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IMPROVING THE QUALITY OF LIFE IN GERIATRIC PATIENTS WITH KINETOTHERAPY Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

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Page 1: Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

IMPROVING THE QUALITY OF LIFE IN GERIATRIC PATIENTS WITH KINETOTHERAPY

Author: Mihaila Ion DanielCoauthor: Voda Tudor

Coordinator: Copotoiu Monica

Page 2: Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

Introduction

Page 3: Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

Introduction

This paper aims to make a brief introduction to geriatrics.

Aging is a wonderful and unique experience. The world wonderful should not imply that aging includes only good things but rather that it is extraordinary and remarkable.

Even though most of us want to be young forever unfortunately this is almost impossible.

Page 4: Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

IntroductionThe concept of quality of life is very broad

and dynamic. One can find diverse definitions for this term in the literature, but all of them take cultural, social and environmental individuality consideration.

According to the World Health Organization it is the perception of the individuals position in life, expectation, standards and concerns.

Page 5: Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

HistoryGeriatrics, term introduced in 1909 by I.

Nascher is the science that deals with the study aspects anornale, possible reversible pathological elderly.

Romanian researchers have prestigious and valuable contributions to the knowledge of this field. Among these are distinguished: Gh.Marinescu, BC Parhon A.Aslan, C. Bălăceanu-Stolnici name in the country .

Page 6: Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

History•In 1952 was founded the Institute of Gerontology and Geriatrics (world's first) in 1974 became the National Institute of Gerontology şiGeriatrie and 1992 scientist named Ana Aslan. In the period 1952-1988 the Institute was headed by Academician Prof. Dr. Ana Aslan .the Institute of Geriatrics in Bucharest as a model for other countries .

Page 7: Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

Objective

Geriatric rehabilitation offers a huge challenge of talent and creativity of each therapist.

Geriatric population is a unique group that can work due to age and associated diseases interact to produce variations of each man.

Page 8: Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

Objective

The aim of the study is to analyse the beneficials of kinetotherapy in improving the risk of falling of the geriatric patients, and such their quality of life.

Evaluation of integrated dynamic mobility among the elderly population using Tinetti scale

Evaluation of patients using the Berg scale (functional mobility assessment)

Page 9: Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

Material and method This is a prospective study performed on 10

geriatric patients between 1st of November 2013 till 1st of March 2014. The Tinetti and the Berg scales were used in order to assess the gait.

All the patients followed a physical rehabilitation programme and were reevaluated after one week, a month, and three month.

Page 10: Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

Material and method Tinetti scale that assesses balance and gait:

Total score of -16 points balance Walk-Total score -12 points Total score -28 points Interpretation: 25-28 points: decreased risk of falls                       19-24 points: average risk of falls                      Under 19 points: high risk of falls

Page 11: Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

Material and method Scala Berg: evaluating functional mobility; Total score 56 points

   Interpretation : 56-41 points: decreased risk of falls (patient

independent) 40-21 points: average risk of falls (patient requires assistance from another person) 0-20points: patient at increased risk of falling (wheelchair needs)

Page 12: Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

ResultsThe mean age of the subjects involved in the study was 70.10 +/-

8.55 years old. Six were females and 4 males. Half of them were diagnosed with hypertension and one with atrial

fibrillation. Three patients were obese and one suffered of osteoarthritis.

At the initial evaluation four out of ten patients presented with medium risk for fall, three with high risk of falling and three with low risk of fallling according with the Tinetti scale.

The Berg scale noticed 2 persons in need of an assissted device for walking,and 3 persons dependent of another one. The mean value of Berg scale at the beginning of the study was 37.40 +/- 19.11, unchainged after 3 months of physical exercise.

The Tinetti scale’s mean values at the beginning were 18.70+/-8.17 and at the 3 months of 20.78+/- 5.16.; but one patient died during the study.

Page 13: Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

60%(6 cases)

40%(4 cases)

Sex repartition

Female Male

Page 14: Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

50%(5 cases)

10%(1 case)

30% (3 cases)

10%(1 case)

ComorbiditiesHTA Atrial FibrilationObesity Osteoartritis

Page 15: Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

30%(3 cases)

40%(4 cases)

30%( 3 cases)

Tinetti scaleHigh risk of fall Medium risk of fall Low risk of fall

Page 16: Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

50%(5 cases)

20%(2 cases)

30% (3 cases)

Berg scale

Low risk of fallMedium risk of fallHigh risk of fall

Page 17: Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

70%(7 cases)

10%( 1 case)

20%(2 cases)

Age repartition

60-70 years 70-80 years above 80years

Page 18: Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

ConclusionsDespite the new rehabilitation programme

imposed, none of the subjects involved in the study improved their outcome in terms of risk of falling and regaining independence.

Although there were no visible results from the first evaluation the rehabilitation program should be continued and patients will be reassessed in a month.

The elderly often react slower rehabilitation program due to associated comorbidities.

Page 19: Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

Thank you!