scholarly journals Effects of Mild and Severe Knee Joint Pain on Various Activities of Daily Living in the Female Elderly

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Hiroki Sugiura ◽  
Shinichi Demura
Keyword(s):  
Standard Deviation ◽  
Knee Joint ◽  
Activities Of Daily Living ◽  
Knee Pain ◽  
Joint Pain ◽  
Daily Living ◽  
The Elderly

This study aimed to examine the differences in the ability to perform various activities of daily living (ADLs) among groups with various knee problems. The participants consisted of 328 elderly females (age 60–94; mean age 76.1 years; standard deviation 6.2). The subjects were classified into three groups: those without knee pain, those with mild knee pain, and those with severe knee pain. ADLs with markedly higher (>97%) and lower (<38%) achievement rates in the group without knee pain were not significantly different among the three groups. Achievement rates of 40%–97% for ADLs were significantly lower in the group with severe knee pain than in the group without knee pain. In addition, the groups with mild and severe knee pain demonstrated significantly lower achievement rates of ascending and descending stairs and sitting up than the group without knee pain. In conclusion, regardless of the presence of absence of mild or severe knee pain, some ADLs are difficult to achieve, while others are easy. The elderly with severe knee pain find it difficult to achieve many ADLs. In addition, it is difficult for the elderly with mild and severe knee pain to ascend and descend stairs and to sit up.

scholarly journals Sociodemographic Characteristics and Health Profile of the Elderly Seeking Health Care in Kampala, Uganda

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Faith Nawagi ◽  
Martin Söderberg ◽  
Vanja Berggren ◽  
Patrik Midlöv ◽  
Aidah Ajambo ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Joint Pain ◽  
Daily Living ◽  
The Elderly ◽  
Advanced Age ◽  
Sociodemographic Characteristics ◽  
Health Profile ◽  
Medical Disorders ◽  
Pertinent Data ◽  
Hearing Handicap

Aging entails health challenges globally, but pertinent data from low-income countries like Uganda remains scarce. A cross-sectional study was carried out at Mulago National Referral Hospital in Kampala, among 134 patients (38% men and 62% women) aged ≥60 years. Data was collected on sociodemographic characteristics, medical disorders, cognitive function, hearing handicap, and functional status, that is, Basic Activities of Daily Living (BADL) and Instrumental Activities of Daily Living (IADL). The participants had high independency in BADL (89%) and IADL (75%). The most common medical conditions were bone/joint pain (35%), hypertension (24%), and visual problems (20%). More women (54%) than men (37%) reported bone and joint pain. The majority (80%) of the participants did not report any hearing handicap, and half (54%) did not have any cognitive impairment. Dependency in IADL was associated with advanced age, being female, and being financially dependent, and the risk of having a hearing handicap was higher among those above the median age (68 years). In adjusted models, the effects remained similar although statistical significance was only achieved for advanced age versus dependency in IADL (RR: 2.38, 95% CI: 1.12–5.08) and hearing handicap (RR: 2.67, 95% CI: 1.17–6.12). Thus, socioeconomic status and gender are relevant aspects when attempting to understand the health profile of the elderly in Kampala, Uganda.

scholarly journals Effect of Melilotus Officinalis Oil on Knee Joint Pain and Stiffness in the Elderly With Primary Knee Osteoarthritis

Salmand ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. 160-175
Author(s):  
Gholamreza Ansari ◽  
◽  
Ahmad Delbari ◽  
Mehrdad Karimi ◽  
Ahmad Ali Akbari Kamrani ◽  
...  
Keyword(s):  
Older Adults ◽  
Knee Joint ◽  
Older People ◽  
Knee Osteoarthritis ◽  
Knee Pain ◽  
Joint Pain ◽  
The Elderly ◽  
Effective Dosage ◽  
Melilotus Officinalis ◽  
And Control

Objectives: Osteoarthritis is one of the most common diseases among older people which is one the most important causes of disability and heavy socio-economic burden on the elderly and society. This study aimed to investigate the effect of melilotus officinalis oil on knee joint pain and stiffness among older adults with mild to moderate primary knee osteoarthritis. Methods & Materials: This is a double-blind randomized controlled clinical trial (registration code: IRCT2016082129461N1). Participants were 61 eligible older adults (35 females and 26 males with a mean age of 78±7.79 years) residing in one of the nursing homes in Tehran, Iran who had mild to moderate knee osteoarthritis clinically diagnosed by an orthopedic physician. Then they were assigned randomly into two groups of intervention and control received melilotus officinalis oil and diclofenac gel, respectively, using a randomization table based on balance block randomization. The data were collected using a demographic form and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for evaluating knee joint pain and stiffness at baseline, 2 weeks and 4 weeks after the intervention. Collected data were analyzed in SPSS V. 23 software.  Results: There was no statistically significant different between the intervention and control groups in terms of sociodemographic variables (age, education, marital status, occupation, smoking, physical activity, chronic illness, and medication) at baseline. Knee pain (F1,58=119.07, P<0.001) and joint stiffness (F 1,58=19.9, P<0.001) reduced significantly in both groups, where the effect size was higher in the intervention group. No considerable side effect reported during the study. Conclusion: Compared to diclofenac gel, melilotus officinalis oil can reduce knee joint pain and stiffness in older people with mild to moderate knee osteoarthritis. Therefore, it is suggested for treatment of people with knee osteoarthritis. Further studies are recommended to investigate the mechanism of melilotus oficinalis oil in reducing knee pain and stiffness and determine its effective dosage. 

scholarly journals Functional capability and violence situations against the elderly

2014 ◽  
Vol 27 (5) ◽  
pp. 392-398 ◽  
Author(s):  
Andréa Mathes Faustino ◽  
Lenora Gandolfi ◽  
Leides Barroso de Azevedo Moura
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Physical Violence ◽  
The Elderly ◽  
Population Based ◽  
Cross Sectional Study ◽  
Functional Capability ◽  
Cross Sectional ◽  
Daily Lives ◽  
Partial Dependence

Objective To verify whether there is a connection between the functional capacity of the elderly and the presence of violent situations in their daily lives. Methods A population-based cross-sectional study developed with 237 elderly individuals. Standard and validated research instruments were used. Results Mean age of 70.25 years (standard deviation of 6.94), 69% were female, 76% were independent in basic activities of daily living and 54% had a partial dependence on at least one instrumental activity. The most prevalent violence was psychological and the relation between being dependent on basic activities of daily living and suffering physical violence was statistically significant. Conclusion When the elderly needs assistance to perform self-care activities, there is a greater chance of exposure to a situation of abuse, such as physical violence.

scholarly journals Mild cognitive impairment in the elderly Relationship between communication and functional capacity

2018 ◽  
Vol 12 (2) ◽  
pp. 165-172 ◽  
Author(s):  
Ana Iza Gomes da Penha Sobral ◽  
Cláudia Marina Tavares de Araújo ◽  
Marcos Felipe Falcão Sobral
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Activities Of Daily Living ◽  
Elderly People ◽  
Communication Skills ◽  
Social Communication ◽  
Daily Living ◽  
The Elderly ◽  
Intermediate Form ◽  
Instrumental Activities

Abstract Mild Cognitive Impairment is characterized as an intermediate form between age-related change and dementia. For the elderly, autonomy and independence are related to the ability to remain active in conducting their social activities and, for this to occur, communication is fundamental in this process. Objective: To assess the association between communication and the abilities of elderly people with mild cognitive impairment to perform instrumental activities of daily living. Methods: A cross-sectional, quantitative, analytical, correlational study was conducted at the Open University of the Third Age (UnATI), a program of the Federal University of Pernambuco. This study included 92 people, comprising 46 elderly with mild cognitive impairment and a caregiver or family member who met the inclusion criteria. The elderly were asked to complete a sociodemographic questionnaire and Lawton-Brody’s Instrumental Activities of Daily Living Scale. The caregivers were asked to complete the Functional Assessment of Communication Skills. The following variables were studied: social communication skills and instrumental activities of daily living. Data were stored in an Excel® 2007 spreadsheet, and the Pearson correlation test was used for the statistical analysis. Results: There were statistically significant correlations in four domains of social communication: referring to family members by name (p=0.0033); requesting information about people or events (p=0.0355); understanding conversations in a noisy environment (p=0.0448); and understanding what they watch on television or listen to on the radio (p=0.0127). Conclusion: Changes in the communication of elderly people with mild cognitive impairment interfere with their ability to perform instrumental activities autonomously and independently.

scholarly journals FUNCTIONAL ASSESSMENT OF OLDER OBESE PATIENTS CANDIDATES FOR BARIATRIC SURGERY

2014 ◽  
Vol 51 (1) ◽  
pp. 25-28 ◽  
Author(s):  
Denis PAJECKI ◽  
Marco Aurélio SANTO ◽  
Ana Lumi KANAGI ◽  
Daniel RICCIOPPO ◽  
Roberto de CLEVA ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery ◽  
Activities Of Daily Living ◽  
Functional Assessment ◽  
Daily Living ◽  
Functional Decline ◽  
The Elderly ◽  
Obese Patients ◽  
Instrumental Activities

Context Obesity in the elderly is associated with exacerbation of functional decline (dependency), that occurs with aging, because of decreased muscle mass and strength, and increased joint dysfunction. Consequently, there is progressive loss of independence, autonomy, chronic pain and impaired quality of life. The weight loss can bring benefits in all these aspects, especially when accompanied by exercises. Elderly patients with morbid obesity may be submitted to surgical treatment, taking into account that the massive weight loss, eventually caused by bariatric surgery, may exacerbate the loss of muscle mass and nutritional complications that may bring harm to the overall health and quality of life of these patients. The functional assessment of elderly patients, candidates for bariatric surgery and the extent to which surgery can bring benefits to the patients, in the field of functionality, has still to be determined. Objective To describe profile functionality in obese elderly referred to a bariatric surgery program. Methods Patients with age ≥60 and BMI ≥35 underwent comprehensive geriatric assessment that evaluates co morbidities, medication use, ability to perform basic activities of daily living and instrumental activities of daily living, and the “Timedupandgo” test to evaluate mobility, whose cut-off point was ≤10 seconds. Statistical analysis was performed in order to see if there is a positive correlation of dependency with BMI and age (over or under 65 years). Results Forty subjects have completed evaluation. The mean age was 64.1 years (60-72) and 75% were women. They had an average weight of 121.1 kg (72.7-204) and a mean BMI of 47.2 kg/m2 (35.8-68.9). 16 patients (40%) have shown dependency for activities of daily living, 19 (47,5%) for instrumental activities of daily living and 20 patients (50%) had a “Timedupandgo” test over 10 seconds. Statistical analysis (t-Student, Mann-Whitney, Binary Logistic Regression) has shown positive correlation of dependency in activities of daily living for BMI >49 kg/m2, dependency in instrumental activities of daily living for BMI >46,5 kg/m2, and “Timedupandgo” test greater than 10 seconds for BMI >51 kg/m2 (P<0,05). No dependency difference was observed for patients over or under 65 years age. Conclusions Functional decline is observed in almost half of the morbid obese patients over 60 years old. It is related to increasing BMI (BMI >46,5 kg/m2) but not related to age (60 to 65 years or over 65 years). Functional decline should be considered a co-morbidity in the elderly obese patients and should be assessed before bariatric surgery in this population.

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