Resumen
Este estudio investigó los efectos del ejercicio terapéutico en la rehabilitación de pacientes mayores con fragilidad y multimorbilidad.
Durante 4 semanas, se realizó ejercicio basado en evaluaciones integrales del cuerpo por fisiatras y fisioterapeutas.
Se midieron las funciones físicas al ingreso y al alta, y se observó una mejora significativa en todos los parámetros evaluados después de la terapia (P < 0.
05).
Los resultados indican que la función física de los pacientes mayores con multimorbilidad mejora mediante tratamientos de rehabilitación supervisados por fisiatras y fisioterapeutas.
Por lo tanto, los tratamientos de rehabilitación para estos pacientes pueden abordar tanto la fragilidad como la multimorbilidad.
Ejercicio terapéutico en ancianos con multimorbilidad: un enfoque funcional
El ejercicio terapéutico es fundamental en el tratamiento de ancianos con multimorbilidad. Un adecuado programa de rehabilitación en clínicas de fisioterapia puede mejorar significativamente su funcionalidad física. Este enfoque interesa a los fisioterapeutas que buscan optimizar el bienestar de sus pacientes y potenciar la calidad de vida en esta población.
Abstract original
Effects of Physiatrist and Physiotherapist-supervised Therapeutic Exercise on Physical Function in Frail Older Patients with Multimorbidity
Objectives: : To ease the burden on care facilities, there is a need to reduce the number of frail older people with multiple chronic and non-communicable diseases (multimorbidity) that require long-term care. We investigated the effects of therapeutic exercise in rehabilitation treatment for older individuals with frailty and multimorbidity.
Methods: : We performed 4 weeks of inpatient rehabilitation treatment for frail older patients with multimorbidity. The therapeutic exercise was performed based on whole-body evaluations by qualified physiatrists and physiotherapists. Sixty-minute sessions were conducted twice a day and six times a week in accordance with the American College of Sports Medicine guidelines. Physical functions (grip strength, isometric lower muscle strength, 10-m walking test, and 6-min walking test) were measured at admission and discharge.
Results: : Of the 33 patients, 8 were unable to complete physical function evaluations, and 1 patient had a stress fracture of the right calcaneus beyond the rehabilitation time. Twenty-four patients were included in the analysis. Compared to the admission period, significant improvements were observed for all evaluated parameters post-therapy (P < 0.05). However, no significant correlation was found between the number of chronic diseases and changes to physical function (P > 0.05).
Conclusions: : Physical function of frail older individuals with multimorbidity improves through rehabilitation treatments supervised by physiatrists and physiotherapists. The number of chronic illnesses and the improvements in physical function were not related. Therefore, rehabilitation treatments for older patients may target both frailty and multimorbidity. Our results will aid in the rehabilitation treatment plans for this demographic.
| Autores | Koki Shiozaki Makoto Asaeda Tadaaki Hashimoto Yasunori Umemoto Hideyuki Ito Tomoya Takahashi Yukihide Nishimura Fumihiro Tajima |
| revista | Prog Rehabil Med |
| DOI | 10.2490/prm.20230012 |