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Journal of Geriatric Physical Therapy

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https://www.readbyqxmd.com/read/30138249/reliability-and-validity-of-hip-extensor-strength-measurement-in-sitting-position-by-a-handheld-dynamometer-in-the-older-adults
#1
Toshiaki Seko, Mitsuru Mori, Hirofumi Ohnishi, Nobuaki Himuro, Yui Takahashi, Tsuneo Kumamoto, Toshikazu Ito
BACKGROUND AND PURPOSE: Muscle strength measurements with the handheld dynamometer are sometimes performed according to manual muscle testing. However, measuring hip extensor muscle strength in the prone position is difficult, since the some older adults had kyphosis or flexion contracture of the lower limbs. On the contrary, there is the standing position method of manual muscle testing, which alternated to those malalignments; however, it is known that the muscle strength of the lower limb that is not measured affects the measurement result...
August 22, 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/30138248/item-distribution-in-the-berg-balance-scale-a-problem-for-use-with-community-living-older-adults
#2
Han Chen, Susan S Smith
BACKGROUND AND PURPOSE: The Berg Balance Scale (BBS) is a commonly used clinical test measure to determine balance performance and fall risk. However, a ceiling effect of the BBS has been reported in studies of older adults with relatively higher levels of physical performance. The underlying reason for this ceiling effect may be that the task items in the BBS are insufficiently challenging to discriminate individuals with less severe balance limitations. The purpose of this study was to investigate the unidimensional construct, item difficulty hierarchy, and item distribution of the BBS in order to determine its usefulness among community-living older adults (CLOAs)...
August 22, 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/30095552/ranking-barriers-motivators-and-facilitators-to-promote-physical-activity-participation-of-persons-with-dementia-an-explorative-study
#3
Esther G A Karssemeijer, Fleur H de Klijn, Willem J R Bossers, Marcel G M Olde Rikkert, Marieke J G van Heuvelen
BACKGROUND AND PURPOSE: Community-dwelling persons with dementia are inactive most of the day. The purpose of this study was to rank the barriers, motivators, and facilitators that hamper or promote physical activity (PA) participation for persons with dementia. This could provide knowledge that can be used to design effective interventions to promote PA participation for persons with dementia. METHODS: Twenty community-dwelling persons with dementia, mean (SD) age = 79 (5...
August 7, 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/30028352/older-adults-sedentary-behavior-and-physical-activity-after-hip-fracture-results-from-an-outpatient-rehabilitation-randomized-controlled-trial
#4
Enav Z Zusman, Martin Dawes, Lena Fleig, Megan M McAllister, Wendy L Cook, Pierre Guy, Penelope M A Brasher, Heather A McKay, Karim M Khan, Maureen C Ashe
BACKGROUND AND PURPOSE: Prolonged sedentary time and limited physical activity can result in deleterious effects on health and mobility, especially for older adults with fall-related hip fracture. Therefore, the purpose of this study was to examine the effect of a multidisciplinary clinic on sedentary behavior and physical activity (prespecified secondary outcomes) and provide descriptions of activity patterns over 1 year for men and women. METHODS: We conducted a parallel-group, single-blinded randomized controlled trial comparing a multidisciplinary clinic and usual care (intervention) with usual care (control)...
July 18, 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/30001266/cognitive-function-and-falls-in-older-adults-with-type-2-diabetes-mellitus
#5
Jennifer Blackwood
BACKGROUND AND PURPOSE: Cognitive impairments have been reported in older adults with type 2 diabetes (T2DM), which subsequently increases the risk of falling. However, the relationship between specific cognitive processes and falls has not been reported. Therefore, the purpose of this study was to describe the contribution of cognitive function on falls in older adults with T2DM and to describe any differences by age group. METHODS: A cross-sectional analysis was conducted of 1171 older adult respondents with T2DM from the 2010 wave of the Health and Retirement Study...
July 11, 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/29979354/validity-and-reliability-of-jump-height-measurements-obtained-from-nonathletic-populations-with-the-vert-device
#6
John Manor, Jennifer Bunn, Richard W Bohannon
BACKGROUND AND PURPOSE: Vertical jump (VJ) is commonly used to assess lower extremity power in athletic populations. A portable device called the VERT has been validated for this population, but not in nonathletic populations. We sought in this study to assess the clinimetric properties of VJ height measurements obtained with the VERT from older and younger nonathletes. METHODS: Twenty-eight participants (14 older, 14 younger, evenly split between male and female) completed 2 submaximal and 3 maximal VJ trials wearing the VERT during 2 sessions separated by 5 to 9 days...
July 3, 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/29979353/objectively-assessed-physical-activity-in-the-oldest-old-persons-with-coronary-artery-disease
#7
Stefanie Strauch, Maria Hagströmer, Maria Bäck
BACKGROUND AND PURPOSE: Accelerometer threshold values to detect physical activity intensity in the oldest old persons with coronary artery disease (CAD) are lacking as well as knowledge about their free-living physical activity behavior. The purpose of this study was 2-fold. (1) To assess the sensitivity and specificity of 3 existing intensity threshold values for ActiGraph accelerometers for the oldest old persons with CAD. (2) To assess free-living physical activity, applying the threshold values with the highest sensitivity and specificity for assessing at least moderate intensity, among these persons...
July 3, 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/29979352/predictors-of-improvement-in-physical-function-in-older-adults-in-an-evidence-based-physical-activity-program-enhancefitness
#8
Sarah Fishleder, Miruna Petrescu-Prahova, Jeffrey R Harris, Brian Leroux, Kimberly Bennett, Christian D Helfrich, Marlana Kohn, Peggy Hannon
BACKGROUND AND PURPOSE: Declines in strength, flexibility, and balance in older adults can lead to injuries and loss of independence and are particularly common in those of greater age and in worse health. EnhanceFitness (EF) is a nationally disseminated, evidence-based group exercise program for older adults that has been shown to improve function through cardiovascular, strength, flexibility, and balance exercises. This article examines changes in, and predictors of, participant physical function from baseline through 2 program cycles of EF as measured by 3 physical function tests: arm curls, chair stands, and 8-foot up-and-go...
July 3, 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/29958232/stand-tall-a-virtual-translation-of-the-otago-exercise-program
#9
Tiffany E Shubert, Anang Chokshi, Victoria M Mendes, Stephanie Grier, Helen Buchanan, Jeanna Basnett, Matthew Lee Smith
BACKGROUND AND PURPOSE: The Otago Exercise Program (OEP) is effective at preventing falls and fall-related injuries. The resources and personnel required for program delivery and challenges inherent in monitoring participant adherence and compliance pose significant barriers to increasing the number of older adults participating in the OEP. Alternative delivery systems using virtual platforms may pose a solution. The purposes of this article were to (1) describe the "Stand Tall" intervention, a virtual translation of the OEP; (2) describe Stand Tall participant characteristics and fall-related risk at baseline; and (3) identify changes in physical performance measures associated with fall risk from baseline to 8-week follow-up...
June 28, 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/29917005/with-our-sincere-thanks-a-farewell-to-outgoing-editor-in-chief-richard-bohannon
#10
(no author information available yet)
No abstract text is available yet for this article.
July 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/28079632/interrater-and-test-retest-reliability-and-minimal-detectable-change-of-the-balance-evaluation-systems-test-bestest-and-subsystems-with-community-dwelling-older-adults
#11
Elizabeth Wang-Hsu, Susan S Smith
BACKGROUND AND PURPOSE: Falls are a common cause of injuries and hospital admissions in older adults. Balance limitation is a potentially modifiable factor contributing to falls. The Balance Evaluation Systems Test (BESTest), a clinical balance measure, categorizes balance into 6 underlying subsystems. Each of the subsystems is scored individually and summed to obtain a total score. The reliability of the BESTest and its individual subsystems has been reported in patients with various neurological disorders and cancer survivors...
July 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/28060054/patient-reported-and-objectively-measured-function-before-and-after-reverse-shoulder-arthroplasty
#12
Wendy J Hurd, Melissa M Morrow, Emily J Miller, Robert A Adams, John W Sperling, Kenton R Kaufman
BACKGROUND AND PURPOSE: Documenting functional outcomes after reverse shoulder arthroplasty (RSA) is critical to advancing patient care. The interplay been self-reported and objectively measured outcome measures has not been widely described. The utilization of wearable devices to document upper extremity limb activity is a new approach for objectively measuring outcomes. Therefore, the purpose of this study was to evaluate changes in pain, and self-reported function and objectively measured limb activity after RSA...
July 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/28005830/do-older-adults-who-meet-2008-physical-activity-guidelines-have-better-physical-performance-than-those-who-do-not-meet
#13
Elaine Trudelle-Jackson, Allen W Jackson
BACKGROUND AND PURPOSE: An observed consequence of aging is a decline in muscle performance that includes a loss in both muscle strength and muscle power. This decline can lead to loss of function and independence and is a predictor of disability in older adults. Although the 2008 Physical Activity (PA) Guidelines for Americans provides a guideline for muscle strengthening, there is no evidence that performing muscle strengthening 2 times a week for all major muscle groups is related to better performance on measures known to be important factors in development or progression of frailty in older adults...
July 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/27893569/development-and-validation-of-a-novel-motor-cognitive-assessment-strategy-of-compensatory-sit-to-stand-maneuvers-in-people-with-dementia
#14
Christian Werner, Stefanie Wiloth, Nele Christin Lemke, Florian Kronbach, Klaus Hauer
BACKGROUND AND PURPOSE: People with dementia show disease-specific sit-to-stand (STS) movement disorders, which relate to deficits of integrating cognitive aspects of motor processes into motor action organization. During STS training in rehabilitation therapy, compensatory STS movement maneuvers are taught aiming to improve patients' STS ability. Previous clinical STS measures do not address these maneuvers or assess cognitive aspects of their motor action organization. The purpose of this study was to develop and validate a motor-cognitive STS assessment instrument for people with dementia (Assessment of Compensatory Sit-to-Stand Maneuvers in People With Dementia, ACSID)...
July 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/27893568/physical-function-in-older-adults-with-multiple-sclerosis-an-application-of-the-short-physical-performance-battery
#15
Robert W Motl, Gioella Chaparro, Manuel E Hernandez, Julia M Balto, Brian M Sandroff
BACKGROUND AND PURPOSE: There is a growing prevalence of older persons living with multiple sclerosis (MS), and this cohort likely undergoes changes in physical function associated with MS and its progression as well as those associated with normal aging. This cross-sectional study examined physical function in a community-dwelling sample of older adults with MS compared with matched controls using the Short Physical Performance Battery (SPPB). METHODS: The sample (N = 40) included 20 older adults with MS and 20 older adults without MS who were matched on sex and age...
July 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/27893567/determining-whether-a-dosage-specific-and-individualized-home-exercise-program-with-consults-reduces-fall-risk-and-falls-in-community-dwelling-older-adults-with-difficulty-walking-a-randomized-control-trial
#16
Estelle Gallo, Maria Stelmach, Fernanda Frigeri, Dong-Hyun Ahn
BACKGROUND AND PURPOSE: The development and implementation of effective interventions to prevent falls in older adults is a public health priority. The purpose of this study was to compare the efficacy of a new practice model, incorporating Shubert's evidence-based fall prevention recommendations, with the usual ambulatory physical therapy (PT) at Rusk Rehabilitation, to decrease fall risk among older adults living in the community. The hypotheses were (1) the proposed program would decrease participants' fall risk, (2) it would be more effective than our usual PT, and (3) the addition of 4 consults after discharge would improve compliance with a home exercise program...
July 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/27893565/first-person-perspective-action-observation-training-in-individuals-with-parkinson-s-disease-a-consideration-of-concept-controlled-pilot-trial
#17
Giovanni Giorgi, Francesco Ferrarello, Francesca Merlo, Stefano Fumagalli, Niccolò Marchionni, Mauro Di Bari
BACKGROUND AND PURPOSE: Action observation training (AOT) consists of the observing of actions performed by others, followed by imitation. Physical therapy techniques based on action observation may influence motor performance in individuals with idiopathic Parkinson's disease (IPD). OBJECTIVES: The aim of this pilot study was to provide a preliminary approach to assess AOT in anatomical first-person perspective (FPP) as a rehabilitation technique to improve body function and activity in individuals with disability due to IPD...
July 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/29939905/risk-factors-and-number-of-falls-as-determinants-of-quality-of-life-of-community-dwelling-older-adults
#18
Pilar Pérez-Ros, Francisco M Martínez-Arnau, Francisco J Tarazona-Santabalbina
BACKGROUND AND PURPOSE: In older adults, the psychological impact and effects related to the loss of functional capacity are directly related to perceived quality of life (QOL). The predictors of better QOL are increased physical activity, lower prevalence of overweight, lower cases of depression, and lower rate of reported alcohol abuse. On the contrary, the predictors of decreased QOL are female gender, comorbidity, deficient nutritional condition, polypharmacy, loss of mobility, depression and dependency, poor economic conditions, and social isolation and loneliness...
June 22, 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/29923897/center-of-pressure-trace-and-sensory-components-of-the-limits-of-stability-test-in-older-adults-with-vertebral-compression-fractures
#19
Fang-Chuan Kuo, Shin-Tsu Chang, Yin-Yin Liao, Cheng-Hung Lee
BACKGROUND AND PURPOSE: Patients with vertebral compression fracture (VCF) usually exhibit impaired postural control and consequently are at an increased risk of falling. This study aimed to assess the sensory and kinematic components of the limits of stability (LOS) test in patients with VCF. METHODS: This study enrolled 13 adults with (VCF), 13 older adults without spinal deformity (NE), and 13 young adults (NY). The Biodex balance system was employed to calculate the balance score and the LOS of participants...
June 19, 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/29864048/minimal-detectable-change-in-dual-task-cost-for-older-adults-with-and-without-cognitive-impairment
#20
Dawn M Venema, Haley Hansen, Robin High, Troy Goetsch, Ka-Chun Siu
BACKGROUND AND PURPOSE: Dual-task (DT) training has become a common intervention for older adults with balance and mobility limitations. Minimal detectable change (MDC) of an outcome measure is used to distinguish true change from measurement error. Few studies reporting on reliability of DT outcomes have reported MDCs. In addition, there has been limited methodological DT research on persons with cognitive impairment (CI), who have relatively more difficulty with DTs than persons without CI...
June 13, 2018: Journal of Geriatric Physical Therapy
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