the third day of the national continuing education project "advanced seminar on clinical practice skills of geriatrics (11th)" and "training course on sports health guidance ability of the elderly (2nd)"-凯发app

on november 7, 2022, the last day of the national continuing education project "advanced training course on geriatric clinical practice skills (11th phase)" and the physical health integration "training course on the elderly's sports health guidance ability (second phase)" kicked off under the auspices of professor huang liping. there were two major themes on the day: "improving the exercise management ability of the elderly"; and ";improving the skills of the elderly interdisciplinary team";. 10 lecturing experts and 11 hosting experts from hebei normal university, beijing sport university, shanghai institute of sport, capital medical university rehabilitation school, first affiliated hospital of xiamen university, pla general hospital, beijing sport university, fuwai hospital of chinese academy of medical sciences continued to deepen the theme of sports guidance online. the fourth interdisciplinary workshop on cognitive disease is a continuation of the classic theme of ";advanced training course on geriatric clinical skills";, focusing on muscle fitness, cardiopulmonary endurance, exercise intensity, exercise health management, posture management, exercise rehabilitation related assessment and intervention technology. multidisciplinary teams from west china hospital, pla general hospital, space center hospital, zhengzhou ninth hospital, and the first affiliated hospital of zhejiang university school of medicine shared wonderful experiences, aiming to promote the special skills and cooperation ability of interdisciplinary team members in geriatrics, cognition, and rehabilitation.

the first module is the theme of "improving the exercise management ability of the elderly". the first module is from professor zhao bin of hebei normal university. the topic of the lecture is "assessment of muscle strength and exercise intervention design of the elderly". from the aspects of muscle fitness of the elderly, muscle fitness assessment, muscle fitness exercise intervention design and exercise and fitness teaching, the content of muscle strength is explained. professor zhao pointed out that the correct muscle strength assessment of the elderly is the premise of exercise intervention, and muscle fitness intervention plays a very important role in the exercise health guidance of the elderly. starting from his own profession, professor zhao opened a new channel for us to deeply learn the important knowledge of physical exercise and maintaining the health of the elderly.

professor wang zhengzhen from beijing sport university, entitled "cardiopulmonary endurance assessment and exercise prescription formulation for the elderly", emphasized the influence of physical exercise on the risk of chronic disease in the elderly from the aspects of health and physical fitness, musculoskeletal physiology and pathology, and physical activity characteristics. through a systematic discussion on the basic requirements of exercise prescription, pre-formulation medical screening, professional evaluation, formulation and implementation of clinical procedures, as well as the dose-effect reaction of chronic diseases and exercise, professor wang stressed that scientific fitness is an effective strategy for the prevention and treatment of chronic diseases, and also suggested that we can learn from the mature experience of foreign body-medicine integration and establish a medical health center. better carry out scientific sports guidance related work.

professor wang lin from shanghai university of sport introduced the two topics of body composition assessment and weight management for the elderly from the perspective of kinematics, and gave a detailed professional explanation on the concept of body composition assessment, assessment methods, specific procedures of weight management and effect evaluation. the main points of body composition and weight management in the elderly were mainly explained. professor wang especially proposed to enhance the public's scientific understanding of sarcopenia, identify the risk factors of sarcopenia early, cultivate good exercise habits, pay attention to dietary nutrition, and carry out appropriate nutritional supplements, and expand the trainees' knowledge of clinical sarcopenia intervention and health management of the elderly.

professor wu xueping from shanghai institute of sport gave a lecture entitled "theory and method of appropriate exercise intensity design for the elderly". exercise intensity is the core issue of quantification and science of exercise prescription. from the perspective of kinematics, the expression indexes of common exercise intensity were introduced in detail, and the theory and application of appropriate exercise intensity design for the elderly were expounded from the subjective and objective perspective. it is proposed that the elderly can choose the combination of subjective and objective methods to develop personalized exercise intensity during exercise. the process of exercise intensity formulation is analyzed through actual cases, and it is proposed that the application of heart rate method should pay attention to the drug use of the elderly. safety is the premise of developing scientific exercise intensity, and it is also conducive to achieving better health benefits of exercise.

professor yun xiaoping, founding director of the rehabilitation assessment department of china rehabilitation research center and the rehabilitation school of capital medical university, gave a lecture titled "assessment of activity ability and cognitive function of the elderly in daily life". functional status is an important part of the health status of the elderly. from the perspective of rehabilitation medicine, combined with the characteristics of the elderly population, professor yun made a comprehensive introduction to the relationship between activities of daily living ability, motor function and cognitive function impairment, self-assessment methods, scale evaluation methods and other specific contents from the perspective of icf model. professor yun pointed out that stratified assessment of adl is conducive to nursing cost prediction, efficacy evaluation and functional prognosis prediction, and the course provides a broader reflection for the clinical work of geriatrics doctors from the perspective of rehabilitation assessment.                     

professor ni guoxin from the first affiliated hospital of xiamen university gave a lecture titled ";exercise rehabilitation intervention for knee osteoarthritis";. this paper introduces the management status of knee osteoarthritis, exercise therapy, clinical practice and health education, and emphasizes that patient education and exercise intervention are the first-line treatment. knee arthritis is a common disease in the elderly population. patient education, strength training and physical activity plan can implement the best rehabilitation nursing practice for patients with knee oa, and promote the standardization, scientific and sustainable knee oa exercise intervention in china. professor ni's lecture solved some of the perplexity of exercise intervention management of knee arthritis population, and also provided a more scientific reference tool for geriatrics doctors.

professor huang guozhi of southern medical university focused on the overall process of the 4 n smart exercise rehabilitation solution from the perspective of big data and smart rehabilitation with the title of ";the rehabilitation implementation path practice of smart exercise based on the outline of the 2030 healthy china plan --4n smart exercise plan";. at present, we should adhere to the concept of rehabilitation and development, focus on the health of the whole people, apply intelligent sports means, closed-loop sports rehabilitation, and explore a professional, life-oriented and systematic road of medical and physical integration with sports to improve human body function, prevent and control diseases, and promote the health of the whole people. as a leader in the field of rehabilitation, president huang, combined with team research results and cutting-edge progress at home and abroad, demonstrated the prospect and future of intelligent sports rehabilitation, providing a new perspective for the development planning of related disciplines.

the lecture by professor ong changshui of the second medical center of the pla general hospital is entitled "the way to anti-aging: through the analysis of the multi-system pathological changes in the aging process, the adverse effects of long-term excessive endurance exercise on cardiovascular health are put forward, and then around the theme of less exercise and good practice, it is proposed that exercise should be combined with their own conditions, the key to the elderly to maintain health is to choose the right, the right exercise, blind exercise has no benefit. professor weng pointed out that the key to anti-aging is the maintenance of muscle mass, and proposed the concept of ultra-slow resistance training. the content of professor weng's lecture is very practical and instructive, which refreshes our understanding of strength training programs for the elderly, and provides guiding suggestions for clinicians to choose exercise programs.

professor qiu junqiang, from the school of sports and human science of beijing sport university, brought to you the title of "elderly pre-exercise health screening and implementation points". physical activity ability of the elderly is an important factor in healthy aging. professor qiu first emphasized the importance of healthy physical fitness of the elderly, expounded the significance of scientific exercise for the health of the elderly and how to avoid the risks of exercise, and focused on the methods and procedures of risk screening before exercise, as well as how to conduct physical fitness assessment before exercise. to ensure the safety and effectiveness of exercise prescription, the whole process of the formulation of personalized exercise prescription is introduced through cases, which has a good guiding significance for clinicians in the formulation of exercise prescription for the elderly.  

   professor feng xue from the chinese academy of medical sciences fuwai hospital, professor feng brought the topic is ";posture training in the elderly organ function improvement application."; based on the influence of posture on human pathophysiology, the factors of posture change, the contents of examination before correction, the taboo of posture training and the steps of posture intervention, the diagnosis and correction methods of bad posture such as neck extension, round shoulder and excessive kyphosis of thoracic vertebra are introduced in detail. professor feng finally pointed out that the elderly lung function, heart function, pelvic floor organ function are the three systems most susceptible to posture problems, when the problem is found to follow the removal of incentives, loosen joints, nearby strength training steps for rehabilitation exercise.

the second module is the theme of "improving the skills of the interdisciplinary team for the elderly";, which is also the classic theme of the advanced training class on clinical practice skills in gerontology - the fourth interdisciplinary workshop on cognitive disease. the module was conducted in the form of case discussion and sharing. the multidisciplinary team from west china hospital, pla general hospital, space center hospital, zhengzhou ninth hospital, and the first affiliated hospital of zhejiang university medical school provided wonderful case sharing from fthenia, cognitive impairment, delirium, and sarcopenia. the review experts made comments based on the case characteristics, clinical outcomes, and intervention points of each team member, pointing out that frailty and cognitive disorders are the most common problems in the geriatrics department and are affected by various factors. in order to achieve the purpose of improving functional status, the multidisciplinary team cooperation model covering nursing, nutrition, mental health, rehabilitation and medicine can better achieve the purpose of improving health status, and is worth exploring and implementing.

after the end of the course, all the students conducted an online exam, and the students said that the continuing education course is rich in content and is a rare learning opportunity. in the future work, they will also apply what they have learned to promote new ideas, improve clinical practice skills and team cooperation level, and escort the health of the elderly.

professor chen zheng, vice president and legal representative of the chinese geriatric society, said at the closing ceremony that the project, as an important part of the chinese geriatric society's work to promote the construction of geriatric medicine talents, has trained a batch of interdisciplinary geriatric team teachers with new international geriatric medicine concepts and professional practice skills since 2018. the trained fellows are also the backbone of radiating geriatric clinical practice skills to the whole country and scientifically guiding the exercise talents of the elderly. in the future, the chinese geriatric society will continue to cooperate extensively with various training network units, listen to the opinions of all parties, and continue to do a good job of the two brand continuing education and training programs of the society.