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Rehabilitation potential of homebound elderly disabled.

Ishigami S; Fujita T
Proceedings of the VII International Congress of Rural Medicine, September 17-21, Salt Lake City, Utah. International Association of Agricultural Medicine, 1978 Sep; :145-146
A study of the ability of homebound elderly disabled patients in rural areas to be rehabilitated was conducted. The study group consisted of 106 homebound patients, 53 males, living in Chiisagata- gun, Nagano Prefecture, a rural area of Japan. The average age of the subjects was 68.5 years. Most of the patients were suffering from poststroke hemiplagia and orthopedic problems including rheumatoid arthritis. The average period of bed confinement was 4.67 years. The subjects were interviewed to determine their abilities to take care of themselves and to obtain information on living environments and their socioeconomic background. Fifty eight patients could walk independently inside their homes. Sixteen needed supervision or minimal assistance (one person). Only 32 were confined permanently to bed. The ability of the subjects to function was strongly correlated with their living environment. Those who had Western style beds and toilets could function more independently than those who had Japanese style facilities. Although 26 wheel chairs were provided, only two were in use. Fifty six subjects had healthy spouses. Sixteen had spouses who were ill and 29 had no spouses. Thirty percent of the subjects had received some training in rehabilitation in the hospital and their ability to function was superior to subjects with no training. The authors conclude that most elderly bed confined patients are not really bed confined and could be rehabilitated. Improving their living environment is necessary to improve their ability to to take care of themselves.
NIOSH-Grant; Grants-other; Age-factors; Health-surveys; Gerontology; Sociological-factors; Health-services; Bone-disorders; Environmental-factors; Physical-capacity; Physical-therapy
Prev Med & Environmental Hlth University of Iowa Inst/agric Med & Environ Hlth Iowa Oakdale, Iowa 52319
Publication Date
Document Type
Conference/Symposia Proceedings
Funding Amount
Funding Type
Fiscal Year
Identifying No.
Priority Area
Other Occupational Concerns; Grants-other
Source Name
Proceedings of the VII International Congress of Rural Medicine, September 17-21, Salt Lake City, Utah
Performing Organization
University of Iowa, Iowa City, Iowa
Page last reviewed: September 2, 2020
Content source: National Institute for Occupational Safety and Health Education and Information Division