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Journal of Geriatric Physical Therapy

Allison M Gustavson, Jason R Falvey, Jeri E Forster, Jennifer E Stevens-Lapsley
BACKGROUND AND PURPOSE: Inability to obtain sufficient gains in function during a skilled nursing facility (SNF) stay impacts patients' functional trajectories and susceptibility to adverse events. The purpose of this study was to identify predictors of functional change in patients temporarily residing in an SNF following hospitalization. METHODS: One hundred forty patients admitted to a single SNF from the hospital who had both evaluation and discharge measures of physical function documented were included...
June 21, 2017: Journal of Geriatric Physical Therapy
Alisa A Lubart, Arthur I Leibovitz, Liora D Peleg, Alexandra I Yarovoy, Gilad O Gal, Eliyahu H Mizrahi, Emily N Lubart
BACKGROUND AND PURPOSE: Motor rehabilitation following stroke is a demanding challenge in search for new strategies to improve outcome. Rehabilitation through action observation has been reported beneficial for older adults recovering from stroke. Early sleep session following motor learning enhanced the performance of the acquired motor skills. The purpose of this study was to examine whether an early sleep session following action observation has benefit over action observation alone in the rehabilitation of older adults after stroke...
June 21, 2017: Journal of Geriatric Physical Therapy
Peter J Hartley, Victoria L Keevil, Ledia Alushi, Rebecca L Charles, Eimear B Conroy, Patricia M Costello, Becki Dixon, Aida M Dolinska-Grzybek, Diana Vajda, Roman Romero-Ortuno
BACKGROUND AND PURPOSE: Pressures on hospital bed occupancy in the English National Health Service have focused attention on enhanced service delivery models and methods by which physical therapists might contribute to effective cost savings, while retaining a patient-centered approach. Earlier access to physical therapy may lead to better outcomes in frail older inpatients, but this has not been well studied in acute National Health Service hospitals. Our aim was to retrospectively study the associations between early physical therapy input and length of hospital stay (LOS), functional outcomes, and care needs on discharge...
June 16, 2017: Journal of Geriatric Physical Therapy
Michal Kafri, Yeshayahu Hutzler, Olga Korsensky, Yocheved Laufer
BACKGROUND AND PURPOSE: The group of individuals 85 years and over (termed oldest-old) is the fastest-growing population in the Western world. Although daily functional abilities and balance capabilities are known to decrease as an individual grows older, little is known about the balance and functional characteristics of the oldest-old population. The aims of this study were to characterize balance control, functional abilities, and balance self-efficacy in the oldest-old, to test the correlations between these constructs, and to explore differences between fallers and nonfallers in this age group...
June 1, 2017: Journal of Geriatric Physical Therapy
Eric G Johnson, Abdulaziz A Albalwi, Fuad M Al-Dabbak, Noha S Daher
BACKGROUND AND PURPOSE: The risk of falling for older adults increases in dimly lit environments. Longer sitting pause times, before getting out of bed and standing during the night, may improve postural stability. The purpose of this study was to measure the effect of sitting pause times on postural sway velocity immediately after a supine to standing transfer in a dimly lit room in older adult women. METHODS: Eighteen healthy women aged 65 to 75 years who were able to independently perform supine to standing transfers participated in the study...
June 1, 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
Catherine T Schmidt, Rachel E Ward, Pradeep Suri, Laura Kurlinski, Dennis E Anderson, Dan K Kiely, Jonathan F Bean
BACKGROUND AND PURPOSE: Mobility problems are common among older adults. Symptomatic lumbar spinal stenosis (SLSS) is a major contributor to mobility limitations among older primary care patients. In comparison with older primary care patients with mobility problems but without SLSS, it is unclear how mobility problems differ in older primary care patients with SLSS. The purpose of this study was to compare health characteristics, neuromuscular attributes, and mobility status in a sample of older primary care patients with and without SLSS who were at risk for mobility decline...
July 2017: Journal of Geriatric Physical Therapy
Hoda Koushyar, Maury A Nussbaum, Kevin P Davy, Michael L Madigan
BACKGROUND AND PURPOSE: The mobility of individuals who are obese can be limited compared with their healthy weight counterparts. Lower limb strength has been associated with mobility, and reduced strength may contribute to mobility limitation among individuals who are obese. However, our understanding of the effects of obesity on lower limb strength is limited. The purpose of this study was to investigate the effects of obesity and age on extension and flexion strength at the hip, knee, and ankle...
July 2017: Journal of Geriatric Physical Therapy
Eadric Bressel, Talin J Louder, Dennis G Dolny
BACKGROUND AND PURPOSE: Quantifying how the environment (land vs water) influences age-related changes in postural sway is important for the development of new therapies that improve balance. The authors are not aware of any previous studies that have compared postural sway in an aquatic environment between age groups or when water depth and/or perturbations are incorporated into the comparison. The purpose of this study was to compare the effect of water depth and jet intensity on postural sway in older and younger adults...
July 2017: Journal of Geriatric Physical Therapy
Mette L Bloch, Line R Jønsson, Morten T Kristensen
BACKGROUND AND PURPOSE: Originally, the Timed Up & Go (TUG) test was described as including a practice trial before a timed trial, but recent studies in individuals with hip fracture have reported that performance improved with a third trial and that high intertester reliability was achieved when the fastest of 3 timed trials was used. Thus, the fastest of 3 TUG trials is recommended when testing individuals with hip fracture. To our knowledge, no study has examined the number of trials needed to achieve performance stability on the TUG test (defined as no further improvement on subsequent trials) when performed by older individuals without hip fracture...
July 2017: Journal of Geriatric Physical Therapy
Chad W Tiernan, Hali A Fleishman, Meghann A Hiscox, Sarah N Shaver, Caitlyn M Stauffer, Patrick A W Thibodeau
BACKGROUND AND PURPOSE: A growing population of older adults will require health care professionals to become increasingly knowledgeable in geriatric care. Patient ratings, functional measures, and emphasis on health and wellness should be part of geriatric physical therapy practice. The purpose of the current study was to examine relationships between self-rated health (SRH) and movement-related variables in older adults using the International Classification of Functioning, Disability, and Health (ICF) as a research framework...
April 27, 2017: Journal of Geriatric Physical Therapy
Eric Anson, Elizabeth Thompson, Lei Ma, John Jeka
BACKGROUND & PURPOSE: Test stability and test-retest reliability have not previously been reported for either the Balance Evaluation Systems Test (BESTest) or mini-BESTest (mBEST) in a population of older adults with nonspecific balance limitations. Furthermore, no criterion for identifying change greater than chance has been reported in older adults with nonspecific balance problems using either BESTest or mBEST scores. The purposes of this study were to determine test stability over time, test-retest reliability, to identify minimum detectable change for the BESTest and mBEST in a population of older adults with nonspecific balance problems...
April 26, 2017: Journal of Geriatric Physical Therapy
Jason R Falvey, Allison M Gustavson, Lisa Price, Lucine Papazian, Jennifer E Stevens-Lapsley
BACKGROUND: Participants in the Program of All-Inclusive Care for the Elderly (PACE) are a unique clinical population of medically complex and highly disabled older adults who qualify for nursing home level care but receive services in the community. A main goal of PACE programs is to prevent further declines in physical function that may necessitate costly institutionalization. This study evaluates how multimorbidity and dementia impact both self-selected gait speed and Timed Up and Go (TUG) in this population...
April 21, 2017: Journal of Geriatric Physical Therapy
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April 2017: Journal of Geriatric Physical Therapy
Ing-Mari Dohrn, Maria Hagströmer, Mai-Lis Hellénius, Agneta Ståhle
BACKGROUND AND PURPOSE: We have developed a 12-week balance training program for older adults shown to improve fall-related concerns, gait speed, balance performance, and physical function. We hypothesized that this balance training would also contribute to higher habitual physical activity (PA) levels and improved health-related quality of life (HRQoL). The primary aim was to evaluate short- and long-term effects of the balance training program on objectively measured habitual PA in older adults with osteoporosis...
April 2017: Journal of Geriatric Physical Therapy
Adam J Bittel, Daniel C Bittel, Lori J Tuttle, Michael J Strube, Michael J Mueller, W Todd Cade, David R Sinacore
BACKGROUND AND PURPOSE: Excess lower extremity intermuscular adipose tissue (IMAT), reduced strength, and functional limitations are common in obese individuals with and without diabetes (the former termed diabesity). Individuals with diabesity are particularly susceptible to accelerated sarcopenia, which may be underdiagnosed. The purpose of this study was to determine critical values for leg IMAT volume, plantar flexor (PF) muscle strength, and physical performance that help identify individuals with diabesity who have sarcopenia...
April 2017: Journal of Geriatric Physical Therapy
Eva van der Ploeg, Yvette van der Velde, Robbert Gobbens
BACKGROUND AND PURPOSE: "Frailty" is a frequently used term in both scientific research and clinical practice, but it has proven to be difficult to recognize and measure frailty. In this study, we aim to identify variables related to frailty as simple and unambiguous predictors of time until discharge to home and until mortality for ambulant individuals residing in a rehabilitation center for older people. METHODS: This was a longitudinal cohort study. We included data on people admitted to a Dutch rehabilitation center for older people between September 15, 2013, and September 10, 2014 (n = 389)...
April 2017: Journal of Geriatric Physical Therapy
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