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Wyświetlanie 1-2 z 2
Tytuł:
Contemporary methods in the evaluation of activities in daily living with Alzheimer disease
Aktualne metody oceny czynności Ŝycia codziennego w chorobie Alzheimera
Autorzy:
Opara, Józef
Brola, Waldemar
Powiązania:
https://bibliotekanauki.pl/articles/1963029.pdf
Data publikacji:
2011
Wydawca:
Akademia Wychowania Fizycznego im. Bronisława Czecha w Krakowie
Tematy:
ADL
Activities of Daily Living
Alzheimer Disease
disability
instrumental ADL scales
choroba Alzheimera
czynności Ŝycia codziennego
Opis:
Alzheimer disease is known for placing a great burden on caregivers which include the social, psychological, physical and/or economic aspects. The disease diminishes patients` independence in activities of daily living (ADL). Home care is usually preferred by patients and families. The role of the main caregiver is often taken by the spouse or a close relative. Dementia caregivers are subject to high rates of physical and mental disorders. ADL scales are useful for the evaluation of patients` capacity and their needs for care and burden. Those scales enable one also to arrive ar the outcome measure of rehabilitation. One can divide them into three parts: universal (generic) basic ADL scales, basic scales which are specific for Alzheimer disease and instrumental - extended (expanded) ADL scales. In this paper the most commonly used scales evaluating activities of daily living in Alzheimer disease, including as equally basic as well as instrumental ADL scales, have been presented. Due to the systematic review we were able to present their psychometric properties: content validity, internal consistency, construct validity, criterion validity, reliability, responsiveness, floor-and ceiling effects, and interpretability. Those scales that received positive ratings have been presented.
Starzenie się społeczeństw doprowadzi do wzrostu zapadalności na chorobę Alzheimera. W zaawansowanym stadium choroba uniemożliwia samodzielne wykonywanie nawet prostych czynności codziennych i osoba chorująca na chorobę Alzheimera wymaga stałej opieki. Ocena samodzielności osób z otępieniem jest bardzo ważna – pozwala ona na oszacowanie potrzeb dotyczących opieki nad chorymi, gdyż pociąga to za sobą koszty i obciążenie opiekunów. W artykule przeglądowym przedstawiono aktualne możliwości oceny samodzielności w wykonywaniu czynności Ŝycia codziennego u osób z otępieniem – służą do tego skale oceniające czynności podstawowe (ADL) i skale nazwane instrumentalnymi lub rozciągniętymi skalami ADL
Źródło:
Medical Rehabilitation; 2011, 15(1); 21-24
1427-9622
1896-3250
Pojawia się w:
Medical Rehabilitation
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Aktualne kierunki rehabilitacji w stwardnieniu rozsianym
Contemporary trends of rehabilitation in multiple sclerosis
Autorzy:
Opara, Józef
Szwejkowski, Waldemar
Brola, Waldemar
Powiązania:
https://bibliotekanauki.pl/articles/1058887.pdf
Data publikacji:
2009
Wydawca:
Medical Communications
Tematy:
cooling
fatigue
multiple sclerosis
physiotherapy
rehabilitation
fizjoterapia
rehabilitacja
stwardnienie rozsiane
oziębianie
zmęczenie
Opis:
The number of reports describing the effectiveness of comprehensive rehabilitation in multiple sclerosis (MS) is systematically growing. The latest scientific data reported the essential difference in health state between those patients who underwent rehabilitation and those who didn’t. The advantage of inpatient rehabilitation against outpatient has been proved. The correlation between disability and quality of life has been also noticed, as well as influence on burden of patient’s caregivers. Multiple sclerosis is associated with a variety of symptoms and functional deficits that result in a range of progressive impairments and handicap. Goals of rehabilitation are: to give the management of symptoms and to improve general fitness due to aerobic exercise. First goal can be achieved using facilitation – impairment- based approach, while the second one by use of a new strategy: task- oriented – disability- focused approach. First is the treatment of the main symptoms of MS: fatigue, bladder and bowel disturbances, sexual dysfunction, cognitive and affective disorders, and spasticity. Even though these symptomatic therapies have benefits, their use is limited by possible side effects. Moreover, many common disabling symptoms, such as weakness, are not amenable to drug treatment. However, rehabilitation has been shown to ease the burden of these symptoms by improving self- performance and independence.
For these aims the comprehensive multidisciplinary rehabilitation is necessary. Even though rehabilitation has no direct influence on disease progression, studies to date have shown that this type of intervention improves personal activities and ability to participate in social activities, thereby improving quality of life. Since 1890, when Wilhelm Uhthoff for the first time described that increased body temperature from physical exertion may lead to transient impairment of vision in patients with MS, the Uhthoff phenomenon has been defined the strategy of rehabilitation procedures in MS. Heat therapy and physical exercises were restricted because of fear against flare up of disease, aquatic exercises were limited till 30°C of water temperature. Last years something has been changed. Few reports on randomised controlled trials about progressive exercise program, mainly consisting of resistance training for few months has been published. Findings from those studies suggest overall disability and mobility improvement with the aerobic training. All types of rehabilitation should be tailored to fit patient specific needs. Based on the Uhthoff phenomenon, therapeutic trials with cooling vests are investigated and developed. In this review report of the contemporary trends in comprehensive rehabilitation in MS has been presented.
Źródło:
Aktualności Neurologiczne; 2009, 9, 2; 140-146
1641-9227
2451-0696
Pojawia się w:
Aktualności Neurologiczne
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-2 z 2

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