Strax Thomas E, Luciano Lisa, Dunn Anna Maria, Quevedo Jonathan P
Department of Physical Medicine & Rehabilitation, UMDNJ-Robert Wood Johnson Medical School, 675 Hoes Lane, Piscataway, NJ 08854, USA.
Phys Med Rehabil Clin N Am. 2010 May;21(2):419-27. doi: 10.1016/j.pmr.2009.12.009.
This article addresses the challenges faced by individuals with a developmental disability as they age. As this group ages, many face unpleasant experiences including poverty, isolation, abuse, and at best adequate, but more commonly poor medical care. Due to biomechanical overuse, compounded by an injured nervous system, physiologic aging is accelerated. These patients experience in their 40s and 50s physical changes that able-bodied individuals experience over the age of 70. Often these patients see the least experienced members of the health care team, leading to misdiagnosis and further comorbidity.
本文探讨了发育障碍患者随着年龄增长所面临的挑战。随着这一群体年龄的增长,许多人面临着不愉快的经历,包括贫困、孤立、虐待,而且医疗保健充其量只是足够,但更常见的是很差。由于生物力学过度使用,再加上神经系统受损,生理衰老加速。这些患者在四五十岁时经历的身体变化,健全人要到70岁以上才会经历。这些患者经常见到医疗团队中经验最少的成员,这导致误诊和进一步的合并症。