Five Fundamental steps to maintain bone health
A. Encage in regular PHYSICAL ACTIVITY 30 minutes per day for 3 to 5 days per week
B. Take medications if need and do check for Bone mineral density once a year.
C. Consult family doctor about bone health and maintenance.
D. Intake of recommended amount of Calcium and vitamin D.
E. Avoid smoking and Excessive alcohol.
Geriatrics is the branch of medicine dealing especially with the problems of ageing and diseases of the elderly. People are classed as elderly on reaching up to the age of 60 years, but in the 21st century due to the high standards of living have increased the life expectancy up to 75 years.
The increasingly ageing population presents unique challenges for rehabilitation medicine. One third of the population over age 65 – 75 years experiences one fall per year. In the elderly population Falls are common in old age, Falls have been highly associated with the muscle strength, alternation, altered stride characteristics balance etc..
Frequent Falls and difficult in doing functional abilities are particularly likely to occur due to ageing process or weakness. These impairments may have an addition or interactive effect on an individual’s level of mobility mainly on doing functional tasks.
Fall is an event in which a person comes to rest inadvertently on the ground. A fall can result in disability by decrease in confidence, restricting mobility causing injury and debilitation and resulting in loss of independence. Old people need to strengthen their muscles in order to reduce their risk of falling and improve their functional ability. (Simpson 1993). Strict observation in home circumstances is necessary to achieve the sufficient intensity to the exercise program as in hospital setting.
Functional activities are highly skilled movement pattern which have been developed and refined with many years of practice. The leading factor to a decline in function in elderly people is lack of practice to these functional activities leading to a downward spiral in ability.
EXERCISES BOOST IMMUNE SYSTEM
PROTOCOLS
u Duration : 20—30 minutes
u Frequency : 4 days per week
u Walking
u Bicycling
u Light Gym workouts
u Playing Golf, Shuttle..
RECTUS ABDOMINIS DIASTASIS
Rectus abdominis diastasis is a conventional term used to define the split between the two rectus abdominis muscles (Polden and Mantle 1990). However, as the two Recti muscles are attached in the middle by the linea Alba, the widening actually occurs as a result of stretching and thinning of the linea alba. It commonly occurs in childbearing women, third trimester. (Boissonnault and Blaschak 1988). It can persist in 30-60% of women during the post partum period at different sites along the linea alba. (Boissonnault and Blaschak 1988; Bursch 19987).
This can vary between a small vertical gap 2-3cm wide and 12-15cm long to a space measuring 12-20cm in width and extending nearly the whole length of the recti muscles.
Investigation
Checking for Diastasis recti should be done in the,
Beginning of second trimester and continue throughout the rest of pregnancy.
Post partum phase.
Patient Position
Supine Hook lying.
Procedure
Chin should be tucked
Arm extended to knees
Patient should raise her head, shoulders until the scapulae clear the Surface
Therapist check for Central budge in abdomen and with fingers placed Cephalo Caudally, measure the amount of seperation between the Rectus abdominis Muscles 2 inches above, below, al the level of umbilicus.
