Posts Tagged ‘Geriatric’

Geriatric Physical Therapy & The Vibraboard Part 1

Uncategorized | Posted by Vibraboard747
Apr 26 2011

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Geriatric Physical Therapy

Biomechanical Stimulation

Geriatric physical therapy was defined as a medical specialty in 1989 and covers a broad area of concerns regarding people as they continue the process of aging, although it commonly focuses on older adults.

Among the conditions that may be treated through the use of geriatric physical therapy are osteoporosis, arthritis, alzheimer’s disease, cancer, joint replacement, hip replacement, and more. The form of therapy is used in order to restore mobility, increase fitness levels, reduce pain, and to provide additional benefits.

Geriatric physical therapy is a proven means for older adults from every level of physical ability to improve their balance and strength, build their confidence, and remain active. A number of people are familiar with physical therapy as a form of treatment to pursue after an accident, or in relation to a condition such as a stroke. Physical therapy is useful for many additional reasons, such as improving balance, strength, mobility, and overall fitness. All of these are factors which older adults may benefit from, contributing to their physical abilities and helping to maintain their independence for longer periods of time. Physical therapy can also help older adults to avoid falls, something that is crucial to this population.

Falling is one of the greatest risks older adults face, often leading to things such as hip fractures which then lead to a downward health spiral. In fact, falling is such an issue among older adults that the Center for Disease Control and Prevention has reported that one-third of all people over the age of sixty-five fall every year, making falls the leading cause of injury among people from this age group. Hundreds of thousands of older adults experience falls and resulting hip fractures every year, with resulting hospitalizations. Most of the people who experience a hip fracture stay in the hospital for a minimum of one week, with approximately twenty-percent dying within a year due to the injury. Unfortunately, a number of the remaining eighty-percent do not return to their previous level of functioning. Physical therapy can help older adults to remain both strong and independent, as well as productive.

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Comparison of Stretching Versus Strengthening Part 2

Uncategorized | Posted by Vibraboard747
Apr 19 2011

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Geriatric Massage

Biomechanical Stimulation

Methods: Patients in the strength group used a 10-lb ankle weight strapped to their forefoot and performed 30 repetitions each day, 5 days each week, for both lower extremities, for 6 weeks. The stretch group stretched for 30 seconds, 3 repetitions each day, 5 days each week, for 6 weeks. The control group maintained its prestudy activity level. Active ankle dorsiflexion ROM was measured prior to intervention and at 3 and 6 weeks. The same examiner who was blinded to group assignment did all measurements of active ankle dorsiflexion.

Analysis: A 1-way analysis of variance for repeated measures was done to determine whether a significant difference existed between groups. A post-hoc Tukey’s Honestly Significant Difference test was performed to determine which ROM measurements were significantly different. Significance level was P < .05.

Results: It was found for the strength group that the baseline active ankle dorsiflexion ROM measurement 4.2° was significantly different from the ROM measurement at 3 weeks, 6.6°, and 6 weeks, 7.1°. The stretch group baseline dorsiflexion ROM measurement 1.6° was not significantly different at 3 weeks (3.1°) but was significantly different at 6 weeks (4.2°). No significant differences were observed for the control group.
Conclusions: Active ankle dorsiflexion ROM was increased more quickly for the strength group than for the stretch group. The stretch group took 6 weeks to gain enough dorsiflexion to be significantly different from the baseline dorsiflexion ROM. Clinically, it may be appropriate for patients lacking ankle dorsiflexion to strengthen the muscles in the anterior compartment of the leg along with a stretching program for the triceps surae muscles.

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Comparison of Stretching Versus Strengthening Part 1

Uncategorized | Posted by Vibraboard747
Apr 16 2011

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Geriatric Massage

Biomechanical Stimulation

Comparison of Stretching Versus Strengthening for Increasing Active Ankle Dorsiflexion Range of Motion
Abstract

Purpose: Ankle motion at the talocrural joint is important for normal gait. Dorsiflexion, both active and passive, occurs during stance and swing phase, respectively. It has been found that about 10° of passive dorsiflexion is required during stance phase. During swing phase, the muscles of the anterior compartment of the leg must be of sufficient strength to produce active dorsiflexion to near neutral (foot at 90°). Moderate lack of passive dorsiflexion results in early heel-off during stance phase. More extreme dorsiflexion limitations may result in overpronation at the subtalar joint. The purpose of this study was to determine an efficient intervention to increase active ankle dorsiflexion range of motion (ROM).

Patients: Three groups of 9 healthy college students (27 in total, 54 ankles) were recruited for the study. Each volunteer signed an informed consent form. The patients were randomly assigned to 3 groups. The stretch group stretched the triceps surae using a rocker designed stretching system, the strength group strengthened isotonically the muscles in the anterior compartment of the leg, and a control group received no intervention.

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Benign Paroxysmal Positional Vertigo in the Older Adult

Uncategorized | Posted by Vibraboard747
Apr 12 2011

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Geriatric Massage

Biomechanical Stimulation

DIZZINESS AND IMBALANCE are frequent complaints heard by physicians. Dizziness is the primary reason individuals older than 65 years visit their physician.1 Complaints of vertigo account for 54% of the complaints of dizziness that prompt visits to primary care physicians.2 In 93% of the complaints of vertigo in primary care settings, the symptoms are related to benign paroxysmal positional vertigo (BPPV), acute vestibular neuritis, or Meniere’s disease.2

Dizziness is used interchangeably by patients with vertigo and imbalance. It is important to have the individual describe the symptoms to better understand the source of the complaint. Vertigo is the term used to describe a sense of movement, usually rotation, whereas dizziness is described by words such as floating and giddiness.3

Dizziness is a risk factor for falls. Falls in older adults are a serious problem and are the leading cause of injury deaths.4 Thirty percent of community-dwelling adults 65 years and older fall each year. The consequences of falls include fractures, traumatic brain injury, fear of falling, and loss of ability to perform activities of daily living.

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Geriatric Depression Treatment Part 3

Uncategorized | Posted by Vibraboard747
Apr 04 2011

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Geriatric Massage

Biomechanical Stimulation

Medical Treatment

2. Consulting a physician is vital when dealing with geriatric depression. The doctor will often prescribe an anti-depressant. Several types are available, and it may take time to determine the optimum drug and dosage; it can take eight to ten weeks for the full effect of the anti-depressants to be felt by the patient. These medications can have serious side effects, so it’s important to take them only when under the care of a physician.

The doctor may also suggest therapy. No one is too old to benefit from therapy, and most studies suggest that anti-depressants work best when combined with traditional talk therapy. A qualified therapist can help the patient deal with depression and discover ways to cope with the many challenges of aging.

Other Therapies

3. Many people find it beneficial to explore alternative therapies. Massage therapy helps patients feel better long after the massage is over: human touch is known for its healing powers, and the elderly person may have fewer opportunities for touch in her daily life than she did when she was younger. Some people swear by aromatherapy, believing that various essential oils, such as bergomot, rose and neroli, can help alleviate the symptoms of depression. Finally, many people find relief in feeding their spirit: studies have proven a link between attendance at religious services and a higher rate of happiness.

Test for Geriatric Depression

4. If you feel that you or a loved one is experiencing geriatric depression, you may be interested in the Geriatric Depression Scale, developed specifically to test for depression among the elderly. The test is not a replacement for seeking medical help, but it can help you assess your situation and get ready to take the next step, if needed. See the Resources section for the link, provided by the Hartford Institute for Geriatric Nursing.

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Geriatric Depression Treatment Part 2

Uncategorized | Posted by Vibraboard747
Apr 01 2011

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Geriatric Massage

Biomechanical Stimulation

Symptoms

1. The CDC lists the following as symptoms that may indicate depression
• Feelings of hopelessness and/or pessimism
• Feelings of guilt, worthlessness and/or helplessness
• Irritability and/or restlessness
• Loss of interest in activities or hobbies once found pleasurable
• Fatigue and decreased energy
• Difficulty concentrating, remembering details and making decisions
• Insomnia, early-morning wakefulness or excessive sleeping
• Overeating or appetite loss
• Thoughts of suicide, suicide attempts
• Persistent aches or pains, headaches, cramps or digestive problems that do not get better, even with treatment

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Geriatric Depression Treatment Part 1

Uncategorized | Posted by Vibraboard747
Mar 31 2011

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Geriatric Massage

Biomechanical Stimulation

Geriatric depression is a widespread problem experienced by 8 to 20 percent of older people who live in the community and 37 percent of those who live in care facilities, according to the Centers for Disease Control. It is not, however, an inevitable part of growing old. By looking at the causes, symptoms, medical treatment and other therapies, older people and their families can learn how to treat geriatric depression and go on to live happier, more fulfilling lives.

Causes

Older people experience many losses. They may have outlived their spouse, siblings, friends and even their children. Their health is not as robust as when they were younger; in fact, they often cope with serious health issues that limit their activities. They may be forced to give up some of the things that gave them pleasure in their younger days, from favorite foods to travel to hobbies that require keen eyesight or physical strength. In other words, they often have good reason to be sad and experience a sense of loss. http://www.ehow.com/about_5074854_geriatric-depression-treatment.html

Depression, however, is different. Depression is persistent, and it interferes with a person’s ability to function normally. Depression often accompanies heart disease, cancer and other serious illnesses, but it needs to be treated as a separate health concern in order to facilitate the patient’s return to a high quality of life. According to the CDC, the failure to treat depression may lead to disability and impede recovery from the other health issues the patient is experiencing.

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Geriatric Care & Occupational Therapy Part 4

Uncategorized | Posted by Vibraboard747
Mar 28 2011

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Geriatric Massage

Biomechanical Stimulation

Activities Of Daily Living

Occupational therapy focuses on ADLs because they are necessary for independent living. The basic ADLs include: going to the bathroom, bathing, grooming, dressing, eating and moving from one surface to another, such as moving from a chair to a bed or bathtub. Instrumental ADLs require more complex thinking. These tasks include things like preparing meals, using the telephone, operating a computer, managing finances and medications as well as cleaning; doing laundry, going shopping, and other errands, traveling from one place to another, which includes driving. Driving is quite complicated because it includes integration of visual, physical and mental tasks and being able to coordinate these tasks, which may be mild to moderately impaired as you age.

Occupational therapy may help geriatric clients with other activities to help reduce the risks of social isolation and its detrimental consequences. They do this by assisting geriatric patients to maintain social activities they know and encouraging involvement in new ones as well as providing ways to promote continued learning and other mind-stimulating activities, which help promote feelings of self-worth and may help prevent dementia.

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Geriatric Care & Occupational Therapy Part 3

Uncategorized | Posted by Vibraboard747
Mar 25 2011

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Geriatric Massage

Biomechanical Stimulation

Conditions
3. The most common diseases, conditions and surgical recoveries that OTRs and COTAs are involved in for the elderly include: arthritis, chronic obstructive pulmonary disease (COPD), stroke, broken shoulder, wrist, hip and knee replacement as well as repair or replacement of these body parts, depression, diabetes, sensory impairments and dementia. The key in geriatric care is to avoid these injuries and illnesses to begin with. To do this, OTRs and COTAs focus on adapting and modifying the performance of activities of daily living that have become difficult or impossible to do because of age-related changes, disorders or disabilities. Occupational therapy provides help with other activities that relate to geriatric clients that still work. They also find ways for elderly patients to be involved in leisure and social activities that are dependent upon the patient’s capabilities and interests.

Settings

4. It is the aim of occupational therapy to improve the ability of elderly people so they can stay in their home. If institutionalized care is required, occupational therapy can enhance their lives there by helping them to maintain their highest level of function there, even if full recovery from a health issue is not possible.

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Geriatric Care & Occupational Therapy Part 2

Uncategorized | Posted by Vibraboard747
Mar 23 2011

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Geriatric Massage

Biomechanical Stimulation

Occupational Therapy

1. Occupational therapy commits to improving and maintaining the highest level of function possible of its clients so that people can have healthier, more productive and satisfying lives. Occupational therapy dedicates itself to quality health care which includes disease prevention, staying well and rehabilitation services for individuals across the lifespan. As people age, they use more occupational therapy services as a rule.

Effectiveness

2. Occupational therapy has been proven effective for the geriatric population, with a number of medical conditions and surgical recoveries. Besides working with individual people to increase their strength and regain important life skills, occupational therapists work with a geriatric community to counsel families, local governments and community groups to make sure that each group is doing its part to help older adults maintain their independence.

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