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Journal of Geriatric Physical Therapy

Hyun-Jeong Jang, Lynne C Hughes, Duck-Won Oh, Suhn-Yeop Kim
BACKGROUND AND PURPOSE: The purpose of this study was to identify the effects of a corrective exercise for thoracic hyperkyphosis on posture, balance, and well-being in Korean community-dwelling older women. METHODS: Fifty women 65 years of age and older, recruited from 2 senior centers, participated in this study. Participants were assigned to either the experimental group (EG) or the control group (CG) on the basis of convenience of location, and 22 in each were analyzed...
September 13, 2017: Journal of Geriatric Physical Therapy
Seth Peterson, Thomas Denninger
BACKGROUND AND PURPOSE: Hip abductor dysfunction is common in individuals with chronic low back pain (CLBP). Previous research investigating abductor strengthening in the heterogeneous CLBP population is sparse and has failed to target those patients most likely to benefit. The aim of the current case series was to describe the physical therapy management and outcomes of 3 patients with CLBP matching a previously identified subgroup characterized by substantial hip abductor weakness. CASE DESCRIPTION: Three nonconsecutive patients with CLBP-a 77-year-old man, a 78-year-old woman, and an 85-year-old woman-were treated in an outpatient physical therapy clinic...
September 13, 2017: Journal of Geriatric Physical Therapy
Larissa Tomasauskas Marques, Natalia Camargo Rodrigues, Emanuella Oliveira Angeluni, Fernanda Pinheiro Amador Dos Santos Pessanha, Natália Maira da Cruz Alves, Renato Campos Freire Júnior, Eduardo Ferriolli, Daniela Cristina Carvalho de Abreu
BACKGROUND AND PURPOSE: With the increase in the percentage of the population in older adulthood, issues such as frailty syndrome need to be considered. The aim of the present study was to evaluate the ability of the Balance Evaluation Systems Test (BESTest) and center of pressure (COP) in their ability to discriminate between nonfrail, prefrail, and frail older adults. The proposed hypothesis is that frail older adults would show poorer performance in BESTest tasks and higher oscillation of COP on a force platform...
September 13, 2017: Journal of Geriatric Physical Therapy
Kentaro Oki, Leatha A Clark, Shinichi Amano, Brian C Clark
BACKGROUND AND PURPOSE: Muscle weakness predisposes older adults to a fourfold increase in functional limitations and has previously been associated with reduced motor cortex excitability in aging adults. The purpose of this study was to determine whether a single session of anodal transcranial direct current stimulation (tDCS) of the motor cortex would increase elbow flexion muscle strength and electromyographic (EMG) amplitude in very old individuals. METHODS: Eleven very old individuals-85...
September 12, 2017: Journal of Geriatric Physical Therapy
Francesco Curcio, Ilaria Liguori, Michele Cellulare, Giuseppe Sasso, David Della-Morte, Gaetano Gargiulo, Gianluca Testa, Francesco Cacciatore, Domenico Bonaduce, Pasquale Abete
BACKGROUND AND PURPOSE: Sarcopenia, a loss of muscle mass and strength accompanying aging, is common in older adults who are not physically active. Nevertheless, the association between physical activity and sarcopenia has not been extensively studied. Therefore, we examined the relationship of both muscle mass and muscle strength with physical activity as quantified using the Physical Activity Scale for Elderly (PASE). METHODS: PASE score, muscle mass by bioimpendiometry, and muscle strength by handgrip were evaluated in a cohort study of 420 older adult participants (mean age 82...
August 3, 2017: Journal of Geriatric Physical Therapy
Runar Unhjem, Lene T van den Hoven, Mona Nygård, Jan Hoff, Eivind Wang
BACKGROUND AND PURPOSE: Physical function is shown to decline with age. However, how long-term strength training may attenuate the age-related limitation in functional tasks with various force demands is unclear. METHODS: In a cross-sectional study, we assessed maximal muscle strength, initial and late phase rate of force development (RFD), as well as 4 tests of functional performance in 11 (mean, 71 years; standard deviation [SD], 4 years) strength-trained master athletes (MAs), 11 (mean, 73 years; SD, 6 years) recreationally active older adults (AEs), 10 (mean, 71 years; SD, 4 years) sedentary older adults (SOAs), and 9 (mean, 22 years; SD, 2 years) moderately active young controls...
August 3, 2017: Journal of Geriatric Physical Therapy
Alessandra de Carvalho Bastone, Eduardo Ferriolli, Karina Pfrimer, Bruno de Souza Moreira, Juliano Bergamaschine Mata Diz, João Marcos Domingues Dias, Rosângela Corrêa Dias
BACKGROUND AND PURPOSE: Frailty is a common and important geriatric syndrome, distinct from any single chronic disease, and an independent predictor of mortality. It is characterized by age-associated decline in physiological reserve and function across multiple systems, culminating in a vicious cycle of altered energy expenditure. The total energy expenditure (TEE) of an individual includes the resting metabolic rate (RMR), the thermic effect of feeding, and the energy expenditure in physical activity (PAEE)...
August 3, 2017: Journal of Geriatric Physical Therapy
Arjan J W van de Sant, Nienke M de Vries, Thomas J Hoogeboom, Maria W G Nijhuis-van der Sanden
BACKGROUND AND PURPOSE: This article reports on a recent randomized clinical trial that showed a personalized approach to physical therapy (Coach2Move) by a physical therapist specialized in geriatrics (PTG) to be more cost-effective than usual physical therapy care in people with mobility problems (n = 130, mean age = 78 years). METHODS: We used an explanatory mixed-methods sequential design alongside the randomized clinical trial to gain insight into (a) the contrast between the 2 interventions, (b) the fidelity of the Coach2Move delivery; (c) PTGs' experiences of Coach2Move; and (d) possible barriers and facilitators for future implementation...
July 27, 2017: Journal of Geriatric Physical Therapy
Alda Marques, Alexandre Silva, Ana Oliveira, Joana Cruz, Ana Machado, Cristina Jácome
BACKGROUND AND PURPOSE: The Berg Balance Scale (BBS), the Balance Evaluation Systems Test (BESTest), the Mini-BESTest, and the Brief-BESTest are useful tests to assess balance; however, their clinimetric properties have not been studied well in older adults with type 2 diabetes (T2D). This study compared the validity and relative ability of the BBS, BESTest, Mini-BESTest, and Brief-BESTest to identify fall status in older adults with T2D. METHODS: This study involved a cross-sectional design...
October 2017: Journal of Geriatric Physical Therapy
Cheryl Petersen, Teresa Steffen, Elizabeth Paly, Leah Dvorak, Reid Nelson
BACKGROUND AND PURPOSE: This study examined test-retest relative (intraclass correlation coefficient [ICC]) and absolute (minimum detectable change [MDC]) reliabilities for the 5 times sit-to-stand (5×STS), 30-second sit-to-stand (30sSTS), and the functional gait assessment (FGA) tests in people with Parkinson disease (PD). In addition, correlation of these functional tests with a history of falls was examined over a 6-month period, and the internal consistency of the FGA was established...
October 2017: Journal of Geriatric Physical Therapy
Javier Jerez-Roig, Jéssica Fernandes de Medeiros, Kalyne do Nascimento Moreira Fidélis, Bartolomeu Fagundes de Lima Filho, Nayara Priscila Dantas de Oliveira, Fabienne Louise Juvêncio Paes de Andrade, Lidiane Maria de Brito Macedo Ferreira, Dyego Leandro Bezerra Souza, Kenio Costa Lima
BACKGROUND AND PURPOSE: Although functional assessments and programs to prevent activity limitations are fundamental for efficient geriatric evaluations and interventions, these procedures have not been satisfactorily explored at nursing homes in Brazil. Literature is scarce on the evaluation of disability in Brazilian institutionalized older people. METHODS: A cross-sectional study was conducted in 10 nursing homes in the city of Natal (Northeast Brazil). Sociodemographic and health data were collected and activity limitations were assessed by the Katz Index...
October 2017: Journal of Geriatric Physical Therapy
Laura G Covill, Cynthia Utley, Cheryl Hochstein
BACKGROUND AND PURPOSE: Older adults with balance deficits often fear falling and limit their mobility. Poor balance is multifactorial, influenced by medication interactions, musculoskeletal and sensory system changes, and poor neuromuscular response to changes in body positions. Aquatic physical therapy (APT) is an intervention used to improve balance and decrease falls. Ai Chi is a water-based exercise program. It incorporates slow movements of progressive difficulty utilizing the upper and lower extremities and trunk coordinated with deep breathing...
October 2017: Journal of Geriatric Physical Therapy
Jennifer L Vincenzo, Cindy Gibson-Horn, Michelle Gray
BACKGROUND AND PURPOSE: Mobility limitations are prevalent among older adults and are related to falls, morbidity, and mortality. BalanceWear Therapy (BWT) improves measures of mobility among people with multiple sclerosis but has not been studied in older adults. Therefore, the purpose of this investigation was to examine the effects of BWT on measures of mobility among older adults with limited mobility. METHODS: This study was a double-blind, randomized controlled trial of older adults recruited from senior living facilities...
October 2017: Journal of Geriatric Physical Therapy
Yanjun J Xie, Elizabeth Y Liu, Eric R Anson, Yuri Agrawal
BACKGROUND AND PURPOSE: Walking speed is an important dimension of gait function and is known to decline with age. Gait function is a process of dynamic balance and motor control that relies on multiple sensory inputs (eg, visual, proprioceptive, and vestibular) and motor outputs. These sensory and motor physiologic systems also play a role in static postural control, which has been shown to decline with age. In this study, we evaluated whether imbalance that occurs as part of healthy aging is associated with slower walking speed in a nationally representative sample of older adults...
October 2017: Journal of Geriatric Physical Therapy
Odessa Addison, Alice S Ryan, Steven J Prior, Leslie I Katzel, Rishi Kundi, Brajesh K Lal, Andrew W Gardner
BACKGROUND AND PURPOSE: Both obesity and peripheral artery disease (PAD) limit function and may work additively to reduce mobility. The purpose of this study was to compare the effects of a 6-month, center-based walking program on mobility function between adults who are weight-stable obese and nonobese with PAD. METHODS: This is a secondary data analysis of 2 combined studies taken from previous work. Fifty-three adults with PAD and intermittent claudication participated in 6 months of treadmill training or standard of care...
October 2017: Journal of Geriatric Physical Therapy
Jennifer Blackwood, Alison Martin
BACKGROUND AND PURPOSE: Older adults with impaired cognition are more than twice as likely to fall as their age-matched cognitively intact peers. Physical therapists play a key role in falls screening and prevention efforts; however, it is unknown how often or in what capacity cognitive screenings are performed within falls risk assessments. The purpose of this study was to describe the cognitive screening practice patterns of physical therapists (PTs) as a part of falls risk assessments...
October 2017: Journal of Geriatric Physical Therapy
Chi-Hua Yen, Ming-Hsiang Ku, Ching-Yi Wang
BACKGROUND AND PURPOSE: Prolonged sitting is associated with increased risk of sarcopenia in community-dwelling older adults and can lead to poor muscle function, limited balance and transfer abilities, and mobility limitations. Sitting time can be a modifiable factor in preserving independent mobility in older adults. Assessing sitting time is an important measure for preventive medicine in older populations. The purposes of this study were to examine the test-retest reliability of older adults' reported (using a recall strategy) sitting time and to determine its association with mobility limitation...
July 2017: Journal of Geriatric Physical Therapy
Jan Arnholtz Overgaard, Camilla Marie Larsen, Steffen Holtze, Kenneth Ockholm, Morten Tange Kristensen
BACKGROUND AND PURPOSE: The 6-minute walk test (6MWT) is widely used as a clinical outcome measure. However, the reliability of the 6MWT is unknown in individuals who have recently experienced a hip fracture. The aim of this study was to evaluate the relative and absolute interrater reliability of the 6MWT in individuals with hip fracture. METHODS: Two senior physical therapy students independently examined a convenience sample of 20 participants in a randomized order...
July 2017: Journal of Geriatric Physical Therapy
Takashi Jindo, Naruki Kitano, Kenji Tsunoda, Mikiko Kusuda, Kazushi Hotta, Tomohiro Okura
BACKGROUND AND PURPOSE: Decreasing daily life physical activity (PA) outside an exercise program might hinder the benefit of that program on lower-extremity physical function (LEPF) in older adults. The purpose of this study was to investigate how daily life PA modulates the effects of an exercise program on LEPF. METHODS: The participants were 46 community-dwelling older adults (mean age, 70.1 ± 3.5 years) in Kasama City, a rural area in Japan. All participated in a fall-prevention program called square-stepping exercise once a week for 11 weeks...
July 2017: Journal of Geriatric Physical Therapy
Rebecca A States, Theresa L Sweeny, Amerigo Rossi, David K Spierer, Yasser Salem
BACKGROUND AND PURPOSE: Regular physical activity is thought to be crucial to maintaining optimal physical function in people with Parkinson's disease (PWP), and it may have neuroprotective effects. As with many medical treatments, exercise is most effective when performed consistently over a period of years. The primary aim of this study was to examine multiyear adherence to a community-based group exercise program for PWP. A secondary aim was to document how physical functioning progressed after 1, 3, and 5 years for participants who consistently attended a community-based, group, exercise program...
July 2017: Journal of Geriatric Physical Therapy
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