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Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
Published on: July 24, 2013
[Frailty from the rehabilitation medicine point of view]
1Karl Landsteiner Institut für Remobilisation und funktionale Gesundheit, Institut für Physikalische Medizin und Rehabilitation, Kaiser Franz Joseph Spital, SMZ Süd, Kundratstr. 3, 1100, Wien, Österreich, michael.quittan@wienkav.at.
Background:
Frailty syndrome exerts an increasing challenge to health care systems. Thus, rehabilitative interventions should be taken to prevent or slow this syndrome.
Methods:
Based on the definitions of frailty and rehabilitation, the present work gives an overview of current treatment options. The methodology and evidence for device-assisted training forms such as neuromuscular electrical stimulation or mechanical muscle stimulation are discussed. The use of various forms of training for frail patients is critically discussed.
Results:
Among other things, age- and disease-related changes in skeletal muscle play a central role in the development of frailty. Progressive strength training is an evidence-based rehabilitative strategy to improve function. Since this form of strength training can be a vigorous exercise especially for the elderly and infirmed, it can be offered as an alternative form of training.
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