Elimination of the risks of falls in the elderly from the point of view of physiotherapy

Abstract

Background:Man is exposed to falls performing daily activities, their effects turn out to be more severe especially in the later decades of life. After 60 years, it appears to be a larger number of fractures resulting in the limitation of physical fitness, health complications and life threatening. Therefore, prevention efforts conducted in the form of an in-depth analysis of the falls' causes which already happened, control of health and proper treatment, conducting systematic, interesting and varied physical activities -in conjunction with education and mental change in a determined way they can and should reduce the risk of falls of the elderly.

Outcomes for children and adolescents with Juvenile idiopathic arthritis addressed by occupational therapy services in specialist rheumatology clinics in South Africa

“…Occupational therapists described their prioritised role as addressing the physical client factors related to pain and strenuous or resisted physical activity. This is in line with recommendations reported in the literature (Rottermund et al, 2015; Van Oort, 2020; Ziff, 2016) and is consistent with the intervention aims described to improve function and mobility (Houghton et al, 2018). These client factors as well as HRQoL were identified as the outcomes most affecting function and the ability to lead an active lifestyle by children and adolescents with JIA and their parents.…”

“…These client factors as well as HRQoL were identified as the outcomes most affecting function and the ability to lead an active lifestyle by children and adolescents with JIA and their parents. Intervention for functional participation in occupations was focussed on personal management with less emphasis on other occupations (Rottermund et al, 2015).…”

“…Although adherence to international guidelines for the pharmacologic management of JIA is emphasised in the rheumatology clinics in the public tertiary hospitals, recommended occupational therapy focuses on intervention of physical client factors (Rottermund et al, 2015; Ziff, 2016). Ziff (2016) indicated that individuals with JIA also experience activity limitations or participation restrictions, which result in psychosocial and HRQoL dysfunction and suggested that these aspects be addressed by occupational therapists.…”

“…Aja et al (2016) in a systematic review reported most occupational therapy intervention addresses condition-related factors such as pain, range of motion using splints and functional exercises. A number of authors have also described the role of occupational therapy in JIA in terms of standardised assessments, assistive devices, joint protection techniques and environmental adaptation (Rottermund et al, 2015; Van Oort, 2020). Van Oort (2020) however indicates conflicting evidence for psychological interventions for this condition.…”

“…While emphasis is placed on occupational therapy services for children and adolescents with JIA being holistic and tailored to meet individual occupational performance and condition-related needs (Rottermund et al, 2015; Ziff, 2016), this should be context specific. Occupational therapists need to be cognisant of the different disease presentation of JIA in the South Africa compared to other international populations (Scott and Webb, 2014).…”