Tag: geriatria

Restrictions, impediments and requirements in physiotherapy of the elderly

Krzysztof Gieremek, Janusz Nowotny, Tadeusz Szymon Gaździk, Wojciech Cieśla

Krzysztof Gieremek, Janusz Nowotny, Tadeusz Szymon Gaździk, Wojciech Cieśla – Restrictions, impediments and requirements in physiotherapy of the elderly. Fizjoterapia Polska 2007; 7(2), 198-205

Abstract

Aging is an inevitable and dynamic process that leads to a number of adverse changes in both the locomotor system and internal organs as well as the weakening of the body’s regenerative and compensatory abilities. The full recovery of mobility following an illness or dysfunction is difficult and sometimes impossible, affecting the quality of life of the elderly patient. Concomitant psychological problems related to the elderly patient’s attitude to their illness and their expectations about those around them require a modified approach to many aspects of rehabilitation, including physiotherapy, of the elderly. This article describes the tasks that should be addressed in preventative physiotherapy and treatment modalities used in socalled main therapy and secondary prevention of geriatric patients. Emphasis is placed on the principles of planning customised active exercise sessions with particular regard to functional status assessment in individual patients. Besides examples of forms of physical activity and exercise devices for geriatric patients, the article provides comments and descriptions of the most common problems related to selected physiotherapy procedures for the elderly.

Key words:

geriatrics, determinants of physiotherapy, physiotherapy of elderly, kinesitherapy

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Physiotherapy management in geriatrics

Tomasz Pasek, Marcin Kempiński, Jarosław Pasek, Romualda Mucha, Aleksander Sieroń

Tomasz Pasek, Marcin Kempiński, Jarosław Pasek, Romualda Mucha, Aleksander Sieroń – Physiotherapy management in geriatrics. Fizjoterapia Polska 2007; 7(4); 455-464

Abstract
The important role of the physiotherapy in the treatment of elderly patients was recognized in the second part of the 21st century. Physiotherapy facilitates adaptation to the problems of the old age. Physiotherapeutic management includes the development of motor programmes which help elderly people to function normally and independently. Aging is a natural part of human life. Man’s role is to make it as comfortable as possible. Geriatric rehabilitation is concerned with treating elderly patients and keeping them fit, helping them to avoid some of the symptoms of chronic old age ailments. Nowadays age 65 is regarded as the beginning of old age. Some of the most characteristic features of this part of life are: difficulties in maintaining homoeostasis in the presence of stress stimuli, lower capability to carry out activities of daily living and reduced physical activity. In fact, elderly people are increasingly dependent on the help of others. Therefore there is a great need for preventative rehabilitation, whose purpose is to prepare for a physiological and healthy old age. This article describes problems connected with rehabilitation of the elderly. Currently employed physiotherapeutic and kinesitherapeutic methods are described together with state-of-the-art treatment options in physical therapy. The latter include magnetic field stimulation, which is remarkably useful in the treatment of depression, injuries and other musculoskeletal conditions and magneto-LED-therapy, a novel combination of fluctuating magnetic field and visible light irradiation possessing anti-inflammatory, antibacterial and analgesic effects.
Key words:
geriatrics, physical medicine, elderly, rehabilitation
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Assessment of aerobic capacity in elderly women and men subjected to rehabilitation training

Małgorzata Fortuna, Jacek Szczurowski, Anna Konieczna-Gorysz

Małgorzata Fortuna, Jacek Szczurowski, Anna Konieczna-Gorysz – Assessment of aerobic capacity in elderly women and men subjected to rehabilitation training. Fizjoterapia Polska 2011; 11(2); 169-174

Abstract
Good aerobic capacity is the basic factor responsible for self-sufficiency in elderly people. In this popu-lation maximum oxygen uptake (VO2max) is indicative of their aerobic capacity. The aim of the study was to compare and assess aerobic fitness in elderly males and females subjected to rehabilitation training.he 30 women aged 75 ± 5 and 30 men 79 ± 8 aged were subjected to a long-lasting reha-bilitation training whose purpose was to improve their aerobic capacity. This training lasted for minimum two years. The subjects were tested using the Astrand – Ryhming test on a cycle ergometer.In men the obtained average VO2max value [22.4 (ml/min./kg. body mass) ±1.7] was higher as compared to the corresponding value obtained in the group of females [21.4 (ml/min./kg. body mass) ± 1.9 ]. This difference was significant between groups (at the level p<0.05). The VO2max values obtained from both groups of subjects were good if we consider the subjects’ age. This interpretation was based on Monark Test Report by Monark 818E Analysis Software Version 2.0.The average VO2max value obtained from both groups indicated a good level of aerobic capacity in the studied subjects. in the currently conducted research a statistically significant between gender differences in maximum oxygen uptake were noted. The values obtained from the male subjects were significantly higher than these obtained from the females.
Key words:
Efficiency, Training, Geriatrics
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Physical therapy in diseases of old age – from the perspective of holistic geriatric assessment of therapy

Alicja Rutkiewicz

A. Rutkiewicz – Physical therapy in diseases of old age – from the perspective of holistic geriatric assessment of therapy. Fizjoterapia Polska 2020; 20(2); 148-154

Abstract
Elderly people constitute the largest group of beneficiaries of physical therapy. It results from the higher incidence of chronic diseases in this age group, as well as the decline in functional performance, and thus increasing dependence on other people. Therefore, geriatric rehabilitation to a large extent bears the hallmarks of disability prevention. The problem of an elderly patient is usually very complex. This results from multiple morbidity, lower rehabilitation potential, lack of motivation, social and financial problems, etc. As a result, in the case of an elderly person, recovery of fitness similar to levels observed before illness is often not possible. Great emphasis in the management of an elderly patient should be placed on the prevention of hypokinesia and its effects. Due to the consequences of immobilization, patients should avoid staying in bed, and if this is not possible, try to reduce this time, quickly mobilize and verticalize themselves. The effects of immobilization may in many cases be more serious than the underlying disease. The purpose of this article is therefore to show the point of view of physical therapy in geriatrics.

Key words:
physical therapy, geriatrics, geriatric physical therapy, comprehensive geriatric assessment, aging

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Possibilities and limitations in the functional, emotional and intellectual sphere and sociodemographic features of the residents of the Social Welfare Home (SWH)

Magdalena Gębska, Kamila Startek, Katarzyna Weber-Nowakowska, Ewelina Żyżniewska-Banaszak, Łukasz Kołodziej

M. Gębska, K. Startek, K. Weber-Nowakowska, E. Żyżniewska-Banaszak, Ł. Kołodziej – Possibilities and limitations in the functional, emotional and intellectual sphere and sociodemographic features of the residents of the Social Welfare Home (SWH). Fizjoterapia Polska 2019; 19(4); 110-118

Abstract
The correct assessment of functioning and determination of the health needs of the senior using standardized scales and questionnaires is necessary to determine his ability to live independently and to determine the extent of therapeutic intervention and necessary care.
Objective
Assessment of the relationship between physical, emotional and intellectual fitness, and sociodemographic features of residents of the Social Welfare Home (SWH).
Material and methods. 80 people aged 70 to 90 years were examined. The study consisted of three parts: proprietary survey, anthropometric parameters assessment, assessment of functional, intellectual and emotional state of SWH residents.
Results. The obtained variables showed the relationships, i.e. education and physical fitness; gender and physical fitness; gender and tendency to depression; physical activity and functional fitness; physical activity and depression; social and motor activity and depression. In the second group, statistical analysis showed no relationship between age and depression, and education and depression.
Conclusions
1. An increased body mass index has a negative impact on the functional state of the SWH residents.
2. Regular physical activity, positively affects the functional, emotional and intellectual state of SWH residents.
3. Gender and level of education has a significant impact on the functional, emotional and intellectual performance of SWH charges.
4. Physical and social activity of SWH residents has an impact on the reduction of depression symptoms.

Key words:
elderly, geriatrics, physiotherapy, SWH, physical fitness

 

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Significance of rehabilitation in the assessment of the level of oxygen efficiency and effectiveness of the social assistance centers

Małgorzata Fortuna, Antonina Kaczorowska, Jacek Szczurowski, Aleksandra Katan, Alina Radajewska, Iwona Demczyszak

M. Fortuna, A. Kaczorowska, J. Szczurowski, A. Katan, A. Radajewska, I. Demczyszak – Significance of rehabilitation in the assessment of the level of oxygen efficiency and effectiveness of the social assistance centers. FP 2017; 17(3); 90-95

Abstract

Purpose. The purpose of this study was to assess the impact of physical therapy on the fitness and aerobic capacity of female nursing home patients.
Materials and methods. The study included 17 women attending physical therapy sessions and 13 women who were not undergoing any physiotherapy. The age range of the participants was 80-84 years. The assessments used the SPPB and the 6-minute walk test.
Results. The study found statistically significant differences between the two groups with regard to all of the parameters used to assess physical fitness and aerobic capacity. Participants who attended physical therapy sessions showed better results on both tests.
Conclusions
1. Regular physical therapy has a positive impact on the physical fitness and aerobic capacity in comparison to a control group.
2. It is crucial to develop and implement model therapy procedures for nursing home patients to improve their physical fitness and aerobic capacity.

Key words:

physical fitness, aerobic capacity, geriatric medicine

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