caa a22 4500 60619083X CHVBK 20210128100857.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00391-014-0610-4 doi (NATIONALLICENCE)springer-10.1007/s00391-014-0610-4 Cognitive plasticity as a moderator of functional dependency in elderly patients hospitalized for bone fractures [Elektronische Daten] [M.J. Calero-García, M.D. Calero, E. Navarro, A.R. Ortega] Kognitive Plastizität als Einflussfaktor funktioneller Abhängigkeit bei Älteren mit Knochenbrüchen im Krankenhaus Introduction: Bone fractures in older adults involve hospitalization and surgical intervention, aspects that have been related to loss of autonomy and independence. Several variables have been studied as moderators of how these patients recover. However, the implications of cognitive plasticity for functional recovery have not been studied to date. Objective: The present study analyzes the relationship between cognitive plasticity—defined as the capacity for learning or improved performance under conditions of training or performance optimization—and functional recovery in older adults hospitalized following a bone fracture. Patients and methods: The study comprised 165older adults who underwent surgery for bone fractures at a hospital in southern Spain. Participants were evaluated at different time points thereafter, with instruments that measure activities of daily life (ADL), namely the Barthel Index (BI) and the Lawton Index, as well as with a learning potential (cognitive plasticity) assessment test (Auditory Verbal Learning Test of Learning Potential, AVLT-LP). Results: Results show that most of the participants have improved their level of independence 3months after the intervention. However, some patients continue to have medium to high levels of dependency and this dependency is related to cognitive plasticity. Conclusion: The results of this study reveal the importance of the cognitive plasticity variable for evaluating older adults hospitalized for a fracture. They indicate a possible benefit to be obtained by implementing programs that reduce the degree of long-term dependency or decrease the likelihood of it arising. Springer-Verlag Berlin Heidelberg, 2014 Gerontology nationallicence Bartel Index nationallicence Quality of life nationallicence Activities of daily life nationallicence Instrumental activities of daily life nationallicence Gerontologie nationallicence Lebensqualität nationallicence Aktivitäten im Alltag nationallicence Instrumentelle Aktivitäten im Alltag nationallicence Calero-García M.J. Faculty of Health Sciences, University of Jaén, Campus Lagunillas, 23071, Jaén, Spain aut Calero M.D. Faculty of Psychology, University of Granada, Granada, Spain aut Navarro E. Faculty of Psychology, University of Granada, Granada, Spain aut Ortega A.R. Department of Psychology, University of Jaén, Jaén, Spain aut Zeitschrift für Gerontologie und Geriatrie Springer Berlin Heidelberg 48/1(2015-01-01), 22-28 0948-6704 48:1<22 2015 48 391 https://doi.org/10.1007/s00391-014-0610-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00391-014-0610-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Calero-García M.J. Faculty of Health Sciences, University of Jaén, Campus Lagunillas, 23071, Jaén, Spain aut NATIONALLICENCE 700 1- Calero M.D. Faculty of Psychology, University of Granada, Granada, Spain aut NATIONALLICENCE 700 1- Navarro E. Faculty of Psychology, University of Granada, Granada, Spain aut NATIONALLICENCE 700 1- Ortega A.R. Department of Psychology, University of Jaén, Jaén, Spain aut NATIONALLICENCE 773 0- Zeitschrift für Gerontologie und Geriatrie Springer Berlin Heidelberg 48/1(2015-01-01), 22-28 0948-6704 48:1<22 2015 48 391