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Objective Aged facial contour presents changing facial skeleton and sagging soft tissue.We performed reshaping the facial skeleton simultaneouly during the rhytidectomy to achieve a youthful facial contour.Methods It was a retrospective observational study based on 26 elderly women (42-60 years) that complained of aged face and boosing of the orbital rim,prominent zygoma and mandibular angle.All of them had undergone reduction boosing,malar and mandible combined with rhytidectomy from January 2010 to December 2015.Results The facial skeleton was reshaped with face-lift successfully.No fatal bleeding,respiratory obstruction,cardiovascular accident,severe facial edema,permanent facial nerve injury and other major complications occurred.All of the patients recovered safely.Follow-up for 3-24 months showed that the facial contour and aging were improved,and the youthful face form was preserved.Conclusions The face contour correction combined with face-lift is an effective technique to restore the youthful for elderly patients.
ABSTRACT
ABSTRACT BACKGROUND AND OBJECTIVES: Fear of movement and re/injury (kinesiophobia) is factor associated to chronic pain and incapacity. Since elderly population is highly affected by chronic health problems followed by pain, especially musculoskeletal problems, it is important to understand the impact of pain-related fear on elderly females' health. This study aimed at determining the incidence of kinesiophobia in elderly females assisted in a geriatrics and gerontology ambulatory, as well as at investigating possible correlations with physical performance and other health and socio-demographic variables. METHODS: This is a crossover exploratory study with nonprobabilistic convenience sample of 30 elderly females, carried out with interviews, physical tests and medical charts review. Patients were evaluated for the presence of kinesiophobia, physical performance and other variables related to chronic musculoskeletal pain, in addition to socio-demographic information. RESULTS: There has been kinesiophobia in 80% of the sample. There has been significant moderate correlation between physical performance and kinesiophobia (r=541; p=0.002). No other correlations were found. CONCLUSION: Data have shown high incidence of kinesiophobia among evaluated elderly females, in addition to physical performance impairment associated to it.
RESUMO JUSTIFICATIVA E OBJETIVOS: O medo de movimento e reincidência de lesão (cinesiofobia) é um fator associado à dor crônica e incapacidade. Visto que a população idosa é altamente atingida por problemas crônicos de saúde acompanhados por dor, especialmente musculoesqueléticos, faz-se relevante a compreensão dos impactos do medo relacionado à dor sobre a saúde das idosas. O objetivo deste estudo foi determinar a ocorrência de cinesiofobia em idosas atendidas em um ambulatório geriátrico e gerontológico, bem como investigar possíveis correlações com desempenho físico e outras variáveis de saúde e sócio-demográficas. MÉTODOS: Estudo transversal exploratório com amostra por conveniência não probabilística de 30 idosas, realizado por meio de entrevista, teste físico e revisão de prontuário. Foram avaliadas quanto à presença de cinesiofobia, ao desempenho físico e a outras variáveis relacionadas à saúde e à dor crônica musculoesquelética, além de informações sócio-demográficas. RESULTADOS: A amostra estudada revelou ocorrência de cinesiofobia de 80%. Houve correlação significativa moderada entre desempenho físico e cinesiofobia (r=541; p=0,002). Não foram encontradas demais correlações. CONCLUSÃO: Os dados revelam alta ocorrência de cinesiofobia nas idosas avaliadas e comprometimento do desempenho físico associado à mesma.
ABSTRACT
With changing demographic profile India has more older women than men as life expectancy for women is 67.57 as against 65.46 for men. Gender differences in the aging process reflect biological, economic, and social differences. Both social and health needs of the older women are unique and distinctive as they are vulnerable. The social problems revolve around widowhood, dependency, illiteracy and lack of awareness about the policies and programmes from which they can benefit. Among the medical problems, vision (cataract) and degenerative joint disease top the list, followed by neurological problems. Lifestyle diseases form another single-most important group of health problems in the elderly women. The risk of cardiovascular disease doubles with the outcome being poorer than men. The most common causes of death among women above the age of 60 years are stroke, ischemic heart disease and COPD. Hypertensive heart disease and lower respiratory tract infections contribute to mortality in these women. Common malignancies viz. Cervical, breast and uterus in women are specific to them and account for a sizeable morbidity and mortality. In a study done at Lady Hardinge medical college in Delhi, Hypertension (39.6%) and obesity (12-46.8%) were very common in postmenopausal women. Half or more women had high salt and fat intake, low fruit and vegetable intake and stress. There is a need to recognize the special health needs of the women beyond the reproductive age, to be met through strengthening and reorienting the public health services at all levels starting from primary health care to secondary till tertiary care level with adequate referral linkages. All policies and programs need to have a gender perspective. At present there is lack of sensitization and appropriate training of the health personnel in dealing with the needs of elderly. Women too need to be aware to adopt healthy lifestyle and seek timely care.