Motor Activity in Aging: An Integrated Approach for Better Quality of Life
- PMID: 27351018
- PMCID: PMC4897547
- DOI: 10.1155/2014/257248
Motor Activity in Aging: An Integrated Approach for Better Quality of Life
Abstract
Old age is normally associated with stereotypical structural and physiological changes in the brain that are caused by deterioration in elementary cognitive, sensory, and sensorimotor functions as well as increased susceptibility to stress. These changes are connected with gait impairment and falls, especially among patients with common neurological diseases. Even in the absence of history of falling or when there is no physical injury after a fall, many older people develop a fear of falling that leads to restricted mobility, reduced activity, depression, social isolation, worsened metabolic disease, and increasing risk of cardiovascular morbidity and mortality. Although links between cognitive decline and age-associated brain changes have been clarified, relationships between gait disorders and psychophysiological alterations in aging are less well understood. This review focuses on two crucial elements of aged individuals with gait disorders: characteristic comorbidities in the elderly and the psychophysiological effects of physical exercise in the elderly with gait disorder. We propose an integrated approach to studying elderly subjects with gait disorder before starting a program of motor rehabilitation with wearable robotic devices, in order to investigate the effectiveness and safety of the ambulatory training.
Figures
Similar articles
-
Foot Problems in Older Adults Associations with Incident Falls, Frailty Syndrome, and Sensor-Derived Gait, Balance, and Physical Activity Measures.J Am Podiatr Med Assoc. 2018 Mar;108(2):126-139. doi: 10.7547/15-186. Epub 2017 Aug 30. J Am Podiatr Med Assoc. 2018. PMID: 28853612 Free PMC article.
-
[Diagnosis of the risk of accidental falls in the elderly].Ther Umsch. 2002 Jul;59(7):351-8. doi: 10.1024/0040-5930.59.7.351. Ther Umsch. 2002. PMID: 12185951 German.
-
"Brain-muscle loop" in the fragility of older persons: from pathophysiology to new organizing models.Aging Clin Exp Res. 2017 Dec;29(6):1305-1311. doi: 10.1007/s40520-017-0729-4. Epub 2017 Feb 23. Aging Clin Exp Res. 2017. PMID: 28233284 Review.
-
The Fall in Older Adults: Physical and Cognitive Problems.Curr Aging Sci. 2017;10(3):185-200. doi: 10.2174/1874609809666160630124552. Curr Aging Sci. 2017. PMID: 28874111 Review.
-
Impact of the combination of cognitive and balance training on gait, fear and risk of falling and quality of life in seniors with mild cognitive impairment.Geriatr Gerontol Int. 2016 Sep;16(9):1043-50. doi: 10.1111/ggi.12593. Epub 2015 Sep 3. Geriatr Gerontol Int. 2016. PMID: 26338465 Clinical Trial.
Cited by
-
Self-Reported Cognitive Frailty Predicts Adverse Health Outcomes for Community-Dwelling Older Adults Based on an Analysis of Sex and Age.J Nutr Health Aging. 2019;23(7):654-664. doi: 10.1007/s12603-019-1217-7. J Nutr Health Aging. 2019. PMID: 31367731
References
-
- Classen D. C., Pestotnik S. L., Evans R. S., Lloyd J. F., Burke J. P. Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. The Journal of the American Medical Association. 1997;277(4):301–306. doi: 10.1001/jama.1997.03540280039031. - DOI - PubMed
Publication types
LinkOut - more resources
Full Text Sources
Other Literature Sources
