Now in its third edition, this trusted clinical guide enables both the busy practitioner and student to review or to learn about a range of pathologies, conditions, examinations, diagnostic procedures, and interventions that can be effectively used in the physical rehabilitation of older people. It presents a broad overview of age-related physiological changes as well as specific professional discipline perspectives.
Organized into eleven distinct and interrelated units, the first unit begins with key anatomical and physiological considerations seen with aging which have significant impact on the older person. The second and third units go on to review important aging-related conditions and disorders of the musculoskeletal and neuromuscular/neurological systems respectively. Neoplasms commonly encountered in older people are the focus of the fourth unit; while aging-related conditions of the cardiovascular, pulmonary, integumentary and sensory systems are presented in units five through seven. Unit eight highlights a range of specific clinical problems and conditions commonly encountered with older patients.
Critically, all of these units emphasize important examination and diagnostic procedures needed for a thorough evaluation and stress interventions that can be of significant benefit to the older patient. The ninth unit presents select physical therapeutic interventions that are especially important in managing rehabilitative care. Key societal issues related to aging are discussed in the tenth unit. Finally, the concluding eleventh unit focuses on the successful rehabilitation team that includes both professional and non-professional caregiver members.
1. Cover image - p. Cover 2. Title page - p. Cover 3. Copyright - p. iv 4. Dedications - p. ix 5. Contributors - p. xi 6. Foreword - p. xv 7. Preface - p. xvii 8. Preface to the second edition - p. xix 9. Preface to the first edition - p. xxi 10. Acknowledgments - p. xxiii 11. Unit One: Anatomical and physiological considerations - p. xxiii 12. Chapter 1. Wholeness of the individual - p. 3 13. Chapter 2. Skeletal muscle function in older people - p. 10 14. Chapter 3. Effects of aging on bone - p. 14 15. Chapter 4. Effects of age on joints and ligaments - p. 19 16. Chapter 5. Aging and the central nervous system - p. 22 17. Chapter 6. Cardiac considerations in the older patient - p. 34 18. Chapter 7. Pulmonary considerations in the older patient - p. 40 19. Chapter 8. Effects of aging on the digestive system - p. 45 20. Chapter 9. Effects of aging on vascular function - p. 50 21. Chapter 10. Thermoregulation: considerations for aging people - p. 57 22. Chapter 11. The aging immune system - p. 64 23. Chapter 12. Pharmacology considerations for the aging individual - p. 68 24. Chapter 13. Laboratory assessment considerations for the aging individual - p. 75 25. Chapter 14. Imaging - p. 79 26. Unit Two: Musculoskeletal disorders - p. 102 27. Chapter 15. Posture - p. 105 28. Chapter 16. Muscle weakness and therapeutic exercise - p. 112 29. Chapter 17. Motor neuron pathologies: postpolio syndrome and ALS - p. 120 30. Chapter 18. Osteoporosis and spine fractures - p. 124 31. Chapter 19. Rheumatic conditions - p. 134 32. Chapter 20. The shoulder - p. 141 33. Chapter 21. Total hip arthroplasty - p. 148 34. Chapter 22. Total knee arthroplasty - p. 153 35. Chapter 23. The aging bony thorax - p. 157 36. Chapter 24. The geriatric spine - p. 164 37. Chapter 25. Orthopedic trauma - p. 171 38. Unit Three: Neuromuscular and neurological disorders - p. 176 39. Chapter 26. Neurological trauma - p. 181 40. Chapter 27. Rehabilitation after stroke - p. 189 41. Chapter 28. Neurocognitive disorders - p. 195 42. Chapter 29. Multiple sclerosis - p. 203 43. Chapter 30. Parkinson’s disease - p. 210 44. Chapter 31. Tremor and other involuntary movement - p. 215 45. Chapter 32. Generalized peripheral neuropathy - p. 226 46. Chapter 33. Localized peripheral neuropathies - p. 233 47. Unit Four: Neoplasms - p. 241 48. Chapter 34. Neoplasms of the brain - p. 245 49. Chapter 35. Neoplasms of the breast - p. 249 50. Chapter 36. Gastric and colon neoplasms - p. 253 51. Chapter 37. Neoplasms of the skin - p. 257 52. Chapter 38. Neoplasms of the prostate - p. 261 53. Unit Five: Cardiopulmonary disease - p. 263 54. Chapter 39. Exercise considerations for aging adults - p. 267 55. Chapter 40. Clinical development and progression of coronary heart disease - p. 275 56. Chapter 41. Cardiac arrhythmias and conduction disturbances - p. 281 57. Chapter 42. Heart failure and valvular heart disease - p. 291 58. Chapter 43. Cardiac pacemakers and defibrillators - p. 298 59. Chapter 44. Invasive cardiac procedures - p. 304 60. Chapter 45. Pulmonary diseases - p. 315 61. Unit Six: Blood vessel changes, circulatory and skin disorders - p. 324 62. Chapter 46. Diabetes - p. 329 63. Chapter 47. Amputations - p. 337 64. Chapter 48. Wound management - p. 341 65. Chapter 49. The insensitive foot - p. 357 66. Chapter 50. Skin disorders - p. 369 67. Unit Seven: Aging and the pathological sensorium - p. 378 68. Chapter 51. Functional vision changes in the normal and aging eye - p. 381 69. Chapter 52. Functional changes in the aging ear - p. 392 70. Chapter 53. Considerations in elder patient communication - p. 399 71. Unit Eight: Specific problems - p. 404 72. Chapter 54. Dysphagia - p. 409 73. Chapter 55. Incontinence of the bowel and bladder - p. 414 74. Chapter 56. Iatrogenesis in older adults - p. 418 75. Chapter 57. Hormone replacement therapy - p. 423 76. Chapter 58. Dizziness - p. 426 77. Chapter 59. Balance testing and training - p. 433 78. Chapter 60. Fracture considerations - p. 439 79. Chapter 61. Contractures and stiffness - p. 448 80. Chapter 62. Fatigue - p. 453 81. Chapter 63. The aging wrist and hand - p. 458 82. Chapter 64. Overweight and obesity - p. 461 83. Chapter 65. Frailty in older persons - p. 464 84. Chapter 66. Evaluation of pain in older individuals - p. 475 85. Unit Nine: Special physical therapeutic intervention techniques - p. 478 86. Chapter 67. Conservative interventions for pain control - p. 483 87. Chapter 68. Gait training - p. 491 88. Chapter 69. Orthotics - p. 497 89. Chapter 70. Prosthetics - p. 501 90. Chapter 71. Complementary therapies for the aging patient - p. 506 91. Chapter 72. Safe Pilates for bone health - p. 511 92. Chapter 73. Aquatic therapy - p. 517 93. Unit Ten: Social and government implications, ethics and dying - p. 519 94. Chapter 74. Legal considerations - p. 523 95. Chapter 75. Ethics - p. 527 96. Chapter 76. Generational conflict and healthcare for older persons - p. 538 97. Chapter 77. The end of life - p. 544 98. Chapter 78. Entry-level competencies for health professionals who work with older adults - p. 548 99. Unit Eleven: The rehabilitation team - p. 550 100. Chapter 79. Caregivers: valuing unpaid care - p. 553 101. Chapter 80. Interdisciplinary geriatric assessment - p. 558 102. Chapter 81. Gerontological and geriatric nursing - p. 563 103. Chapter 82. Geriatric occupational therapy - p. 567 104. Chapter 83. Geriatric physical therapy - p. 570 105. Chapter 84. Providing social services to the older client - p. 576 106. Index - p. 581
Now in its third edition, this trusted clinical guide enables both the busy practitioner and student to review or to learn about a range of pathologies, conditions, examinations, diagnostic procedures, and interventions that can be effectively used in the physical rehabilitation of older people. It presents a broad overview of age-related physiological changes as well as specific professional discipline perspectives.
Organized into eleven distinct and interrelated units, the first unit begins with key anatomical and physiological considerations seen with aging which have significant impact on the older person. The second and third units go on to review important aging-related conditions and disorders of the musculoskeletal and neuromuscular/neurological systems respectively. Neoplasms commonly encountered in older people are the focus of the fourth unit; while aging-related conditions of the cardiovascular, pulmonary, integumentary and sensory systems are presented in units five through seven. Unit eight highlights a range of specific clinical problems and conditions commonly encountered with older patients.
Critically, all of these units emphasize important examination and diagnostic procedures needed for a thorough evaluation and stress interventions that can be of significant benefit to the older patient. The ninth unit presents select physical therapeutic interventions that are especially important in managing rehabilitative care. Key societal issues related to aging are discussed in the tenth unit. Finally, the concluding eleventh unit focuses on the successful rehabilitation team that includes both professional and non-professional caregiver members.
1. Cover image - p. Cover 2. Title page - p. Cover 3. Copyright - p. iv 4. Dedications - p. ix 5. Contributors - p. xi 6. Foreword - p. xv 7. Preface - p. xvii 8. Preface to the second edition - p. xix 9. Preface to the first edition - p. xxi 10. Acknowledgments - p. xxiii 11. Unit One: Anatomical and physiological considerations - p. xxiii 12. Chapter 1. Wholeness of the individual - p. 3 13. Chapter 2. Skeletal muscle function in older people - p. 10 14. Chapter 3. Effects of aging on bone - p. 14 15. Chapter 4. Effects of age on joints and ligaments - p. 19 16. Chapter 5. Aging and the central nervous system - p. 22 17. Chapter 6. Cardiac considerations in the older patient - p. 34 18. Chapter 7. Pulmonary considerations in the older patient - p. 40 19. Chapter 8. Effects of aging on the digestive system - p. 45 20. Chapter 9. Effects of aging on vascular function - p. 50 21. Chapter 10. Thermoregulation: considerations for aging people - p. 57 22. Chapter 11. The aging immune system - p. 64 23. Chapter 12. Pharmacology considerations for the aging individual - p. 68 24. Chapter 13. Laboratory assessment considerations for the aging individual - p. 75 25. Chapter 14. Imaging - p. 79 26. Unit Two: Musculoskeletal disorders - p. 102 27. Chapter 15. Posture - p. 105 28. Chapter 16. Muscle weakness and therapeutic exercise - p. 112 29. Chapter 17. Motor neuron pathologies: postpolio syndrome and ALS - p. 120 30. Chapter 18. Osteoporosis and spine fractures - p. 124 31. Chapter 19. Rheumatic conditions - p. 134 32. Chapter 20. The shoulder - p. 141 33. Chapter 21. Total hip arthroplasty - p. 148 34. Chapter 22. Total knee arthroplasty - p. 153 35. Chapter 23. The aging bony thorax - p. 157 36. Chapter 24. The geriatric spine - p. 164 37. Chapter 25. Orthopedic trauma - p. 171 38. Unit Three: Neuromuscular and neurological disorders - p. 176 39. Chapter 26. Neurological trauma - p. 181 40. Chapter 27. Rehabilitation after stroke - p. 189 41. Chapter 28. Neurocognitive disorders - p. 195 42. Chapter 29. Multiple sclerosis - p. 203 43. Chapter 30. Parkinson’s disease - p. 210 44. Chapter 31. Tremor and other involuntary movement - p. 215 45. Chapter 32. Generalized peripheral neuropathy - p. 226 46. Chapter 33. Localized peripheral neuropathies - p. 233 47. Unit Four: Neoplasms - p. 241 48. Chapter 34. Neoplasms of the brain - p. 245 49. Chapter 35. Neoplasms of the breast - p. 249 50. Chapter 36. Gastric and colon neoplasms - p. 253 51. Chapter 37. Neoplasms of the skin - p. 257 52. Chapter 38. Neoplasms of the prostate - p. 261 53. Unit Five: Cardiopulmonary disease - p. 263 54. Chapter 39. Exercise considerations for aging adults - p. 267 55. Chapter 40. Clinical development and progression of coronary heart disease - p. 275 56. Chapter 41. Cardiac arrhythmias and conduction disturbances - p. 281 57. Chapter 42. Heart failure and valvular heart disease - p. 291 58. Chapter 43. Cardiac pacemakers and defibrillators - p. 298 59. Chapter 44. Invasive cardiac procedures - p. 304 60. Chapter 45. Pulmonary diseases - p. 315 61. Unit Six: Blood vessel changes, circulatory and skin disorders - p. 324 62. Chapter 46. Diabetes - p. 329 63. Chapter 47. Amputations - p. 337 64. Chapter 48. Wound management - p. 341 65. Chapter 49. The insensitive foot - p. 357 66. Chapter 50. Skin disorders - p. 369 67. Unit Seven: Aging and the pathological sensorium - p. 378 68. Chapter 51. Functional vision changes in the normal and aging eye - p. 381 69. Chapter 52. Functional changes in the aging ear - p. 392 70. Chapter 53. Considerations in elder patient communication - p. 399 71. Unit Eight: Specific problems - p. 404 72. Chapter 54. Dysphagia - p. 409 73. Chapter 55. Incontinence of the bowel and bladder - p. 414 74. Chapter 56. Iatrogenesis in older adults - p. 418 75. Chapter 57. Hormone replacement therapy - p. 423 76. Chapter 58. Dizziness - p. 426 77. Chapter 59. Balance testing and training - p. 433 78. Chapter 60. Fracture considerations - p. 439 79. Chapter 61. Contractures and stiffness - p. 448 80. Chapter 62. Fatigue - p. 453 81. Chapter 63. The aging wrist and hand - p. 458 82. Chapter 64. Overweight and obesity - p. 461 83. Chapter 65. Frailty in older persons - p. 464 84. Chapter 66. Evaluation of pain in older individuals - p. 475 85. Unit Nine: Special physical therapeutic intervention techniques - p. 478 86. Chapter 67. Conservative interventions for pain control - p. 483 87. Chapter 68. Gait training - p. 491 88. Chapter 69. Orthotics - p. 497 89. Chapter 70. Prosthetics - p. 501 90. Chapter 71. Complementary therapies for the aging patient - p. 506 91. Chapter 72. Safe Pilates for bone health - p. 511 92. Chapter 73. Aquatic therapy - p. 517 93. Unit Ten: Social and government implications, ethics and dying - p. 519 94. Chapter 74. Legal considerations - p. 523 95. Chapter 75. Ethics - p. 527 96. Chapter 76. Generational conflict and healthcare for older persons - p. 538 97. Chapter 77. The end of life - p. 544 98. Chapter 78. Entry-level competencies for health professionals who work with older adults - p. 548 99. Unit Eleven: The rehabilitation team - p. 550 100. Chapter 79. Caregivers: valuing unpaid care - p. 553 101. Chapter 80. Interdisciplinary geriatric assessment - p. 558 102. Chapter 81. Gerontological and geriatric nursing - p. 563 103. Chapter 82. Geriatric occupational therapy - p. 567 104. Chapter 83. Geriatric physical therapy - p. 570 105. Chapter 84. Providing social services to the older client - p. 576 106. Index - p. 581
