【第三題,本題佔20% 】
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 Population ageing in Taiwan is proceeding at an accelerating rate. Many people who suffered from chronic illness or injuries needcare and assistance with activities of daily living (ADLs) due to disability. Disability is a dynamic process and disability might not bepermanent with proper rehabilitation. This paper reviews the effectiveness of home-based physical therapy for the disabled elderlyduring post- st-acute care and/or long-term care. For post-acute clients, home-based physical therapy enabled early hospital dischargeand improved walking ability and other functions. For long-term care clients, home-based physical therapy improved mobility,prevented functional decline and improved quality of life. The efiects of varying therapeutic frequency and intensity wereemphasized in this revicw.
居家物理治療對急性後期病患,如下肢骨折、膝關節與髖關節置換、中風慢性阻塞性肺疾病與心臟病患等,可協助提早返家並改善病患的功能。對慢性病、長期失能住在家中的長期照護個案，居家物理治療可改善身體功能與活動力,避免功能退化並可改善生活品質。