Ataxias.

Abstract:

:Gait disorders in elderly individuals are a major cause of falls and their attendant morbidities. Ataxia is one of the neurologic components of fall risk, as are inattention or confusion, visual impairment, vestibular impairment, subcortical white matter disease, parkinsonism, weakness, sensory loss, orthostasis or arrhythmia with alterations in blood pressure, pain, medication use, and environmental hazards. Ataxia in the geriatric population has many causes. Correctly identifying them can improve clinicians' ability to offer treatment and management strategies to patients and their families. The goals should be safe mobility and preserved activities of daily living.

journal_name

Clin Geriatr Med

authors

Perlman SL

doi

10.1016/j.cger.2006.06.011

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

859-77, vii

issue

4

eissn

0749-0690

issn

1879-8853

pii

S0749-0690(06)00042-5

journal_volume

22

pub_type

杂志文章,评审
  • Approach to the diagnosis and management of musculoskeletal disease.

    abstract::Musculoskeletal disease is not an inevitable consequence of aging. Complaints of musculoskeletal disease indicate disease. Differential diagnosis relies on clinical skills. Management is directed toward maintaining function. ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Ettinger WH Jr

    更新日期:1988-05-01 00:00:00

  • Stroke rehabilitation.

    abstract::It is clear from this article that additional studies examining what factors can be used to predict the outcome of stroke and what process achieves the best outcome most effectively need to be developed. The available data support the usefulness of a coordinated rehabilitation program in the treatment of the functiona...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Lorish TR

    更新日期:1993-11-01 00:00:00

  • Lewy Body Dementia.

    abstract::Dementia with Lewy bodies (DLB) is the second most common neurodegenerative dementia following Alzheimer disease. It stems from the formation of Lewy bodies, which contain aggregates of the misfolded protein, α-synuclein. These deposit in areas of the nervous system and brain, leading to neuronal cell death and causin...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2018.06.007

    authors: Sanford AM

    更新日期:2018-11-01 00:00:00

  • Mesenteric ischemia in the elderly.

    abstract::Mesenteric ischemia is a well-recognized clinical entity among the elderly. Although first described more than 500 years ago, advances in both diagnostic and treatment regimens only minimally have improved on the bleak morbidity and mortality rates associated with this disease. Significant progress, however, has been ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Ruotolo RA,Evans SR

    更新日期:1999-08-01 00:00:00

  • Assessing the impact of antihypertensive therapy on quality of life in the elderly.

    abstract::Quality of life is becoming increasingly important in assessing the impact of therapy for hypertension in elderly persons. Although the concept of quality of life is new and is in need of further definition, good measures already exist to examine the effects of therapy in the major domains of quality of life such as s...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Weiler PG

    更新日期:1989-11-01 00:00:00

  • Public health and palliative care in 2015.

    abstract::Palliative care is a public health concern, because the problems faced by patients and their families represent a substantial burden of illness and cost to the society that is likely to increase markedly in the future as the world's population continues to age. There are also inequities in access to palliative care an...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2015.01.002

    authors: Dzingina MD,Higginson IJ

    更新日期:2015-05-01 00:00:00

  • Malignant skeletal neoplasms in the geriatric patient.

    abstract::Malignant neoplasms of the geriatric skeleton are either primary or metastatic in nature. The vast majority are metastatic to the skeleton from carcinomas. Rarely, a primary skeletal malignancy, usually a chondrosarcoma or a malignant fibrous histiocytoma, develops in the geriatric patient. This article discusses the ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章

    doi:

    authors: McGuire DJ,McGuire MH

    更新日期:1994-11-01 00:00:00

  • Independence at home: community-based care for older adults with severe chronic illness.

    abstract::By most clinical and economic measures, our health care system is not providing effective or affordable care to Medicare beneficiaries with severe chronic illness. Two million elders, constituting most of the 5% who account for nearly half of Medicare costs, have multiple chronic conditions, functional disability, and...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章

    doi:10.1016/j.cger.2008.11.004

    authors: DeJonge KE,Taler G,Boling PA

    更新日期:2009-02-01 00:00:00

  • Epidemiology of bone loss with aging.

    abstract::Lifespans worldwide continue to get progressively longer as we learn more about the science of aging, adopt more healthy lifestyles, and develop better technology to promote successful longevity. Unfortunately, with advanced age comes bone loss and an increased risk for skeletal fractures. Much is known about age-rela...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Gunby MC,Morley JE

    更新日期:1994-11-01 00:00:00

  • The dementia of Parkinson's disease.

    abstract::An understanding of the causes, nature, and course of intellectual impairment in Parkinson's disease (PD) is essential for the correct development of therapy. This article reviews the causes of the dementia of PD, its primary clinical and pathological features, and its course. ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Mortimer JA

    更新日期:1988-11-01 00:00:00

  • Nonpharmacologic interventions. Exercise, fall prevention, and role of physical medicine.

    abstract::Musculoskeletal changes that are related to osteoporosis can be prevented, challenged, or reduced with implementation of proper rehabilitation programs. The nonpharmacologic interventions recommended here are evidence-based and have resulted from controlled trials and studies. ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0690(02)00111-8

    authors: Sinaki M

    更新日期:2003-05-01 00:00:00

  • Transportation needs of the elderly population.

    abstract::All evidence suggests that the elderly population of today and tomorrow will continue to depend on the private car to give them freedom, independence, and choice--as do younger travellers. Given the demographic changes in the United States, it seems very unlikely that other modes or options can provide anywhere near t...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Rosenbloom S

    更新日期:1993-05-01 00:00:00

  • Pain and terminal delirium research in the elderly.

    abstract::This article highlights new developments in assessment and management of pain and delirium. ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2004.09.002

    authors: Yennurajalingam S,Braiteh F,Bruera E

    更新日期:2005-02-01 00:00:00

  • Polypharmacy Reduction Strategies: Tips on Incorporating American Geriatrics Society Beers and Screening Tool of Older People's Prescriptions Criteria.

    abstract::There is no single definition of polypharmacy. Use of 5 or more medications commonly is used. An alternative, quantitative definition, such as use of more medications than clinically indicated or use of unnecessary or harmful prescribing, has been proposed. Protocols or algorithms to improve polypharmacy and prescribi...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2017.01.007

    authors: Levy HB

    更新日期:2017-05-01 00:00:00

  • Obesity and aging.

    abstract::This review focuses on studies that pertain to obesity and aging. The prevalence of obesity in the elderly is discussed, with an emphasis on body-fat distribution as it relates to morbidity and mortality rates. Treatment options, such as physical activity, growth hormones, and drug therapy, are briefly mentioned. A se...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Kotz CM,Billington CJ,Levine AS

    更新日期:1999-05-01 00:00:00

  • Syncope: evaluation and management in the geriatric patient.

    abstract::Syncope is a common clinical problem accounting for 3% of all emergency room visits and 1% to 6% of all hospital admissions. Both a sign and a symptom, syncope can be caused by a wide variety of conditions. Syncope in the geriatric patient can be a particularly challenging problem because of the coexistence of multipl...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2012.07.002

    authors: Grubb BP,Karabin B

    更新日期:2012-11-01 00:00:00

  • Peritonitis.

    abstract::Intraperitoneal infections or inflammatory disease in elderly patients are a diagnostic challenge that will be encountered with increasing frequency in the aging population of the United States. Diagnostic clues are not overt and frequently appear late in the course of the disease. Confusion and subtle changes in clin...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Hill AB,Meakins JL

    更新日期:1992-11-01 00:00:00

  • Treatment of agitation in patients with dementia.

    abstract::This article attempts to summarize some of the pertinent literature in the context of the authors' clinical experience and suggests that a comprehensive psychiatric and medical evaluation, as well as a combined behavioral/environmental approach together with appropriate pharmacotherapy, are important tools in the mana...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Mintzer JE,Hoernig KS,Mirski DF

    更新日期:1998-02-01 00:00:00

  • Pain in cognitively impaired older persons.

    abstract::To summarize, there has been shamefully little empirical research directly examining the prevalence and correlates of pain among cognitively impaired older people. Even less is known about techniques for assessing and managing pain in this group. Existing evidence suggests that cognitively impaired older persons may v...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Parmelee PA

    更新日期:1996-08-01 00:00:00

  • Sarcopenia: origins and clinical relevance.

    abstract::To a considerable extent, the advent of the term sarcopenia has contributed to the focus on this important condition and its effects on the quality of life and care of older persons. It is hoped that the advances in our understanding of the etiology and treatment of sarcopenia will further contribute to placing this d...

    journal_title:Clinics in geriatric medicine

    pub_type: 历史文章,杂志文章

    doi:10.1016/j.cger.2011.03.003

    authors: Rosenberg IH

    更新日期:2011-08-01 00:00:00

  • Effects of caloric restriction on cardiovascular aging in non-human primates and humans.

    abstract::Approximately one in three Americans has some form of cardiovascular disease (CVD), accounting for one of every 2.8 deaths in the United States in 2004. Two of the major risk factors for CVD are advancing age and obesity. An intervention able to positively impact both aging and obesity, such as caloric restriction (CR...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2009.07.001

    authors: Cruzen C,Colman RJ

    更新日期:2009-11-01 00:00:00

  • The doctor-patient relationship in the home.

    abstract::The rapid growth of the geriatric sector of the population has, in part, led to the explosion of the home care industry and the rebirth of the house call. Understanding the population being served is always the first step in providing excellent care. Older people who are frail and homebound have physical, social, and ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0690(05)70010-0

    authors: LoFaso V

    更新日期:2000-02-01 00:00:00

  • Sarcopenia.

    abstract::The definition of sarcopenia continues to evolve, from an observational phenomenon to a differential diagnostic approach. Clinical relevance for sarcopenia is defined by a loss in lean muscle mass and impairment of functional status. A therapeutic approach to the loss of skeletal muscle mass and strength in older pers...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章

    doi:10.1016/j.cger.2010.02.012

    authors: Thomas DR

    更新日期:2010-05-01 00:00:00

  • Cancer of the oldest old. What we have learned from autopsy studies.

    abstract::Cancer in the oldest old is a novel problem, due to the recent burgeoning of the population aged 85 and older. This article addresses three critical questions related to cancer in the oldest old: Does the incidence of cancer increase after age 95? Is cancer a common cause of death for the oldest old? Is cancer accurat...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Stanta G,Campagner L,Cavallieri F,Giarelli L

    更新日期:1997-02-01 00:00:00

  • Constipation and irritable bowel syndrome in the elderly.

    abstract::Constipation and irritable bowel syndrome are very common in older persons. Constipation is over diagnosed and over treated in older persons. Lifestyle changes, osmotic laxatives, and lubiprostone are the approaches of choice for the management of constipation. Irritable bowel syndrome should be considered in the diff...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2007.06.008

    authors: Morley JE

    更新日期:2007-11-01 00:00:00

  • In-vitro studies of aging.

    abstract::Research has conclusively established that normal diploid cells in culture have a limited replicative life span, and that cells from adult organisms have a shorter life span than cells from young organisms or embryos. Although it is unlikely that death of the organism is caused by failure in cellular proliferative cap...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Stanulis-Praeger B

    更新日期:1989-02-01 00:00:00

  • Hispanic-American elders. Implications for health-care providers.

    abstract::American health-care practitioners are faced with a rapidly growing, geriatric, Hispanic-American population. This group shares certain cultural links but is largely heterogeneous and comprised of many subgroups, the largest of which are Mexican Americans, Puerto Ricans, and Cuban Americans. Health-care practitioners ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Pousada L

    更新日期:1995-02-01 00:00:00

  • Lung cancer in the elderly.

    abstract::Half of all lung cancers occur in persons aged 65 years and older. The symptoms of lung cancer in the elderly may be nonspecific and misleading. Age trends in incidence, histologic subtype, and stage suggest that selective screening of older persons for lung cancer should be studied. Recent data reveal that the mortal...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: O'Rourke MA,Crawford J

    更新日期:1987-11-01 00:00:00

  • Reflux and acid peptic diseases in the elderly.

    abstract::Gastroesophageal reflux disease (GERD) is a common disorder among elderly patients seeking medical care. Diagnosis and management of GERD in the older patient is a unique challenge for both the primary care provider and the gastroenterologist. Such patients may have atypical symptoms, more severe disease, and a higher...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2013.10.006

    authors: Soumekh A,Schnoll-Sussman FH,Katz PO

    更新日期:2014-02-01 00:00:00

  • Interventional techniques for back pain.

    abstract::Most Americans will be afflicted by some form of spine-related pain in their lifetime. In older patients, the most frequent source of back pain is lumbar spinal stenosis or vertebral compression fracture. Although most back pain is self-limited, some patients will require interventional techniques. This article review...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2007.12.006

    authors: Lavelle WF,Lavelle ED,Smith HS

    更新日期:2008-05-01 00:00:00