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Elderly and Physiotherapy

Aleksandra Królikowska, Martyna Kozińska, Mateusz Kuźniecow, Marcin Bieniek, Andrzej Czamara, Łukasz Szuba, Katarzyna Krzemińska, Wojciech Satora, Paweł Reichert
Distal biceps tendon injuries are relatively rare. Standard treatment of complete tears and significant partial tears involves surgical anatomical reinsertion of the tendon at the radial tuberosity. Chronic injuries are usually managed with surgical tendon reconstruction using autografts or allografts. Conservative treatment is mostly limited to the elderly, individuals with a very low level of physical activity, patients with evident contraindications to surgical treat-ment, and cases of mild partial tendon tears...
August 30, 2018: Ortopedia, Traumatologia, Rehabilitacja
Tom H Carter, Samuel G Molyneux, Jeffrey T Reid, Timothy O White, Andrew D Duckworth
Olecranon fractures account for approximately 20% of fractures of the proximal part of the forearm1 . Clinicians may consider nonoperative management for elderly low-demand patients2 , whereas operative fixation is recommended for active patients with a displaced fracture. Tension-band wire (TBW) fixation is commonly employed for simple isolated stable displaced fractures of the olecranon (type IIA according to the Mayo classification)3-5 . In contrast, plate fixation is thought to provide superior outcomes for unstable comminuted olecranon fractures...
September 28, 2018: JBJS Essential Surgical Techniques
Alena Sint, Sebastian Felix Baumbach, Wolfgang Böcker, Christian Kammerlander, Karl-Georg Kanz, Mareen Braunstein, Hans Polzer
BACKGROUND: Walker orthosis are frequently prescribed as they are removable to allow wound control, body care and physiotherapy and are adaptable to the soft tissue conditions. The prerequisite for successful treatment with any walker orthosis is a correct use by the patient. Therefore, the aim of this study was to investigate patients' handling of a commonly used walker. METHODS: Prospective observational study analyzing the applicability of a walker orthosis in different cohorts with varying age and level of activity...
December 22, 2018: BMC Musculoskeletal Disorders
Yanjie Zhang, Chunxiao Li, Liye Zou, Xiaolei Liu, Wook Song
Background : As the situation of cognitive aging is getting worse, preventing or treating cognitive decline through effective strategies is highly important. This systematic review aims to investigate whether mind-body exercise is an effective approach for treating cognition decline. Methods : Searches for the potential studies were performed on the eight electronic databases (MEDLINE, Scopus, Web of Science, SPORTDiscus, CINAHL, PsycArtilces, CNKI, and Wanfang). Randomized controlled trials (RCTs) examining the effect of mind-body exercise on cognitive performance in older adults were included...
December 9, 2018: International Journal of Environmental Research and Public Health
Yu Parfenov, M Vasilevskaya, S Parfenov, K Sapozhnikov, A Kovalenko, V Zaplutanov
The aim of the study was to assess the impact of cytoflavin and bioflavin therapy on the dynamics of clinical and psychophysiological status of patients with Osteochondrosis. 150 patients with osteochondrosis of a backbone were investigated. The patients were divided into two groups using method of randomization: the main group - 75 patients - and control group -75 patients. All patients received a standard treatment (non-steroidal anti-inflammatory drugs, myorelaxants, chondroprotectors, as well as physiotherapy)...
October 2018: Georgian Medical News
Stefano Masiero, Irene Maghini, Maria Eleonora Mantovani, Leila Bakdounes, Kostas Koutsikos, Alessandra Del Felice, Patrizio Sale
Many authors showed that aquatic physiotherapy could improve quality of life and reduce postural instability and risk of falling in elderly subjects. The aim of this research was to explore if the thermal aquatic environment is a suitable place for rehabilitative training in person with Parkinson disease (PwP) with results comparable to the standard physiotherapy. A retrospective study was conducted on a database of 14 persons with Parkinson who were admitted to a thermal aquatic rehabilitation to undergo treatments made to improve gait and balance impairments...
November 5, 2018: International Journal of Biometeorology
Matthias Hans Belau, Oliver Razum, Judith Fuchs
BACKGROUND: Since chronic musculoskeletal disorders (MD) cause considerable costs for the German health care system, service providers and policy makers need information on the use of the different health care services. On the basis of Andersen's behavioral model, the article provides predictors of ambulatory medical care utilization in the fields of general medicine, orthopaedics and physiotherapy relevant to chronic MD in the 65- to 79-year-old population affected by arthritis, rheumatoid arthritis or osteoporosis in Germany...
October 17, 2018: Das Gesundheitswesen
Jing Li, Chun-Na Lan, Ying Kong, Song-Shan Feng, Tao Huang
Osteoarthritis (OA) is a complex disease that affects articular joints and may cause disability. The incidence of OA is extremely high. Most elderly people have the symptoms of osteoarthritis. The physiotherapy of OA is time consuming, and the chances of full recovery from OA are very minimal. The most effective way of fighting OA is early diagnosis and early intervention. Liquid biopsy has become a popular noninvasive test. To find the blood gene expression signature for OA, we reanalyzed the publicly available blood gene expression profiles of 106 patients with OA and 33 control samples using an automatic computational pipeline based on advanced feature selection methods...
2018: Frontiers in Genetics
Ehsan Zarei, Adeleh Nikkhah, Behrouz Pouragha
Background: Physiotherapy services constitute a principle part of health care systems, and interest in their use has increased in the recent decades. This study was conducted to investigate the utilization and OOP payment for physiotherapy services in public hospitals of Shahid Beheshti University of Medical Sciences in Tehran, Iran. Methods: This cross-sectional study was conducted using the data of physiotherapy department of three public hospitals. The study sample included 6528 patients who had received 7257 episodes of care...
2018: Medical Journal of the Islamic Republic of Iran
Aynur Demirel, Muzeyyen Oz, Ozlem Ulger
BACKGROUND: Low back pain is one of the major musculoskeletal problems seen in elderly, and it's the fifth common cause for hospitalization. OBJECTIVE: This retrospective study has determined whether minimal invasive techniques or physiotherapy methods are effective for decreasing pain and improving functions in the geriatric population. METHODS: A retrospective design was used in this study. Sixty-one patients aged ⩾ 65, who were referred to physiotherapy enrolled in the study...
August 10, 2018: Journal of Back and Musculoskeletal Rehabilitation
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...
October 2018: Sports Medicine
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
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
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
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
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
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
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
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
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
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