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الوقاية من خطر الوقوع هي عبارة عن مجموعة م … الوقاية من خطر الوقوع هي عبارة عن مجموعة من الأفعال التي تساعد في تقليل عدد حوادث الوقوع التي يعاني منها الكبار في السن.الإصابات المتعلقة بالوقوع والسقوط تعد من أكثر المشاكل الصحية خطورة عند المسنين. قرابة ثلث الكبار في السن يعانون من حوادث الوقوع على الأقل مرة في السنة. ويعاني نصفهم من أكثر من حادث سقوط في السنة. بسبب هشاشة العظام وقلة الحركة وبطء الانعكاسات العصبية يتسبب السقوط بكسور في الحوض والرأس وأحيانا يسبب الوفاة عند هؤلاء الكبار في السن. تعد الكسور الناتجة عن الحوادث خامس أهم سبب للوفاة عند المسنين. في ما يقارب 75% من حالات الكسور يعاني المرضى من تعافي غير مكتمل وتدهور عام في الصحة. من مؤشرات خطر الوقوع وجود تاريخ مرضي لحادثة وقوع في الماضي، ومشاكل المشي والتوازن. بعض الدراسات تعد الحالات التالية مصاحبة لزيادة خطر الوقوع: اعتلال الرؤية، بعض الأدوية (خصوصا الأدوية النفسية) وتدهور أنشطة الحياة اليومية والإدراك. دور هبوط الضغط الإنتصابي في زيادة خطر السقوط غير محدد.غط الإنتصابي في زيادة خطر السقوط غير محدد.
, Sturzprävention oder Sturzprophylaxe umfas … Sturzprävention oder Sturzprophylaxe umfasst die Gesamtheit vorbeugender Maßnahmen gegen Stürze, insbesondere gegen Stürze im Alter. Stürze und Sturzverletzungen gehören zu den häufigen medizinischen Problemen bei Senioren. Etwa ein Drittel aller Senioren über 65 Jahren stürzt einmal pro Jahr und davon die Hälfte mehrmals jährlich. Aufgrund von Osteoporose und eingeschränkter Mobilität und Reflexen resultieren Stürze oft in Hüft- und anderen Frakturen, Kopfverletzungen oder sogar in Mortalität. Unfallverletzungen sind die fünfthäufigste Todesursache bei älteren Erwachsenen. Bei 75 % der Hüftfraktur-Patienten erfolgt keine vollständige Genesung und der Allgemeingesundheitszustand verringert sich. Die am konsistentesten nachgewiesenen Vorhersagefaktoren für das Sturzrisiko einer Einzelperson sind die Sturzgeschichte des letzten Jahres sowie Gang- und Balanceabnormalitäten. Schlechte Sichtverhältnisse, bestimmte Medikationen (speziell psychotrope Medikamente, aber auch Antihypertensiva, Muskelrelaxanzien und Diuretika) oder eingeschränkte kognitive Fähigkeiten werden ebenfalls mit einem erhöhten Sturzrisiko assoziiert.mit einem erhöhten Sturzrisiko assoziiert.
, Fall prevention includes any action taken … Fall prevention includes any action taken to help reduce the number of accidental falls suffered by susceptible individuals, such as the elderly (idiopathic) and people with neurological (Parkinson's, Multiple sclerosis, stroke survivors, Guillain-Barre, traumatic brain injury, incomplete spinal cord injury) or orthopedic (lower limb or spinal column fractures or arthritis, post-surgery, joint replacement, lower limb amputation, soft tissue injuries) indications. Current approaches to fall prevention are problematic because even though awareness is high among professionals that work with seniors and fall prevention activities are pervasive among community living establishments, fall death rates among older adults have more than doubled. The challenges are believed to be three-fold. First, insufficient evidence exists that any fall risk screening instrument is adequate for predicting falls. While the strongest predictors of fall risk tend to include a history of falls during the past year, gait, and balance abnormalities, existing models show a strong bias and therefore mostly fail to differentiate between adults that are at low risk and high risk of falling. Second, current fall prevention interventions in the United States are limited between short-term individualized therapy provided by a high-cost physical therapist or longer-term wellness activity provided in a low-cost group setting. Neither arrangement is optimum in preventing falls over a large population, especially as these evidence-based physical exercise programs have limited effectiveness (approximately 25%). Even multifactorial interventions, which include extensive physical exercise, medication adjustment, and environmental modification only lower fall risk by 31% after 12 months. Questions around effectiveness of current approaches (physical exercise and multifactorial interventions) have been found in multiple settings, including long-term care facilities and hospitals. The final challenge is adherence. Average adherence in group-based fall prevention exercise programs is around 66%, mostly due to the highly repetitive nature of the programs and the extremely long duration required for noticeable benefits accrue. Adherence to physical therapy can be even lower. When adherence is below 70%, effectiveness of fall prevention physical exercise programs can drop to less than 10%. Practitioners are aware that the most successful approach to fall prevention utilizes a multimodal, motor-cognitive training approach that could be introduced to all adults over 65. The scientific basis of this approach is an understanding of how the dual-task paradigm induces neuroplasticity in the brain, especially in aging populations. This is driving a growing body of research that specifically links the cognitive sub-domains of attention and executive function (EF) to gait alterations and fall risk.on (EF) to gait alterations and fall risk.
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Fall prevention includes any action taken … Fall prevention includes any action taken to help reduce the number of accidental falls suffered by susceptible individuals, such as the elderly (idiopathic) and people with neurological (Parkinson's, Multiple sclerosis, stroke survivors, Guillain-Barre, traumatic brain injury, incomplete spinal cord injury) or orthopedic (lower limb or spinal column fractures or arthritis, post-surgery, joint replacement, lower limb amputation, soft tissue injuries) indications.tation, soft tissue injuries) indications.
, Sturzprävention oder Sturzprophylaxe umfas … Sturzprävention oder Sturzprophylaxe umfasst die Gesamtheit vorbeugender Maßnahmen gegen Stürze, insbesondere gegen Stürze im Alter. Stürze und Sturzverletzungen gehören zu den häufigen medizinischen Problemen bei Senioren. Etwa ein Drittel aller Senioren über 65 Jahren stürzt einmal pro Jahr und davon die Hälfte mehrmals jährlich. Aufgrund von Osteoporose und eingeschränkter Mobilität und Reflexen resultieren Stürze oft in Hüft- und anderen Frakturen, Kopfverletzungen oder sogar in Mortalität. Unfallverletzungen sind die fünfthäufigste Todesursache bei älteren Erwachsenen. Bei 75 % der Hüftfraktur-Patienten erfolgt keine vollständige Genesung und der Allgemeingesundheitszustand verringert sich.lgemeingesundheitszustand verringert sich.
, الوقاية من خطر الوقوع هي عبارة عن مجموعة م … الوقاية من خطر الوقوع هي عبارة عن مجموعة من الأفعال التي تساعد في تقليل عدد حوادث الوقوع التي يعاني منها الكبار في السن.الإصابات المتعلقة بالوقوع والسقوط تعد من أكثر المشاكل الصحية خطورة عند المسنين. قرابة ثلث الكبار في السن يعانون من حوادث الوقوع على الأقل مرة في السنة. ويعاني نصفهم من أكثر من حادث سقوط في السنة. بسبب هشاشة العظام وقلة الحركة وبطء الانعكاسات العصبية يتسبب السقوط بكسور في الحوض والرأس وأحيانا يسبب الوفاة عند هؤلاء الكبار في السن. تعد الكسور الناتجة عن الحوادث خامس أهم سبب للوفاة عند المسنين. في ما يقارب 75% من حالات الكسور يعاني المرضى من تعافي غير مكتمل وتدهور عام في الصحة.ضى من تعافي غير مكتمل وتدهور عام في الصحة.
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الوقاية من الوقوع
, Fall prevention
, Sturzprävention
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