Page 37 - Petelin, Ana, ur. 2021. Zdravje starostnikov / Health of the Elderly. Zbornik povzetkov z recenzijo / Book of Abstracts. Koper: Založba Univerze na Primorskem/University of Primorska Press
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rning of greater independence of the elderly with the right fizioterapija in zdravje starejših odraslih | physiotherapy and health of the elderly
approach to moving, sitting and standing up
David Ravnik1, Vaclav Bittner2
1 University of Primorska, Faculty of Health Sciences, Izola, Slovenia
2 Technical university of Liberec, Faculty of Science, Humanities and Education,
Liberec, Czech Republic.
Introduction. Aging of the population has been a well-known demographic phe-
nomenon for some time, with its consequences in various areas. The conse-
quences of aging are also poorer mobility and poorer independence of the el-
derly, and they need more external help. Nursing staff and other health care
professionals indicate a high level of musculoskeletal problems, which may be
due to a desire to help the elderly with interventions such as moving, sitting,
and standing up. As a result, staff do more of the help than is needed for the
elderly, and the elderly do not progress on their own, which should be one of
the therapeutic goals. On the other hand, it also shows that teaching the imple-
mentation of interventions does not follow scientific findings in the field of bio-
mechanics, ergonomics, rehabilitation and others.
Methods. The literature review was performed and a biomechanical or biome-
chanical-ergonomic model was developed. The model first analyzed the tradi-
tional approach to performing interventions of movement, sitting, and stand-
ing up. Furthermore, the approach to the implementation of interventions was
upgraded in the form of a biomechanical-ergonomic model of the approach to
the elderly, where individual phases of activation are analyzed and optimized.
Results. The model physically optimizes the prerequisites for performing mov-
ing, sitting and standing up. The approach without lifting and pulling (rotation
of partial centers of gravity when turning and activation of the elderly, rota-
tion of the center of gravity without lifting by use of gravity during sitting up),
approach from the side instead of from the front (especially when getting up,
learning independence) and the sequence of placement of body segments pri-
or to performing interventions including the staff supervision of the elderly and
not vice versa.
Discussion and conclusion. The use of the model results in the correct and great-
er activation of the elderly, consequently improving their mobility and inde-
pendence, preventing falls, and on the other hand physically relieving staff,
which will result in fewer problems in the musculoskeletal system. Optimizing
the implementation of interventions for moving, sitting and standing up with
the elderly can increase the safety of employees and the elderly, as well as im-
prove the independence and functionality of the elderly.
Keywords: mobility interventions, biomechanical analysis, ergonomics, safety
and health at work
35
approach to moving, sitting and standing up
David Ravnik1, Vaclav Bittner2
1 University of Primorska, Faculty of Health Sciences, Izola, Slovenia
2 Technical university of Liberec, Faculty of Science, Humanities and Education,
Liberec, Czech Republic.
Introduction. Aging of the population has been a well-known demographic phe-
nomenon for some time, with its consequences in various areas. The conse-
quences of aging are also poorer mobility and poorer independence of the el-
derly, and they need more external help. Nursing staff and other health care
professionals indicate a high level of musculoskeletal problems, which may be
due to a desire to help the elderly with interventions such as moving, sitting,
and standing up. As a result, staff do more of the help than is needed for the
elderly, and the elderly do not progress on their own, which should be one of
the therapeutic goals. On the other hand, it also shows that teaching the imple-
mentation of interventions does not follow scientific findings in the field of bio-
mechanics, ergonomics, rehabilitation and others.
Methods. The literature review was performed and a biomechanical or biome-
chanical-ergonomic model was developed. The model first analyzed the tradi-
tional approach to performing interventions of movement, sitting, and stand-
ing up. Furthermore, the approach to the implementation of interventions was
upgraded in the form of a biomechanical-ergonomic model of the approach to
the elderly, where individual phases of activation are analyzed and optimized.
Results. The model physically optimizes the prerequisites for performing mov-
ing, sitting and standing up. The approach without lifting and pulling (rotation
of partial centers of gravity when turning and activation of the elderly, rota-
tion of the center of gravity without lifting by use of gravity during sitting up),
approach from the side instead of from the front (especially when getting up,
learning independence) and the sequence of placement of body segments pri-
or to performing interventions including the staff supervision of the elderly and
not vice versa.
Discussion and conclusion. The use of the model results in the correct and great-
er activation of the elderly, consequently improving their mobility and inde-
pendence, preventing falls, and on the other hand physically relieving staff,
which will result in fewer problems in the musculoskeletal system. Optimizing
the implementation of interventions for moving, sitting and standing up with
the elderly can increase the safety of employees and the elderly, as well as im-
prove the independence and functionality of the elderly.
Keywords: mobility interventions, biomechanical analysis, ergonomics, safety
and health at work
35
