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Ocena podstawowych i złożonych czynności życia codziennego pacjentów geriatrycznych po zabiegu endoprotezoplastyki stawu biodrowego / Assessment of basic and instrumental activities of daily living in geriatric patients after total hip arthroplasty

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Puzio G., Stopa A., Staszczak–Gawełda I., Krupnik S., Żak M., Szczygielska–Babiuch A.

Advances in Rehabilitation

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2014

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vol. 28

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issue 4

13-20

EN

Introduction: Osteoarthritis is one of the principal causes of motion organ disorder in old age. It also happens to be the main reason for a hip joint replacement surgery, by far the most frequently applied treatment for the over 65s. Advances in medical science and physical rehabilitation allow the elderly people to maintain high functional efficiency and self-reliance in performing everyday life activities. Aim of the study: To offer an insight into the most frequently encountered problems in the pursuit of activities of daily living in geriatric patients after total hip arthroplasty. Additionally, the study also aimed to focus on the differences in overall functionality of the elderly persons relative to their age at the time of being subjected to total hip arthroplasty. Material and methods: The study population consisted of 189 patients (123 women and 66 men) remaining in institutional care centres. Basic daily activities ADL scale and complex activities IADL scale were used for functional assessment. All study subjects were stratified by age (age range: Group I - 70 - 79 years; Group II - 80 years and over). Statistical analyses were completed with the aid of STATISTICA v10. package, and the Mann-Whitney test was applied to verification of working hypotheses, with statistical significance assumed at p = 0.05. Results: The study subjects encountered the biggest problems in ADL with regard to unassisted bathing (43%) and in controlling the excretion of urine and stool (66.66%). In IADL rational management of own finances proved most challenging for 71%, and over half of them (54%) was unable to venture out any further than for a short walk. When stratified by age, the main ADL score was not significantly different between the groups (5 points vs. 5 points; p > 0.05). Such differences were found in IADL, though (Group I - 20 points vs. Group II - 18 points; p < 0.05). Conclusions: Within 4 weeks of undergoing a hip joint replacement the persons remaining in institutionalised care exhibited functional deficiencies in caring for personal hygiene. Effective training in performing the activities of daily living should be made a basic component of interdisciplinary approach in geriatric care, in due consideration of individual age constraints.

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Contemporary methods in the evaluation of activities in daily living with Alzheimer disease

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Opara J., Brola W.

Medical Rehabilitation

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2011

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vol. 15(1)

21-24

PL

Starzenie się społeczeństw doprowadzi do wzrostu zapadalności na chorobę Alzheimera. W zaawansowanym stadium choroba uniemożliwia samodzielne wykonywanie nawet prostych czynności codziennych i osoba chorująca na chorobę Alzheimera wymaga stałej opieki. Ocena samodzielności osób z otępieniem jest bardzo ważna – pozwala ona na oszacowanie potrzeb dotyczących opieki nad chorymi, gdyż pociąga to za sobą koszty i obciążenie opiekunów. W artykule przeglądowym przedstawiono aktualne możliwości oceny samodzielności w wykonywaniu czynności Ŝycia codziennego u osób z otępieniem – służą do tego skale oceniające czynności podstawowe (ADL) i skale nazwane instrumentalnymi lub rozciągniętymi skalami ADL

EN

Alzheimer disease is known for placing a great burden on caregivers which include the social, psychological, physical and/or economic aspects. The disease diminishes patients` independence in activities of daily living (ADL). Home care is usually preferred by patients and families. The role of the main caregiver is often taken by the spouse or a close relative. Dementia caregivers are subject to high rates of physical and mental disorders. ADL scales are useful for the evaluation of patients` capacity and their needs for care and burden. Those scales enable one also to arrive ar the outcome measure of rehabilitation. One can divide them into three parts: universal (generic) basic ADL scales, basic scales which are specific for Alzheimer disease and instrumental - extended (expanded) ADL scales. In this paper the most commonly used scales evaluating activities of daily living in Alzheimer disease, including as equally basic as well as instrumental ADL scales, have been presented. Due to the systematic review we were able to present their psychometric properties: content validity, internal consistency, construct validity, criterion validity, reliability, responsiveness, floor-and ceiling effects, and interpretability. Those scales that received positive ratings have been presented.

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Is the Barthel scale still useful 50 years after its first publication?

71%

Opara J., Kucio C., Kurek J., Małecka E.

Medical Rehabilitation

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2015

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vol. 19(1)

34-37

EN

It has been 50 years since, in February 1965, Florence Mahoney and Dorothea Barthel published an article entitled “Functional evaluation: the Barthel Index”. Since then, the Barthel scale, also known as the Basic ADL Index (BI), Barthel Score and Maryland Disability Index, is one of the most well-known ADL scales (Activities of Daily Living) and is still popular. This simple scale is still used by the representatives of a number of medical workers for many purposes, including the assessment of the results of treatment, rehabilitation, prognosis, assessment of self-reliance, assessment of needs for care and for determining the degree of disabilities. Based on a review of the literature and our own experience, this article presents the advantages and disadvantages of the Barthel Index, including its usefulness and place among other scales assessing the activities of daily living.

PL

Minęło 50 lat, kiedy to w lutym 1965 r. Florence Mahoney i Dorothea Barthel opublikowały artykuł zatytułowany Functional evaluation: the Barthel Index. Od tej pory skala Barthel, występująca również jako Basic ADL Index (BI), Barthel Score i Maryland Disability Index, należy do najbardziej znanych skal ADL (czynności życia codziennego, ang. Activities of Daily Living) i wciąż jest popularna. Ta prosta skala wykorzystywana jest ciągle przez przedstawicieli zawodów medycznych do wielu celów, w tym oceny wyników leczenia, rehabilitacji, prognozowania, oceny samodzielności, oszacowania potrzeb co do opieki i do celów orzecznictwa. Na podstawie przeglądu piśmiennictwa i własnego doświadczenia w artykule tym przedstawiono zalety i wady skali Barthel, jej przydatność i miejsce wśród innych skal, oceniających czynności życia codziennego.

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Are short forms of Barthel Index equally useful in assessment of ADL?

71%

Opara J.

Medical Rehabilitation

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2018

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vol. 22(2)

40-44

PL

Chociaż minęło ponad 50 lat, kiedy to w 1965 roku Florence Mahoney i Dorothea Barthel opublikowały artykuł zatytułowany “Functional evaluation: the Barthel Index”, skala Barthel, występująca również jako Basic ADL Index (BI), Barthel Score i Maryland Disability Index, należy do najbardziej znanych skal ADL (czynności życia codziennego, ang. Activities of Daily Living) i wciąż jest popularna. Ta prosta skala wykorzystywana jest ciągle przez przedstawicieli zawodów medycznych dla wielu celów, w tym oceny wyników leczenia, rehabilitacji, prognozowania, oceny samodzielności, oszacowania potrzeb co do opieki i dla celów orzecznictwa. Mimo swej prostoty wypełnienie kwestionariusza skali Barthel trwa około 5-10 minut, stąd pojawiło się zapotrzebowanie na skróconą formę BI, której wypełnienie zajmie mniej czasu. W artykule przeglądowym przedstawiono najczęściej stosowane skrócone wersje BI z ich wadami i zaletami.

EN

It has been more than 50 years ago, when in 1965 Florence Mahoney and Dorothea Barthel published an article entitled "Functional evaluation: the Barthel Index." Since then, Barthel scale, also known as a Basic ADL Index (BI), Barthel Score and Maryland Disability Index, is one of the most well-known scales ADL (Activities of Daily Living) and is still popular. This simple scale is still used by the representatives of a number of medical workers for many pur-poses, including the assessment of the results of treatment, rehabilitation, prognosing, assess-ment of self-reliance, assessment of needs for care and for the purposes of the judgment. De-spite its simplicity, the administration of the original Barthel questionnaire takes about 5-10 minutes; that`s why there is a demand for a shortened form of BI. Based on a review of the literature the advantages and disadvantages of the abbreviated BI versions in assessing activities of daily living has been presented. Key Words ADL, Barthel Index, Barthel scale, clinimetrics, short forms Opara J. Are short forms of Barthel Index equally useful in the assessment of ADL? Med Rehabil 2018; 22(2): 40-44. DOI: 10.5604/01.3001.0012.6932

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Ocena podstawowych i złożonych czynności życia codziennego pacjentów geriatrycznych po zabiegu endoprotezoplastyki stawu biodrowego / Assessment of basic and instrumental activities of daily living in geriatric patients after total hip arthroplasty

Contemporary methods in the evaluation of activities in daily living with Alzheimer disease

Is the Barthel scale still useful 50 years after its first publication?

Are short forms of Barthel Index equally useful in assessment of ADL?