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Abstract
Aging, an integral part of living, is typically accompanied by gradual but progressive physiologic changes and an increased susceptibility to various acute and chronic illnesses. The roles of geriatric rehabilitation should include, accordingly, not only the intervention to reverse disability caused by specific diseases or injuries, but also the contribution to preventive gerontology by virtue of promoting structured programs for physical fitness and early rehabilitation for common musculoskeletal disorders to avoid progression to disability. The demographic changes occurring in Korea transcend the capabilities of any specific medical specialty to provide optimum care for the elderly. Determination of an appropriate goal is critical to the success of rehabilitation program for the elderly and should be based on a careful assessment of current functional capacities and limitations of the patient. Physicians with various specialties can provide differing perspectives on their respective roles in geriatrics. Physiatrist can play a variety of roles related to geriatrics by comprehensive team approach. Contributions of rehabilitation to elderly patients include functional assessment (including the evaluation of underlying impairments contributing to disability) based on realistic goals, interdisciplinary team care, and efficacious adjustment of therapeutic interventions.
References
1. Hazzard WR. Preventive gerontology: Strategies for healthy aging. Postgrad Med. 1983. 74:279–287.
2. Steinberg FU. Commentary: principles of geriatric rehabilitation. Arch Phys Med Rehabil. 1989. 70:67–68.
3. Hoenig H, Mayer-Oakes SA, Siebens H, Fink A, Brummel-Smith K, Rubenstein LV. Geriatric rehabilitation. What do physicians know about it and how should they use it? J Am Geriatr Soc. 1994. 42:341–345.
4. Kotte FJ. Deterioration of the bedfast patient: cause and effects. Public Health Rep. 1965. 80:437–450.
6. Christian CH, Schwartz RK, Barnes KJ. Delisa JA, editor. Self-care evaluation and managment. Rehabilitation medicine: principles and practice. 1993. 2nd ed. Philadelphia: Lippincott;178–200.
7. Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991. 39:142–148.
8. Berg KO, Maki BE, Williams JI, Holliday PJ, Wood-Dauphinee SL. Clinical and laboratory measures of postural balance in a elderly population. Arch Phys Med Rehabil. 1992. 73:1073–1080.
9. Tombaugh TN, McIntyre NJ. The mini-mental state examination: a comprehensive review. J Am Geriatr Soc. 1992. 40:922–935.
10. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Leirer Vo, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982~3. 17:37–49.
11. Engel G. The clinical application of the biopsychosocial model. Am J Psychiatry. 1980. 137:535–544.
12. Clark GS, Bray GP. Williams TF, editor. Development of a rehabilitation plan. Rehabilitation in the aging. 1984. New York: Raven;125–143.
13. Broody EM. brody SJ, Ruff GE, editors. Informal support systems in the rehabilitation of the disabled eldery. Aging and rehabilitation: advances in the state of the art. 1986. New York: Springer-Verlag;87–103.
14. Hughes VA, Frontera WR, Wood M, Evans WJ, Dallal GE, Fiatarone Singh MA, et al. Longitudinal muscle strength changes in older adults: influence of muscle mass, physical activity, and health. J Gerontol A Biol Sci Med Sci. 2001. 56:B209–B217.
15. Clark GS, Siebens HC. Delisa JA, editor. Geriatric rehabilitation. Rehabilitation medicine: principles and practice. 2005. 4th ed. Philadelphia: Lippincott;1531–1557.
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