back pain in elderly

8/14/2019 Back Pain in Elderly

1/63

Nhjc vh`l `l mkdm~kp

H~mmzhc Jbgt`y`jb`t A,D,Hzzgj`htm v~gimzzg~

G~tbgvmhd`j z}~em~pZ`~`~ho Bgzv`thk

Tbh`zv`lmjk`l`j,jga


2/63

Nhjc vh`l `z jgaagl


3/63

96 pg imahkm zmym~m nhjc hld kme vh`l


4/63

26 pg imahkm u`tb jb~gl`j nhjc vh`l ~hd`htm tg tb`eb hld n}ttgjc


5/63

5= pg imahkm nhjc vh`l 9= pg imahkm zmym~m nhjc vh`l


6/63

Tpvm gi vh`l

Hr`hk vh`l

^hd`j}kh~ vh`l^mim~~md vh`l

/jgan`lht`gl/


7/63

Hlhtgap gi vh`l


8/63

Hr`hk vh`l

A`d k`lm

Vh~hzv`lhk

Zg}~jmz D`zj

Ihjmt og`ltz

A}zjkmz hldk`ehamltz"8g+>g


9/63

^hd`j}kh~ vh`l

Hkgle tbm dm~ahtgam

Zbggt`le+ mkmjt~`jhk k`cm

L}anlmzz+ umhcmzz

V~gr`ahk a}zjkmumhclmzz ahp d}m tgvh`l(

Zg}~jmz

lm~ym

Amjbhl`jhkjgav~mzz`gl

Jbma`jhk `~~`tht`gl +: amd`hk tb`eb

K4 < hltm~`g~ clmm+ amd`hk kme

K= < khtm~hk kme + dg~zhk iggt

Z8 < jhki+zgkm


11/63

^mim~~md vh`l

Zjm~kgdm~tgahk vhttm~l

Kgu nhjc tg n}ttgjc

Ihjmt og`lt tg khtm~hk b`vhld tb`eb

Z@ og`lt tg n}ttgjc+

khtm~hk b`v hld tb`eb/ lgt nmkgu tbm clmm/


12/63

Mt`gkgep

Dmemlm~ht`ym

Gztmgvg~gz`z

A`lg~ t~h}ah

T}ag~

Nml`el

Ahk`elhlt

@likhaht`gl Zmvt`j+ hzmvt`j

Jgan`lht`gl


13/63

Gtbm~z

D`zmjt`le hg~t`jhlm}~pza

D}gdmlhk }kjm~

Ehkk ztglm

C]N jgld`t`glz

Lm}~`t`z Bm~vmz gztm~


14/63

Dmemlm~ht`ym

Dmemlm~ht`ym 1 umh~hld tmh~

Hem`le

Zt~mzz Amjbhl`jhk < ug~c+

zvg~tz+bgnnp

Jbma`jhk < zagc`leEmlmt`j

D`zmhzmz


15/63

Dmemlm~ht`ym

Zpavtga 1 umh~ hldtmh~ ~htm "~mvh`~`le

# jgavmlzht`ymjhvhn`k`tp

Vh`l u`tb hjt`y`tp

Gl hld giiJg}~zm 1 agltbz tgpmh~z


16/63

Dmemlm~ht`ym 1 zvgldpkgz`z

lg~ahk zvgldpkgz`z


17/63

A}kt`vkm kmymk zvgldpkgz`z


18/63

Gztmgvg~gz`z

Vgzt amlgvh}zhk

Zml`kmZt~}jt}~hk nglm kggzm`tz jhkj`}a

A`j~g hld ahj~gi~hjt}~m


19/63

Gztmgvg~gt`j i~hjt}~m

Hr`hk+ ~mim~~md vh`l

^hd`j}kh~ zpavtga `z}l}z}hk

Hj}tm zmym~m vh`lhitm~ h ihkk

E~hd}hkkp dmig~amdzv`lm

Hzzgj`htmd zpavtgaz


20/63

Dmig~a`tp


21/63

Hzzgj`htmd zpavtgaz

Dmj~mhzmd k}lejhvhj`tp

~md}jt`gl `lhndga`lhk zvhjm

Kgzz hvvmt`tm

Vgg~ l}t~`t`gl


22/63

Hzzgj`htmd zpavtgaz

Zkmmv kgzz

Dmj~mhzmd agn`k`tp

hjjmkm~htmd nglmkgzz

a}zjkmdmjgld`t`gl`le

Dmv~mzz`glKgzz gi`ldmvmldmljm


23/63

T}ag~

Nmlèl Lgt jgaagl `l mkdm~kp

Hzzgj`htm u`tb amthngk`j

d`zmhzmAhkèlhlt Jgaagl

D`kmaah u`tb gztmgvg~gt`ji~hjt}~m

/ t~}m lèbt vh`l/


24/63

Ahk`elhljp

V~`ah~p

A}kt`vkm apmkgah

Amthzthz`z

K}le

Tbp~g`d

N~mhzt

C`dlmp

V~gzthtm

E@

/ Br gi /


25/63

Hvv~ghjb

B`ztg~p

Vbpz`jhk mrha

@lymzt`eht`glT~mhtamltz

Jglzm~yht`ym

Z}~em~p


26/63

Ihj`k`tp ) jhvhn`k`tp


27/63

^md ikhe

T~}m l`ebt vh`l

Emtt`le h kgt ug~zm

B`ztg~p gi h jhljm~

Gztmgvg~gz`z ' ahk`elhlt ir,

:6- ihkzm vgz`t`ym zt}d`mz

Gtbm~ jgag~n`d`tp


28/63

T~mhtamltz

jglzm~yht`ym z}~em~p


29/63

Jglzm~yht`ym t~mhtamltz

@aamd`htm

Vh`l amd`jht`glz

Agdhk`t`mz+ n~hj`le

Kà`tmd hjt`y`t`mz

Dmi`l`t`ym

^mbhn`k`tht`gl

Agdì`md kìm ztpkm


30/63

Jglzm~yht`ym t~mhtamltz

Th`!jb` + pgeh ig~ mkdm~kp vht`mltz


31/63

Jb`~gv~hjt`j ahl`v}kht`gl

Jh}t`g}z `l mkdm~kp vht`mltz


32/63

26 pg imahkm u`tb jb~gl`j nhjc vh`l ~hd`htm tg tb`eb hld n}ttgjcig~ pmh~z t~mhtmd u`tb amd+ agdhk`t`mz+ ihjmt nkgjcz


33/63

Ihjmt nkgjc

Rpkgjh`lm

Ztm~g`d T~`haj`lgkglm

Dmvgamd~hkA}kt`vkm kmymkz

Lgt ag~m : agltbz`ltm~yhk

Jgavk`jht`glz @limjt`gl

D}~hk kmhcIhjmt nkgjc


34/63

Z}~e`jhk t~mhtamlt

Dmjgav~mzz`gl

Zthn`k`ht`gl^mhk`elamlt

A`l`ahkkp `lyhz`ym

z}~em~p `z h t~mld


35/63

@ld`jht`glz

Ih`kmd jglzm~yht`ym

V~ge~mzz`ymkp lm}~gkge`jhk dmi`j`t

Ig~ t`zz}m d`helgz`z

//////////////////////

Eghkz h~m hjjmvtmd

Dghnkm v~gjmd}~mz


36/63

Zvgldpkgz`z u`tb ztmlgz`z

96 pg imahkm j'g zmym~m nhjc hld kme vh`l ig~ 8 pmh~+ lgt hnkm tg uhkcag~m tbhl 86 ztmvz u`tb l}anlmzz hld umhclmzz gi ngtb kmez


37/63

A^@ zbgumd zmym~m dmemlm~ht`ym hld ztmlgz`z K:!Z8


38/63

K:!4

K4!=

K=!Z8


39/63

]ldm~umlt h dmjgav~mzz`gl hld i}z`gl K>!Z8


40/63

Zvgldpkgz`z u`tb ztmlgz`z

56 pg ahkm u`tb zmym~m kme vh`l hld jkh}d`jht`gl

+a`kd nhjc vh`l


41/63

Apmkge~ha zbgumd zmym~m a}kt`vkm kmymk ztmlgz`z+

}ldm~umlt kha`lmjtgap gi K4!= lg i}z`gl


42/63

D`zj bm~l`ht`gl `l mkdm~kp

9= pg j'g zmym~m nhjc hld hltm~`g~ tb`eb vh`l ig~ : dhpz


43/63

A^@ gi T8 hld T> zhe`thk


44/63

Kh~em ~}vt}~md d`zj K>!: jh}z`le vmld`le jh}dh mx}`lh

T8T>


45/63

]ldm~umlt h a`j~gd`zjmjtgap


46/63

Gztmgvg~gz`z

Lgl lh~jgt`j vh`l amdz

N~hj`le

Hlt`!~mzg~nt`ym hemltz

Jhkj`}a ~mvkhjmamlt

Y`tha`l D+ C>+ ik}g~`dm

Bg~aglhk Tr,Mljg}~hem }v~`ebt hjtz,


47/63

Ym~tmn~gvkhztp ig~ gztmgvg~gz`z

5= pg imahkm imkk gl bm~ n}ttgjc }ldm~umlt h ym~tmn~gvkhztp ht 9 ummcz

`a 9 ummczVgzt gv


48/63

@ld`jht`glz

Ih`kmd jglzm~yht`ym

vh`li}k gztmgvg~gt`j i~hjt}~m

:!4 ummcz gi amdz+n~hj`le+VTVhkk`ht`ym vh`l ^r, ig~ zv`lhk t}ag~

Ahk`elhlt

nml`el


49/63

Jglt~h`ld`jht`glz

Jghe}kgvhtbp

Mrtmlz`ym dmzt~}jt`gl gi tbm ym~tmn~h

Lm}~gkge`jhk dmi`j`t d}m tg jgav~mzz`ym

kmz`gl `l zv`lhk jhlhk

Ym~tmn~h vkhlh

@lhdmx}htm `ahem x}hk`tp

Lg z}~e`jhk nhjc }v tmha


50/63

Jmamlt hld zp~`lem `lomjt`gl


51/63

Tbm zmt }v

Tug vkhlm j! h~a r!~hp u`tb amag~p+ jglt~hzt `lomjtg~+

~hd`ht`gl zb`mkd


52/63

@lzt~}amltz

Nglm n`gvzp lmmdkmVm~j}thlmg}z v}ljt}~m

Jbmjc`le tbm vgz`t`gl gi tbm


53/63

Jbmjc`le tbm vgz`t`gl gi tbmlmmdkm


54/63

Gztmgvg~gz`z u`tb dmemlm~ht`ym

5g pg imahkm bhd gztmgvg~gz`z i~hjt}~m gi K: + z'v i}z`gl

K4!= 86 pmh~z heg ig~ ztmlgz`z hld k`ztbmz`z


55/63

]ldm~umlt h ym~tmn~gvkhztp ht K:


56/63

Jgavk`jht`glz

5: pg imahkm }ldm~umlt h ym~tmn~gvkhztp dmymkgvmd vh~mz`z ngtb kmez


57/63

Gvml z}~em~p ig~ gztmgvg~gz`z

Lm}~gkge`jhk dmi`j`t vht`mltz

^mx}`~m dmjgav~mzz`gl

Zmkdga gjj}~

Jg~~mjt `anhkhljmd dmig~a`tp

Hd}kt zjgk`gz`zDmemlm~ht`ym zv`lm


58/63

5= pg imahkm imkk gl bm~ n}ttgjc > agltbz heg+ zbm bhdzmym~m vh`l+ lm}~gkge`jhk dmi`j`t hld lgt hnkm tg han}khtm`ldmvmldmltkp, Zbm }ldm~umlt Hltm~`g~ e~hit`le u`tbi`n}kh~ nglm hld i`rht`gl u`tb Hltm~`g~ `lzt~}amltht`gl


59/63

Amthzthz`z t}ag~

9= pg imahkm j'g zmym~m nhjc vh`l a`d hld kgu nhjc~md`htm tg ngtb n}ttgjcz hld vgztm~`g~ tb`ebz lg b`ztg~p gi

jhljm~, Ug~c }v zbgumd JH tbp~g`d


60/63

JH tbp~g`d

A^@ zbgumd a}kt`vkm amthzthz`z kmz`gl K8,K: u`tbgztmgvg~gz`z jgkkhvzmd gi T 8>, Zbm uhz t~mhtmd u`tbtbp~`gdmjtgap hld ~hd`ht`gl


61/63

A}kt`vkm apmkgah

52 pg ahkm u`tb zmym~m nhjc vh`l ig~ :agltbz u`tb > ummcz gi umhclmzz


62/63

]ldm~umlt hdmjgav~mzz`glhld zthn`k`ht`gl


63/63

back pain in elderly

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