16,415 results match your criteria Geriatric Rehabilitation


Motoric Cognitive Risk Syndrome: Could It Be Defined Through Increased Five-Times-Sit-to-Stand Test Time, Rather Than Slow Walking Speed?

Front Aging Neurosci 2018 23;10:434. Epub 2019 Jan 23.

Division of Geriatric Medicine, Department of Medicine, Sir Mortimer B. Davis - Jewish General Hospital and Lady Davis Institute for Medical Research, McGill University, Montreal, QC, Canada.

Slow walking speed, time to perform the five-times-sit-to-stand (FTSS) test and motoric cognitive risk syndrome (MCR; defined as slow gait speed combined with subjective cognitive complaint) have been separately used to screen older individuals at risk of cognitive decline. This study seeks to (1) compare the characteristics of older individuals with MCR, as defined through slow walking speed and/or increased FTSS time; and (2) examine the relationship between MCR and its motor components as well as amnestic (a-MCI) and non-amnestic (na-MCI) Mild Cognitive Impairment. A total of 633, individuals free of dementia, were selected from the cross-sectional "Gait and Alzheimer Interactions Tracking" study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3389/fnagi.2018.00434DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366305PMC
January 2019

Special Populations in Implantable Auditory Devices: Geriatric.

Authors:
Selena E Briggs

Otolaryngol Clin North Am 2019 Feb 11. Epub 2019 Feb 11.

Department of Otolaryngology, MedStar Washington Hospital Center, 106 Irving Street NW, Suite 2700 North, Washington, DC 20010; Department of Otolaryngology, MedStar Georgetown University Medical Center, Gorman Building, 1st Floor, 3800 Reservoir Road NW, Washington, DC 20007. Electronic address:

Hearing loss is common in the geriatric population. Most hearing loss is associated with presbycusis or age-related hearing loss, impacting one-third of individuals over 65 years and increasing in prevalence with age. Hearing loss impacts quality of life, psychological health, and cognition. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.otc.2018.11.009DOI Listing
February 2019

Urea dilution of serum for reproducible anti-HSV1 IgG avidity index.

BMC Infect Dis 2019 Feb 14;19(1):164. Epub 2019 Feb 14.

Department of Clinical Microbiology, Virology, Umeå University, SE-901 85, Umeå, Sweden.

Background: Herpes simplex virus type 1 (HSV1), establishes life-long latency and can cause symptoms during both first-time infection and later reactivation. The aim of the present study was to describe a protocol to generate a reliable and discriminative avidity index (AI) for anti-HSV1 IgG content in human sera.

Methods: Human serum from two distinct cohorts; one a biobank collection (Betula) (n = 28), and one from a clinical diagnostics laboratory at Northern Sweden University Hospital (NUS) (n = 18), were assessed for presence of IgG antibodies against HSV1 by a commercially available ELISA-kit. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12879-019-3769-xDOI Listing
February 2019

Resident-Level Factors Associated with Hospitalization Rates for Newly Admitted Long-Term Care Residents in Canada: A Retrospective Cohort Study.

Can J Aging 2019 Feb 14:1-8. Epub 2019 Feb 14.

Department of Physical Therapy,University of Toronto, Toronto,Ontario.

ABSTRACTHospitalizations of long-term care (LTC) residents can result in adverse outcomes such as functional decline. The objective of our study was to investigate the association between demographic and health information and hospitalization rate for newly admitted LTC residents. We conducted a retrospective cohort study of all LTC homes in six provinces and one territory in Canada, using data from the Resident Assessment Instrument-Minimum Data Set (RAI-MDS) 2. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1017/S0714980818000715DOI Listing
February 2019

Multi-sensory training and wrist fractures: a randomized, controlled trial.

Aging Clin Exp Res 2019 Feb 11. Epub 2019 Feb 11.

Faculty of Medicine, University of Iceland, Reykjavik, Iceland.

Background: Asymmetric vestibular function, decreased plantar sensation, postural control and functional ability have been associated with fall-related wrist fractures.

Objective: To investigate whether multi-sensory training (MST) improves postural control, vestibular function, foot sensation and functional ability among people with fall-related wrist fractures compared to wrist stabilization training (WT).

Methods: This was an assessor-blinded, randomized controlled trial. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s40520-019-01143-4DOI Listing
February 2019

Exercise and immune system as modulators of intestinal microbiome: implications for the gut-muscle axis hypothesis.

Exerc Immunol Rev 2019 ;25:84-95

Department of Medicine and Surgery, University of Parma. Geriatric-Rehabilitation Department, Azienda Ospedaliero-Universitaria di Parma, Italy. Microbiome Research Hub, University of Parma, Italy.

Exercise is a possible modulator of intestinal microbiome composition, since some investigations have shown that it is associated with increased biodiversity and representation of taxa with beneficial metabolic functions. Conversely, training to exhaustion can be associated with dysbiosis of the intestinal microbiome, promoting inflammation and negative metabolic consequences. Gut microbiota can, in turn, influence the pathophysiology of several distant organs, including the skeletal muscle. Read More

View Article

Download full-text PDF

Source
January 2019

What palliative care can learn from geriatric medicine.

Br J Hosp Med (Lond) 2019 Feb;80(2):86-90

Professor of Palliative and End-of-Life Care and Honorary Consultant Geriatrician, School of Health Sciences, University of Nottingham, Nottingham NG7 2UH.

Most people die when they are old, with multiple pathologies, and while living with frailty or dementia. These circumstances need the specialist skills of geriatric medicine. Death may not be unexpected, but survival and restoration of function are usually uncertain, influencing the approach to medical intervention. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12968/hmed.2019.80.2.86DOI Listing
February 2019

Changes in Intensity and Duration of Walking among Older Adults from In-Patient Geriatric Rehabilitation to Home.

Physiother Can 2018 ;70(4):341-348

Section of Geriatric Medicine, Department of Internal Medicine, Rady Faculty of Health Sciences.

We compared walking in hospital and on discharge from in-patient geriatric rehabilitation. Participants included 28 adults (22 women) with a mean age of 85.4 (SD 6. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3138/ptc.2017-55DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361398PMC
January 2018

Power Doppler Ultrasound Findings before and after Focused Extracorporeal Shock Wave Therapy for Achilles Tendinopathy: A Pilot Study on Pain Reduction and Neovascularization Effect.

Ultrasound Med Biol 2019 Feb 7. Epub 2019 Feb 7.

Department of Physical Medicine and Rehabilitation, "OO.RR Hospital", University of Foggia, Foggia, Italy.

Extracorporeal shock wave therapy (ESWT) has been found to have a positive effect in the treatment of pain in Achilles tendinopathy, although the exact mechanism is not yet completely understood. Among the mechanisms suggested to underlie ESWT effects are direct stimulation of healing, neovascularization and direct suppressive effects on nociceptors and hyperstimulation, which would block the gate-control system. The neovascularization observed in flogistic tissue is associated with stimulated nerve fibers around tendons and induces a painful condition. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ultrasmedbio.2018.12.009DOI Listing
February 2019
1 Read
2.214 Impact Factor

Diabetic neuropathies influence recovery from hip-fracture surgery in older persons with diabetes.

Exp Gerontol 2019 Feb 7. Epub 2019 Feb 7.

Healthy Aging Research Center, Chang Gung University, 259 Wenhua 1st Road, Guishan District, Taoyuan 33302, Taiwan; School of Nursing, College of Medicine, Chang Gung University, 259 Wenhua 1st Road, Guishan District, Taoyuan 33302, Taiwan; Department of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, 5 Fuxing Street, Guishan District, Taoyuan 33305, Taiwan; Department of Nursing, Kaohsiung Chang Gung Memorial Hospital, 123 Dapi Road, Niaosng District, Kaohsiung 83301, Taiwan; Department of Gerontology and Health Care Management, Chang Gung University of Science and Technology, 261 Wenhwa 1st Road, Guishan District, Taoyuan 33303, Taiwan. Electronic address:

Background/objectives: To explore the impact of diabetic peripheral neuropathy (DPN) on the recovery of older persons with diabetes mellitus (DM) after hip-fracture surgery.

Design, Setting, Participants: Secondary data for this study came from a clinical trial on the effectiveness of a DM-specific care model for 176 older persons (age ≥ 60) with DM over 2 years following hip-fracture surgery at a medical center in Taiwan. In the original trial, the experimental group (n = 88) received DM-specific care comprising diabetes care plus subacute care, and the control group (n = 88) received only usual care. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.exger.2019.02.004DOI Listing
February 2019
1 Read

Calciotropic Hormones and the Prevalence of Vertebral Fractures in Chinese Postmenopausal Women with Vitamin D Insufficiency: Peking Vertebral Fracture Study.

Calcif Tissue Int 2019 Feb 8. Epub 2019 Feb 8.

Department of Endocrinology, Key Laboratory of Endocrinology, Ministry of Health, Peking Union Medical College Hospital, National Commission of Health, Chinese Academy of Medical Science, No. 1 Shuaifuyuan, Wangfujing Street, Dongcheng District, Beijing, 100730, China.

This case-control study aimed to examine the effect of high serum parathyroid hormone (PTH) level, especially the effect of secondary hyperparathyroidism (SHPT) related to hypovitaminosis D, on bone metabolism and bone phenotypes. We included a total of 830 Chinese postmenopausal women aged ≥ 50 years with serum 25-hydroxyvitamin D (25(OH)D) level < 30 ng/ml, among whom 415 women had prevalent vertebral fractures (VFs) and others were age-matched controls. We measured serum levels of 25(OH)D, PTH and bone turnover markers (BTMs), which included C-terminal telopeptide of type I collagen (β-CTX), N-aminoterminal prepeptide of type I procollagen (P1NP) and osteocalcin (OC). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00223-019-00531-2DOI Listing
February 2019
1 Read

Constipation and laxative use among people living in nursing homes in 2007 and 2013.

BMC Geriatr 2019 Feb 8;19(1):38. Epub 2019 Feb 8.

Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, 901 87, Umeå, Sweden.

Background: Constipation is a common condition among older people, particularly among people living in nursing homes, and the use of drugs such as opioids is one of many factors that contribute to its high prevalence. The aim of this study was to compare the prevalence of constipation and the use of laxatives between 2007 and 2013, to analyze constipation and laxative use among people who are prescribed opioids, and to identify factors associated with constipation.

Methods: In 2007 and 2013, two surveys were performed in the county of Västerbotten in Northern Sweden, comprising all those living in nursing homes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12877-019-1054-xDOI Listing
February 2019
1 Read

Multimodal Intervention to Improve Functional Status in Hypertensive Older Adults: A Pilot Randomized Controlled Trial.

J Clin Med 2019 Feb 6;8(2). Epub 2019 Feb 6.

Department of Medicine, Division of Gerontology, Geriatrics and Palliative Care, University of Alabama at Birmingham, Birmingham, AL 35205, USA.

This pilot randomized controlled trial (RCT) was designed to provide the preliminary data necessary to conduct a full-scale trial to compare the efficacy of differing first-line antihypertensive medications in improving functional status in older adults, when combined with exercise. The primary objectives were to assess study feasibility, safety, and protocol integrity. Dependent outcomes included gait speed, exercise capacity, body composition, and systemic cardiometabolic biomarkers. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3390/jcm8020196DOI Listing
February 2019

Geriatric Rehabilitation shouldn't be an Oxymoron: A path forward.

Arch Phys Med Rehabil 2019 Feb 5. Epub 2019 Feb 5.

New England Geriatric Research, Education and Clinical Center, Boston VA Healthcare System, Boston, MA; Harvard Medical School, Boston, MA; Division of Aging, Brigham & Women's Hospital, Boston, MA.

Older adults are the fastest growing segment of our population and contribute greatly to the high costs of healthcare. The primary concern among older adults seeking healthcare is maintaining or improving functional independence. This concern is the focus of both Rehabilitative Care and Geriatric Medicine; however, collaboration between these fields can be hampered by a lack of mutual understanding of the fundamental principles of the other field. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.apmr.2018.12.038DOI Listing
February 2019

Physical function and pre-amputation characteristics explain daily step count after dysvascular amputation.

PM R 2019 Feb 6. Epub 2019 Feb 6.

Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, CO.

Background: People with dysvascular lower limb amputation (LLA) achieve one-third of the recommended steps per day and experience severe disability. Although physical function improves with rehabilitation after dysvascular LLA, physical activity remains largely unchanged and factors contributing to limited daily step count are unknown.

Objectives: To identify factors that contribute to daily step count after dysvascular LLA. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/pmrj.12121DOI Listing
February 2019

Widespread microglial activation in multiple system atrophy.

Mov Disord 2019 Feb 6. Epub 2019 Feb 6.

Departments of Nulcear Medicine and Geriatric Medicine, University Hospital Essen, Germany.

Background: The pattern and role of microglial activation in multiple system atrophy is largely unclear. The objective of this study was to use [ C](R)-PK11195 PET to determine the extent and correlation of activated microglia with clinical parameters in MSA patients.

Methods: Fourteen patients with the parkinsonian phenotype of MSA (MSA-P) with a mean disease duration of 2. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/mds.27620DOI Listing
February 2019
1 Read

WHODAS 2.0-BO: normative data for the assessment of disability in older adults.

Rev Saude Publica 2019 Jan 31;53:19. Epub 2019 Jan 31.

Universidade de São Paulo. Faculdade de Saúde Pública. Departamento de Epidemiologia. São Paulo, SP, Brasil.

Objective: To examine the normative data of WHODAS 2.0-BO for older Brazilians (World Health Disability Assessment Schedule - Brazilian version for older people) and its distribution according to sex, age, health, subjective health perception, performance in a mobility test and presence of chronic diseases and depression.

Methods: Cross-sectional study, with 350 participants with 60 years of age or older, men and women, patients of a geriatric specialized center for medical consultations or rehabilitation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.11606/S1518-8787.2019053000586DOI Listing
January 2019

Lack of posterior occlusal support predicts the reduction in walking speed in 80-year-old Japanese adults: A 3-year prospective cohort study with propensity score analysis by the SONIC Study Group.

Gerodontology 2019 Feb 6. Epub 2019 Feb 6.

Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Osaka, Japan.

Objective: To investigate the association between posterior occlusal support by residual teeth and the reduction in walking speed in 80-year-old Japanese adults using propensity score matching.

Background Data Discussing The Present Status Of The Field: Previous studies have demonstrated an association between oral status and motor function; however, most of these studies had a cross-sectional design.

Material And Method: This study included 353 community-dwelling Japanese people aged 79-81 years. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/ger.12393DOI Listing
February 2019
1 Read

Falls after hospital discharge: a randomized clinical trial of individualized multi-modal falls prevention education.

J Gerontol A Biol Sci Med Sci 2019 Feb 5. Epub 2019 Feb 5.

Department of Aged Care and Rehabilitation, St John of God Midland Public and Private Hospital, Western Australia, Australia.

Background: Older people are at high risk of falls after hospital discharge. The study aimed to evaluate the effect of providing individualized falls prevention education in addition to usual care on falls rates in older people after hospital discharge compared to providing a social intervention in addition to usual care.

Methods: A randomized clinical trial at three hospitals in Western Australia: participants followed for six months after discharge. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/gerona/glz026DOI Listing
February 2019

Interrelated neuromuscular and clinical risk factors that contribute to falls.

J Gerontol A Biol Sci Med Sci 2019 Feb 5. Epub 2019 Feb 5.

New England Geriatric Research and Education Clinical Center (GRECC), VA Boston Healthcare System, Boston, MA.

Background: Neuromuscular and clinical factors contribute to falls among older adults, yet the interrelated nature of these factors is not well understood. We investigated the relationships between these factors and how they contribute to falls, which may help optimize fall risk assessment and prevention.

Methods: 365 primary care patients (age=77±7, 67% female) were included from the Boston Rehabilitative Impairment Study of the Elderly. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/gerona/glz030DOI Listing
February 2019
1 Read

Quality improvement strategies to prevent falls in older adults: a systematic review and network meta-analysis.

Age Ageing 2019 Feb 5. Epub 2019 Feb 5.

Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, East Building, Toronto, ON Canada.

Background: Falls are a common occurrence and the most effective quality improvement (QI) strategies remain unclear.

Methods: We conducted a systematic review and network meta-analysis (NMA) to elucidate effective quality improvement (QI) strategies for falls prevention. Multiple databases were searched (inception-April 2017). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/ageing/afy219DOI Listing
February 2019
1 Read

Evaluation and Treatment of Posterior Tibialis Tendon Insufficiency in the Elderly Patients.

Geriatr Orthop Surg Rehabil 2019 24;10:2151459318821461. Epub 2019 Jan 24.

Department of Orthopaedics and Rehabilitation, University of Rochester Medical Center, Rochester, NY, USA.

Introduction: Posterior tibialis tendon insufficiency is the most common cause of adult acquired flatfoot deformity in elderly patients. We performed a literature search of primary and secondary journal articles pertaining to posterior tibialis tendon insufficiency in the geriatric population. We examined relevant data from these articles regarding current evaluation in addition to both conservative and advanced treatment approaches that correspond to disease severity. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2151459318821461DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348568PMC
January 2019
1 Read

Associations between daily-living physical activity and laboratory-based assessments of motor severity in patients with falls and Parkinson's disease.

Parkinsonism Relat Disord 2019 Jan 29. Epub 2019 Jan 29.

Center for the study of Movement, Cognition and Mobility, Neurological Institute, Tel Aviv Sourasky Medical Center, Israel; Department of Physical Therapy, Sackler Faculty of Medicine, Israel; Sagol School of Neuroscience, Tel Aviv University, Israel; Rush Alzheimer's Disease Center and Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, USA. Electronic address:

Introduction: Recent work suggests that wearables can augment conventional measures of Parkinson's disease (PD). We evaluated the relationship between conventional measures of disease and motor severity (e.g. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.parkreldis.2019.01.022DOI Listing
January 2019
2 Reads

Type 2 diabetes mellitus and osteoarthritis.

Semin Arthritis Rheum 2019 Jan 11. Epub 2019 Jan 11.

Division of Diabetes, Nutrition and Metabolic Disorders and Clinical Pharmacology Unit, Department of Medicine, University of Liège, CHU Liège, Sart Tilman B35, B-4000 Liège, Belgium.

Objectives: Type 2 diabetes mellitus (T2DM) and osteoarthritis (OA) are common diseases that frequently co-exist, along with overweight/obesity. While the mechanical impact of excess body weight on joints may explain lower limb OA, we sought to explore whether T2DM is linked to OA outside of excess weight and whether T2DM may play a role in OA pathophysiology. The consequence of T2DM on OA outcomes is a question of research interest. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00490172183058
Publisher Site
http://dx.doi.org/10.1016/j.semarthrit.2019.01.005DOI Listing
January 2019
2 Reads

High-Resolution Cervical Auscultation Signal Features Reflect Vertical and Horizontal Displacements of the Hyoid Bone During Swallowing.

IEEE J Transl Eng Health Med 2019 24;7:1800109. Epub 2018 Dec 24.

Department of Electrical and Computer EngineeringSwanson School of EngineeringUniversity of PittsburghPittsburghPA15261USA.

Millions of people across the globe suffer from swallowing difficulties, known as dysphagia, which can lead to malnutrition, pneumonia, and even death. Swallowing cervical auscultation, which has been suggested as a noninvasive screening method for dysphagia, has not been associated yet with any physical events. In this paper, we have compared the hyoid bone displacement extracted from the videofluoroscopy images of 31 swallows to the signal features extracted from the cervical auscultation recordings captured with a tri-axial accelerometer and a microphone. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1109/JTEHM.2018.2881468DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345415PMC
December 2018
1 Read

Objective measures of rollator user stability and device loading during different walking scenarios.

PLoS One 2019 30;14(1):e0210960. Epub 2019 Jan 30.

School of Business, Salford University, Salford, United Kingdom.

Walking aids are widely used by older adults, however, alarmingly, their use has been linked to increased falls-risk, yet clinicians have no objective way of assessing user stability. This work aims to demonstrate the application of a novel methodology to investigate how the type of walking task, the amount of body weight supported by the device (i.e. Read More

View Article

Download full-text PDF

Source
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0210960PLOS
January 2019

Impact of Nutritional Status on Caregiver Burden of Elderly Outpatients. A Cross-Sectional Study.

Nutrients 2019 Jan 28;11(2). Epub 2019 Jan 28.

Geriatric Clinic Unit, Geriatric-Rehabilitation Department, Azienda Ospedaliero-Universitaria di Parma, 43126 Parma, Italy.

The assistance to older community-dwellers provided by family caregivers is crucial for the maintenance of an acceptable quality of life, especially when dementia is present. The caregiver burden may be extremely high, but few data are available on what patient domains mainly affect the caregiver. The aim of this cross-sectional study, performed in older outpatients, was to examine the impact of cognitive, physical and nutritional status of elderly community-dwellers on the caregiver burden, as evaluated by the Caregiver Burden Inventory (CBI). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3390/nu11020281DOI Listing
January 2019
1 Read

Utilising capacity in a rural hospital to support older people requiring hospital care: Kilcoy Connect.

Aust J Rural Health 2019 Jan 29. Epub 2019 Jan 29.

Centre for Health Services Research, University of Queensland, Wooloongabba, Queensland, Australia.

Problem: The increasing specialisation of medical care in larger centres is contributing to the declining use of rural hospitals that are close to larger centres, risking bed closures or even facility closure.

Design: An allied health-led model of care supported by telehealth geriatrician services was developed and implemented in eight beds in a rural hospital to manage older patients needing geriatric evaluation and management.

Setting: The project was set in Kilcoy Hospital, a small facility north of Caboolture in Queensland, Australia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/ajr.12475DOI Listing
January 2019

Short-Term Outcomes of Interdisciplinary Hip Fracture Rehabilitation in Frail Elderly Inpatients.

Rehabil Res Pract 2018 31;2018:1708272. Epub 2018 Dec 31.

Department of Physical and Rehabilitation Medicine, Complejo Hospitalario de Toledo, Servicio de Salud de Castilla-La Mancha (SESCAM), Avenida de Barber, 30, ES- 45004- Toledo, Spain.

Objective: To investigate short-term outcomes of an interdisciplinary rehabilitation program for elderly inpatients who underwent surgical treatment for hip fractures.

Methods: This is a prospective cohort study of fifty older inpatients who were admitted to a geriatric rehabilitation unit. Clinical and functional outcomes were assessed at admission, at discharge, and one month postdischarge. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/1708272DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332931PMC
December 2018
1 Read

Health-related quality of life loss associated with first-time stroke.

PLoS One 2019 28;14(1):e0211493. Epub 2019 Jan 28.

Saw Swee Hock School of Public Health, National University of Singapore, Singapore.

Objectives: This study aimed to quantify health-related quality of life (HRQoL) loss associated with first episode of stroke by comparing patient-reported HRQoL before and after stroke onset. The impact of stroke in local population was also evaluated by comparing the pre- and post-stroke HRQoL with that of the general population.

Methods: The HRQoL of stroke survivors was assessed with the EQ-5D-3L index score at recruitment, for recalled pre-stroke HRQoL, and at 3 and 12 month post-stroke. Read More

View Article

Download full-text PDF

Source
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0211493PLOS
January 2019

Opioid Prescriptions at Hospital Discharge Are Associated With More Postdischarge Healthcare Utilization.

J Am Heart Assoc 2019 Feb;8(3):e010664

1 Veterans Health Administration Tennessee Valley VA Health Care System Geriatric Research Education Clinical Center Nashville TN.

Background Many patients use opioids for nonmalignant pain, and opioid use in the general population has been associated with poor long-term outcomes. The use of high-risk medications, including opioid analgesics, may increase the risk of unplanned healthcare utilization. Methods and Results We performed a nested evaluation in the VICS (Vanderbilt Inpatient Cohort Study) (N=3000) on patients with an admitting diagnosis of acute coronary syndrome and/or acute decompensated heart failure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1161/JAHA.118.010664DOI Listing
February 2019
1 Read

A pilot study of the effects of high-frequency repetitive transcranial magnetic stimulation on dysphagia in the elderly.

Neurogastroenterol Motil 2019 Jan 28:e13561. Epub 2019 Jan 28.

Department of Internal Medicine, Dongguk University Ilsan Hospital, Gyeonggi-do, Korea.

Background: Swallowing difficulty is common in the geriatric population and is associated with brain activity alteration with advancing age. Repetitive transcranial magnetic stimulation (rTMS) is a noninvasive approach to stimulate cortical neurons and can produce changes in cortical excitability. The objective of this study is to determine whether rTMS induces positive changes in the cortical areas and facilitates swallowing function in the elderly diagnosed with dysphagia. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/nmo.13561
Publisher Site
http://dx.doi.org/10.1111/nmo.13561DOI Listing
January 2019
7 Reads

Neuroinformatics and Analysis of Connectomic Alterations Due to Cerebral Microhemorrhages in Geriatric Mild Neurotrauma.

ACM BCB 2018 Aug-Sep;2018:165-171

USC Davis School of Gerontology, University of Southern California, Los Angeles, CA, 90089, USA,

Connectomics alterations associated with subtle forms of cerebrovascular neuropathology-such as cerebral microbleeds (CMBs)-can result in substantial neurological and/or cognitive deficits in victims of traumatic brain injury (TBI). Quantifying CMB-related connectome changes in mild TBI (mTBI) patients requires ingenious neuroinformatics to integrate structural magnetic resonance imaging (sMRI) with diffusion-weighted imaging (DWI) for patient-tailored profiling while preserving the data scientist's ability to implement population studies. Such solutions, however, can assist the refinement of rehabilitation protocols and streamline large-scale analysis while accommodating the heterogeneity of mTBI. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1145/3233547.3233598DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6344637PMC
January 2019

Incidence and outcome of interrupted geriatric rehabilitation requiring acute hospital transfer.

Ir J Med Sci 2019 Jan 25. Epub 2019 Jan 25.

Department of Medicine for the Elderly, St Mary's Hospital, Phoenix Park, Dublin, Ireland.

Background And Aims: Elderly rehabilitation programs provide a period of rehabilitation to optimize a safe home discharge after acute hospitalization of older adults. Often, these patients may have their rehabilitation interrupted when they become unwell and subsequently require transfer back to an acute hospital setting. We will look at the incidence and outcome of this interruption. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11845-019-01974-0DOI Listing
January 2019
1 Read

The optimal treatment for improving the cognitive function in elder people diagnosed with mild cognitive impairment incorporating Bayesian network meta-analysis and systematic review.

Ageing Res Rev 2019 Jan 22. Epub 2019 Jan 22.

School of Nursing, Medical College of Soochow University, Suzhou, PR China. Electronic address:

It's widely acknowledged that, as a neurodegenerative aging disease representing an intermediate stage between cognitive intactness and Alzheimer's disease(AD), Mild cognitive impairment(MCI) poses an excessive burden on patients' well-being, family members, health-care providers as well as the whole society. This study focuses on three cognitive interventions referred from Clare and Woods, that is, Cognitive stimulation(CS), Cognitive training(CT) and Cognitive rehabilitation(CR). Our Network meta-analysis(NMA) is aimed at comparing them with each other for evaluating the optimal cognitive intervention to help elderly adults with MCI to improve their cognitive function. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arr.2019.01.009DOI Listing
January 2019
4 Reads

Increased intrinsic connectivity for structural atrophy and functional maintenance after acute ischemic stroke.

Eur J Neurol 2019 Jan 25. Epub 2019 Jan 25.

State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China.

Background: Significant clinical recovery has been commonly observed in ischemic stroke patients with irreversible brain structural damage. However, brain mechanisms that help to maintain clinical function remain unclear.

Methods: Sixty-two patients with acute ischemic stroke underwent longitudinal clinical assessments and MRI scanning. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/ene.13913DOI Listing
January 2019
2 Reads

Prescription pattern among Iranian community dwelling older adults.

Med Glas (Zenica) 2019 Feb;16(1):115-120

Iranian Research Centre on Ageing, University of Social Welfare and Rehabilitation Sciences Tehran, Iran.

Aim To assess prescription pattern among Iranian communitydwelling older adults. Methods This cross-sectional study employed a cluster random sampling to obtain a sample of 1591 patients aged 60 years and over referred to pharmacies in Tehran, 2017. Data were collected using a questionnaire: socio-demographic characteristics, type of pharmacy visited, the municipal district, the university covering the pharmacy, the number and names of prescribed drugs, drug category, type of insurances and physician's socio-demographic profile (age, gender, type of specialization, and work experience). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.17392/986-19DOI Listing
February 2019
1 Read

Advance care planning for patients with advanced illnesses attending hospital outpatient clinics study: a study protocol for a randomised controlled trial.

BMJ Open 2019 Jan 24;9(1):e023107. Epub 2019 Jan 24.

Department of Geriatric Medicine, Prince of Wales Hospital, Sydney, New South Wales, Australia.

Introduction: It is unclear whether advance care planning (ACP) undertaken with patients living in the community can improve patient care and avoid unwanted interventions and hospital admissions. We have designed a randomised controlled trial (RCT) to examine if ACP undertaken with patients with advanced illnesses attending hospital outpatient clinics can reduce unplanned hospital admissions and improve patient and caregiver well-being.

Methods And Analysis: Pragmatic RCT involving patients from subspecialty outpatient clinics at five clinical sites in Sydney, Australia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2018-023107DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347867PMC
January 2019
1 Read

Timing of emergency interhospital transfers from subacute to acute care and patient outcomes: A prospective cohort study.

Int J Nurs Stud 2019 Jan 2;91:77-85. Epub 2019 Jan 2.

Deakin University, Geelong, School of Nursing and Midwifery and Centre for Quality and Patient Safety Research - Epworth HealthCare Partnership, Australia.

Background: Australian and international data show that transfer from inpatient rehabilitation to acute care hospitals occurs in one in ten patients. Early unplanned transfers from subacute to acute care hospitals raises questions about the safety of patient transitions between health sectors.

Objectives: To explore the characteristics of early and late emergency interhospital transfers from subacute to acute care. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijnurstu.2018.12.008DOI Listing
January 2019
1 Read

The Efficacy and Safety of Vertebral Augmentation: A Second ASBMR Task Force Report.

J Bone Miner Res 2019 Jan;34(1):3-21

Center for Advanced Orthopedic Studies, Beth Israel Deaconess Medical Center, Boston, MA, USA.

Vertebral augmentation is among the current standards of care to reduce pain in patients with vertebral fractures (VF), yet a lack of consensus regarding efficacy and safety of percutaneous vertebroplasty and kyphoplasty raises questions on what basis clinicians should choose one therapy over another. Given the lack of consensus in the field, the American Society for Bone and Mineral Research (ASBMR) leadership charged this Task Force to address key questions on the efficacy and safety of vertebral augmentation and other nonpharmacological approaches for the treatment of pain after VF. This report details the findings and recommendations of this Task Force. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/jbmr.3653DOI Listing
January 2019
2 Reads

Nutritional Status and Functional Outcomes in Older Adults Admitted to Geriatric Rehabilitations: The SAFARI Study.

J Am Coll Nutr 2019 Jan 24:1-6. Epub 2019 Jan 24.

b Parc Sanitari Pere Virgili , Barcelona , Spain.

Objective: Evidence about the role of nutritional status (NS) on functional outcomes (FO) after rehabilitation in older adults is scarce. Our aim was to analyze the association between NS and FO in older adults admitted to geriatric rehabilitation units.

Methods: The Sarcopenia And Function in Aging Rehabilitation (SAFARI) multicenter study enrolled patients aged ≥65 years admitted to geriatric rehabilitation units in Italy and Spain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/07315724.2018.1541427DOI Listing
January 2019
5 Reads

Predictors of In-Hospital Ambulatory Status Following Low-Energy Hip Fracture Surgery.

Geriatr Orthop Surg Rehabil 2019 10;10:2151459318814825. Epub 2019 Jan 10.

Orthopaedic Trauma Service, Hospital for Special Surgery, New York, NY, USA.

Introduction: Twenty-five percent to seventy-five percent of independent patients do not walk independently after hip fracture (HF), and many patients experience functional loss. Early rehabilitation of functional status is associated with better long-term outcomes; however, predictors of early ambulation after HF have not been well described.

Purposes: To assess the impact of perioperative and patient-specific variables on in-hospital ambulatory status following low-energy HF surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2151459318814825DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328945PMC
January 2019
1 Read

Development of a reference chart to monitor postoperative swelling following total knee arthroplasty.

Disabil Rehabil 2019 Jan 22:1-8. Epub 2019 Jan 22.

a Department of Physical Medicine and Rehabilitation , The University of Colorado Denver AMC , Denver , CO , USA.

Title: Development of a reference chart to monitor postoperative swelling following total knee arthroplasty.

Purpose: Lower extremity swelling is a feature of total knee arthroplasty. Until recently, clinicians lacked tools to accurately measure swelling in clinical settings, but bioelectrical impedance assessment has shown promise in this regard. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/09638288.2018.1
Publisher Site
http://dx.doi.org/10.1080/09638288.2018.1534005DOI Listing
January 2019
2 Reads

The use of technology for mental healthcare delivery among older adults with depressive symptoms: A systematic literature review.

Int J Ment Health Nurs 2019 Jan 21. Epub 2019 Jan 21.

Lawson Health Research Institute, London, Ontario, Canada.

Depression has been identified as the single largest contributor to poor health and functioning worldwide. Global estimates indicate that 4.4% of the world's population lives with depression, equating to about 322 million individuals. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/inm.12571DOI Listing
January 2019
2 Reads

'The effectiveness of bedside handovers: A multilevel, longitudinal study of effects on nurses and patients'.

J Adv Nurs 2019 Jan 21. Epub 2019 Jan 21.

Ghent University Hospital, Belgium.

Aims: To investigate the effectiveness of bedside handovers. For nurses, effects on nurse-patient communication, individualized care, coordination of the care process, job satisfaction, intention to leave, patient participation and work interruptions was measured. For patients, effects on patient activation, individualized care and quality of care was measured. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/jan.13954DOI Listing
January 2019
6 Reads

Injecting autologous platelet rich plasma solely into the knee joint is not adequate in treating geriatric patients with moderate to severe knee osteoarthritis.

Exp Gerontol 2019 Jan 19;119:1-6. Epub 2019 Jan 19.

Department of Physical Medicine & Rehabilitation, Chang Gung Memorial Hospital at Linkou and College of Medicine, Chang Gung University, Kwei-Shan, Tao-Yuan City, Taiwan.

Knee pain caused by osteoarthritis (OA) is commonly seen in geriatric patients. Patients with knee OA are often complicated with joint pain, soreness, and weakness. The injection of autologous platelet rich plasma (aPRP) has been proven to be effective in treating mild knee OA. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.exger.2019.01.018DOI Listing
January 2019
2 Reads

Can adults living with dementia complete pure-tone audiometry? A systematic review.

Int J Audiol 2019 Jan 21:1-8. Epub 2019 Jan 21.

c School of Psychology, The University of Queensland , Brisbane , Australia.

Objective: It is estimated that over 60% of adults with dementia will also have a hearing impairment, resulting in a dual sensory-cognitive communication disability. Hearing interventions may lessen the impact of hearing impairment on a communication disability; yet, for audiologists to recommend appropriate hearing interventions, the individual's hearing thresholds must first be accurately established. The gold standard test for establishing hearing thresholds is pure-tone audiometry (PTA). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/14992027.2018.1550687DOI Listing
January 2019
2 Reads

Interrater reliability of the standardized Timed Up and Go Test when used in hospitalized and community-dwelling older individuals.

Physiother Res Int 2019 Jan 18:e1769. Epub 2019 Jan 18.

Section for Orthopaedic and Sports Rehabilitation (SOS-R), Health Center Nørrebro, Copenhagen, Denmark.

Objective: The purpose of this study was to determine the interrater reliability and measurement error of the standardized Timed Up and Go (TUG) Test manual using the fastest of the three timed TUG trials in hospitalized and community-dwelling older individuals.

Methods: Thirty participants (19 from a hospital and 11 from an outpatient geriatric centre: 20 women, 10 men), 65 years or older, all of whom had been referred to physiotherapy due to a functional decline, were included. All participants performed the TUG Test across two sessions (three trials in each) on the same day, separated by a minimum of 30 min. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/pri.1769DOI Listing
January 2019

Effectiveness of physiotherapy and minimal invasive technics on functional status and quality of life in geriatric patients with low back pain.

J Exerc Rehabil 2018 Dec 27;14(6):1048-1052. Epub 2018 Dec 27.

Department of Anesthesiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

The aim of the study was to determine the effect of physiotherapy and minimal invasive technics (MIT) on pain, quality of life and functional disability in geriatric patients with chronic low back pain. According to previous files, 61 geriatric patients who received MIT and physiotherapy allocated to group 1, the patient who received physiotherapy alone allocated to group 2. All patients received soft tissue mobilizations, muscle-energy technics and spinal stabilization exercises. Read More

View Article

Download full-text PDF

Source
http://e-jer.org/journal/view.php?number=2013600622
Publisher Site
http://dx.doi.org/10.12965/jer.1836354.177DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323347PMC
December 2018
5 Reads