Physical and Functional Clinical Profile of Older Adults in Specialized Geriatric Rehabilitation Care Services in Saguenay-Québec: A Retrospective Study at La Baie Hospital

Maria do Carmo Correia de Lima, Mathieu Dallaire, Catherine Tremblay, Alexis Nicole, Émilie Fortin, Isabela Calixto Maluf, Josée Nepton, Anne-France Severn, Patrice Tremblay, Sharlène Côté, Julie Bouchard and Rubens A. da Silva ()
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Maria do Carmo Correia de Lima: Centre Intersectoriel en Santé Durable, Laboratoire de Recherche BioNR, Département des Sciences de la Santé, Université du Québec à Chicoutimi (UQAC), Saguenay, QC G7H 2B1, Canada
Mathieu Dallaire: Centre Intersectoriel en Santé Durable, Laboratoire de Recherche BioNR, Département des Sciences de la Santé, Université du Québec à Chicoutimi (UQAC), Saguenay, QC G7H 2B1, Canada
Catherine Tremblay: Doctoral Neuropsychology Program, Université du Québec à Chicoutimi (UQAC), Saguenay, QC G7H 2B1, Canada
Alexis Nicole: Physical Therapy Program, Université du Québec à Chicoutimi (UQAC), Saguenay, QC G7H 2B1, Canada
Émilie Fortin: Physical Therapy Program, Université du Québec à Chicoutimi (UQAC), Saguenay, QC G7H 2B1, Canada
Isabela Calixto Maluf: Medical Clinical Residence, São Paulo Hospital, Universidade Federal de São Paulo (UNIFESP), São Paulo 04024-002, Brazil
Josée Nepton: Centre Intégré de Santé et Services Sociaux du Saguenay-Lac-Saint-Jean (CIUSSS SLSJ), Specialized Geriatrics Services-Hôpital de La Baie, Saguenay, QC G7H 7K9, Canada
Anne-France Severn: Centre Intégré de Santé et Services Sociaux du Saguenay-Lac-Saint-Jean (CIUSSS SLSJ), Specialized Geriatrics Services-Hôpital de La Baie, Saguenay, QC G7H 7K9, Canada
Patrice Tremblay: Centre Intégré de Santé et Services Sociaux du Saguenay-Lac-Saint-Jean (CIUSSS SLSJ), Specialized Geriatrics Services-Hôpital de La Baie, Saguenay, QC G7H 7K9, Canada
Sharlène Côté: Centre Intégré de Santé et Services Sociaux du Saguenay-Lac-Saint-Jean (CIUSSS SLSJ), Specialized Geriatrics Services-Hôpital de La Baie, Saguenay, QC G7H 7K9, Canada
Julie Bouchard: Centre Intersectoriel en Santé Durable, Laboratoire de Recherche BioNR, Département des Sciences de la Santé, Université du Québec à Chicoutimi (UQAC), Saguenay, QC G7H 2B1, Canada
Rubens A. da Silva: Centre Intersectoriel en Santé Durable, Laboratoire de Recherche BioNR, Département des Sciences de la Santé, Université du Québec à Chicoutimi (UQAC), Saguenay, QC G7H 2B1, Canada

IJERPH, 2022, vol. 19, issue 16, 1-12

Abstract: Musculoskeletal disorders, cardiovascular and neurological diseases were the most commonly debilitating conditions and risk factors associated with pain, mobility limitations, increased risk of falls and disability. Studies barely address the profile of older adults in care within a specialized geriatric rehabilitation service (SGRS) to provide subsidies for new actions within the public healthcare to reduce falls and improve management in health investments. This study aimed to establish a clinical physical and functional profile of the patients with neuromusculoskeletal and cognitive disorders and fallers in interventions within SGRS. From a retrospective study design, 127 medical records were compiled and analyzed to determine the physical and functional profile of older adults and differences according to sex, age groups and the benefits for local physical therapy intervention. The users were between 76 and 85 years of age, with diverse clinical diagnoses and debilitating conditions and impairments. A higher proportion presented gait and balance impairments and had two or more falls in 12 months. A significant effect for advanced age was observed. Overall, real benefits were reported with intervention for functional improvement, although the absence of a control group. These results have direct implications for a better understanding of a local SGRS and provide subsidies for developing new approaches for the assessment and treatment of older adults with high a risk of falls in order to reduce costs for the public health system.

Keywords: aging; older people; neuromusculoskeletal disorder; falls; rehabilitation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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