Evidence based geriatric physical therapy Ahmad Osailan.
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Transcript of Evidence based geriatric physical therapy Ahmad Osailan.
![Page 1: Evidence based geriatric physical therapy Ahmad Osailan.](https://reader030.fdocuments.net/reader030/viewer/2022032707/56649e215503460f94b0e4ff/html5/thumbnails/1.jpg)
Evidence based geriatric physical therapy
Ahmad Osailan
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Falls
• One of the most common incidents and cause for hospital admission for elderly. Even considered one of the leading causes for sudden death.
• What are the risk factors for falls?• - balance impairments • - strength impairments• - difficulty in walking
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History of fall prevention
• Most common interventions:• Moderate to high intensity Balance exercise
training• Exercise + multifactorial interventions.• Q: What is the minimum dose of exercise to
prevent falls?• A: 50 Hrs of exercise
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Incidence of falls
• Falls are the leading cause of traumatic brain injury and fractures in older adults.
• For individuals aged 65 and older, falls outpace motor vehicle accidents as the leading cause of unintentional death by several thousands
• Falls are the leading cause of emergency department visits by older adults, and the number one cause of hospital admissions due to trauma
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Some Definitions
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Some Definitions
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Falls prevention
• According to Shubert 2011, it is recommended by the American geriatric society to do screening for falls for those Aged 65 and above.
• Effective fall prevention intervention should focus on the contributing risk factor.
• Doing a triage to find the impairments that can lead to fall.
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Example
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Screening for falls• American geriatric association recommended
screening for balance and immobility. • The screen consist of:• 1- Hx of fall in the past year ( how many times)• 2- any difficutly in walking or in balance (y/n)• 3- observe walking performance and balance
changes by doing tests (Time up and go test, berg balance test)
• If one of these is positive, he/she should be referred for a comprehensive multifactorial assessment
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Falls screening
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• There are many balance and mobility assessment tests, but most of theses tests do not take into account the medical risk factor.
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Examples for studies
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What do we learn from this study
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• All risk factors must be assessed and triaged properly.
• Physical therapist must use clinical judgement to determine which risk factor should be assessed first.
•
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Exercise dose
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Mode of exercise
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Static activities
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Dynamic Activities
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Dual task training
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Strength training
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walking
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conclusion