Tag: osoby starsze

Attitude of physiotherapists towards elderly patients with mental and behavioural disorders

Joanna Szczepańska, Joanna Kowalska, Grażyna Greń, Marek Woźniewski

Joanna Szczepańska, Joanna Kowalska, Grażyna Greń, Marek Woźniewski – Attitude of physiotherapists towards elderly patients with mental and behavioural disorders. Fizjoterapia Polska 2006; 6(3); 216-221

Abstract
Background. To verify whether cognitive deficits and mood disorders of older inpatients negatively influence the attitudes of physiotherapists towards them. Material and methods. Examination in Geriatric Rehabilitation Unit. 52 patients (78± ,4 years) and 7 physiotherapists. Cognitive status and mood of the patients were examined using the Mini Mental State Examination (MMSE) and the Geriatric Depression Scale (GDS) respectively. GDS was performed only in patients with MMSE 15. The therapists filled an anonymous questionnaire concerning the quality of working with particular patients. This enabled the following division: group (P+) patients working with whom the physiotherapists evaluated as pleasant, group (P-) patients who were negatively evaluated by the physiotherapists as working with them was difficult and tiresome. Results. In group (P-) MMSE values were significantly lower than in group (P+), and they were 15,2±7,5 vs. 23,1±3,7 respectively (p=0,0) and GDS values were significantly higher in comparison with group (P+), and they were 21,3±4,8 vs. 14,6±5,9 respectively (p=0,0). Conclusions. The patients evoking negative attitudes of physiotherapists (impatience, irritability, aversion) had mainly severe cognitive deficits (MMSE<19) and severe depressive symptoms (GDS>20). This may be an additional factor decreasing effectiveness of physiotherapy in this group of patients.

Key words:
cognitive impairment, depression, elderly persons, physiotherapy

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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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Gait pattern of people after fractures of proximal femoral epiphysis treated surgically. Preliminary report

Beata Kita, Tomasz Ridan, Tomasz Łosień, Katarzyna Kniaziew-Gomoluch, Joanna Szymańska

B. Kita, T. Ridan, T. Łosień, K. Kniaziew-Gomoluch, J. Szymańska – Gait pattern of people after fractures of proximal femoral epiphysis treated surgically. Preliminary report. Fizjoterapia Polska 2020; 20(3); 164-170

Abstract
Introduction. It is estimated that more than 50% of patients who functioned well before the proximal femoral fracture were unable to return to pre-injury activity. Moreover, mortality in this group of patients is estimated at over 21% within the first year of fracture, and in the next 5 years this number increases to 59%. The aim of the study is to analyze the impact of the fracture of the proximal part of femur treated surgically on selected gait parameters.
Material and methods. 51 people were examined, including 40 women and 11 men. The average age of the respondents was 73 years. The youngest person in the study group was 51 years old and the oldest 92 years old. The following research tools were used in the study: interview, analysis of medical documentation and gait assessment on the tensometric platform. Results. In the age group 50-64 years, the walking cycle time among the examined people was on average 1.51 sec in women and 1.35 sec in men. In the age group 65-80 years, among women and men is 1.37 sec. Conclusions. The gait pattern of people after a fracture of the proximal femur is changed and deviates from the norm. In the study group, the length of the walk cycle in both women and men in the age group 50 -64 years old, as well as 65-80 years old, is significantly shorter compared to the assumptions of the standard. The study did not show significant differences in step length on the operated and non-operated side in all age groups, both in women and men. Walking cycle times (stride time) in the 54-64 age group and 65-80 years of age among the surveyed men is within the upper limit of the norm. On the other hand, among the surveyed women in these age groups, the walking cycle time significantly exceeds the upper limit of the norm.
Key words:
gait pattern, proximal femur fractures, gait disorders, elderly people
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Effect of aerobic exercises on sleep and hormonal levels in elderly with chronic primary insomnia: A randomized controlled trial

Basant H. El-Refaey, Olfat I. Ali, Hend H. El-Wakel

Basant H. El-Refaey, Olfat I. Ali, Hend H. El-Wakel – Effect of aerobic exercises on sleep and hormonal levels in elderly with chronic primary insomnia: A randomized controlled trial. Fizjoterapia Polska 2020; 20(1); 60-64

Abstract
Objective. The aim of this study was to assess the efficacy of aerobic exercises on Pittsburg sleep quality index, serotonin, epinephrine, and norepinephrine levels in elderly with chronic primary insomnia.
Material and methods. 40 elderly participants of both genders complaining from chronic primary insomnia were randomly assigned into two equal groups: the control group and the study group. Their age was between 60 to 70 years old. The study group had participated in a moderate-intensity aerobic exercise program for 1hour/day, three times/week for three months, while the control group did not attend the exercise program but underwent the same evaluations as the study group. Pittsburg Sleep Quality index, serotonin level, epinephrine, and norepinephrine hormonal levels were evaluated before and after the treatment duration.
Results. The Pittsburg Sleep Quality Index and serotonin level showed significant improvement in the study group and the significant difference between groups favoring the study group (p < 0.05). However, no significant changes occur in epinephrine or norepinephrine levels. The control group showed non-significant changes in any of the measured variables (p > 0.05).
Conclusion. Moderate intensity aerobic exercise seems to improve sleep, enhance serotonin level in patients with chronic primary insomnia.

Key words:
Aerobic exercise, elderly, primary insomnia

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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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Effect of Inspiratory Muscle Training on Diaphragm Mobility and Functional Capacity in Elderly: A randomized clinical trial

Fatma Aboelmagd M., Hamada Ahmed Hamada, Ibtissam M. Saab

Fatma Aboelmagd M., Hamada Ahmed Hamada, Ibtissam M. Saab – Effect of Inspiratory Muscle Training on Diaphragm Mobility and Functional Capacity in Elderly: A randomized clinical trial. Fizjoterapia Polska 2019; 19(2); 28-32

Abstract
Aim. Aging resulted in decrease in respiratory muscle strength which limits the exercise performance and quality of life. The purpose of this study was to evaluate the clinical and the functional outcomes of inspiratory muscle training in elderly.
Material and methods. 48 nonsmoker’s elderly from both genders aging 60 to 70 years were recruited. They were assigned randomly into two groups of equal number. The study group received training with threshold inspiratory muscle trainer (IMT) at 40% of the PImax measured during the initial evaluation which was readjusted weekly by evaluating the PImax while the control group received training with threshold IMT at the lowest pressure offered by the device, 3 times/week for 10 weeks. Diaphragmatic mobility was measured by ultrasonography, Maximal inspiratory pressure measurement and the functional capacity was measured by 6MWT before and after the end of the training program for both groups.
Results. The diaphragmatic mobility, Maximal inspiratory pressure measurement and the distance walked during 6MWT increased significantly within the study group at the end of the study (p < 0.05) with non-significant change in the control group (p > 0.05). Comparison between both groups at the end of the study revealed significant increase in diaphragmatic mobility and Maximal inspiratory pressure measurement in study group compared with control group (p <0.05) with non-significant difference between both groups regarding the distance walked during 6MWT (p > 0.05).
Conclusion. Inspiratory muscle trainer should be a part in elderly daily routine as it has a positive effect on the clinical outcome measure and there is a tendency to improve the functional outcome.

Key words:
Elderly, Inspiratory muscle training, diaphragmatic ultrasonography, Six-minute walk test

 

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Nordic walking as a form of physical activity affecting gait and balance in elderly people

Agnieszka Leszczyńska, Marta Dopierała, Jan W.Raczkowski

A. Leszczyńska, M. Dopierała, J. W.Raczkowski: Nordic walking as a form of physical activity affecting gait and balance in elderly people. FP 2015;15(4);98-107

Abstract
Introduction. In the process of aging there comes to deterioration in mobility which is related to, among others, age-related diseases. The pathophysiological changes, the applied treatment may adversely affect mobility leading to the disorders of postural stability and gait control. Gait/Walking is a natural form of physical activity and is a component of almost all daily activities. To sustain physical activity, minimize imbalance disorders and to improve gait, particularly in elderly people, Nordic Walking – a popular form of activity – is used more and more frequently.
Aim. The main aim of this study was to evaluate the effect of Nordic Walking training on the improvement of gait and balance in elderly people and its impact on subjective assessment of their well-being.
Material and methods. The study included 30 elderly subjects, most of them actively spending their leisure time, not practising Nordic Walking. Age and sex of the respondents, physical activity, difficulty in walking and subjective assessment of well-being were estimated on the basis of individual research questionnaire. The Functional Reach Test was used for quick evaluation of balance and the risk of falls. Get up and Go test and Tinetii Gait and Balance test were used for preliminary evaluation of gait and balance in elderly patients. The tests were performed both before and a month after Nordic Walking training. The results were statistically analyzed applying the PQStat software.
Results. Analysis of the results obtained before and after 1-month training in Functional Reach and Tinetti tests demonstrated significant improvement after the training, whereas the values obtained in the Get up and Go test after the training were much lower than before the training. A state of well-being in the subjective assessment of the respondents improved after Nordic Walking training.
Conclusions. One-month Nordic Walking training improved significantly gait and balance in the investigated subjects. A state of well-being in the subjective assessment of the respondents also improved after the training. Nordic Walking can become an important element in increasing the physical activity of older people and in improving their quality of life.

Key words:
physical activity, Nordic Walking, elderly people

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