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Geriatric Rehabilitation: Physical Therapy and Principles of Rehabilitation


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The proportion of elderly at any age without any chronic conditions is small, and disease can trigger a cascade of events resulting in functional deficits and disability. An increase in the number of activities with which an elder has difficulty increases linearly with comorbidity, that is, coexistent medical conditions that further complicate not only the genesis of a functional deficit but also its treatment. For example, rehabilitation for a stroke for an individual who also has painful, degenerative changes in the foot and a low tolerance for stressful activity secondary to angina with exertion would present a particular rehabilitation challenge. Yet, this example encapsulates geriatric rehabilitation specialist’s emphasis on care and function, not cure and disease. (more…)

Weight Loss with Calorie Restriction and Exercise

Weight Loss Calorie Restriction
Weight loss improves many of the adverse health outcomes associated with obesity, including preventing or delaying the onset of diabetes, improving blood sugar control in those with diabetes, reducing low-density lipoprotein (bad cholesterol), raising high-density lipoprotein (good cholesterol), improving hypertension, improving symptoms of osteoarthritis, and providing an improved sense of well-being. (more…)

Tachyarrhythmias Therapy (Genetic and Cell Therapies)


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The same genetic and cell approaches used for treatment of bradyarrhythmia can potentially be modified for tachyarrhythmias treatment. Arrhythmogenesis typically results from increased automaticity, triggered activity, or reentry. Different genetic approaches can, therefore, be designed based on the individual mechanism. (more…)

Katz Index of Activities of Daily Living (ADLs)

Activities of Daily Living (ADLs) is the core daily personal care activities that are necessary in order for people to be able to live independently. Loss of mental functioning is measured by other standardized tests and referred to as cognitive impairment. Activities of Daily Livings are particularly important because along with cognitive impairment, and in some cases “medical necessity,” they are the mechanism used by the insurance industry to determine qualification for long-term care benefits and may also be used to determine qualification for admission to a nursing or assisted living home facility. (more…)

Physical Therapy Rehabilitation Relevance to Aging

Physical Therapy Rehabilitation
The overarching goal of physical therapy rehabilitation is to return the individual to as close to the premorbid level of function as possible or, alternatively, to maximize a person’s current potential for function and maintain it as long as possible. This goal is achieved by promoting changes in the individual, by altering his or her physical health elderly or social environments, or by implementing a combination of both strategies. (more…)

Irreversible Dementias: Brain Damage & Impairment

irreversible dementias
Unfortunately, many dementias are partially or completely biologically irreversible. However, as mentioned previously, it is important to recognize that all dementias are treatable. Some of these irreversible dementias are preventable. For example, automobile accidents in civilian populations and projectile wounds in military populations are common causes of brain damage that cause dementia. Some improvements can occur in these conditions for a period of time after the initial insult, but affected individuals are left with varying degrees of impairment and often severe limitations in function. (more…)

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Female Androgen Deficiency Syndrome (FADS)

The prevalence of sexual dysfunction in women approaches 43%, and age is an important correlate. The underlying etiology of sexual dysfunction in women is complex. Nevertheless, hormonal changes such as loss of estrogens and androgens contribute significantly to some of the sexual difficulties experienced by aging women. (more…)

Gastrointestinal Motility and Digestive Disorders

The motility of the gastrointestinal tract is complex, and normal motility is critical to proper secretion and digestion. In order for gastrointestinal motility to be effective, it must be coordinated with other intestinal functions such as secretion and absorption, and it must be regulated and integrated in a precise fashion. (more…)

Overview of Hormonal Changes with Age

Altered cellular metabolism and intracellular and intercellular signaling with advancing age result in widespread changes in endocrine function. Several mechanisms interact in most systems to bring about the observed changes. Aging is associated with anatomic changes of the endocrine glands. In addition, with age, changes in hormone secretion occur, including alterations in circadian or seasonal biorhythms, changes in pulsatile frequency or amplitude of hormone secretion, as well as absolute changes in mean serum hormonal levels. (more…)

Pain in Elderly: Definition and Dimension

pain in elderly
As people growing older or become elderly, several health risks and health complications and problem may happened because the natural degeneration of human systems and organ. When you are growing older and become member of elderly population, some complications associated with general body aches and pains may occur. (more…)

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