The impact of physiotherapy on self-sufficiency of geriatric patients

Czech version

Authors: Mgr. Renata Furmaníková ¹; PhDr. Elena Žiaková Phd ²
Authors‘ workplace: Rehab Zentrum Stadlau, physikalisches Institut GmbH, Wien ¹; Fakulta ošetrovateľstva a zdravotníckych odborných štúdií, Katedra fyzioterapie, SZU, Bratislava ²
Published in: Geriatrie a Gerontologie 2013, 2, č. 3: 115-121
Category: Original Article/Study

Overview

In the article we deal with the issue of physiotherapy in geriatric patients. The principal aim of our work was to assess the impact of rehabilitation therapy on the rate of improvement of autonomy and functional independence of geriatric patients. The survey was conducted at an after-treatment department. The study included 131 hospitalised geriatric patients, among whom 46 were men (35,11 %) and 85 were women (64,89 %). The average age of men was 74,65 (SD = 9,29) years and the average age of women was 79,18 (SD = 7,23) years. We used the Functional Independence Measure (FIM) as our evaluation tool. Before starting the treatment we gave the patients an entrance FIM test and the process of rehabilitation interventions was recorded on the accompanying form. At the end of hospitalization we gave the patients the final output FIM test. For the statistical assessment we used Mann-Whitney’s U test and Wilcoxon’s matched pair test. Results showed us that by physiotherapy we can influence the individual activities of daily life (ADL - Activities of Daily Living), increase the rate of functional independence and improve self-sufficiency of geriatric patients in terms of basic daily activities. In hospitalized geriatric patients we confirm the need for comprehensive therapy, including physiotherapy.

Keywords:
geriatrics – FIM – physiotherapy – self-sufficiency – disability – ADL

Sources

1. Kolář P a kol.: Rehabilitace v klinické praxi. 1. vyd. Galén, Praha 2009. 338 s.

2. Fialová D, Topinková E: Koncept léčiv nevhodných ve stáří – farmakologické a farmakoepidemiologické aspekty. Remedia 2005; 15(4–5): 410–417.

3. Rosival L, Rosivalová A: Zdravie pre všetkých v 21. storočí. Lekársky obzor 1999; 48(9–10): 297–298.

4. Závodná V: Pedagogika v ošetrovateľstve. Martin: Osveta, 2006. 117 s.

5. Vestník MZ 28172/2006: Koncepcia zdravotnej starostlivosti v odbore geriatria. Čiastka 1–5, ročník 55.

6. Malý M: Testovanie funkčnej sebestačnosti. Rehabilitácia 2001; 34(2): 69–75.

7. Jurečková M, Molnárová I: Štatistika s Excelom. 1. vydanie. Liptovský Mikuláš: AOS 2005; 233 s.

8. Brandová P: Rehabilitace pacientů na doléčovacích lůžkách po cévní mozkové příhodě: kombinace fyzioterapie a ergoterapie u pacientů nad 75 let: diplomová práca. Brno: Masarykova univerzita Lékařská fakulta 2011; 72 s.

9. Ergeletzis D, Kevorkian CG: Rehabilitation of the older stroke patient: functional outcome and comparison with younger patients. American journal of physical medicine and rehabilitation 2002. Dostupné na internete http://www.ncbi.nlm.nih.gov/pubmed/12447086.

10. Hegener K, Krause T: Patient characteristics and factors associated with unfavourable in-hospital rehabilitation therapy outcome in very old geriatric patients with first – ever ischemic stroke. A retrospective case – control study. Archives of Gerontology and Geriatrics 2007; 40(6): 457–462. Dostupné na internete: http://www.ncbi.nlm.nih.gov/pubmed/18074087.

11. Bártlová B, Tarasová M: Hodnocení funkční nezávislosti v denních činnostech u pacientů po cévní mozkové příhodě. In: Medicina Sportiva Bohemica et Slovaca 2011; 20(1): 10–16.

12. Ripley DL et al.: The Impact of Diabetes Mellitus on Stroke Acute Rehabilitation Outcomes. Am J Phys Med Rehabil 2007; 86: 754–761.

13. Ones K et al.: Effects of age, gender, and cognitive, functional and motor status on functional outcomes of stroke rehabilitation. In NeuroRehabilitation, 2009; 25(4): 241–249.

14. Luk JK et al.: Does age predict outcome in stroke rehabilitation? A study of 878 Chinese subjects. In Cerebrovascular Disease 2006; 21(4): 229–234.

15. Nosavcovová E: Rehabilitace u pacientů s diabetes mellitus a cévní mozkovou příhodou: disertačná práca. Brno: Masarykova univerzita, Lékařská fakulta, Ústav preventivního lékařství 2011; 152 s.