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geriatric physiotherapy

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https://www.readbyqxmd.com/read/27580669/clinical-effectiveness-and-cost-effectiveness-of-physiotherapy-and-occupational-therapy-versus-no-therapy-in-mild-to-moderate-parkinson-s-disease-a-large-pragmatic-randomised-controlled-trial-pd-rehab
#1
Carl E Clarke, Smitaa Patel, Natalie Ives, Caroline E Rick, Rebecca Woolley, Keith Wheatley, Marion F Walker, Shihua Zhu, Rebecca Kandiyali, Guiqing Yao, Catherine M Sackley
BACKGROUND: Cochrane reviews of physiotherapy (PT) and occupational therapy (OT) for Parkinson's disease found insufficient evidence of effectiveness, but previous trials were methodologically flawed with small sample size and short-term follow-up. OBJECTIVES: To evaluate the clinical effectiveness and cost-effectiveness of individualised PT and OT in Parkinson's disease. DESIGN: Large pragmatic randomised controlled trial. SETTING: Thirty-eight neurology and geriatric medicine outpatient clinics in the UK...
August 2016: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/27245979/acute-hospital-dementia-care-results-from-a-national-audit
#2
Suzanne Timmons, Emma O'Shea, Desmond O'Neill, Paul Gallagher, Anna de Siún, Denise McArdle, Patricia Gibbons, Sean Kennelly
BACKGROUND: Admission to an acute hospital can be distressing and disorientating for a person with dementia, and is associated with decline in cognitive and functional ability. The objective of this audit was to assess the quality of dementia care in acute hospitals in the Republic of Ireland. METHODS: Across all 35 acute public hospitals, data was collected on care from admission through discharge using a retrospective chart review (n = 660), hospital organisation interview with senior management (n = 35), and ward level organisation interview with ward managers (n = 76)...
2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27239384/review-of-postoperative-delirium-in-geriatric-patients-undergoing-hip-surgery
#3
Paul Rizk, William Morris, Philip Oladeji, Michael Huo
Postoperative delirium is a serious complication following hip surgery in elderly patients that can adversely affect outcomes in both hip fracture and arthroplasty surgery. Recently, the incidence of hip fracture in the Medicare population was estimated at approximately 500 000 patients per year, with the majority treated surgically. The annual volume of total hip arthroplasty is nearly 450 000 patients and is projected to increase over the next 15 to 20 years. Subsequently, the incidence of postoperative delirium will rise...
June 2016: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/27224504/higher-physiotherapy-frequency-is-associated-with-shorter-length-of-stay-and-greater-functional-recovery-in-hospitalized-frail-older-adults-a-retrospective-observational-study
#4
P Hartley, J Adamson, C Cunningham, G Embleton, R Romero-Ortuno
Extra physiotherapy has been associated with better outcomes in hospitalized patients, but this remains an under-researched area in geriatric medicine wards. We retrospectively studied the association between average physiotherapy frequency and outcomes in hospitalized geriatric patients. High frequency physiotherapy (HFP) was defined as ≥0.5 contacts/day. Of 358 eligible patients, 131 (36.6%) received low, and 227 (63.4%) HFP. Functional improvement (discharge versus admission) in the modified Rankin scale was greater in the HFP group (1...
2016: Journal of Frailty & Aging
https://www.readbyqxmd.com/read/27125080/complex-management-of-frailty-fractures-case-report
#5
Elena Puin Costescu, Aliona Dronic, Loana Dana Alexa, O Alexa
Frailty fractures encompass pelvic ring fractures in the elderly--a condition more frequently encountered in women, usually with pre-existing osteoporosis. The incidence of these fractures is increasing, following the increase in average life expectancy. Most of the times, they are the result of a minor injury, of which the patient has little or no recollection; the clinical signs and symptoms, radiological changes and the degree of fracture stability vary greatly. As such, there is a wide range of therapeutic options and one of the most important decisions for the physician is choosing between surgery and conservative treatment...
January 2016: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
https://www.readbyqxmd.com/read/26764394/development-of-a-curriculum-for-advanced-nurse-practitioners-working-with-older-people-with-frailty-in-the-acute-hospital-through-a-modified-delphi-process
#6
REVIEW
Sarah Elizabeth Goldberg, Jo Cooper, Adrian Blundell, Adam Lee Gordon, Tahir Masud, Ravisankar Moorchilot
BACKGROUND: advanced nurse practitioners (ANPs) are experienced nurses who undertake some activities traditionally performed by medical staff. There are four pillars of advanced practice: advanced clinical skills, leadership, education and research. ANPs are starting to specialise in the management of older adults with frailty in the acute hospital. However, the role and competencies required for this have not been well defined. This study aimed to establish an expert consensus on the role description and essential competencies for ANPs working with older people with frailty to develop a curriculum...
January 2016: Age and Ageing
https://www.readbyqxmd.com/read/26277239/-how-to-care-for-elderly-patients-with-cognitive-impairment
#7
M Rainfray
Mild cognitive impairment occurs frequently with ageing, concerning memory complaint, attention and executive dysfunction without any consequence on the activities of daily living. They are strongly linked to the presence of vascular risk factors in adulthood. Nevertheless with the continuous progression of life expectancy, the incidence of dementia drastically increases after sixty-five years of age and the number of old people with dementia is expected to increase by 75% in 2030 in France. Caring for elderly patients with cancer needs to face the possibility of cognitive impairment and its consequences on a good comprehension of diagnosis and treatment and ability to properly take medication...
October 2015: Cancer Radiothérapie: Journal de la Société Française de Radiothérapie Oncologique
https://www.readbyqxmd.com/read/26254763/employment-patterns-of-notre-dame-graduate-physiotherapists-2006-12-targeting-areas-of-workforce-need
#8
Eleni Bacopanos, Susan Edgar
Objectives The Australian physiotherapy workforce is changing both in demographics and service needs. Physiotherapy curriculum and clinical education focus is ideally based on up-to-date knowledge of this changing workforce. The aim of the present study was to determine the employment patterns of physiotherapy graduates from The University of Notre Dame Australia (Notre Dame). Methods An online survey was conducted of Notre Dame physiotherapy graduates (2006-12) with a 50% response rate (n=157). Results Survey results established the employment location, employment status, healthcare sector, area of practice, salary and employment history of Notre Dame graduates...
April 2016: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/25928799/characteristics-of-older-adults-admitted-to-the-emergency-department-ed-and-their-risk-factors-for-ed-readmission-based-on-comprehensive-geriatric-assessment-a-prospective-cohort-study
#9
Mieke Deschodt, Els Devriendt, Marc Sabbe, Daniel Knockaert, Peter Deboutte, Steven Boonen, Johan Flamaing, Koen Milisen
BACKGROUND: Patients aged 75 years and older represent 12% of the overall emergency department (ED) population, and this proportion will increase over the next decades. Many of the discharged patients suffer an unplanned readmission in the immediate and midterm post-discharge period, suggesting under recognition of psychosocial, cognitive and medical problems. The aim of this study was to compare the characteristics of older patients admitted and discharged from the ED and to determine independent predictors for ED readmission 1 month and 3 months after ED discharge based on comprehensive geriatric assessment (CGA)...
2015: BMC Geriatrics
https://www.readbyqxmd.com/read/25887989/predictors-of-attendance-to-group-exercise-a-cohort-study-of-older-adults-in-long-term-care-facilities
#10
Susanne Finnegan, Julie Bruce, Sarah E Lamb, Frances Griffiths
BACKGROUND: The benefits of regular exercise and physical activity are well known. Those living in long-term care are often frail, but have the potential to benefit from physical activity; yet are less likely to be offered exercise. Promoting exercise within residential and nursing homes may reduce health risks associated with inactivity in this population. The aim of this cohort study is to identify predictors of attendance at physiotherapy led exercise groups offered to older adults residing in long-term care in the United Kingdom...
April 2, 2015: BMC Geriatrics
https://www.readbyqxmd.com/read/25781577/physiotherapy-research-priorities-in-switzerland-views-of-the-various-stakeholders
#11
Irina Nast, Amir Tal, Stefan Schmid, Veronika Schoeb, Barbara Rau, Marco Barbero, Jan Kool
BACKGROUND AND PURPOSE: Research priorities, defined by multiple stakeholders, can proximally facilitate the coordination of research projects and national and international cooperation and distally further improve the quality of physiotherapy practice. The aim of this study was therefore to establish physiotherapy research priorities in Switzerland considering multiple stakeholders' opinions. METHODS: A mixed methods design was chosen. For a qualitative identification of physiotherapy research topics, 18 focus group discussions and 23 semi-structured interviews/written commentaries were conducted...
September 2016: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
https://www.readbyqxmd.com/read/25323979/-non-pharmaceutical-therapy-of-candidates-for-geriatric-rehabilitation-non-pharmaceutical-therapy-prescribed-by-shi-accredited-doctors-after-application-for-outpatient-geriatric-rehabilitative-care
#12
Sonja Krupp, Maike Schnoor, Kristina Lohse, Alexander Katalinic, Martin Willkomm
BACKGROUND: The rejection of an application for ambulant geriatric rehabilitation (AGRV) is usually justified by the argument that non-pharmaceutical therapy prescribed by doctors accredited by social housing institutions (SHI) would suffice. The reality in healthcare during the 6 months following an application is unknown. METHODS: In this study 203 patients who had made an application for AGRV in the second half of 2010 in Flensburg, Lübeck or Ratzeburg were interviewed by telephone...
June 2015: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/25303166/short-term-and-long-term-effects-of-nordic-walking-training-on-balance-functional-mobility-muscle-strength-and-aerobic-endurance-among-hungarian-community-living-older-people-a-feasibility-study
#13
A Virág, C K Karóczi, Á Jakab, Z Vass, É Kovács, T Gondos
AIM: The aim of this study was to investigate the short-term and long-term effects of a moderate intensity nordic walking program, and the feasibility of this exercise form among Hungarian community-living older adults. METHODS: Forty one community-living older adults aged over 60 years (mean 67.5, SD 4.8 years) participated in a nordic walking program consisting of a 10-week supervised period and a 25-week unsupervised period. The age and gender matched control group did not receive any types of exercise programs...
November 2015: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/25026479/a-survey-of-gerontology-articles-in-physiotherapy-journals
#14
D Jones, V Minichiello
A total of 144 articles in the field of gerontology/geriatrics published between 1980-88 in leading physiotherapy journals in America, Australia, Canada, New Zealand and the United Kingdom were examined in terms of source of publication and authors, research design and possible professional practice implications. The study examines the subject content of what physiotherapists from different countries have published on ageing; documents the current literature reflecting professional practice achievements and research interest; and identifies gaps in topics included in the physiotherapy journals...
1991: Australian Journal of Physiotherapy
https://www.readbyqxmd.com/read/25025513/why-choose-to-work-in-geriatrics-factors-which-affect-physiotherapists-decisions-to-work-with-older-people
#15
M Morris, V Minichiello
The paper examines the factors which influence physiotherapists' decisions to practise geriatrics. Some 233 physiotherapists returned a questionnaire aimed at identifying the major issues which affected work preference. The questionnaire included items on previous work experience with older people, attitudes towards ageing and elderly clients, and professional issues which influence career choice. The results indicated that most physiotherapists preferred to work in areas other than geriatrics. The majority who practised geriatrics were females aged 41-65, employed part-time...
1992: Australian Journal of Physiotherapy
https://www.readbyqxmd.com/read/24801121/-stroke-rehabilitation-in-nursing-homes-intensity-of-and-motivation-for-physiotherapy
#16
K S Wissink, M Spruit-van Eijk, B I Buijck, R T C M Koopmans, S U Zuidema
INTRODUCTION: Stroke is a frequent and potential invalidating disease, of which recovery can be improved by rehabilitation. In The Netherlands old and frail stroke patients are rehabilitated in nursing homes. Probably, the intensity of and motivation for physiotherapy are important for successful discharge. The aim was to determine (1) therapy intensity of and motivation for physical therapy of geriatric stroke patients (2) its correlates and (3) the effect on discharge destination. METHODS: Data were obtained from the 'GRAMPS'-study, a longitudinal observational study of stroke rehabilitation in 15 Dutch nursing homes...
June 2014: Tijdschrift Voor Gerontologie en Geriatrie
https://www.readbyqxmd.com/read/24721857/medical-findings-in-an-interdisciplinary-geriatric-outpatient-clinic-specialising-in-falls
#17
Kristofer Lislerud Smebye, Solveig Granum, Torgeir Bruun Wyller, Marte Mellingsæter
BACKGROUND: Falls are common among elderly people, leading to increased morbidity and reduced quality of life. A broad-based interdisciplinary study, for example in an outpatient clinic specialising in falls, has been recommended in light of the multiple and complex causes that tend to be involved. At present there are few outpatient clinics in Norway specialising in falls, and no data from such studies have yet been published. MATERIAL AND METHOD: The information stems from 111 patients at the Fallpoliklinikken, Oslo University Hospital, from its establishment in 2008 until 2011...
April 8, 2014: Tidsskrift for Den Norske Lægeforening: Tidsskrift for Praktisk Medicin, Ny Række
https://www.readbyqxmd.com/read/24647243/-psychomotor-disadaptation-syndrome
#18
REVIEW
Patrick Manckoundia, Eric Ntari Soungui, Béatrice Tavernier-Vidal, France Mourey
Psychomotor disadaptation syndrome (PDS) was first described in France by the Dijon geriatric school, 25 years ago, and named "psychomotor regression syndrome". The initial clinical description still remains without modifications. However, progress has been made both in understanding its physiopathology and management, and its name has been changed into PDS in the late 1990s. Since the early 2000s, it was also termed frontal-sub-cortical dysfunction syndrome. PDS results from decompensation of postural function, gait and psychomotor automatisms linked to posture and motor programming impairment related to fronto-sub-cortical lesions...
March 2014: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/24406715/predictors-of-discharge-destination-in-a-geriatric-population-after-undergoing-rehabilitation
#19
Kirstin Lindenberg, Jennifer C Nitz, Ann Rahmann, Paul Bew
BACKGROUND AND PURPOSE: Patients undertaking inpatient rehabilitation comprise a diverse group, including patients with stroke and other neurological conditions, patients who have fallen with or without a resulting fracture, and patients with joint replacements, general debility, or various cardiopulmonary conditions. It is not clear whether diagnosis has an impact on discharge destination in a heterogeneous patient group. The purpose of this study was to determine whether diagnostic category matters or whether it is rehabilitation length of stay (LOS), ability on the 10-Meter Walk Test (10MWT), or Balance Outcome Measure for Elder Rehabilitation (BOOMER) at discharge that predicts discharge destination in elderly patients undergoing rehabilitation who had previously lived at home...
April 2014: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/24345073/physiotherapy-to-improve-physical-activity-in-community-dwelling-older-adults-with-mobility-problems-coach2move-study-protocol-for-a-randomized-controlled-trial
#20
RANDOMIZED CONTROLLED TRIAL
Nienke M de Vries, J Bart Staal, Steven Teerenstra, Eddy M M Adang, Marcel G M Olde Rikkert, Maria W G Nijhuis-van der Sanden
BACKGROUND: Older adults can benefit from physical activity in numerous ways. Physical activity is considered to be one of the few ways to influence the level of frailty. Standardized exercise programs do not necessarily lead to more physical activity in daily life, however, and a more personalized approach seems appropriate. The main objective of this study is to investigate whether a focused, problem-oriented coaching intervention ('Coach2Move') delivered by a physiotherapist specializing in geriatrics is more effective for improving physical activity, mobility and health status in community-dwelling older adults than usual physiotherapy care...
2013: Trials
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