Physiotherapeutic needs of elderly people in ambulatory care
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Brasileira de Ciências do Envelhecimento Humano (Online) |
Texto Completo: | http://seer.upf.br/index.php/rbceh/article/view/357 |
Resumo: | Aging population increases both chronic and disabling diseases. Chronic and disabling diseases lead to functional loss, decreased autonomy and quality of life. Functional loss increases the dependency for accomplishing tasks such as activity of daily living (ADL) and instrumental activities of daily living (IADL). Ambulatory care has increased for the elderly pressuring for more rehabilitation care in outpatient settings, demanding for the participation of the physiotherapist. This study aims to understand the main needs for physiotherapy in the elderly outpatient proposing the minimum conditions for this service. In a cross-sectional, observational and analytical approach, patients for an outpatient geriatric service, 60 years and older, both genders, participated in this study. The study group answered about the ADL and IADL, tested for balance, flexibility and muscle function. Prevalence of diseases, cognitive status, and depression were obtained from the medical charts. All 55 participants could benefit from a physiotherapic intervention. Dementia and gout associated significantly with both ADL and IADL. Osteoarthritis was significantly associated with IALD. Among the physiotherapic techniques, cinesioterapia was the most indicated. Cinesioterapia accounts for passive and active exercises, exercises against resistance and oriented walking. We concluded that chronic diseases are related with physical dependence and the physiotherapist was an important role in the functional rehabilitation in the elderly patient in an outpatient service. It is important to create a fully equipped physiotherapic yard in a geriatric outpatient service. |
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Physiotherapeutic needs of elderly people in ambulatory careNecessidades fisioterapêuticas de idosos em atendimento ambulatorialAging population increases both chronic and disabling diseases. Chronic and disabling diseases lead to functional loss, decreased autonomy and quality of life. Functional loss increases the dependency for accomplishing tasks such as activity of daily living (ADL) and instrumental activities of daily living (IADL). Ambulatory care has increased for the elderly pressuring for more rehabilitation care in outpatient settings, demanding for the participation of the physiotherapist. This study aims to understand the main needs for physiotherapy in the elderly outpatient proposing the minimum conditions for this service. In a cross-sectional, observational and analytical approach, patients for an outpatient geriatric service, 60 years and older, both genders, participated in this study. The study group answered about the ADL and IADL, tested for balance, flexibility and muscle function. Prevalence of diseases, cognitive status, and depression were obtained from the medical charts. All 55 participants could benefit from a physiotherapic intervention. Dementia and gout associated significantly with both ADL and IADL. Osteoarthritis was significantly associated with IALD. Among the physiotherapic techniques, cinesioterapia was the most indicated. Cinesioterapia accounts for passive and active exercises, exercises against resistance and oriented walking. We concluded that chronic diseases are related with physical dependence and the physiotherapist was an important role in the functional rehabilitation in the elderly patient in an outpatient service. It is important to create a fully equipped physiotherapic yard in a geriatric outpatient service.O envelhecimento populacional tem aumentado a prevalência de doenças crônicas e incapacitantes, as quais levam à limitação funcional, diminuindo a autonomia e a qualidade de vida dos idosos. Limitações funcionais causam dependência para o desempenho de tarefas, ou seja, atividades de vida diária (AVD) e atividades instrumentais de vida diária (AIVD). A atenção ambulatorial tem aumentado para com os idosos, em vista da demanda por serviços ambulatoriais de reabilitação geriá trica, na qual o fisioterapeuta tem um papel relevante. Este estudo busca conhecer as principais demandas de atendimento fisioterapêutico em ambulatório geriátrico, propondo a estrutura ideal mínima desse serviço. Em um estudo transversal, descritivo e analítico, pacientes de um ambulatório de geriatria com sessenta anos ou mais, de ambos os sexos, foram convidados a participar da pesquisa. Os voluntários foram inquiridos sobre as AVD e AIVD e tiveram avaliadas as funções de equilíbrio, flexibilidade articular e função muscular. A presença de doenças, estado mental e depressão foi coletada por consulta ao prontuário médico. Os 55 idosos participantes tinham indicação de acompanhamento fisioterapêutico. Demência e gota foram significativas para perda de AVD e AIVD. Verificou-se também perda significativa para AIVD entre idosos com osteoartrose. Entre as técnicas fisioterapêuticas, a mais indicada foi a cinesioterapia motora, que inclui exercícios ativos passivos, resistidos e caminhada orientada. Conclui-se que as doenças crônicas estão associadas à dependência física e que o fisioterapeuta tem um papel importante na reabilitação funcional do idoso ambulatorial. Faz-se necessária a criação de espaço físico dentro de um serviço ambulatorial contendo equipamentos específicos da fisioterapia.Editora UPF2011-01-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado por paresPesquia observacionalapplication/pdfhttp://seer.upf.br/index.php/rbceh/article/view/35710.5335/rbceh.2012.357Revista Brasileira de Ciências do Envelhecimento Humano; v. 7 n. 1 (2010)2317-66951679-7930reponame:Revista Brasileira de Ciências do Envelhecimento Humano (Online)instname:Universidade de Passo Fundo (UPF)instacron:UPFporhttp://seer.upf.br/index.php/rbceh/article/view/357/918Knorst, Mara ReginaSousa, Milena Abreu Tavares deBós, Ângelo Jose Gonçalvesinfo:eu-repo/semantics/openAccess2022-11-08T14:05:31Zoai:seer.upf.br:article/357Revistahttp://www.upf.br/seer/index.php/rbcehhttp://www.upf.br/seer/index.php/rbceh/oairbceh@upf.br||pasqualotti@upf.br2317-66951679-7930opendoar:2022-11-08T14:05:31Revista Brasileira de Ciências do Envelhecimento Humano (Online) - Universidade de Passo Fundo (UPF)false |
dc.title.none.fl_str_mv |
Physiotherapeutic needs of elderly people in ambulatory care Necessidades fisioterapêuticas de idosos em atendimento ambulatorial |
title |
Physiotherapeutic needs of elderly people in ambulatory care |
spellingShingle |
Physiotherapeutic needs of elderly people in ambulatory care Knorst, Mara Regina |
title_short |
Physiotherapeutic needs of elderly people in ambulatory care |
title_full |
Physiotherapeutic needs of elderly people in ambulatory care |
title_fullStr |
Physiotherapeutic needs of elderly people in ambulatory care |
title_full_unstemmed |
Physiotherapeutic needs of elderly people in ambulatory care |
title_sort |
Physiotherapeutic needs of elderly people in ambulatory care |
author |
Knorst, Mara Regina |
author_facet |
Knorst, Mara Regina Sousa, Milena Abreu Tavares de Bós, Ângelo Jose Gonçalves |
author_role |
author |
author2 |
Sousa, Milena Abreu Tavares de Bós, Ângelo Jose Gonçalves |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Knorst, Mara Regina Sousa, Milena Abreu Tavares de Bós, Ângelo Jose Gonçalves |
description |
Aging population increases both chronic and disabling diseases. Chronic and disabling diseases lead to functional loss, decreased autonomy and quality of life. Functional loss increases the dependency for accomplishing tasks such as activity of daily living (ADL) and instrumental activities of daily living (IADL). Ambulatory care has increased for the elderly pressuring for more rehabilitation care in outpatient settings, demanding for the participation of the physiotherapist. This study aims to understand the main needs for physiotherapy in the elderly outpatient proposing the minimum conditions for this service. In a cross-sectional, observational and analytical approach, patients for an outpatient geriatric service, 60 years and older, both genders, participated in this study. The study group answered about the ADL and IADL, tested for balance, flexibility and muscle function. Prevalence of diseases, cognitive status, and depression were obtained from the medical charts. All 55 participants could benefit from a physiotherapic intervention. Dementia and gout associated significantly with both ADL and IADL. Osteoarthritis was significantly associated with IALD. Among the physiotherapic techniques, cinesioterapia was the most indicated. Cinesioterapia accounts for passive and active exercises, exercises against resistance and oriented walking. We concluded that chronic diseases are related with physical dependence and the physiotherapist was an important role in the functional rehabilitation in the elderly patient in an outpatient service. It is important to create a fully equipped physiotherapic yard in a geriatric outpatient service. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-01-03 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Avaliado por pares Pesquia observacional |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://seer.upf.br/index.php/rbceh/article/view/357 10.5335/rbceh.2012.357 |
url |
http://seer.upf.br/index.php/rbceh/article/view/357 |
identifier_str_mv |
10.5335/rbceh.2012.357 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
http://seer.upf.br/index.php/rbceh/article/view/357/918 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora UPF |
publisher.none.fl_str_mv |
Editora UPF |
dc.source.none.fl_str_mv |
Revista Brasileira de Ciências do Envelhecimento Humano; v. 7 n. 1 (2010) 2317-6695 1679-7930 reponame:Revista Brasileira de Ciências do Envelhecimento Humano (Online) instname:Universidade de Passo Fundo (UPF) instacron:UPF |
instname_str |
Universidade de Passo Fundo (UPF) |
instacron_str |
UPF |
institution |
UPF |
reponame_str |
Revista Brasileira de Ciências do Envelhecimento Humano (Online) |
collection |
Revista Brasileira de Ciências do Envelhecimento Humano (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ciências do Envelhecimento Humano (Online) - Universidade de Passo Fundo (UPF) |
repository.mail.fl_str_mv |
rbceh@upf.br||pasqualotti@upf.br |
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1748937891387539456 |