Pub Date : 2023-04-01DOI: 10.1097/TGR.0000000000000393
D. Treacy, C. Sherrington
Mobility is a broad term which is defined as the ability to move around and change positions such as walking, rising from a chair, and maintaining balance while standing. Mobility has been shown to be key determinant in older individuals' overall health and quality of life. High rates of mobility and functional limitation are evident in older people with frailty. Exercise-based rehabilitation interventions including mobility and balance training are effective in improving mobility in individuals with frailty.
{"title":"Mobility and Frailty Rehabilitation in Older Adults","authors":"D. Treacy, C. Sherrington","doi":"10.1097/TGR.0000000000000393","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000393","url":null,"abstract":"Mobility is a broad term which is defined as the ability to move around and change positions such as walking, rising from a chair, and maintaining balance while standing. Mobility has been shown to be key determinant in older individuals' overall health and quality of life. High rates of mobility and functional limitation are evident in older people with frailty. Exercise-based rehabilitation interventions including mobility and balance training are effective in improving mobility in individuals with frailty.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"39 1","pages":"124 - 130"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46268376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1097/tgr.0000000000000389
L. R. Perazza, D. Avers, L. Thompson
{"title":"Measurement of Frailty","authors":"L. R. Perazza, D. Avers, L. Thompson","doi":"10.1097/tgr.0000000000000389","DOIUrl":"https://doi.org/10.1097/tgr.0000000000000389","url":null,"abstract":"","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44592144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1097/TGR.0000000000000390
Christina Prevett, A. Tang
Frailty is a clinical geriatric syndrome where loss of physical resiliency increases vulnerability to external stressors. Frailty is predictive of many adverse health outcomes. Frailty exists across a spectrum where prefrailty is an intermediary, subclinical state of frailty. Evidence suggests that it is easier to reverse prefrailty states than to reverse established frailty, and therefore may be an ideal target for preventative interventions. This narrative review discusses clinical methods of identifying individuals with prefrailty, and interventions shown to be effective in improving frailty status in older adults.
{"title":"A Clinical Review of the Classification and Management of Prefrailty in Older Adults","authors":"Christina Prevett, A. Tang","doi":"10.1097/TGR.0000000000000390","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000390","url":null,"abstract":"Frailty is a clinical geriatric syndrome where loss of physical resiliency increases vulnerability to external stressors. Frailty is predictive of many adverse health outcomes. Frailty exists across a spectrum where prefrailty is an intermediary, subclinical state of frailty. Evidence suggests that it is easier to reverse prefrailty states than to reverse established frailty, and therefore may be an ideal target for preventative interventions. This narrative review discusses clinical methods of identifying individuals with prefrailty, and interventions shown to be effective in improving frailty status in older adults.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"39 1","pages":"149 - 160"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46060034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1097/TGR.0000000000000391
J. Cabrera
Management of the older adult with frailty is challenging. Multiple morbidities and their interrelationships can make the management of frailty arduous to diagnose and effectively treat. However, explicitly assessing for frailty can help optimize the older adult's care and provide an appropriate focus for the interventions. Effective treatment interventions must be individualized to encourage active participation and engagement. Appropriate dosing of exercise is essential. Nonetheless, the key to reversing or preventing a downward trajectory is increasing physical activity, necessitating the individual's active participation and empowerment.
{"title":"Physical Therapist Management of a Person With Frailty Across the Continuum","authors":"J. Cabrera","doi":"10.1097/TGR.0000000000000391","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000391","url":null,"abstract":"Management of the older adult with frailty is challenging. Multiple morbidities and their interrelationships can make the management of frailty arduous to diagnose and effectively treat. However, explicitly assessing for frailty can help optimize the older adult's care and provide an appropriate focus for the interventions. Effective treatment interventions must be individualized to encourage active participation and engagement. Appropriate dosing of exercise is essential. Nonetheless, the key to reversing or preventing a downward trajectory is increasing physical activity, necessitating the individual's active participation and empowerment.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"39 1","pages":"131 - 148"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48436036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1097/TGR.0000000000000392
C. Ciolek, Christine M. Ross
Motoric cognitive risk (MCR) syndrome and cognitive frailty (CF) are relatively new predementia syndromes that represent changes from baseline cognition that may be reversible or nonprogressive. Rehabilitation therapists may be the first clinicians to identify the symptoms of MCR syndrome and CF, of subjective cognitive complaints with the associated gait or strength impairments. Adopting screening tools in clinical practice and health screening events may help to identify these syndromes early and provide the opportunity for medical and lifestyle interventions to potentially minimize progression.
{"title":"Motoric Cognitive Risk Syndrome and Cognitive Frailty","authors":"C. Ciolek, Christine M. Ross","doi":"10.1097/TGR.0000000000000392","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000392","url":null,"abstract":"Motoric cognitive risk (MCR) syndrome and cognitive frailty (CF) are relatively new predementia syndromes that represent changes from baseline cognition that may be reversible or nonprogressive. Rehabilitation therapists may be the first clinicians to identify the symptoms of MCR syndrome and CF, of subjective cognitive complaints with the associated gait or strength impairments. Adopting screening tools in clinical practice and health screening events may help to identify these syndromes early and provide the opportunity for medical and lifestyle interventions to potentially minimize progression.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"39 1","pages":"109 - 123"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47565141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1097/TGR.0000000000000394
C. Chia, Nicole Therese Wen Min Yong, Marc Weijie Ong, Xin Yi Lam, Bernice Lip Lin Soon, Kok Yang Tan
This article gives an overview of the 10 years' experience of the first dedicated geriatric surgery service in Khoo Teck Puat Hospital, Singapore. Frailty and its adverse impact on emergency and elective surgical procedures are elaborated and strategies to optimize outcomes explained. Via transdisciplinary transinstitutional collaboration, geriatric surgery service instituted trimodal intervention of prehabilitation, nutrition, and psychological support for frail patients, achieved consistent perioperative results, shortened length of hospital stay, and restored baseline function for patients undergoing major elective oncological surgery. Efforts are made to teach transdisciplinary collaboration to the next generation of doctors to meet the challenges of the Era of Geriatric Surgery.
{"title":"Frailty, Meeting Challenges, and Beyond in Geriatric Surgery—10 Years' Experience From Singapore's First Geriatric Surgical Service","authors":"C. Chia, Nicole Therese Wen Min Yong, Marc Weijie Ong, Xin Yi Lam, Bernice Lip Lin Soon, Kok Yang Tan","doi":"10.1097/TGR.0000000000000394","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000394","url":null,"abstract":"This article gives an overview of the 10 years' experience of the first dedicated geriatric surgery service in Khoo Teck Puat Hospital, Singapore. Frailty and its adverse impact on emergency and elective surgical procedures are elaborated and strategies to optimize outcomes explained. Via transdisciplinary transinstitutional collaboration, geriatric surgery service instituted trimodal intervention of prehabilitation, nutrition, and psychological support for frail patients, achieved consistent perioperative results, shortened length of hospital stay, and restored baseline function for patients undergoing major elective oncological surgery. Efforts are made to teach transdisciplinary collaboration to the next generation of doctors to meet the challenges of the Era of Geriatric Surgery.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"39 1","pages":"79 - 87"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42762696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1097/TGR.0000000000000395
M. Auais
With an aging population, hip fractures and recovery from hip fractures are becoming a growing public health concern. Recovery after hip fractures is particularly challenging in those who are frail. Typically, frail patients with hip fractures are seen in acute care settings and followed as they transition to inpatient and/or outpatient rehabilitation. This article first summarizes existing literature describing the relationship between frailty and hip fracture and then provides a review of evidence about caring for this population in various care settings with special consideration for frail patients. To conclude, it outlines recommendations for future clinical rehabilitation research for frail patients with hip fractures.
{"title":"Rehabilitation for Frail Patients With Hip Fracture","authors":"M. Auais","doi":"10.1097/TGR.0000000000000395","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000395","url":null,"abstract":"With an aging population, hip fractures and recovery from hip fractures are becoming a growing public health concern. Recovery after hip fractures is particularly challenging in those who are frail. Typically, frail patients with hip fractures are seen in acute care settings and followed as they transition to inpatient and/or outpatient rehabilitation. This article first summarizes existing literature describing the relationship between frailty and hip fracture and then provides a review of evidence about caring for this population in various care settings with special consideration for frail patients. To conclude, it outlines recommendations for future clinical rehabilitation research for frail patients with hip fractures.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"39 1","pages":"100 - 108"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43056259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1097/TGR.0000000000000378
Nurcan Çakır, A. Mandıracıoğlu, H. Hassoy, G. Horasan
Background and Purpose: Fear of falling is the worry that appears with the fall, and it is quite commonly seen in older adults. The aim of the study was to detect the fear of falling and related factors in older persons who are receiving home care services provided by Bornova Municipality. Methods: This cross-sectional study was conducted with the participation of 386 individuals older than 60 years. The data were collected via face-to-face interviews by a questionnaire form, May-October, 2018. The fear of falling was measured by The Falls of Efficacy Scale-International. In addition, a questionnaire to collect sociodemographic data, retrospective history of falls, Instrumental Activities of Daily Living, EuroQol-5D, and Home Security Control List was used. Results: The mean age of the sample was 77.66 ± 7.59 years and females constituted 74.6% of them. Of the participants, 74.1% were detected to have fear of falling. The logistic regression analysis showed a significant association between the fear of falling and fall history, quality of life, and health status visual analog scale scores. Conclusion: It can be argued that the fear of falling is higher in the individuals who have a past experience of falling and the individuals who have a low quality of life. The older adults who have falls history should be determined as a risk group and protective measures should be applied to enhance their life quality.
{"title":"Home Safety, Quality of Life, Fall, and Fear of Falling Among Older Home Care Recipients","authors":"Nurcan Çakır, A. Mandıracıoğlu, H. Hassoy, G. Horasan","doi":"10.1097/TGR.0000000000000378","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000378","url":null,"abstract":"Background and Purpose: Fear of falling is the worry that appears with the fall, and it is quite commonly seen in older adults. The aim of the study was to detect the fear of falling and related factors in older persons who are receiving home care services provided by Bornova Municipality. Methods: This cross-sectional study was conducted with the participation of 386 individuals older than 60 years. The data were collected via face-to-face interviews by a questionnaire form, May-October, 2018. The fear of falling was measured by The Falls of Efficacy Scale-International. In addition, a questionnaire to collect sociodemographic data, retrospective history of falls, Instrumental Activities of Daily Living, EuroQol-5D, and Home Security Control List was used. Results: The mean age of the sample was 77.66 ± 7.59 years and females constituted 74.6% of them. Of the participants, 74.1% were detected to have fear of falling. The logistic regression analysis showed a significant association between the fear of falling and fall history, quality of life, and health status visual analog scale scores. Conclusion: It can be argued that the fear of falling is higher in the individuals who have a past experience of falling and the individuals who have a low quality of life. The older adults who have falls history should be determined as a risk group and protective measures should be applied to enhance their life quality.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"39 1","pages":"12 - 18"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44372152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1097/TGR.0000000000000379
Yeon Soo Lee, Sook Joung Lee, Eunseok Choi, I. W. Lee, Jin-Seok Yi, Sangjee Lee, So-Youn Chang
Glioblastoma multiforme (GBM) is one of the most aggressive malignancies and primarily arises intracranially. It rarely coexists with other tumors. Here, we report an anomalous case of a patient who had GBM combined with a bone tumor of the femur. As new treatment options have been developed, the survival rate of patients with GBM has increased incrementally; thus, clinicians will encounter patients with extracranial metastases or combined with other diseases. Although extracranial GBM metastases and GBM combined with other tumors are rare, comprehensive whole-body evaluations are needed for proper management and therapeutic strategies.
{"title":"Glioblastoma Combined With an Extracranial Bone Tumor in the Femur—A Case Report","authors":"Yeon Soo Lee, Sook Joung Lee, Eunseok Choi, I. W. Lee, Jin-Seok Yi, Sangjee Lee, So-Youn Chang","doi":"10.1097/TGR.0000000000000379","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000379","url":null,"abstract":"Glioblastoma multiforme (GBM) is one of the most aggressive malignancies and primarily arises intracranially. It rarely coexists with other tumors. Here, we report an anomalous case of a patient who had GBM combined with a bone tumor of the femur. As new treatment options have been developed, the survival rate of patients with GBM has increased incrementally; thus, clinicians will encounter patients with extracranial metastases or combined with other diseases. Although extracranial GBM metastases and GBM combined with other tumors are rare, comprehensive whole-body evaluations are needed for proper management and therapeutic strategies.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"39 1","pages":"19 - 23"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46925920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1097/TGR.0000000000000380
M. Hollisaz, Amidoddin Khatibi Aghda, M. Asheghan, A. Amanollahi, S. E. Hashemi
Purpose: To compare local acupuncture and auricular acupuncture with physiotherapy in the treatment of frozen shoulder. Methods: A randomized clinical trial with 3 parallel groups in an outpatient clinic was conducted at a university hospital. In total, 116 participants with frozen shoulder were randomly allocated to 3 groups and underwent physiotherapy or local acupuncture or auricular acupuncture. Shoulder active and passive ranges of motion were assessed, and the Shoulder Pain and Disability Index questionnaire was used to assess pain and disability before and after the treatments. Results: Active and passive ranges of motion were best improved by physiotherapy in abduction and flexion (all P < .001). Passive external rotation was best increased after physiotherapy (P = .030). For active external and internal rotation, and also for passive internal rotation, there were no significant differences among the treatments. Pain reduction was more successful with acupuncture, especially with auricular acupuncture (P < .001). Auricular acupuncture was more effective in improving patients' functional abilities (P < .001). None of the participants reported any side effects resulting from the treatments. Conclusion: Acupuncture, particularly auricular acupuncture, is more effective in relieving pain and decreasing disability than physiotherapy. All the interventions were beneficial in improving range of motion.
{"title":"Physiotherapy, Local Acupuncture, and Auricular Acupuncture for Frozen Shoulder","authors":"M. Hollisaz, Amidoddin Khatibi Aghda, M. Asheghan, A. Amanollahi, S. E. Hashemi","doi":"10.1097/TGR.0000000000000380","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000380","url":null,"abstract":"Purpose: To compare local acupuncture and auricular acupuncture with physiotherapy in the treatment of frozen shoulder. Methods: A randomized clinical trial with 3 parallel groups in an outpatient clinic was conducted at a university hospital. In total, 116 participants with frozen shoulder were randomly allocated to 3 groups and underwent physiotherapy or local acupuncture or auricular acupuncture. Shoulder active and passive ranges of motion were assessed, and the Shoulder Pain and Disability Index questionnaire was used to assess pain and disability before and after the treatments. Results: Active and passive ranges of motion were best improved by physiotherapy in abduction and flexion (all P < .001). Passive external rotation was best increased after physiotherapy (P = .030). For active external and internal rotation, and also for passive internal rotation, there were no significant differences among the treatments. Pain reduction was more successful with acupuncture, especially with auricular acupuncture (P < .001). Auricular acupuncture was more effective in improving patients' functional abilities (P < .001). None of the participants reported any side effects resulting from the treatments. Conclusion: Acupuncture, particularly auricular acupuncture, is more effective in relieving pain and decreasing disability than physiotherapy. All the interventions were beneficial in improving range of motion.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"39 1","pages":"24 - 30"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46063875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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