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Advances in Rehabilitation Care for Geriatric Diseases
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Advances in Rehabilitation Care for Geriatric Diseases

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Rehabilitation".

Deadline for manuscript submissions: closed (30 June 2025) | Viewed by 2166

Special Issue Editor

Dr. Justyna Mazurek

E-Mail Website
Guest Editor
Division of Clinical Physiotherapy and Rehabilitation, University Centre of Physiotherapy and Rehabilitation, Wroclaw Medical University, Wroclaw, Poland
Interests: geriatric rehabilitation; geriatric physiotherapy; clinical rehabilitation; neurorehabilitation; orthorehabilitation; virtual reality in rehabilitation; technology-based physical activity promotion

Special Issue Information

Dear Colleagues,

Geriatric rehabilitation (GR) is, in many cases, a crucial aspect of healthcare for managing both acute and chronic health conditions in elderly people. The increasing geriatric population, primarily related to the constantly increasing life expectancy, and the apparent increases in disability related to, for example, musculoskeletal disorders, diabetes, cardiovascular diseases, frailty syndrome, neurologic disorders, anxiety, and depression, all of which affect mobility-related activities, have increased the need for more comprehensive rehabilitation.

Geriatric rehabilitation involves various holistic interventions aimed at mitigating the impact of these conditions on individuals' lives by alleviating their disabilities. GR aims to heal the whole person suffering with a disease, thus achieving the health and well-being of the body is only one part of entire process.

The basic task of geriatric rehabilitation is to deprive the patient of the feeling of alienation from their own body, which results from dysfunction or disease. GR must provide grounds for belief in the possibility of active participation in a social life as well as the desire to live. By addressing fundamental issues such as the physical limitations and pain, rehabilitation facilitates a greater engagement with meaningful life roles, including employment, yielding significant health, social, and economic benefits in the geriatric population worldwide. Considering the global aging population and the increasing prevalence of noncommunicable diseases, rehabilitation is becoming an essential health service.

In this Special Issue, we are particularly interested in articles examining the impacts of various types of geriatric rehabilitation programs/models on health promotion and the prevention and treatment of age-related diseases.

I look forward to receiving your submissions.

Dr. Justyna Mazurek
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • geriatric rehabilitation
  • holistic physiotherapy
  • physical activity
  • health outcomes
  • elderly people
  • geriatric care
  • chronic disease
  • health promotion

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Published Papers (3 papers)

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Research

13 pages, 1624 KiB  
Article
Virtual Reality Gaming and Its Impact and Effectiveness in Improving Eye–Hand Coordination and Attention Concentration in the Oldest-Old Population
by Żaneta Grzywacz, Justyna Jaśniewicz, Anna Koziarska, Dorota Borzucka and Edyta Majorczyk
J. Clin. Med. 2025, 14(13), 4651; https://doi.org/10.3390/jcm14134651 - 1 Jul 2025
Abstract
Background: The ageing process is associated with a decline in cognitive functions, including eye–hand coordination, attention concentration, and psychomotor reaction time. This study aimed to assess the effectiveness of virtual reality–based therapy in enhancing cognitive functions in seniors. Methods: This study [...] Read more.
Background: The ageing process is associated with a decline in cognitive functions, including eye–hand coordination, attention concentration, and psychomotor reaction time. This study aimed to assess the effectiveness of virtual reality–based therapy in enhancing cognitive functions in seniors. Methods: This study was conducted on 38 cases (29 women and 9 men) with a mean age of 87.2 years, who were divided into two groups: a VR group (with a 4-week, three-time-week training program using the game “Beat Saber”) and a control group (with a standard 4-week exercise program). Assessments of eye–hand coordination and attentional concentration were conducted at the beginning (T0) and the end (T1) of the training. Results: Analysis of eye–hand coordination and attentional concentration showed significant improvement in both groups (T0 vs. T1: p = 0.0002 for the intervention group and p = 0.007 for the control group). However, the effect in the VR group was almost three times greater than in the control group (1.689 vs. 0.615 in D effect). Moreover, in the VR group, an analysis of “good cuts” indicated improvements in both parameters after 4 weeks of VR training. The percentage of correctly received stimuli increased significantly across sessions (p < 0.00001). Furthermore, 84.3% of participants experienced a twofold improvement in performance over the 12 VR sessions (42% vs. 80% accuracy in successful hits). The distribution of results also suggests a positive subjective impact of VR therapy in maintaining mental activity. Conclusions: The findings indicate that VR-related training can support elderly individuals in recovering cognitive function, potentially enhancing their independence and life quality. Full article
(This article belongs to the Special Issue Advances in Rehabilitation Care for Geriatric Diseases)
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13 pages, 404 KiB  
Article
Motor Coordination Disorders in Patients with Chronic Kidney Disease
by Patryk Jerzak, Mariusz Kusztal, Wioletta Dziubek, Łukasz Rogowski, Bożena Ostrowska, Maciej Gołębiowski, Paulina Bronikowska, Maria Chumadevska, Jakub Stojanowski and Tomasz Gołębiowski
J. Clin. Med. 2025, 14(8), 2804; https://doi.org/10.3390/jcm14082804 - 18 Apr 2025
Viewed by 359
Abstract
Background: The number of senior chronic kidney disease (CKD) patients is steadily increasing worldwide. Falls are more frequent in this group than in the general population, and they are associated with a variety of complications ranging from minor (bruises) to severe (fracture, [...] Read more.
Background: The number of senior chronic kidney disease (CKD) patients is steadily increasing worldwide. Falls are more frequent in this group than in the general population, and they are associated with a variety of complications ranging from minor (bruises) to severe (fracture, brain injury, or death). The significant burden of comorbidities, particularly cardiovascular disorders, impacts coordination. The aim of the study was to assess coordination disorders in CKD patients in the context of cardiovascular complications and vascular status. Methods: In this prospective study, 132 patients with CKD 2–5, including 40 (30%) hemodialysis patients, were enrolled. The short form physiological profile assessment (S-PPA) was used to assess coordination. Results: During a 2-year follow-up period, 49 individuals experienced 84 falls. The median S-PPA score (Z score) was 3.36. Based on this, we divided our cohort into two groups: a Z score of <3.36 and a Z score of ≥3.36. The groups with high scores (≥3.36) characterized by higher parameters of vessel stiffness, including AIx@75, augmentation pressure, and PWV, experienced considerably greater numbers of falls (41 vs. 8, p < 0.001), CV events (10 vs. 2, p < 0.05), and deaths (14 vs. 0, p < 0.001). Conclusions: Coordination impairments and the associated risk of falls in CKD patients are directly related to cardiovascular diseases and vascular conditions. Lower arterial compliance has been linked with the largest coordination disorder. Visual impairments, especially contrast sensitivity, are an independent risk factor for falls. Full article
(This article belongs to the Special Issue Advances in Rehabilitation Care for Geriatric Diseases)
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13 pages, 639 KiB  
Article
The Effect of Vitamin D Supplementation on Functional Outcomes in Patients Undergoing Rehabilitation After an Ischemic Stroke: A Prospective, Single-Blind, Randomized, Placebo-Controlled Study
by Wojciech Borowicz, Lucyna Ptaszkowska, Rafał Małecki and Małgorzata Paprocka-Borowicz
J. Clin. Med. 2025, 14(6), 1848; https://doi.org/10.3390/jcm14061848 - 9 Mar 2025
Viewed by 1230
Abstract
Background/Objectives: A vitamin D deficiency is prevalent in post-stroke patients and may impair neurological recovery. While observational studies highlight the neuroprotective role of vitamin D, there is limited evidence from interventional studies evaluating its impact on functional recovery during stroke rehabilitation. This [...] Read more.
Background/Objectives: A vitamin D deficiency is prevalent in post-stroke patients and may impair neurological recovery. While observational studies highlight the neuroprotective role of vitamin D, there is limited evidence from interventional studies evaluating its impact on functional recovery during stroke rehabilitation. This study aimed to assess whether daily vitamin D3 supplementation enhances functional recovery. Methods: This prospective, randomized, placebo-controlled, single-blind study included 159 patients (mean age: 62.5 ± 8.4 years) with a first ischemic stroke that were admitted for early rehabilitation. The participants were randomly allocated to receive 2000 IU of vitamin D3 daily (n = 79) or a placebo (n = 80) for six weeks. The functional outcomes were measured using the Barthel index (BI) and modified Rankin scale (mRS) at baseline and after 42 days. The serum 25-hydroxyvitamin D [25(OH)D] and insulin-like growth factor 1 (IGF-1) levels were analyzed. Results: Vitamin D3 supplementation significantly increased the serum 25(OH)D levels (p < 0.001). Supplementation was associated with improved BI scores (β = 0.07, p = 0.006). A higher BMI (β = −0.06, p = 0.033), higher NIHSS scores (β = −0.18, p = 0.036), hypertension, and statin use negatively impacted functional recovery. Anticoagulant use was correlated with higher mRS scores, indicating greater disability (p = 0.04). Conclusions: Vitamin D3 supplementation positively influences the functional outcomes during post-stroke rehabilitation, supporting its potential role in enhancing neuroplasticity and recovery. Larger multi-center trials are needed to confirm these findings and optimize vitamin D supplementation strategies. Full article
(This article belongs to the Special Issue Advances in Rehabilitation Care for Geriatric Diseases)
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