Archive for the ‘physical therapy’ Category

Robotic Skeleton for Aging Farmers

Monday, April 12th, 2010

Excerpts from AFP 9 April 2010

Japanese robo-suit promises superpowers for greying farmers

TOKYO (AFP) – – While Robocop and Iron Man can dodge bullets and crush villains, a new powered suit from Japan promises its elderly users more modest powers, such as pulling up radishes without getting a backache.

Unlike its heavily-armed Hollywood counterparts, the Power Assist Suit aims to make life easier for Japan’s army of greying farmers.

japanese-robo-suit-AFP

The metal-and-plastic exoskeleton boasts eight electric motors that amplify the strength of the wearer’s arms and legs, as well as sensors that can detect movements and respond to commands through a voice-recognition system.

Professor Shigeki Toyama and his team developed the power-enhancing suit at the Tokyo University of Agriculture and Technology, and Toyama plans to set up a company to start producing the futuristic outfit by the end of the year.

“If the farmer bends over to grasp a radish, his back will be firmly supported,” said Gohei Yamamoto, one of the students working on the team, as he recently demonstrated the suit on his university campus.

“A brief vocal instruction will instantly straighten the rods along his legs, giving him the power he needs to pull the vegetable without effort.”

Robo-suits are making inroads in hospitals and retirement homes, where they can help carers lift patients or aid in physical rehabilitation exercises.

The suit should hit the Japanese market in 2012, when it will initially retail for about one million yen (11,000 dollars), a price tag its makers hope to halve if the device is mass-produced, the team said.

2010 Clinical Guideline for Fall Prevention

Monday, February 1st, 2010

Excerpts from the American and British Geriatric Societies Clinical Practice Guideline 2010:

Prevention of Falls in Older Persons

Summary of Recommendations

SCREENING AND ASSESSMENT

1. All older individuals should be asked whether they have fallen (in the past year).
2. An older person who reports a fall should be asked about the
frequency and circumstances of the fall(s).
3. Older individuals should be asked if they experience difficulties with walking or balance.
4. Older persons who present for medical attention because of a fall, report recurrent falls in the past year, or report difficulties in walking or balance (with or without activity curtailment) should
have a multifactorial fall risk assessment.

Photo of the 4-step balance assessment demo at the Training of Trainors program, COMADD and Palo SHS:

TOT 4 steps group

The multifactorial fall risk assessment should include the following:

Focused History
1. History of falls: Detailed description of the circumstances of the fall(s), frequency, symptoms at time of fall,
injuries, other consequences
2. Medication review: All prescribed and over-the-counter medications with dosages
3. History of relevant risk factors: Acute or chronic medical problems, (e.g., osteoporosis, urinary incontinence, cardiovascular disease)

Physical Examinations
Functional Assessment
Environmental Assessment

Details are available at the AGS Website

National Conference on Aging 2009

Sunday, November 15th, 2009

The National Conference on Aging “Promoting Wellness, Improving Quality of Life of Oder Persons” was held at the Balyuan Convention Center, Tacloban on October 28-29, 2009, completing the 5-day geriatric education outreach of the UP Manila-NIH Committee on Aging (COMADD). The event was hosted by the School for Health Sciences Palo and attracted participants from Region 8, Quezon province, Manila, and Southern Luzon.
National Conference on Aging Group Photo Balyuan 09.1
Basic topics on Gerontology and Geriatrics were discussed, with the following objectives:
1. Discuss the myths and theories on aging
2. Discuss the value of health promotion and disease prevention such as
• Immunization
• Nutrition
• Exercise
• Risk management/lifestyle modifications
3. Explain the common medical problems/conditions in aging
a. Depression
b. Dementia/Delirium
c. Communication Disorders
d. Falls and Immobility
e. Pain
f. Polypharmacy and Rational Drug Use
g. Urinary and Bowel Incontinence
4. Recognize the emotional, spiritual and psychosocial needs of the elderly
5. State policies/laws on the rights of elderly

National Conf Aging Tacloban 10.2009
The COMADD shared their knowledge and led the captivated audience in plenary lectures and wet clinic demonstrations. The Overall Chairperson of the 5-day educational outreach was Dr. S de la Vega (UPM-NIH, Chair COMADD) with Co-Chairs Dean J Siega-Sur (UP SHS) and former NTTC Dean JAP Mojica. Other members of the faculty were Prof. L Manahan (UPCN), Prof. A Balagabno (UPCN), Dr. D Camagay (UP-PGH), Dr. D. Dychingbing-Agsaoay (UP-PGH), Prof. EJ Gorgon (UP CAMP), Prof. JD Agapito (UPCAS), Ms. E Limos (UP-PGH Nutrition), Prof. G Manalang (UPCPH) and Dr. M Bodo-Bernabe (PSGM), and Dr. I Alejandro Jr (PSGM VP).
Dr. de La Cruz, past President of the Federation of Senior Citizens Associations of the Philippines shared his wise thoughts about aging and advocated for better policies on geriatric education and healthcare for older persons. Dr. L Opina- Tan faculty from the UP Community Health Development Program in San Juan Batangas, gave a return-demo lecture of what she learned during the 3 day Training of Trainors workshop in Palo.

EXECUTIVE COMMITTEE MEMBERS:

Over all Chairman: Dr. Shelley de la Vega
Co- Chairs: Dr. Jose Alvin Mojica
Dean Jusie Lydia Siega-Sur
Prof. Amabel Ganzo

Ways and Means Committee:
SHS : Prof. Amabel Ganzo
Dean Jusie Lydia Siega-Sur
Prof. Zenaida Varona
ComADD: Dr. Shelley de la Vega

Program and Commercial Exhibit Committee:
Chairman: Dr. Romeo Ceniza
Members: Dr. Norlita Arcamo
Dr. Aileen Espina
SHS Medical Students

Physical Arrangement:
Chairman: Prof. Teresita Sardan
Members: Ms. Loreta Soledad
Dr. Filedito Tandinco
Prof. Helen Gumba
Prof. Carmelita Espinosa

Registration and Awards Committee:
Chairman: Prof. Evangeline Culas-Pasagui
Members: Prof. Rolando Borinaga
Prof. Carmen Firmo
Dr. Filedito Tandinco

Social Program:
Chairman: Prof. Amabel Ganzo
Members: Ms. Esther Hope Acosta
Prof. Carmelita Espinosa
Dr. Carmen Firmo

Invitation and Publicity:
Chairman: Prof. Amabel Ganzo
Members: Prof. Sylvia Sustento
Prof. Zenaida Varona

The project was made possible by educational grants from President GMA and the Bristol Myers Squibb Foundation.

Improving Healthcare of Older Filipinos

Sunday, July 20th, 2008

The Baseline Survey for the National Objectives of Health (BSNOH) research done by the UP Manila NIH and DOH revealed that of the 2,690 older persons surveyed, only 0.3 percent ever had a Geriatric Health Screen. The number of elderly who had screening for geriatric syndromes such as urinary incontinence, memory and affective illnesses was less than 5 percent. The BSNOH Survey also revealed that fewer that 10 percent had their height and weight determined, and only 15 percent had a hearing evaluation. Sixty one percent indicated that lack of money was the major reason for delaying medical consultation, and ninety two percent were without any form of pension.

Philhealth (PHIC) is trying to address this gap by creating responsive benefits that will address the rising prevalence of chronic diseases. These include a hypertension package, out-patient drug benefits, home peritoneal dialysis. PHIC plans to invest in long-term care bundle payments for post hospital care, integration of acute care and some coverage into one delivery system. In the open forum that followed, issues raised included the difficulty in Philhealth reimbursement of all members of the multi-disciplinary healthcare team, and the lack of coverage for nursing home and home care.
Policy Workshop 2007

Committee on Aging University of the Philippines-National Institutes of Health

Sunday, July 20th, 2008

Brief History of the Committee on Aging and Degenerative Diseases

The University of the Philippines Manila is the country’s leading institution for health research and development. The creation of the National Institutes of Health was approved by the Board of Regents at its 1094th meeting on 26 January 1996, and with it, the Gerontology and Disabilities Programs Cluster, through the Committee on Aging and Degenerative Diseases. The committee is composed of various physicians, academicians, and allied medical professionals within the UP-PGH system.

The COMADD is currently comprised of volunteer consultants from various Clinical and Basic Sciences Departments of the UP-PGH system:
1. Philippine General Hospital – Clinical Departments are involved through their representatives, including: Internal Medicine, Family Medicine, Surgery, Orthopedics, Rehabilitation, Neurology, Psychiatry and Nutrition.
2. UP College of Nursing – membership representation
3. UP Manila College of Arts and Sciences – membership representation thru the Department of Behavioral Sciences (Anthropology)
4. College of Allied Medical Professionals
5. College of Pharmacy
6. College of Dentistry

Mission-Vision: Institute for Aging and Degenerative Diseases
Vision
The Filipino elderly enjoying a healthy body, mind and spirit, being treated with dignity, and valued as a productive member of society, in a dynamic process unique to himself, and beginning a life of unlimited possibilities.
Mission
The institute shall create with the aging Filipino, unlimited possibilities for their value added life through scientific research, training and education, and specialized services.

Clinical Programs
The Committee on Aging and Degenerative Diseases through it multidisciplinary membership is involved in the development and management of various clinical programs within the UP-PGH system, including:
Outpatient geriatric evaluation and wellness clinic
Inpatient geriatric medical consultation
Memory clinic
Stroke unit
Rehabilitation unit (physical, occupational and speech therapy)
Menopause clinic
Specialized services such as Spine/Osteoporosis care; Rheumatology clinic

Policy Development
The Committee and its members have been directly involved as technical advisers in the development of
The Philippine Plan of Action for Older Persons, DSWD
The Health Program for Older Persons, DOH
Baseline Surveys for the National Objectives of Health, DOH, NIH
Periodic Health Examination Guideline, PHILCLEN, DOH
Alzheimer’s Disease Association of the Philippines Recommendations on Diagnosis, Prevention and Management
Education

The Committee has undertaken 9 successful Post-graduate courses in Geriatric Medicine for physicians, nurses, and allied medical professions since 1997

Research

The Committee and its members are involved in funding and development of essential national health researches including those that resulted in the Policy and Recommendation documents above.

Welcome to Geriatrics Philippines Blog

Saturday, July 19th, 2008

Welcome and share your thoughts and comments on how we can improve the health and quality of life of Older Filipinos.Philippine General Hospital Geriatric Clinic Activity