Aged Care Physiotherapy – revathiphysiocare.com

Understanding Geriatric physiotherapy

Geriatric physiotherapy is mainly focused on age people above 60 yrs. Due to aging body undergoes physical and neurological changes. It focused on maintaining balance, strength, physical health.
It aim to reduce pain, prevent falls, improve walking ability. Geriatric physiotherapy is mainly for stiffness, arthritis, fall prevention, post surgery.

Primary Causes

poor posture.

Balance impairment

prolonged bed rest.

Visual impairment .

Fear of falling.

Medical Conditions

osteoporosis.

spinal cord disorder

COPD

Heart failure

stroke

Stage 1: pain occur early during activity
Stage 2: Pain during walking
Stage 3: Pain may affect daily activities.
Stage 4: Daily activity is mainly affected
Stage 5: Persistent pain may affect proper diagnosis.

Joint Stiffness

Stage 1: stiffness occur after rest.
Stage 2: Stiffness may during the initial movements.
Stage 3: restriction of joint mainly occur.
Stage 4: movement restriction may affect daily activities.
Stage 5: Major movement limitation requires assistance

Walking Difficulty

Stage 1: walking speed is slightly reduced
Stage 2: during long distances walking is difficult
Stage 3: Need walking stick
Stage 4: Need walker or assistance from another person.
Stage 5: severe walking difficulty

Postural Changes

Stage 1: They will be forward head posture is seen.
Stage 2: during sitting they will be stopped posture
Stage 3: upright posture is difficult
Stage 4: Marked postural changes affects walking
Stage 5: Severe functional limitations.

Difficulty Performing Daily Activities

Stage 1: ADL activity is affected
Stage 2: Difficulty in doing bathing, dressing
Stage 3: during daily activities they need assistance
Stage 4: Requires proper personal care.
Stage 5: daily activities is mainly supported by care givers

Acute phase

Rehabilitation

0 - 2 _Weeks

Ankle & toe exercise, bed mobility exercise (rolling)
sitting balance exercise
Breathing exercises (diaphragmatic exercise)
Postural exercise
Gentle active and assisted ROM exercise.

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Sub Acute

Rehabilitation

2 - 6 _Weeks

sit to stand exercise & supported standing exercise.
weight shifting exercise, need a supportive aid (walker)
balance training (static & dynamic)
functional training for daily activities.

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Chronic Phase

Rehabilitation

7 - 12 _Weeks

Transfer training (bed and toilet training)
lower limb strengthening exercises
functional reaching activity.
fall prevention training
stair climbing, aerobic activity.

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