scholarly journals Falls in Elderly Patients with Stroke

2020 ◽  
Vol 10 (4) ◽  
pp. 330-333
Author(s):  
Walid Kamal Abdelbasset

The present review aims to identify the prevalence of falls, to describe the factors related to falls among elderly stroke patients, and to demonstrate the desired interventions to prevent falling among those patients. This review was conducted using PubMed, SCOPUS, Web of Science, and Medline to determine the incidence, risk factors, and favorable procedures to prevent and manage falls among elderly stroke patients. Falls lead to injuries, fractures, and impairments of the quality of life. Elderly stroke patients are more susceptible to falling than their healthy peers, which may result in greater restrictions on activity and mobility. Previous studies have documented the incredible prevalence of falls among the elderly who have suffered a stroke. Our study led to the conclusion that falls should be assessed to determine how to prevent and control them among elderly stroke patients. Physical therapy and rehabilitation modalities have a key role to play in improving the health status and prevent falling among those patients.

Author(s):  
Robin D. Clark ◽  
Cynthia J. Curry

This chapter reviews the incidence, risk factors, genetics, recurrence risk, and epidemiology of arthrogryposis. The most common and clinically recognizable type among the congenital contractures is amyoplasia, and treatment options are improving the quality of life for these patients. The distal arthrogryposes are mostly autosomal dominant and caused by an increasing number of genes including variants in PIEZ02 and MYH3 among several others. The lethal contracture syndromes have an expanding number of causes many of which are autosomal recessive. The majority of these conditions are recognized on US. In viable syndromes the early and intensive use of physical therapy is critical and can result in significant joint mobilization. The clinical case presentation features an infant with lethal multiple pterygia syndrome.


2020 ◽  
Vol 11 (04) ◽  
pp. 616-622
Author(s):  
Tarannum Ahmed ◽  
Rajesh Kumar ◽  
Yogesh Bahurupi ◽  

Abstract Background Stroke is one of the most debilitating conditions contributing to significant disability and death globally. Identifying risk factors for quality of life (QoL) will enable to improve home-based rehabilitation in post-stroke phase. Objective This study was aimed to identify the risk factors of QoL in stroke patients in the sub-Himalayan region. Materials and Methods A cross-sectional hospital-based study assessed the QoL among stroke patients within a week after the onset of acute stroke and then re-evaluated at 3 months. World Health Organization QoL-BREF, Beck Depression Inventory, the Barthel Index, and Montreal Cognitive Assessment (MOCA) were used to seek data on QoL, depression, cognitive, and functional dependence status, respectively. Appropriate statistics were used to compute the results. Results In total, 129 stroke patients recruited, out of which 102 returned to a 3-month follow-up. QoL, MOCA, disability index, and depression score were compared using Wilcoxon Singed-rank test. In multivariate analysis, depression and disability together predicted 60% of the variance for physical QoL (p < 0.0001). Similarly, poststroke depression and disability together predicted 61% of the variance for psychological QoL (p < 0.0001) in stroke patients. Conclusion Findings indicated that depression and disability are leading risk factors of QoL in stroke patients. Early identification of poststroke depression and functional dependence status is, therefore, essential to devise screening procedure and to develop targeted intervention to improve rehabilitation outcomes.


2020 ◽  
Vol 1 ◽  
pp. 425-435
Author(s):  
Sergey Afanasyev ◽  
◽  
Sergey Rokutov ◽  
Viktoriya Proskura ◽  
Alexander Afanasieva ◽  
...  

Introduction. The data of the analysis of scientific and methodical literature on physical therapy of musculoskeletal lesions in elderly people with osteoarthritis, depending on sex, age and other risk factors are presented. Currently, osteoarthritis (OA) is a fairly common disease, especially in the elderly. As life expectancy increases, the problem becomes even more important. In Ukraine, the frequency of OA has remained quite high in recent years and continues to increase. The purpose of the study is systematization and generalization of modern scientific and methodical knowledge and practical experience in physical therapy of large joints of elderly patients taking into account risk factors. Material and Methods: analysis of special scientific methodical literature and Internet resources. Results. Chronic pain syndrome and the functional inability of the joints that accompany OA lead to a restriction of domestic physical activity and a decrease in quality of life. With age, the frequency of OA increases and among those over 65 years of age reaches 97%. Other factors include female sex, excessive body weight, low economic status, alcohol and smoking, congenital joint dysplasia, hormone changes, imbalance of cytokines. Local OA (mono- and oligoartrosis) and generalized (polyarthrosis) with the defeat of three or more joints are distinguished. Gonarthrosis is more common, because the knee joints are under constant load of body weight, more often exposed to traumatic factors. Treatment of OA using physical therapy methods is aimed at reducing pain and local inflammation, reducing the frequency of exacerbations, improving the quality of life, slowing the progression of the disease, reducing the probability of development disability of patients with this pathology. Scientists mainly pay attention to the treatment and rehabilitation of patients in the early stages of the disease. Conclusions. Many aspects of this problem have already been well studied and described. At the same time, a significant number of issues remain that require further study and discussion, in particular insufficient work on OA prevention; the problem of a differentiated approach to the development of modern rehabilitation programs for patients taking into account age, sex and complications remains incompletely investigated. Keywords: knee-joint arthrosis, aged, methods of physical rehabilitation


Author(s):  
Marcelo Caetano de Azevedo Tavares ◽  
Márcia Carréra Campos Leal ◽  
Ana Paula de Oliveira Marques ◽  
Rogério Dubosselard Zimmermann

Abstract Objective: The present integrative literature review aimed to verify the scientific knowledge produced about social support for elderly persons with HIV/Aids. Method: A search was carried out in the Lilacs, Medline, Scopus and Web of Science databases for studies published in the last ten years. The final analysis consisted of seven articles. Results: It was found that social support is extremely important in the life of the elderly with HIV/Aids, and a real need for this support was identified. Such support can both contribute to quality of life in many ways, as well as impair the care of those who live with the disease, as the diagnosis, treatment and the entire stigma surrounding this chronic condition directly influence the type and quality of support provided. Conclusion: It is hoped that the results of this review will contribute to are flection on health practices for the elderly with HIV/Aids.


Author(s):  
Haewon Byeon

Background and Objectives: This study developed a support vector machine (SVM) algorithm-based prediction model with considering influence factors associated with the swallowing quality-of-life as the predictor variables and provided baseline information for enhancing the swallowing quality of elderly people’s lives in the future. Methods and Material: This study sampled 142 elderly people equal to or older than 65 years old who were using a senior welfare center. The swallowing problem associated quality of life was defined by the swallowing quality-of-life (SWAL-QOL). In order to verify the predictive power of the model, this study compared the predictive power of the Gaussian function with that of a linear algorithm, polynomial algorithm, and a sigmoid algorithm. Results: A total of 33.9% of the subjects decreased in swallowing quality-of-life. The swallowing quality-of-life prediction model for the elderly, based on the SVM, showed both preventive factors and risk factors. Risk factors were denture use, experience of using aspiration in the past one month, being economically inactive, having a mean monthly household income <2 million KRW, being an elementary school graduate or below, female, 75 years old or older, living alone, requiring time for finishing one meal on average ≤15 min or ≥40 min, having depression, stress, and cognitive impairment. Conclusions: It is necessary to monitor the high-risk group constantly in order to maintain the swallowing quality-of-life in the elderly based on the prevention and risk factors associated with the swallowing quality-of-life derived from this prediction model.


2021 ◽  
Vol 62 (6) ◽  
Author(s):  
Nguyen Manh Tri ◽  
Le Thi Tuong Van ◽  
Luong Thai Vinh ◽  
Vo Thi Ngoc Ha ◽  
Nguyen Thi Phuong ◽  
...  

Background: The age of support and endurance against external and internal factors and agents is greatly less so that the need for health care including physical and mental training to improve the quality of life is essential especially the physical health of the elderly. Target:. Determination of physical health scores and associations of people aged 60 years and older at nursing clubs in District 10, Ho Chi Minh City, in 2019. Methods and materials: Descriptive cross-section study. People aged 60 years and over who have been training at nursing clubs living in District 10, Ho Chi Minh City were surveyed from September 2018 to October 2019. Results: The study showed an average score of 63.3 in ±17.3 points. In particular, physical activity: 61.0±23.1; physical limitations: 57.2±26.1; pain sensation: 68.2±22,2; general health: 59.6±14.9. Considering the relationship, as the age group increases, the mean score of the elderly's quality of life decreases statistically significantly in four áreas (p<0,05). Women have a statistically significantly higher mean score on quality of life than men (p<0,05). Conclusions: The results of the study are important information that informs the physical health status of elderly people aged 60 years and older, and suggests recommendations in improving the quality of physical health care of the elderly.


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