Physical inactivity in the elderly is increasingly becoming a definite problem. Movement plays an important role in primary and secondary prevention of loss of muscle mass but although to prevent progressive changes in aging. Every illness decreases quality of life in the elderly. Limitation of movement may be the result of basic illness or surgery. Characteristic of group: The group to be followed would be created from patients from Departments of University Hospital in Hradec Kralove, internal department, gerontometabolic department and surgical department. Method: Assessment of the patient is realized in close cooperation between physiotherapist, nutrition specialist and medical doctor. The medical doctor indicates biochemical markers. The nutrition specialist on the base questioner indicates risk of malnutrition and makes up nutrition. Harmed patients obtain sipping nutrition. The physiotherapist performs basic kinesiological evaluation, anthropometric measurement and additional specific measurements and indicates the quality and quantity of physiotherapy intervention. Functional independent measurement (FIM) will be used in the form of a questionnaire for self-bodying of patient. For anthropometric parameters we use measurement of the perimeter of the wrist, buttock, arms, calf and thighs. To establish body composition we use a bio-impedant measurement tool (Tania). For testing handgrip we use dynamometry. Further measurement will be spirometry-using SpiroPro, with parameters of quiet respiration and flow/volume curve. In cooperation with the nutrition advisor will be measured indirect calorimetry in exercise conditions (standard set in the lying position). Intervention: In cooperation with the nutrition advisor will be measured indirect calorimetry in exercise conditions (standard set in the lying position). Conclusion: The modern life-style with low activity and movement is leading to problems of loss of muscle tissue in the elderly, a situation compounded by increased aging within the general population. Medical and nonmedical specialists have an important influence in minimising this loss of muscle tissue, and regular nutrition and suitable movement and activity should play a fundamental role in therapy.

Rehabilitační klinika Fakultní nemocnice Hradec Králové

Prevention of loss of muscle tissue ( Sarkopenia) by using physiotherapy and nutrition

Grant č. 00179906 MZO

Lit.: 9