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hand therapy, geriatrics, rehabilitation

P Merloz
Proximal femoral fracture in elderly subjects is a major event that is life-threatening in the medium-to-long term. Advanced age, male gender and number of comorbidities largely account for high mortality and require geriatric expertise. Protein-energy malnutrition and bone demineralization increase mortality. Mortality can, on the other hand, be reduced by acting on two variables accessible to medical intervention: daily activities and nutritional status. Functional and neurocognitive assessment allow the risk of dependency to be evaluated, and global geriatric work-up can prevent sudden breakdown of homeostasis...
February 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Richard M Hinds, Matthew R Garner, Wesley H Tran, Lionel E Lazaro, Joshua S Dines, Dean G Lorich
BACKGROUND: Osteosynthesis of proximal humeral fractures is challenging in geriatric patients. The purpose of this investigation was to compare postoperative clinical outcomes between cohorts of geriatric (aged ≥65 years) and non-geriatric proximal humeral fracture patients treated via locked plating with endosteal fibular strut allograft augmentation. METHODS: From March 2007 to January 2013, 71 adult patients with 2-, 3-, and 4-part proximal humeral fractures according to the Neer classification underwent osteosynthesis with locked plating and fibular allograft augmentation and had at least 12 months of clinical follow-up...
June 2015: Journal of Shoulder and Elbow Surgery
K Kroeger, B Luther
In the future vascular medicine will still have a great impact on health of people. It should be noted that the aging of the population does not lead to a dramatic increase in patient numbers, but will be associated with a changing spectrum of co-morbidities. In addition, vascular medical research has to include the intensive care special features of vascular patients, the involvement of vascular medicine in a holistic concept of fast-track surgery, a geriatric-oriented intensive monitoring and early geriatric rehabilitation...
October 2014: Zentralblatt Für Chirurgie
R Garrett, R Salcido
Shoulder dysfunction is a common but complex clinical problem among the aged. The shoulder is a diarthrodial joint that is designed to complement the elbow and wrist in stabilizing the arm and the hand. This complex joint has the greatest range of motion (ROM) of any joint in the human body. Unfortunately, the aging process increases the shoulder's vulnerability to many pathological conditions that decrease its ROM and interfere with self-care tasks. While initial therapy is typically managed by the primary care physician, the complexity of this problem often requires consultation across disciplines to assure pertinent management...
January 1, 1994: Journal of Back and Musculoskeletal Rehabilitation
A Kubicki, F Bonnetblanc, G Petrement, F Mourey
BACKGROUND: Postural control associated with self-paced movement is critical for balance in frail older adults. The present work aimed to investigate the effects of a 2D virtual reality-based program on postural control associated with rapid arm movement in this population. METHODS: Participants in an upright standing position performed rapid arm-raising movements towards a target. Practice-related changes were assessed by pre- and post-test comparisons of hand kinematics and centre-of-pressure (CoP) displacement parameters measured in a training group and a control group...
January 2014: Neurophysiologie Clinique, Clinical Neurophysiology
E Marzetti, A Rabini, G Piccinini, D B Piazzini, M C Vulpiani, M Vetrano, A Specchia, G Ferriero, C Bertolini, V M Saraceni
BACKGROUND: Traditional rehabilitation improves pain and function in patients with shoulder impingement syndrome. Neurocognitive rehabilitation has shown to be highly effective after surgical reconstruction of the anterior cruciate ligament. However, its effects in patients with shoulder impingement syndrome have not yet been established. AIM: The aim of the study was to compare the effects of neurocognitive therapeutic exercise, based on proprioception and neuromuscular control, on pain and function in comparison to traditional therapeutic exercise in patients with shoulder impingement syndrome...
June 2014: European Journal of Physical and Rehabilitation Medicine
Kenji Takeda, Kenichi Meguro, Naofumi Tanaka, Masahiro Nakatsuka
We present a patient with no dementia, depression or apathy, who had difficulty in learning self-exercise instructions. The patient was an 80-year-old right-handed woman who was admitted to a rehabilitation unit to receive postoperative rehabilitation after a femoral neck fracture. She was instructed quadriceps isometric exercises to perform 10 repetitions and to hold each stretch for 10 s. She performed the exercise correctly with motivation, but she had difficulty in learning the number of repetitions and the duration of each stretch...
2013: BMJ Case Reports
Paul T Engels, Andrew N Beckett, Gordon D Rubenfeld, Hans Kreder, Joel A Finkelstein, Leodante da Costa, Giuseppe Papia, Sandro B Rizoli, Homer C Tien
OBJECTIVES: To 1) review the existing evidence for early mobilization of the critically ill patients in the ICU with polytrauma; 2) provide intensivists with an introduction to the biomechanics, physiology, and nomenclature of injuries; 3) summarize the evidence for early mobilization in each anatomic area; and 4) provide recommendations for the mobilization of these patients. DATA SOURCES: A literature search of the MEDLINE and EMBASE databases for articles published in English between 1980 and 2011...
July 2013: Critical Care Medicine
Anne Marie Beck, Stine Kjær, Birthe Stenbæk Hansen, Rikke Lunau Storm, Kirsten Thal-Jantzen, Christian Bitz
OBJECTIVE: To assess the additional benefits of individualized nutritional counselling by a registered dietitian in geriatric patients' home after discharge from hospital, in relation to risk of re-admissions, functional status, nutritional status, use of social services and mortality. DESIGN: Twelve-week single-blind randomized controlled study. SETTING AND SUBJECTS: Geriatric medical patients (65+ years) at nutritional risk. INTERVENTIONS: Participants were randomly allocated to receive a visit in their homes, either three individualized nutritional counselling by a registered dietitian complemented with three follow-up visits by general practitioners or three follow-up visits by general practitioners alone...
June 2013: Clinical Rehabilitation
Roland Kunz
Palliative care and geriatrics share many ideas and concepts: both intend to imporve quality of life, both focus on more than the physical domain, and both work in a multiprofessional team. More and more the elderly person attracts notice by palliative care. In multimorbid geriatric patients intentions to cure and to care go alongside sometimes over years in a fragile equilibrium and with uncertain prognosis. Therefore principals of palliative care and geriatrics meet at its best in these patients: improving function plays a major role in any symptom management; how to deal with cognitively impaired patients can be learned from geriatrics; various approaches from curative, palliative and rehabilitative often go hand in hand; decision making is a permanent and sophisticated task in all patients due to prognosis and multimorbidity...
February 2012: Therapeutische Umschau. Revue Thérapeutique
H Burkhardt, M Burger
BACKGROUND: Geriatric assessment and treatment including an interdisciplinary team is a well accepted method to improve functionality and mortality in the elderly. Nevertheless, only little evidence and limited data are available concerning the outcome of this approach in an acute care setting and early rehabilitation. PATIENTS AND METHODS: All patients included in a comprehensive geriatric program within 1 year were eligible for inclusion in a retrospective chart analysis...
February 2012: Zeitschrift Für Gerontologie und Geriatrie
Nancye M Peel, Trevor G Russell, Leonard C Gray
OBJECTIVE: This pilot study trialled an in-home videoconferencing system to determine the feasibility of delivering rehabilitation services remotely to aged clients. METHODS: Patients approved for community-based transition care were prospectively recruited to trial the eHAB™ video-conferencing system. Staff completed patient logs to record reasons for patient exclusion/inclusion. A staff satisfaction survey recorded qualitative feedback on the operation of eHAB™...
March 2011: Journal of Rehabilitation Medicine
Ann M Hammer, Birgitta Lindmark
BACKGROUND AND OBJECTIVE: Following stroke, it is common to exhibit motor impairments and decreased use of the upper limb. The objective of the present study was to evaluate forced use on arm function during the subacute phase after stroke. DESIGN: A comparison of standard rehabilitation only and standard rehabilitation together with a restraining sling was made through a randomized, nonblinded, clinical pilot trial with assessments before intervention, after intervention, and at 1- and 3-month follow-ups...
June 2009: Physical Therapy
C Blanc-Bisson, A Dechamps, G Gouspillou, P Dehail, I Bourdel-Marchasson
OBJECTIVE: To evaluate effects of early intensive physiotherapy during acute illness on post hospitalization activity daily living autonomy (ADL). DESIGN: Prospective randomized controlled trial of intensive physiotherapy rehabilitation on day 1 to 2 after admission until clinical stability or usual care. SETTING: acute care geriatric medicine ward. PATIENTS: A total of 76 acutely ill patients, acutely bedridden or with reduced mobility but who were autonomous for mobility within the previous 3 months...
June 2008: Journal of Nutrition, Health & Aging
Cecilia Politi, Giovanni Amedeo Di Nucci, Ida Masciotra, Ornella Bollella, Vincenzo Iannaccone, Ermanno Masia, Tommaso Murano, Erminia Agozzino
Acute stroke patients in the Molise region (Italy) are generally admitted to an Internal Medicine or Geriatrics hospital ward. In this study all 446 acute stroke admissions which occurred in Molise in 2004 were evaluated by analysing the following data: time from symptom onset to admission, diagnosis, acute care treatment, comorbidities, disease severity, complications, disability level, mortality, discharge modality and adherence to current guidelines. Mortality was very low in the study population (approximately 8% vs...
March 2007: Igiene e Sanità Pubblica
A Spector, M Orrell, S Davies, B Woods
BACKGROUND: Reality Orientation (RO) was first described as a technique to improve the quality of life of confused elderly people, although its origins lie in an attempt to rehabilitate severely disturbed war veterans, not in geriatric work. It operates through the presentation of orientation information (eg time, place and person-related) which is thought to provide the person with a greater understanding of their surroundings, possibly resulting in an improved sense of control and self-esteem...
2000: Cochrane Database of Systematic Reviews
Shizuru Yamada, Kenji Toba
Since the introduction of long-term care insurance, day care services have become popular throughout Japan and many kinds of behavioral approaches have been used. Although there have been many reports on the non-pharmacological effects on cognitive function, case control studies to evaluate the effect of day care services are insufficient Furthermore, no study has compared the advantages of different behavioral therapies for elderly subjects with loss of cognitive function. To clarify these issues, we compared the changes in activities of daily living, cognitive function and vitality/depression among 78 subjects receiving different day care services...
January 2005: Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
Avital Hershkovitz, Daniel Gottlieb, Yichayaou Beloosesky, Shai Brill
OBJECTIVE: To evaluate the rehabilitation programme in a geriatric day hospital. DESIGN: An observational study. SETTING: An urban geriatric rehabilitation day hospital. SUBJECTS: Three hundred and fifty-three older patients admitted to a rehabilitation day hospital during 2000: 163 post stroke, 113 with deconditioning and 77 post orthopaedic surgery (hip fracture and joint replacement). MAIN OUTCOME MEASURES: Functional Independence Measure (FIM), Nottingham Extended ADL Index, timed 'get up and go' test...
November 2003: Clinical Rehabilitation
N B Alexander, A T Galecki, M L Grenier, L V Nyquist, M R Hofmeyer, J C Grunawalt, J L Medell, D Fry-Welch
OBJECTIVES: To determine the effect of a 12-week intervention to improve the ability of disabled older adults to rise from a bed and from a chair. DESIGN: Subjects were randomly allocated to either a 12-week task-specific resistance-training intervention (training in bed- and chair-rise subtasks, such as sliding forward to the edge of a chair with the addition of weights) or a control flexibility intervention. SETTING: Seven congregate housing facilities...
November 2001: Journal of the American Geriatrics Society
A Spector, M Orrell, S Davies, B Woods
BACKGROUND: Reality Orientation (RO) was first described as a technique to improve the quality of life of confused elderly people, although its origins lie in an attempt to rehabilitate severely disturbed war veterans, not in geriatric work. It operates through the presentation of orientation information (eg time, place and person-related) which is thought to provide the person with a greater understanding of their surroundings, possibly resulting in an improved sense of control and self-esteem...
2000: Cochrane Database of Systematic Reviews
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