Geriatric Physiotherapy
Geriatric Physiotherapy Providing physiotherapy to older people is a challenge, perhaps best described by the following: "Working with older people can present the physiotherapist with a set of challenges unparalleled in other areas of practice. The caseload is very mixed; patients with musculoskeletal, neurological, and cardiovascular problems may all be found in a single caseload and often in the same patient. Interlinking between medical, psychological, rehabilitative, economic and social problems that all need attention is the norm, rather than the exception. Add to these the differences in presentation of disease, the unique pattern of ageing in each individual, and the varying responses that older people may demonstrate, and the complexity of the challenge is obvious.
Goals may be to improve the older person's function or to maintain the current function and prevent decline. To plan appropriate goals, the therapist working with older adults must learn how to identify rehabilitation potential by deciding which of the presenting features are related to deskilling, deconditioning, pathology or ageing and, therefore, which are reversible and manageable. A Systematic Review of Randomized Controlled Trials suggested that a low dose of creatine monohydrate along with resisted exercises may improve the strength of upper and lower extremities in healthy older adults.
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