Abstract
Upon completion of the chapter, the student will be able to:
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1.
Outline the importance of exercise and its implications in the well-being of older adults.
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2.
Identify the different components of an exercise program for the elderly.
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3.
Differentiate among several types of disability and its effects in activities of daily living in geriatric patients.
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4.
Define rehabilitation and recognize the importance of an interdisciplinary team in the process of function restoration in the elderly.
Material in this chapter is based on the following chapters in Cassel CK, Leipzig RM, Cohen HJ, Larson EB, Meier DE, eds. Geriatric Medicine: An Evidence-Based Approach, 4th ed. New York: Springer, 2003: Brummel-Smith K. Rehabilitation, pp. 259–277. Larson EB, Bruce RA. Exercise, pp. 1023–1029. Selections edited by Sandra E. Sanchez-Reilly.
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Suggested Readings
Brummel-Smith K. Rehabilitation. In: Cassel CK, Leipzig RM, Cohen HJ, et al., eds. Geriatric Medicine, 4th ed. New York: Springer, 2003:259–277.
Larson EB, Bruce RA. Exercise. In: Cassel CK, Leipzig RM, Cohen HJ, et al., eds. Geriatric Medicine, 4th ed. New York: Springer, 2003:1023–1030.
Mulrow CD, Gerety MD, Kanton D, et al. A randomized trial of physical rehabilitation for very frail nursing home residents. JAMA 1994;271:519–524. This article addresses the different efforts made to improve functional status of fragile older adults.
Tinetti ME, Baker DI, McAvay MS, et al. A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med 1994;331:821–827. An excellent review on how to approach the elderly patient from an interdisciplinary point of view.
Wee CC, McCarthy EP, Davis RB, Phillips RS. Physician counseling about exercise. JAMA 1999;282:1583–1588. This article summarizes the recommendations given to all patients, particularly older adults to start and maintain an exercise program that is adequate to their needs.
References
Astrand PO. Physical performance as a function of age. JAMA 1968;205:729–733.
Larson EB, Bruce RA. Exercise and aging. Ann Intern Med 1986;105:793–785.
Fries JF, Singh G, Morfeld D, Hubert HB, Lane WE, Brown BW. Running and the development of disability with age. Ann Intern Med 1994;121:502–509.
Katz S, Branch LG, Branson MH, Papsidero JA, Beck JC, Greer DS. Active life expectancy. N Engl J Med 1983;309:1218–1224.
Fiatarone MA, Marks EC, Ryan ND, et al. High intensity strength training in nonagenarians. JAMA 1990;263:3029–3034.
Buchner DM, Cross ME, de Lateur BJ, et al. The effect of strength and endurance training on gait, balance, fall risk and health services use in community-living older adults. J Gerontol Med Sci 1997;52A:M218–224.
Wolff J, van Croonenborg JJ, Kemper HC, Kostense PJ, Twisk JW. The effect of exercise training on bone mass: A meta-analysis of published clinical trials in pre-and postmenopausal women. Osteoporos Int 1999;9:1–12.
Girolami B, Bernardi E, Prinz MH, et al. Treatment of intermittent claudication with physical training, snacking cessation, pentoxifylline, or nafronyl: a meta-analysis. Arch Intern Med 1999;159:337–345.
Hambrecht R, Wolf A, Grelen S, et al. Effect of exercise on coronary endothelial function in patients with coronary artery disease. N Engl J Med 2000;342:454–460.
Kasch FW, Boyer JL, Schmidt DK, et al. Aging of the cardiovascular system during 33 years of aerobic exercise. Aging 1999;28:531–536.
Paluska SA, Schwenk TL. Physical activity and mental health: current concepts. Sports Med 2000;29:167–180.
Singh NA, Clements KM, Fiatarone MA. A randomized trial of progressive resistance training in depressed elders. J Gerontol [A] Biol Sci Med 1997;52:27–35.
Wei M, Gibbons LW, Kampert JB, Nichamon MZ, Blair SW. Low cardiorespiratory fitness and physical inactivity as predictors of mortality in men with Type 2 diabetes. Ann Intern Med 2000;132:605–611.
Walker RD, Nawaz S, Wilkinson CH, Saxton JM, Pockley AG, Wood RF. Influence of upper and lower-limb exercise program on cardiovascular function and walking distances in patients with intermittent claudication. J Vasc Surg 2000;31:662–669.
Koplan JP, Siscovick DS, Goldbaum GM. Risks of exercise: Public health view of injuries and hazards. Public Health Reports 1985;100:189–194.
Koplan JP, Powell KE, Sikes RK, Shirley RW, Campbell OC. An epidemiologic study of the benefits and risks of running. JAMA 1982;248:3118–3121.
Siscovick DS, Weiss NS, Fletcher RH, et al. The incidence of primary cardiac arrest during vigorous exercise. N Engl J Med 1984;311:874–877.
Siscovick DS, Weiss NS, Fletcher RH, Schoenbach VJ, Wagner EH. Habitual vigorous exercise and primary cardiac arrest: effect of other risk factors on the relationship. J Chron Dis 1984;37:625–631.
American Association of Retired Persons. Pep Up Your Life-A Fitness Book for Midlife and Older Person. Washington, DC: AARP (1909 K Street), 1991.
U.S. Department of Health and Human Services, Public Health Services, National Institutes of Health. Exercise and Your Heart. Bethesda, MD: DHHS, 1981.
Mielchen SD, Larson EB, Wagner E, et al. Getting Started: A Guide to Physical Activity for Seniors. Seattle: Center for Health Promotion, Group Health Cooperative, 1987.
Wee CC, McCarthy EP, Davis RB, Phillips RS. Physician counseling about exercise. JAMA 1999;282:1583–1588.
Kunkel SR, Applebaum RA. Estimating the prevalence of long-term disability for an aging society. J Gerontol 1992;47:S253–260.
Frieden RA. Geriatrics and rehabilitation medicine: common interests, common goals. Mt Sinai J Med 1999;66:145–151.
Boult C, Kane RL, Louis TA, et al. Chronic conditions that lead to functional limitation in the elderly. J Gerontol 1994;49:M28–36.
Lorish TR. Stroke rehabilitation. Clin Geriatr Med 1993;4:705–716.
Ackerman RJ. Medical consultation for the elderly patient with hip fracture. J Am Board Fam Pract 1998;11:366–377.
Esquenazi A, Vachranukunkeit T, Torres M, et al. Characteristics of a current lower extremity amputee population: review of 918 cases. Arch Phys Med Rehabil 1984;65:623.
Mann WC, Ottenbacher KJ, Fraas L, Tomita M, Granger CV. Effectiveness of assistive technology and environmental interventions in maintaining independence and reducing home care costs for the frail elderly. A randomized controlled trial. Arch Fam Med 1999;8:210–217.
Gresham GE, Duncan PW, Stason WB, et al. Post-Stroke Rehabilitation: Assessment, Referral, and Patient Management. Clinical Practice Guideline: Quick Reference Guide for Clinicians, No. 16. AHCPR publication No. 95-0663. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, May 1995.
Mahoney F, Barthel D. Functional evaluation: Barthel Index. Maryland State Med J 1965;14:61–65.
World Health Organization. International Classification of Impairments, Disabilities, and Handicaps. Geneva: WHO, 1980.
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Sanchez-Reilly, S.E. (2007). Exercise and Rehabilitation. In: Soriano, R.P., Fernandez, H.M., Cassel, C.K., Leipzig, R.M. (eds) Fundamentals of Geriatric Medicine. Springer, New York, NY. https://doi.org/10.1007/978-0-387-32326-8_10
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