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A New Perspective Into Affordable, Quality Healthcare: The Case of Pronto Care
Published in Frederick J. DeMicco, Ali A. Poorani, Medical Travel Brand Management, 2023
Adel Eldin, Frederick J. DeMicco
Fall prevention among the elderly who are at high risk for falling, especially those with advanced degenerative joint disease or those with unsteady gait by taking precautionary measures to minimize falls and its adverse impact on social and economic well-being.
Movement disorders
Published in Henry J. Woodford, Essential Geriatrics, 2022
Generally, people with PSP do not respond to levodopa. Around 20% will have a small benefit that is usually only short-lived.18 Cholinesterase inhibitors have not produced significant cognitive benefits in PSP and also appear to impair mobility and functional status.113 Botulinum toxin may help with focal rigidity.114 Physiotherapy and falls prevention strategies (see page 306) may be beneficial. Swallowing assessment and intervention may reduce the risk of aspiration pneumonia.
Musculoskeletal health in the community
Published in Ben Y.F. Fong, Martin C.S. Wong, The Routledge Handbook of Public Health and the Community, 2021
Another novel technology with the use of robotic falls prevention programme has been developed by the Chulalongkorn University in Bangkok, Thailand. The programme is composed of a tiny robot-installed fall prevention software which is developed by using social cognitive theory (SCT) and consumer information processing model, together with personal coaching and a fall prevention handbook. The software will provide videos on fall prevention information such as appropriate walking-assisted devices, proper exercise tactics, how to choose suitable sandbag for weigh bearing exercises, how to choose appropriate shoes as well as providing daily voice message as a reminder for daily exercise and fall prevention hints (Maneeprom et al., 2019). Hence, using SCT as a psychological and behaviour intervening approaches are also shown to be effective in the prevention of falls among community older adults.
Ability of the Brief-Balance Evaluation Systems Test to evaluate balance deficits in community-dwelling older adults: a cross-sectional study
Published in Physiotherapy Theory and Practice, 2022
Tomoyuki Shinohara, Kosuke Saida, Kazuhiro Miyata
In Japan, the number of people aged ≥65 years requiring long-term care are increasing, a trend that is especially notable in those ≥75 years. (Government of Japan, 2018). Approximately 10–20% of older adults experience a fall every year, and 10% of these will suffer from fractures (Harada, 2013). Falls and fractures lead to a requirement for long-term care in one in ten older adults ≥65 years (Ministry of Health, Labour and Welfare, 2016), making them the fourth most common cause of long-term care among adults (Ministry of Health, Labour and Welfare, 2018). Previous studies have suggested various factors that can contribute to falls, such as aging, visual deficits, depression, muscle weakness, or balance deficits (American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopaedic Surgeons Panel on Falls Prevention, 2001). Physical therapy often involves interventions to improve balance function in patients and older adults.
Physiotherapists’ experiences and views of older peoples’ exercise adherence with respect to falls prevention in Singapore: a qualitative study
Published in Disability and Rehabilitation, 2022
Bernadine Teng, Ingrid C. M. Rosbergen, Sjaan Gomersall, Anna Hatton, Sandra G. Brauer
Factors contributing to poor exercise adherence are numerous and complex. Adherence is a complex behavioural process that involves the patients and their families, healthcare professionals, and the healthcare systems that deliver care. Thus, change represents a multilevel challenge [10]. To date, the main emphasis in the literature to understand factors contributing to poor adherence to exercise in older adults has been to explore the patient perspective. However, the insights of healthcare providers like physiotherapists who develop and deliver exercise interventions in the context of falls prevention is essential. Shared decision-making, whereby the patient plays a part in deciding his treatment, is crucial in supporting sustainable exercise behaviours in older people at risk of falling [11]. If the perspectives of exercise prescribers are incongruent with patients, it can result in less effective programmes. For example, a study reported that physiotherapists perceived that group/gym exercises would promote ongoing adherence whereas older patients differed and indicated they preferred to exercise at home [11].
Perceptions of falls risk and falls prevention among people with osteoarthritis
Published in Disability and Rehabilitation, 2022
Tess Tsindos, Darshini Ayton, Sze-Ee Soh, Ilana N. Ackerman
Osteoarthritis (OA) is the most common form of arthritis [1] and it is projected that 1.8 million people aged over 65 years will have OA in Australia by 2030 [2]. In 2014–2015, one in 11 Australians had OA [3] with the knee and hip joints most commonly affected in adults [1]. Fall rates continue to rise among older people, increasing at a rate of 3% per year making this a significant and ongoing issue [4]. There is growing evidence around the increased risk of falls and falls related fractures in adults with OA, particularly those with lower extremity OA [5–8]. The evidence to prevent falls in community-dwelling older adults is also well-established [9,10]. Falls prevention activities can include: balance exercise programs, educational materials, vision assessment, medication monitoring, home safety modifications, and physical supports (e.g., customised footwear) [11]. Two Cochrane systematic reviews reported that multi-component programs incorporating exercise can reduce the rate of falls [9] and that exercise that includes balance retraining can reduce falls [10].