The Importance of Adapting Functional Test Instructions for Older Adults with Neurocognitive Disorders

IF 0.3 Q4 REHABILITATION

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS Pub Date : 2021-05-18 DOI:10.1080/02703181.2021.1920654

Audrey-Ann Blais, Cynthia Tremblay, Laury Guarnaccia, Léane Tremblay, Sandrine Laflamme-Thibault, Sharlène Côté, P. Tremblay, J. Bouchard, R. D. da Silva

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Abstract

Abstract Aims: The assessment of the risk of falling in geriatric rehabilitation is often using standardized functional tests, which may be more complex but less representative in older adults with a neurocognitive disorder. The conceptual aim of this manuscript was thus to discuss the impact of adapted instructions on physical performance during standardized functional tests for older with neurocognitive disorders (NCD). Methods: Six topics were addressed: 1) current and global profile of falls in older, 2) fall assessment, 3) neurocognitive disorders in the older adults, 4) relationship between cognitive impairment and functional performance, 5) impact of the instructions on functional assessments in an older population, and finally 6) an overview of the future perspectives on possible adaptations for functional assessments in older adults with NCD. Conclusions: We believe that it is realistic and feasible to address adapted instructions to patients with NCD in clinical settings to optimize their assessment of their risk of falling.

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适应功能测试指导对老年神经认知障碍的重要性

摘要目的:老年人康复中跌倒风险的评估通常使用标准化的功能测试，这可能更复杂，但在患有神经认知障碍的老年人中代表性较低。因此，本文的概念目的是讨论在标准化功能测试中，适应指令对患有神经认知障碍(NCD)的老年人身体表现的影响。方法:讨论了六个主题:1)老年人跌倒的当前和全球概况，2)跌倒评估，3)老年人神经认知障碍，4)认知障碍与功能表现之间的关系，5)老年人群功能评估指南的影响，最后6)概述了未来对老年非传染性疾病患者功能评估可能适应的观点。结论:我们认为，在临床环境中对非传染性疾病患者进行适应性指导以优化其跌倒风险评估是现实可行的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS REHABILITATION-

CiteScore

1.30

自引率

0.00%

发文量

期刊介绍： This comprehensive journal is recognized for its useful balance of research and clinical practice articles. For more than twenty five years Physical & Occupational Therapy in Geriatrics has functioned as a forum for allied health professionals as well as others with a focus on rehabilitation of the geriatric client to share information, clinical experience, research, and therapeutic practice. Each issue focuses on current practice and emerging issues in the care of the older client, including rehabilitation and long-term care in institutional and community settings, and innovative programming; the entire range of problems experienced by the elderly; and the current skills needed for working with older clients.