Rehabilitation in geriatrics focused on long-term care

Authors: MUDr. Jana Gorušová;  prof. MUDr. Hana Matějovská Kubešová, CSc.
Published in: Geriatrie a Gerontologie 2018, 7, č. 2: 72-75
Category: Review Article


Hospitalization is very risky for geriatric patients s because it carries the risk of worsening their self-sufficiency due to loss of muscle mass and muscle strength. There are many instances where the patient is not able to return to his natural enviroment, to his/her home. The aim of long-term care should be to restore the same physical condition the patient was in before acute deterioration of health. This flows from the definition of long-term care. To achieve this aim, high quality rehabilitation is necessary. It has been proven repeatedly that movement therapy with good diet reduces the risk of losing self-sufficiency in these patients.

The aim of this work was to find out what the real situation in facilities which provide long-term care is. Our investigation shows that the situation is unsatisfactory, in particular because of lack of personnel. Some facilities do not even have their own physioterapists, only an option to partly share rehabilitation workers with the rehabilitation department. It is necessary to improve health care professional awareness of the importance of excercise and rehabilitation for hospitalized patients and create conditions for improving the quality of rehabilitation in long-term care departments.

geriatric patient – rehabilitation – self-sufficiency – muscle strenght – Long-Term Care


1. Creditor MC. Hazards of Hospitalization of the Elderly. Ann Intern Med 1993; 118(3): 219–223.

2. Brown CJ, et al. The Underrecognized Epidemic of Low Mobility During Hospitalization of OlderAdults. J Am Geriatr Soc [online]. 2009; 57(9): 1660–1665.

3. Parry SM, Puthucheary ZA. The impact of extended bed rest on the musculoskeletal system in the critical care enviroment. ExtremPhysiol Med 2015; 4(16).

4. Dědková Z, et al. Vliv akutního onemocnění u geriatrických pacientů – efekt časné nutriční podpory a fyzioterapie. Prakt Lék 2009; 89(5): 247–249.

5. Kortebein P, et al. Functional Impact of 10 Days of Bed Rest in Healthy Older Adults. J Gerontol A Biol Sci Med Sci 2008; 63(10): 1076–1081. Dostupné z:

6. Covinski KE, et al. Loss of Independence in Activities of Daily Living in Older Adults Hospitalized with MedicalI llnesses: Increased Vulnerability with Age. J Am Geriatr Soc 2003; 51(4): 451–458.

7. Bachmann, et al. Inpatient rehabilitation specifically designed for geriatric patients: sysytematic review and meta-analysis of randomised controlled trials. BMJ 2010; 340: c1718.

8. Dědková Z, Hegerová P, Jurašková B, Sobotka L. Aktivní přístup k akutně hospitalizovanému pacientovi jako prevence ztráty svalové hmoty a soběstačnosti. Geri a gero 2017; 2(6): 69–74.

9. Furmaníková R. Vplyv fyzioterapie na sebestačnosť geriatrických pacientov. Geri a gero 2013; 2(3): 115–121.

10. Vyhláška č. 242/1991, Zb [online]. S-EPI 2010-2017. Dostupné z:

11. Následná a dlouhodobá lůžková péče. VZP ČR 2015. Dostupné

12. The free dictionary by Farlex [online]. Farlex 2003-2017. Dostupné z:

13. Holmerová I, Jurašková B. Geriatrie v roce 2017. Geri a gero 2017; 2(6): 98–100.

14. Holmerová a kol. Dlouhodobá péče: geriatrické aspekty a kvalita péče. Praha: Grada 2014; 34–35.

15. Vyhláška Ministerstva zdravotnictví České republiky o soustavě zdravotnických zařízení zřizovaných okresními úřady a obcemi [online]. Praha: EPRAVO.CZ 1999–2017.

16. Zákon ze dne 6. listopadu 2011 o zdravotních službách a podmínkách jejich poskytování (zákon o zdravotních službách) [online]. Praha: EPRAVO.CZ 1999–2017.

17. Léčebny dlouhodobě nemocných [online]. VZP ČR 2015. Dostupné z:

18. Vyhláška č. 99/2012 Sb.: Vyhláška o požadavcích na minimální personální zabezpečení zdravotních služeb [online]. AION CS, © 2010-2017. Dostupné z: https://www.zakonyprolidi

Geriatrics General practitioner for adults Orthopaedic prosthetics
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account