIPANTS: Consecutive patients with stable COPD at Gold Stage II with a score of two or more on the Medical Research Council Dyspnoea Scale...
March 2018: Physiotherapy
https://www.readbyqxmd.com/read/28800481/effects-of-whole-body-vibration-on-postural-control-in-elderly-an-update-of-a-systematic-review-and-meta-analysis
#20
REVIEW
Slavko Rogan, Jan Taeymans, Lorenz Radlinger, Sandro Naepflin, Stefan Ruppen, Yvonne Bruelhart, Roger Hilfiker
The aim of this systematic review and meta-analysis was to offer an updated overview of the current studies on all types of whole-body vibration (WBV), to determine the effects of WBV on balance in Go-Go (active, independent), Slow-Go (some physical activity limitations) and No-Go (in need of care) elderly and to provide recommendations on available evidence on WBV for clinicians and researchers. An electronic literature search was conducted in PubMed, Cochrane Register of Controlled Trials, Physiotherapy Evidence Database (PEDro) and CINAHL (Ebsco Host) to identify studies on WBV therapy in Go-Goes, Slow-Goes and No-Goes...
November 2017: Archives of Gerontology and Geriatrics
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