This book proposes a way of understanding human movement and its forms of deterioration and preservation in older people. The author presents a method to diagnose motor problems, to implement effective both preventive and therapeutic measures, and to compare the results with those of other clinicians and health centres.
It is a conceptual and practical book at the same time. From the redefinition of the classic geriatric syndrome of Immobility, a concept of deep clinical interest is developed: Dysmobility. Moreover, a specially developed methodology is delivered to maximise the benefits for the patient, clinicians, and caregivers. Both the concepts and the methodology are discussed in a clear, precise, and practical manner to be applied in the daily clinical practice in Geriatrics.
Dysmobility is defined in its three diagnostic axes, including the official updated version of D-STAGING (known as ETADI in Spanish), the motor continuum staging that revolutionised the clinic with its advent. Additionally, the requirements and criteria necessary for its correct application and use are explained conceptually step by step, and practically with clinical cases. Along with this, the new possibilities that arise from this conceptualisation and methodology are addressed, particularly in the field of comparative medicine and clinical research. Finally, the bases of a new theory of aging, the Movement-Time theory or theory of Dysmobility, are presented.
This work will support physicians from different medical specialties, such as geriatricians, physiatrists, family doctors, geriatric dentists, and health professionals from the interdisciplinary team like gerontologists, nurses, kinesiologists/physiotherapists, psychologists, speech therapists, occupational therapists, nutritionists and social workers. It will also be of interest to students of health-related professions, resident physicians for different specialties, and researchers in mobility and rehabilitation.
José Luis Dinamarca-Montecinos is Medical Doctor (University of Valparaíso), Geriatrician (Viña del Mar - Quillota Health Service), PhD and MSc in Social Gerontology (University of Granada and University of León), and Graduated from the Latin American Academy of Medicine for the Older Adult (ALMA). He carries out his main academic activity as Associate Professor at the University of Valparaíso and other universities in Chile. As a clinician, he is Head of the Orthogeriatrics Program of the Adult Orthopedics and Traumatology Service, at the Dr. Gustavo Fricke Hospital in Viña del Mar. Dr. Dinamarca is a member of the Chilean Society of Geriatrics and Gerontology, and of the Chilean Society of Psychogeriatrics. Also, honorary member of the Chilean Society of Orthopedics and Traumatology, of the Paraguayan Society of Gerontology and Geriatrics and of the Colombian Society of Orthopedic Surgery and Traumatology. He is also Chair of the Scientific Committee of the Fragility Fracture Network (2023-2024), chief editor of BHVM, the indexed scientific journal of the Lucas Sierra Foundation in Chile, and associated editor of Geriatrics, Gerontology and Aging, the indexed scientific journal of the Brazilian Society of Geriatrics and Gerontology. Dr. Dinamarca is the author and introducer of the concept of "Dysmobility", a practical reconceptualisation of the Immobility Geriatric Syndrome. He presented his work in 2002 in the Latin American Network of Gerontology, and in 2004, he published the book 'From Immobility to Dysmobility in Geriatrics' (Chilean Society of Psychogeriatrics). Over the following 20 years, this work deeply influenced clinical practice in Latin America and Spain, modifying the nomenclature and methodology in multiple scientific and academic publications, and also influencing public health policies in several countries.
