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Geriatric Rehabilitation

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Rehabilitation

Part of the book series: Human Brain Function ((HBFA))

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Abstract

The role of geriatric rehabilitation in health care is to manage the residual effects of medical, psychiatric, and age-associated pathologies rather than the pathologies themselves. Rehabilitation begins with a functional assessment, that is, with measuring how pathology influences an older adult’s ability to function. Historically, there has been substantial confusion about the meaning of the term function. It has been applied to body organs or systems, as in muscle function; body parts, as in the function of the upper extremity; task performance, as in eating functions; or role performance, as in homemaker functions. This lack of clarity about the meaning of function has obscured the role of rehabilitation and the focus of the functional assessment.

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References

  • Anthony, J. C., Le Resche, L., Niaz, U., Van Koff, M. R., and Folstein, M. (1982). Limits of the “Mini-Mental State” as a screening test for dementia and delirium among hospital patients. Psychological Medicine, 12, 397–408.

    Google Scholar 

  • Bakeman, R., and Gottman, J. M. (1986). Observing interaction: An introduction to sequential analysis. Cambridge, England: Cambridge University Press.

    Google Scholar 

  • Brink, T. L., Yesavage, J. A., Owen, L., Heersema, P. H., Adey, M., and Rose, T. L. (1982). Screening tests for geriatric depression. Clinical Gerontologist, 1, 37–43.

    Article  Google Scholar 

  • Brink, T. L., Curran, P., Dorr, M. L., Janson, E., McNulty, U., and Messina, M. (1985). Geriatric Depression Scale reliability: Order, examiner, and reminiscence effects: A critical review. Clinical Gerontologist, 3, 57-59.

    Google Scholar 

  • Brorsson, B., and Asberg, K. H. (1984). Katz Index of Independence in ADL: Reliability and validity in short-term care. Scandinavian Journal of Rehabilitation Medicine, 16, 125–132.

    PubMed  CAS  Google Scholar 

  • Byrnes, M. B., and Powers, F. F. (1989). FIM: Its use in identifying rehabilitation needs in the head-injured patient. Journal of Neuroscience Nursing, 21, 61–63.

    Google Scholar 

  • Cole, B., Finch, E., Gowland, C., and Mayo, N. (1994). Physical rehabilitation outcome measures. Toronto, Ontario, Canada: Canadian Physiotherapy Association.

    Google Scholar 

  • Collin, C., Wade, D. T., Davis, S., and Home, V. (1988). The Barthel Index: A reliability study. International Disability Studies, 10, 61–63.

    Google Scholar 

  • Czyrny, J., Hamilton, B. B., Sc Gresham, G. E. (1990). Rehabilitation of the stroke patient. In M. G. Eisenberg and R. C. Grzesiak (Eds.) Advances in Clinical Rehabilitation (pp. 64–96). New York: Springer.

    Google Scholar 

  • Davidoff, G. N., Roth, E. J., Haughton, J. S., and Ardner, M. S. (1990). Cognitive dysfunction in spinal cord injury patients: Sensitivity of the functional independence subscales vs. neuropsychological assessment. Archives of Physical Medicine and Rehabilitation, 71, 326–329.

    PubMed  CAS  Google Scholar 

  • Duncan, P. W., Weiner, D. K., Chandler, J., and Studenski, S. (1990). Functional reach: A new clinical measure of balance. Journal of Gerontology: Medical Sciences, 45, M192 - M197.

    CAS  Google Scholar 

  • Duncan, P. W., Studenski, S., Chandler, J., and Prescott, B. (1992). Functional reach: Predictive validity in a sample of elderly male veterans. Journal of Gerontology: Medical Sciences, 47, M93 - M98.

    CAS  Google Scholar 

  • Erber, N. A. (1992). An adaptive screening of sentence perception in older adults. Ear and Hearing, 13, 58–60.

    Article  PubMed  CAS  Google Scholar 

  • Erkinjuntti, T., Sulkava, R., Wikstrom, J., and Autio, L. (1987). Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. Journal of the American Geriatric Society, 35, 412–416.

    CAS  Google Scholar 

  • Ernst, M., Sc Ernst, N. S. (1984). Functional capacity. In D. J. Mangen and W. A. Peterson (Eds.), Researchinstruments in gerontology (Vol. 3, pp. 9–84). Minneapolis: University of Minnesota Press.

    Google Scholar 

  • Fillenbaum, G. (1980). Comparison of two brief tests of organic brain impairment, the MSQ and the Short Portable MSQ. Journal of the American Geriatrics Society, 28, 381–384.

    PubMed  CAS  Google Scholar 

  • Fillenbaum, G. G. (1988). Multidimensional functional assessment of older adults: The Duke older Americans resources and services procedures. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Fitti, J. E, and Kovar, M. G. (1987). The supplement on aging to the 1984 national health interview survey. Vital and health statistics, Series 1, No. 21. DHHS Publication No. PHS 87–1323. Washington, DC: Public Health Services.

    Google Scholar 

  • Folstein, M. F., Folstein, S. E., and McHugh, P. R. (1975). “Mini-Mental State,” A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.

    Article  PubMed  CAS  Google Scholar 

  • Gerrity, M. S., Gaylord, S., and Williams, M. E. (1993). Short versions of the Timed Manual Performance Test: Development, reliability, and validity. Medical Care, 31, 617–628.

    Article  PubMed  CAS  Google Scholar 

  • Granger, C. (1987). The Functional Independence Measure. Buffalo: Research Foundation of the State University of New York.

    Google Scholar 

  • Granger, C. V., and Greer, D. A. (1976). Functional status measurement and medical rehabilitation outcomes. Archives of Physical Medicine and Rehabilitation, 57, 103–108.

    PubMed  CAS  Google Scholar 

  • Granger, C. V., Sherwood, C. C., and Greer, D. S. (1977). Functional status measures in a comprehensive care program. Archives of Physical Medicine and Rehabilitation, 58, 555–561.

    PubMed  CAS  Google Scholar 

  • Granger, C. V., Albrecht, G. L., and Hamilton, B. B. (1979). Outcome of comprehensive and medical rehabilitation: Measurement by the PULSES Profile and the Barthel Index. Archives of Physical Medicine and Rehabilitation, 60, 145–154.

    Google Scholar 

  • Granger, C. V., Seltzer, G. B., and Fishbein, C. F. (1987). Primary care of the functionally disabled: Assessment and management. Philadelphia: Lippincott.

    Google Scholar 

  • Gresham, G. E., Phillips, T. F., and Labi, M. L. C. (1980). ADL status in stroke: Relative merits of three standard indexes. Archives of Physical Medicine and Rehabilitation, 61, 355–358.

    PubMed  CAS  Google Scholar 

  • Hamilton, B. B., and Granger, C. V. (1991). A rehabilitation uniform data system. (Research Grant Rep. No. G008435062 ). Buffalo: State University of New York, UDS Data Management Service.

    Google Scholar 

  • Hamilton, B. B., Granger, C. V., Sherwin, F. S., Zielezny, M., and Tashman, J. S. (1987). A uniform national data system for medical rehabilitation. In M. J. Fuhrer (Ed.), Rehabilitation outcomes: Analysis and measurement (pp. 137–147 ). Baltimore: Brooks.

    Google Scholar 

  • Hamilton, M. (1967). Development of a rating scale for primary depressive illness. British Journal of Social and Clinical Psychology, 6, 278–296.

    Article  PubMed  CAS  Google Scholar 

  • Haworth, R. J., and Hollings, E. M. (1979). Are hospital assessments of daily living activities valid? International Rehabilitation Medicine, 1, 59–62.

    Google Scholar 

  • Heinemann, A. W., Linacre, J. M., Wright, B. D., Hamilton, B. B., and Granger, C. (1994). Prediction of rehabilitation outcomes with disability measures. Archives of Physical Medicine and Rehabilitation, 75, 133–143.

    Article  PubMed  CAS  Google Scholar 

  • Jaworski, D. M., Kult, T., and Boynton, P. R. ( 1994, Winter). The Functional Independence Measure: A pilot study comparison of observed and reported ratings. Rehabilitation Nursing Research, 141–147.

    Google Scholar 

  • Jebsen, R. H., Taylor, N., Trieschmann, R. B., Trotter, M. J., and Howard, L. A. (1969). An objective and standardized test of hand function. Archives of Physical Medicine and Rehabilitation, 50, 311–319.

    PubMed  CAS  Google Scholar 

  • Jette, A. M. (1987). The Functional Status Index: Reliability and validity of a self-report functional disability measure. Journal of Rheumatology, 14 (Suppl. 15), 15–19.

    PubMed  Google Scholar 

  • Kahn, R. L., Zarit, S. H., Hilbert, N. M., and Niederehe, G. (1975). Memory complaint and impairment in the aged. Archives of General Psychiatry, 32, 1569–1573.

    Article  PubMed  CAS  Google Scholar 

  • Kane, R. A., and Kane, R. L. (1981). Assessing the elderly. Lexington, MA: Lexington Books.

    Google Scholar 

  • Kane, R. L., Saslow, M. G., and Brundage, T. (1991). Using ADLs to establish eligibility for long-term care among cognitively impaired. Gerontologist, 31, 60–66.

    Google Scholar 

  • Katz, S., and Akpom, C. A. (1976). Index of ADL. Medical Care, 14, 116–118.

    Google Scholar 

  • Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B. A., and Jaffe, M. W. (1963). Studies of illness in the aged. The Index of ADL: A standardized measure of biological and psychosocial function. Journal of the American Medical Association, 185, 914–919.

    Article  PubMed  CAS  Google Scholar 

  • Katz, S., Downs, T. D., Cash, H. R., and Grotz, R. C. (1970). Progress in development of the Index of ADL. Gerontologist, 10, 20–30.

    Google Scholar 

  • Lawton, M. P., and Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist, 9, 179–186.

    Article  PubMed  CAS  Google Scholar 

  • Lewis, C. B. (1994). Clinical measures of functional outcomes “The functional toolbox. ”Washington, DC: Learn.

    Google Scholar 

  • Linacre, J. M., Heinemann, A. W., Wright, B. D., Granger, C. V., and Hamilton, B. B. (1994). The structure and stability of the Functional Independence Measure. Archives of Physical Medicine and Rehabilitation, 75, 127–132.

    PubMed  CAS  Google Scholar 

  • Loewenstein, D. A., Amigo, E., Duara, R., Guterman, A., Hurwitz, D., Berkowitz, N., Wilkie, F., Weinberg, G., Black, B., Gittelman, B., and Eisdorfer, C. (1989). A new scale for the assessment of functional status in Alzheimer’s disease and related disorders. Journal of Gerontology: Psychological Sciences, 44, P114 - P121.

    CAS  Google Scholar 

  • Long, W. B., Sacco, W. J., Coombes, S. S., Copes, W. S., Bullock, A., and Melville, J. K. (1994). Determining normative standards for the Functional Independence Measure transitions in rehabilitation. Archives of Physical Medicine and Rehabilitation, 75, 144–148.

    PubMed  CAS  Google Scholar 

  • Mahoney, F. I., and Barthel, D. W. (1965). Functional evaluation-The Barthel Index. Maryland State Medical Journal, 14, 61–65.

    PubMed  CAS  Google Scholar 

  • Mahurin, R. K., DeBettignies, B. H., and Pirozzolo, F. J. (1991). Structured assessment of independent living skills: Preliminary functional abilities in dementia. Journal of Gerontology: Psychological Sciences, 46, P58 - P66.

    CAS  Google Scholar 

  • McDowell, I., and Newell, C. (1987). Measuring health: A guide to rating scales and questionnaires. New York: Oxford University Press.

    Google Scholar 

  • McGinnis, G. E., Marymae, B. A., Seward, B. A., DeJong, G., and Osberg, J. S. (1986). Program evaluation of physical medicine and rehabilitation departments using self-report Barthel. Archives of Physical Medicine and Rehabilitation, 67, 123–125.

    Google Scholar 

  • Merbitz, C., Morris, J., and Grip, J. C. (1989). Ordinal scales and foundations of misinference. Archives of Physical Medicine and Rehabilitation, 70, 308–312.

    PubMed  CAS  Google Scholar 

  • Morris, J. N., Hawes, C., Murphy, K., Nonemaker, S., Phillips, C., Fries, B. E., and Mor, V. (1991). Resident Assessment Instrument training manual and resource guide. Natick, MA: Eliot.

    Google Scholar 

  • Nagi, S. Z. (1969). Disability and rehabilitation. Columbus, OH: Ohio State University Press.

    Google Scholar 

  • Ostwald, S. K., Snowdown, D. A., Rysavy, S. D. M., Keenan, N. L., and Kane, R. L. (1989). Manual dexterity as a correlate of dependency in the elderly. Journal of the American Geriatrics Society, 37, 963–969.

    PubMed  CAS  Google Scholar 

  • Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society, 23, 433–441.

    PubMed  CAS  Google Scholar 

  • Radloff, L. S. (1977). The CES-D Scale: A new self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.

    Article  Google Scholar 

  • Reisberg, B., Ferris, S. H., de Leon, M. J. and Crook, T. (1982). The Global Deterioration Scale for as- sessment of primary degenerative dementia. American Journal of Psychiatry, 139, 1136–1139.

    Google Scholar 

  • Reisberg, B., London, E., Ferris, S. H., Borenstein, J., Scheier, L., and de Leon, M. J. (1983). The Brief Cognitive Rating Scale: Language, motoric, and mood concomitants in primary degenerative dementia. Psychopharmacology Bulletin, 19, 702–708.

    Google Scholar 

  • Reisberg, B., Ferris, S. H., Anand, R., de Leon, M. J., Schneck, M. K., Buttinger, C., and Borenstein, J. (1984). Functional staging of dementia of the Alzheimer’s type, Annals of the New York Academy of Science, 435, 481–483.

    Article  Google Scholar 

  • Roccaforte, W. H., Burke, W. J., Bayer, B. L., and Wengel, S. P. (1992). Validation of a telephone version of the Mini-Mental State Examination. Journal of the American Geriatrics Society, 40, 697–702.

    PubMed  CAS  Google Scholar 

  • Rogers, J. C. (1989). The occupational therapy home assessment: The home as a therapeutic environment. Journal of Home Health Care Practice, 1, 73–81.

    Article  Google Scholar 

  • Rogers, J. C., Holm, M. B., Goldstein, G., and Nussbaum, P. D. (1994). Stability and change in functional assessment of patients with geropsychiatric disorders. AmericanJournal of Occupational Therapy, 48, 914–918.

    Google Scholar 

  • Roy, C. W., Togneri, J., Hay, E., and Pentland, B. (1988). An inter-rater reliability study of the Barthel Index. International Journal of Rehabilitation Research, 11, 67–70.

    Google Scholar 

  • Rubenstein, L., Schairer, C., Wieland, G. D., and Kane, R. (1984). Systematic biases in functional status assessment of elderly adults: Effects of different data sources. Journal of Gerontology, 39, 686–691.

    Article  PubMed  CAS  Google Scholar 

  • Scholer, S. G., Potter, J. F., and Burke, W. J. (1990). Does the Williams Manual Test predict service use among subjects undergoing geriatric assessment? Journal of the American Geriatrics Society, 38, 767–772.

    PubMed  CAS  Google Scholar 

  • Sclan, S., and Reisberg, B. (1992). Functional Assessment Staging (FAST) in Alzheimer’s disease: Reliability, validity, and ordinality. International Psychogeriatrics, 4 (Suppl. 1), 55–69.

    Article  PubMed  Google Scholar 

  • Sheikh, J. I., and Yesavage, J. A. (1986). Geriatric Depression Scale (GDS) recent evidence and development of a shorter version. In T. L. Brink (Ed.), Clinical gerontology: A guide to assessment and intervention (pp. 165–173 ). New York: Haworth.

    Google Scholar 

  • Shinar, D., Gross, C. R., Bronstein, K. S., Licata-Gehr, E. E., Eden, D. T., Cabera, A. R., Fishman, I. G., Roth, A. A., Barwick, J. A., and Kunitz, S. C. (1987). Reliability of the activities of daily living scale and its use in telephone interview. Archives of Physical Medicine and Rehabilitation, 68, 723–728.

    PubMed  CAS  Google Scholar 

  • Smyer, M. A., Hofland, B. F., and Jonas, E. A. (1979). Validity study of the Short Portable Mental Questionnaire for the elderly. Journal of the American Geriatrics Society, 27, 263–269.

    Google Scholar 

  • Steinberg, E. P., Tielsch, J. M., Schein, O. D., Javitt, J. C., Sharkey, P., Cassard, S. D., Legro, M. W., Diener-West, M., Bass, E. B., Damiano, A. M., Steinwachs, D. M., and Sommer, A. (1994). The VF-14: An index of functional impairment in patients with cataract. Archives of Ophthalmology, 112, 630–638.

    Article  PubMed  CAS  Google Scholar 

  • Tinetti, M. E. (1986). Performance oriented assessment of mobility problems in elderly patients. Journal of the American Geriatrics Society, 34, 119–126.

    PubMed  CAS  Google Scholar 

  • Tinetti, M. E., Speechley, M., and Ginter, S. F. (1988). Risk factors for falls among elderly persons living in the community. New England Journal of Medicine, 319, 1701–1707.

    Article  PubMed  CAS  Google Scholar 

  • Tombaugh, T. N., and McIntyre, N. J. (1992). The Mini-Mental State Examination: A comprehensive review. Journal of the American Geriatrics Society, 40, 922–935.

    Google Scholar 

  • Travis, S. S., and McAuley, W. J. (1990). Simple counts of the number of basic ADL dependencies for long-term care research and practice. Health Services Research, 25, 349–360.

    PubMed  CAS  Google Scholar 

  • Tsai, L., and Tsang, M. T. (1979). The Mini-Mental State Test and computerized tomography. American Journal of Psychiatry, 136, 436–439.

    PubMed  CAS  Google Scholar 

  • Uzgiris, I., and Hunt, J. McV. (1975). Assessment in infancy: Ordinal Scales of Psychological Development. Urbana: University of Illinois.

    Google Scholar 

  • Weiner, D., Bongiorni, D., Kochersberger, G., Duncan, P., and Studenski, S. (1991). Does functional reach improve with rehabilitation? (Abstract). Journal of the American Geriatrics Society, 39, A10.

    Google Scholar 

  • Weiner, D. K., Duncan, P. W., Chandler, J., and Studenski, S. A. (1992). Functional reach: A marker of physical frailty. Journal of the American Geriatrics Society, 40, 203–207.

    PubMed  CAS  Google Scholar 

  • Weissmann, M., Myers, J. K., and Tischler, G. L. (1985). Psychiatric disorders (DSM-III) and cognitive impairment among the elderly in a U.S. urban community. Acta Psychiatrica Scandinavica, 71, 366–369.

    Article  Google Scholar 

  • Williams, M. E. (1987). Identifying the older person likely to require long-term care services. Journal of the American Geriatrics Society, 35, 761–766.

    CAS  Google Scholar 

  • Williams, M. E., and Hornberger, J. C. (1984). A quantitative method of identifying older persons at risk for increasing long-term care services. Journal of Chronic Disease, 37, 705–711.

    Article  CAS  Google Scholar 

  • Williams, M. E., Hadler, N. M., and Earp, J. A. L. (1982). Manual ability as a marker of dependency in geriatric women. Journal of Chronic Diseases, 35, 115–122.

    Article  PubMed  CAS  Google Scholar 

  • Williams, M. E., Gaylord, S. A., and Gerrity, M. S. (1994). The Timed Manual Performance Test as a predictor of hospitalization and death in a community-based elderly population. Journal of the American Geriatric Society, 42, 21–27.

    CAS  Google Scholar 

  • Wood, P. H. N. (1975). Classification of impairments and handicaps. Document WHO/ICDO/REVCONF/75. 15. Geneva, Switzerland: World Health Organization.

    Google Scholar 

  • World Health Organization. (1980). The international classification of impairments, disabilities, and handicaps.’ Geneva, Switzerland: World Health Organization.

    Google Scholar 

  • Wylie, C. M., and White, B. K. (1964). A measure of disability. Archives of Environmental Health, 8, 834–939.

    PubMed  CAS  Google Scholar 

  • Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., and Leirer, O. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17, 37–49.

    Article  CAS  Google Scholar 

  • Zung, W. W. K. (1965). A self-rated depression scale. Archives of General Psychiatry, 12, 63–70.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Western Psychiatric Institute and Clinic, 3811 O’Hara Street, Pittsburgh, Pennsylvania, 15213, USA

    Joan C. Rogers

  2. Occupational Therapy Program, College Misericordia, 301 Lake Street, Dallas, Pennsylvania, 18612, USA

    Margo B. Holm

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  1. Joan C. Rogers
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Editors and Affiliations

  1. Highland Drive Division (151R), VA Pittsburgh Healthcare System and University of Pittsburgh, 7180 Highland Drive, 15206-1297, Pittsburgh, Pennsylvania, USA

    Gerald Goldstein

  2. School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA

    Sue R. Beers

  3. Western Psychiatric Institute and Clinic, 3811 O’Hara Street, 15213, Pittsburgh, Pennsylvania, USA

    Sue R. Beers

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Rogers, J.C., Holm, M.B. (1998). Geriatric Rehabilitation. In: Goldstein, G., Beers, S.R. (eds) Rehabilitation. Human Brain Function. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-6392-8_6

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