Frailty in Elderly People.
Frailty in elderly people.
Filed under: Rehab Centers
Lancet. 2013 Feb 7;
Clegg A, Young J, Iliffe S, Rikkert MO, Rockwood K
Frailty is the most problematic expression of population ageing. It is a state of vulnerability to poor resolution of homoeostasis after a stressor event and is a consequence of cumulative decline in many physiological systems during a lifetime. This cumulative decline depletes homoeostatic reserves until minor stressor events trigger disproportionate changes in health status. In landmark studies, investigators have developed valid models of frailty and these models have allowed epidemiological investigations that show the association between frailty and adverse health outcomes. We need to develop more efficient methods to detect frailty and measure its severity in routine clinical practice, especially methods that are useful for primary care. Such progress would greatly inform the appropriate selection of elderly people for invasive procedures or drug treatments and would be the basis for a shift in the care of frail elderly people towards more appropriate goal-directed care.
HubMed – rehab
Enhanced medical rehabilitation is feasible in a skilled nursing facility: preliminary data on a novel treatment for older adults with depression.
Filed under: Rehab Centers
Am J Geriatr Psychiatry. 2013 Mar; 21(3): 307
Lenze EJ, Host HH, Hildebrand M, Morrow-Howell N, Carpenter B, Freedland KE, Baum CM, Binder EF
What is a clinically important superior labrum anterior to posterior tear?
Filed under: Rehab Centers
Instr Course Lect. 2013; 62: 483-9
Kibler WB
Knowledge is evolving regarding the importance of the superior labrum in shoulder function and dysfunction. Biomechanical and clinical studies are defining the role of the labrum in shoulder joint function and instability, and guidelines for the diagnosis and the treatment of disorders are emerging. There is a positive association between clinically important, symptomatic labral tears requiring treatment and alterations in labral anatomy. The diagnosis is based on the patient’s history and clinical examination findings that indicate a loss of labral function. Labral injury can be confirmed with imaging studies and characterized by arthroscopic studies if surgery is necessary. Emerging data suggest that guided rehabilitation can achieve asymptomatic shoulder function in up to 50% of patients with clinically important labral injuries. Surgical treatment, if necessary, should address all aspects of the labral anatomy so that all the roles of the labrum in shoulder stability are restored.
HubMed – rehab
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