Day 1 :
Twin Cities Orthopedics, USA
Time : 09:30-10:15
Paul Langer is a board certified podiatrist in practice with Twin Cities Orthopedics in Minneapolis. He is an adjunct clinical faculty member at the University of Minnesota Medical School and a past president of the American Academy of Podiatric Sports Medicine. He has authored Great Feet for Life; Foot care & Footwear for Healthy Aging. Served as an editor of two sports medicine texts and published five peer reviewed articles. He has presented more than forty academic lectures on topics ranging from lower extremity health to footwear and sports medicine.
By the age of 50 our feet have carried us an average of 75,000 miles. Research shows that the quality of life as we age is directly related to our ability to stay active. Foot pain, acquired foot deformities and the fear of falling are significant factors that limit activity in older people. Common age-related changes to the foot increase the risk of injury and falls. Even something as simple as finding a comfortable shoe can be problematic due to age-related changes of the foot. Based on a thorough review of the most recent peer-reviewed literature, this lecture will discuss how the foot changes with age and how to address the most common causes of foot problems through exercise, footwear changes and balance training.
McGill University, Canada
Time : 10:15-11:00
Olivier Beauchet has completed his doctorate in Neurology and Geriatrics (1995 to 2000) at Saint-Etienne University, France. In 2005, he obtained his PhD in “Human Motor Function and Disability”. He was appointed as a full Professor in 2008 at Angers University, France. He was recruited by McGill University in 2015, when he was appointed as the prestigious Joseph Kaufmann Chair in Geriatrics and the Director of the Centre of Excellence on Aging and Chronic Disease. Presently, he is a full Professor of Geriatrics at McGill University. He is a recognized world leader in research on age-related gait disorders.
In contrast to its prominent function in cognition, the involvement of the hippocampus in gait control is still matter of debate. The present study aimed to examine the association of the hippocampal volume with mean values and Coefficients of Variation (CoV) of spatio-temporal gait parameters among Cognitively Healthy Individuals (CHI) and patients with Mild Cognitive Impairment (MCI).A total of 90 individuals (47 CHI with mean age 69.7±3.6 years and 48.9% women, and 43 MCI individuals with mean age 70.2±3.7 years and 62.8% women) were included in this cross-sectional study. The hippocampal volume was quantified from a three-dimensional T1-weighted MRI using semi-automated software. Mean values and CoV of stride time, swing time and stride width were measured at self-selected pace with a 10m electronic portable walkway (GAITRite®). Age, gender, body mass index, number of drugs daily taken, Mini-Mental State Examination (MMSE) score, history of falls, walking speed and white matter signal-intensity abnormality scoring with Manolio scale were used as covariates. Patients with MCI had a lower MMSE score (P<0.001), a higher CoV of stride time (P=0.013) and a lower hippocampal volume (P=0.007) compared with CHI. Multiple linear regression models showed that CoV of stride time was specifically associated with higher hippocampal volume among CHI (P<0.05) but not among patients with MCI (P>0.650).Our findings revealed a positive association between a greater (i.e., better morphological structure) hippocampal volume and a greater (i.e., worse performance) stride time variability among CHI, but not among MCI individuals.
Networking and Refreshment 11:05-11:25 @ Atrium
Geriatric Centre Ettelbruck, Luxembourg
Time : 11:25-12:10
Jean-Claude Leners is an responsible geriatric coordinator. He is a freelance medical consultant for the long-term care insurance and consulting geriatrician in a specialized nursing home for persons with dementia and geriatric consultant in the Hospice in Luxembourg (Haus Omega). Senior lecturer at the University of Luxembourg, since more than 18 years for a course: Introduction to medicine. JC Leners is the founding member of the Luxemburg Association of Gerontology and Geriatrics (ALGG) since 1985 and of the Luxembourgish Medical Association in Geriatrics (SSMLG) since 2010. Member and co-founder of the European Union of Geriatric Medicine Society (EUGMS) and representative of Luxembourg.
Dysphagia in the elderly population is still an unknown and poorly detected syndrome. We would like to focus on three major aspects of this topic: Increasing prevalence in different pathologies: Oropharyngeal dysphagia (OD) affects up to 40% of the population who are 65 years or older. Aging causes changes in swallowing physiology and in frail, co-morbid and poly-medicated older people, the risk of swallowing dysfunction and OD increases. Prevalence of OD is higher in patients with neurodegenerative diseases andrnwe will focus more on persons with parkinson, stroke and/or dementia. Assessments: Swallowing is a highly complex process, involving complex coordination. Aging slows this process, increasing the risk for particles to be aspirated. Neurodegenerative diseases also affect swallowing coordination and function as do many classes of drugs. All older people need to be screened for OD in order to protect them against complications. There are simple clinical screening techniques that can detect the presence of OD and allow a quick diagnosis.rnTreatment strategies: Complications of OD in older patients are mainly malnutrition and aspiration pneumonia. Malnutrition is closely associated with frailty and commodities and is a result of the impaired efficacy of swallowing. Aspiration pneumoniarnis closely associated with poor oral health, frailty and is a result of impaired safety of swallow. To protect against these complications, patients require diet adaptation and protection against aspirations, a good oral health and strategies to reduce incidence of aspiration pneumonia is through rehabilitation techniques and sometimes with the help of medications.