Geriatric Rehabilitation: State of the Art

Hoenig, Helen; Nusbaum, Neil J.; Brummel‐Smith, Kenneth

doi:10.1111/j.1532-5415.1997.tb02939.x

Cited by 102 publications

(55 citation statements)

References 87 publications

(94 reference statements)

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“…For example, we chose six months as the minimum duration to define episodes of long-term disability because this period is often used to predict recovery after a disabling event (18,39,40). Our operational definition of unstable disability, as three or more episodes of disability with none lasting six or more months (i.e.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, many other longitudinal studies of disability have had assessment intervals ranging from 12 to 24 months (35). Based on the results of our prior research (17)(18)(19)36,37), review of the literature (38)(39)(40), clinical judgment, and preliminary review of the data from the monthly telephone interviews, we defined five distinct disability subtypes, as shown in the Appendix.…”

Section: Data Collectionmentioning

confidence: 99%

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Subtypes of Disability in Older Persons over the Course of Nearly 8 Years

Gill

Guo

Allore

2008

J American Geriatrics Society

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Objective-To characterize distinct and clinically meaningful subtypes of disability, defined on the basis of the number and duration of disability episodes, and to determine whether the incidence of these disability subtypes differ according to age, sex, and physical frailty.Design, Setting and Participants-Prospective cohort study of 754 community-living residents of greater New Haven, Connecticut, who were 70 years or older and initially nondisabled in four essential activities of daily living.Measurements-Disability was assessed during monthly telephone interviews for nearly eight years, while physical frailty was assessed during comprehensive home-based assessments at 18-month intervals. The incidence of five disability subtypes was determined within the context of the 18-month intervals among participants who were nondisabled at the start of the interval: transient, short-term, long-term, recurrent, and unstable.Results-Incident disability was observed in 29.8% of the 18-month intervals. The most common subtypes were transient disability (9.7% of all intervals), defined as a single disability episode lasting only one month, and long-term disability (6.9%), defined as one or more disability episodes, with at least one lasting six or more months. About a quarter (24.7%) of all participants had two or more intervals with an incident disability subtype. While there were no gender differences in the incidence rates for any of the subtypes, differences in rates were observed for each subtype according to age and physical frailty, with only one exception, and were especially large for long-term disability.Conclusions-Our results suggest that the mechanisms underlying the different disability subtypes may differ. Additional research is warranted to evaluate the natural history, risk factors, and prognosis of the five disability subtypes.

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Section: Discussionmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

Subtypes of Disability in Older Persons over the Course of Nearly 8 Years

Gill

Guo

Allore

2008

J American Geriatrics Society

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“…Real-time interaction allows the healthcare professional to modify and adjust the intervention from a distance and to interact with the patient to provide adequate and personalized supervision [71,72]. The feasibility of a home-based exercise telerehabilitation program has been demonstrated in many adult and elderly population [73][74][75][76][77]. The clinical efficacy and participant's adherence to telerehabilitation were recently demonstrated in a large-scale clinical trial [78,79].…”

Section: Telerehabilitationmentioning

confidence: 99%

Exercise-Based Rehabilitation for People with Lung Cancer

Tremblay¹

2014

J Pulm Respir Med

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Lung cancer is the leading cause of cancer-related death worldwide. Patients living with lung cancer often experience severe physical and psychological symptoms including dyspnea, fatigue, anxiety, decreased exercise tolerance, muscle weakness and compromised health-related quality of life as a direct consequence of the disease or as an indirect consequence of the cancer therapy itself. As both screening and treatment modalities improve, the number of people living with a diagnosis of lung cancer is increasing. Consequently, management of cancer-related symptoms as well as improvement of overall quality of life and functional status become critical issues in lung cancer patients. Thus, during the last decade, a wide range of exercise prescriptions and training modalities has been proposed and an emerging literature has addressed the effects of exercise-based rehabilitation programs along the continuum of the disease. The aim of this review is to address the latest literature regarding the feasibility and effectiveness of exercise-based rehabilitation for patients with lung cancer receiving treatments (perioperative, during chemotherapy/radiation therapy or following them) or for patients with advanced diseases. We also address how the use of new technologies or training modalities such as home-based telerehabilitation or neuromuscular electrical stimulation appears to be a promising approach to improve accessibility and participation in exercisebased rehabilitation programs. Evidence from our review suggests that pre and post-operative exercise-based rehabilitation appear to be safe and effective approaches to use with patients with lung cancer and for those with advanced disease receiving chemotherapy/radiation therapy. Larger randomized controlled trials are needed to confirm the efficacy of exercise interventions in this population.

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“…Hoenig et al state that stroke survivors are at an increased risk of a second stroke because of continued unhealthy lifestyle choices regarding stroke risk factors [13]. One method of encouraging lifestyle changes in stroke survivors is through health promotion (HP) and disease prevention interventions aimed at known modifiable stroke risk factors.…”

Section: Introductionmentioning

confidence: 99%

Prevention of secondary stroke in VA: Role of occupational therapists and physical therapists

Schmid¹,

Butterbaugh

Egolf

et al. 2008

JRRD

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Abstract-Occupational therapists (OTs) and physical therapists (PTs) have the opportunity and obligation to advocate secondary stroke prevention via health promotion (HP) behaviors. This prospective survey of Department of Veterans Affairs (VA) OTs and PTs determined whether they know about VA stroke rehabilitation guidelines and whether they integrate secondary stroke prevention into poststroke rehabilitation care. Questions revolved around knowledge of VA guidelines, inclusion of stroke risk-factor modification, and HP education to patients. Thirty-four surveys (45%) were returned from six facilities. Participants included 12 OTs and 22 PTs. Half (53%) of the therapists were aware of the VA guidelines and nearly half (48%) provided HP activities to patients; PTs were significantly more likely to do so than OTs (p = 0.02). Half of the queried therapists were unaware of the VA guidelines; increasing therapists' education about the guidelines and the necessity of HP and secondary stroke prevention may reduce veterans' risk of a second stroke. Because many stroke risk factors are modifiable and stroke survivors spend a great deal of time with the rehabilitation therapist, OTs and PTs can and should provide such education to reduce the risk of a second stroke.

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Geriatric Rehabilitation: State of the Art

Cited by 102 publications

References 87 publications

Subtypes of Disability in Older Persons over the Course of Nearly 8 Years

Subtypes of Disability in Older Persons over the Course of Nearly 8 Years

Exercise-Based Rehabilitation for People with Lung Cancer

Prevention of secondary stroke in VA: Role of occupational therapists and physical therapists

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