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Journal of Geriatric Physical Therapy

Jason R Falvey, Robert E Burke, Kyle J Ridgeway, Daniel J Malone, Jeri E Forster, Jennifer E Stevens-Lapsley
BACKGROUND AND PURPOSE: Recent evidence has suggested physical therapist involvement in care transitions after hospitalization is associated with reduced rates of hospital readmissions. However, little is known about how physical therapists participate in care transitions for older adults, the content of care communications, and the facilitators and barriers of implementing evidence-based care transition strategies into practice. Thus, the purpose of this article is to evaluate participation in care transition activities known to influence readmission risk among older adults, and understand perceptions of and barriers to participation in these activities...
March 12, 2018: Journal of Geriatric Physical Therapy
Kai-Yu Ho, Jayson McClaren, Skyler Sudweeks
BACKGROUND AND PURPOSE: Although discomfort during walking is a common complaint in individuals with knee osteoarthritis (OA), how an acute bout of walking affects femoral cartilage remains unclear. Current literature has suggested that frontal plane knee malalignment (ie, varus and valgus) is associated with the initiation and/or progression of knee OA. However, the association between knee alignment and femoral cartilage deformation after an acute bout of loading has not yet been investigated...
March 12, 2018: Journal of Geriatric Physical Therapy
Paulo Giusti Rossi, Larissa Pires de Andrade, Juliana Hotta Ansai, Ana Claudia Silva Farche, Leticia Carnaz, Daniela Dalpubel, Eduardo Ferriolli, Francisco Assis Carvalho Vale, Anielle Cristhine de Medeiros Takahashi
BACKGROUND AND PURPOSE: Cognition and level of physical activity have been associated with frailty syndrome. The development of tools that assess deficits related to physical and cognitive frailties simultaneously are of common interest. However, little is known about how much these aspects influence the performance of dual-task tests. Our aims were (a) to verify the influence of frailty syndrome and objectively measured physical activity and cognition on the Timed Up and Go (TUG) test and Timed Up and Go associated with dual-task (TUG-DT) performances; and (b) to compare TUG and TUG-DT performances between older adults who develop frailty syndrome...
March 8, 2018: Journal of Geriatric Physical Therapy
Peter Francis, William Mc Cormack, Mark Lyons, Philip Jakeman
BACKGROUND AND PURPOSE: It is not known whether short functional performance tests used in aging research are appropriate for use in healthy older adults. The purpose of this study was to investigate age-group differences (sixth decade vs seventh decade) in selected functional performance tests and the association between lower extremity strength and functional performance. METHODS: One hundred fifty-nine (18.2% [n = 29] male) healthy older, mean (standard deviation) age: 60...
February 28, 2018: Journal of Geriatric Physical Therapy
Jean D Miles, William H Staples, Daniel J Lee
BACKGROUND AND PURPOSE: Home care physical therapists (PTs) are inconsistent regarding cognitive screening, possibly because screening tools were traditionally considered the domain of other home care disciplines, or because therapists perceive their dementia training to be inadequate. A cross sectional study was designed to survey home care therapists' attitudes and beliefs about the management of persons with dementia and to find out whether any specific cognitive tools or measures are currently used...
February 14, 2018: Journal of Geriatric Physical Therapy
Laís Campos de Oliveira, Raphael Gonçalves de Oliveira, Deise Aparecida de Almeida Pires-Oliveira
BACKGROUND AND PURPOSE: Decreased bone mineral density (BMD) is a common condition in postmenopausal women that can be managed with impact activities. Among the activities studied are the whole-body vibration (WBV) and muscle-strengthening exercises. The purpose of this study was to compare the effects of WBV versus Pilates exercise on BMD in postmenopausal women. METHODS: In this study, 51 postmenopausal women were randomized into 3 groups: vibration (n = 17), Pilates (n = 17), and control (n = 17)...
February 12, 2018: Journal of Geriatric Physical Therapy
Anna Lee, Tanvi Bhatt, Renae L Smith-Ray, Edward Wang, Yi-Chung Clive Pai
BACKGROUND AND PURPOSE: Incidence of falls increases with age whereas gait speed declines. The purposes of this study were to examine (1) whether gait speed and center-of-mass (COM) velocity declined steadily across ages in a linear fashion among community-dwelling older adults, and (2) whether such decline corresponded to the similar decline in dynamic stability, which is governed by the control of their COM position and COM velocity relative to base of support (BOS). METHODS: A total of 184 community-dwelling older adults (≥65 years) participated in the cross-sectional study...
February 5, 2018: Journal of Geriatric Physical Therapy
Lindsey E Greviskes, Leslie Podlog, Maria Newton, Leland E Dibble, Ryan D Burns, Wanda Pillow, Morgan S Hall, Christopher Hammer
BACKGROUND AND PURPOSE: With Parkinson's disease (PD) prevalence rates steadily increasing and long-term adherence to regular physical activity and exercise often difficult to achieve, it is imperative to investigate factors promoting adherence to secondary prevention programs (SPP) that help limit the progression of motor and nonmotor signs and symptoms of the disease. Caring interactions between patients and their rehabilitation team may be particularly germane to individuals with PD, given the physical and psychosocial issues that often accompany this disease (eg, loss of physical function, depression, apathy, and cognitive impairments)...
February 1, 2018: Journal of Geriatric Physical Therapy
Konstantina Karatrantou
BACKGROUND AND PURPOSE: Dynamic handgrip strength endurance is essential for daily activities that require repetitive gripping movements for a sustained period. At this time, there is no information about the reliability of measurement of dynamic handgrip strength endurance in older individuals. Thus, the purpose of this study was to investigate the test-retest reliability of dynamic handgrip strength endurance in older women. METHODS: A cross-sectional study was performed...
January 31, 2018: Journal of Geriatric Physical Therapy
Ivan Pang, Yoshiro Okubo, Daina Sturnieks, Stephen R Lord, Matthew A Brodie
BACKGROUND AND PURPOSE: Falls among older people are a serious health issue. Remote detection of near falls may provide a new way to identify older people at high risk of falling. This could enable exercise and fall prevention programs to target the types of near falls experienced and the situations that cause near falls before fall-related injuries occur. The purpose of this systematic review was to summarize and critically examine the evidence regarding the detection of near falls (slips, trips, stumbles, missteps, incorrect weight transfer, or temporary loss of balance) using wearable devices...
January 30, 2018: Journal of Geriatric Physical Therapy
Lin Kiat Liew, Maw Pin Tan, Pey June Tan, Sumaiyah Mat, Lokman A Majid, Keith D Hill, Mazlina Mazlan
BACKGROUND AND PURPOSE: Exercise-based interventions, such as the Otago Exercise Program (OEP), are effective in preventing falls in the older adult. Previous studies evaluating the OEP have determined falls, lower limb strength, or balance outcomes but with lack of assessment of hand grip strength. The objective of this study is to evaluate the effect of OEP on hand grip strength alongside mobility and balance outcomes. METHODS: This was a single-center, prospective, and single-blind randomized controlled trial conducted at the University Malaya Medical Centre...
January 29, 2018: Journal of Geriatric Physical Therapy
Sara Gherardini, Claudia Biricolti, Enrico Benvenuti, M Grazia Almaviva, Monica Lombardi, Paola Pezzano, Costanza Bertini, Marco Baccini, Mauro Di Bari
BACKGROUND AND PURPOSES: Hip fracture represents one of the most severe injuries in the older adults. In long-term survivors, disability is common and walking ability may be considered important predictor of functional recovery. We, therefore, investigated whether 4-m gait speed, assessed in older persons early after surgical repair of hip fracture, could predict functional recovery and subsequent development of major clinical outcomes. METHODS: This was a prospective cohort study...
January 25, 2018: Journal of Geriatric Physical Therapy
Sean Noah, Cynthia Gibson-Horn, Jennifer L Vincenzo
BACKGROUND AND PURPOSE: The Centers for Disease Control and Prevention estimated that there were 29 million falls and 7 million injuries in 2014 in the United States. Falls, decreased balance, and mobility disability are common in older adults and often result in loss of independence. Finding interventions to address these issues is important, as this age group is growing exponentially. Prior studies indicate balance and mobility can be improved by the balance-based torso-weighting (BBTW) assessment implemented through wear of a balance orthotic (BO)...
January 18, 2018: Journal of Geriatric Physical Therapy
Hisashi Ikutomo, Koutatsu Nagai, Keiichi Tagomori, Namika Miura, Norikazu Nakagawa, Kensaku Masuhara
BACKGROUND AND PURPOSE: Fall-induced injuries and resulting deaths are a serious health problem among older adults. The most common risk factors for falls in older adults are muscle weakness, gait deficiencies, and balance deficits. Patients with end-stage hip osteoarthritis (OA) also have many hip dysfunctions, and these all have the potential to increase the risk of falls. However, the incidence and risk factors for falls in patients with end-stage hip OA remain unclear. The aim of this study was to determine the incidence of falls in women with end-stage hip OA and to identify risk factors for falls in this patient population...
January 18, 2018: Journal of Geriatric Physical Therapy
Cathy C Harro, Chelsea Garascia
BACKGROUND AND PURPOSE: Postural control declines with aging and is an independent risk factor for falls in older adults. Objective examination of balance function is warranted to direct fall prevention strategies. Force platform (FP) systems provide quantitative measures of postural control and analysis of different aspects of balance. The purpose of this study was to examine the reliability and validity of FP measures in healthy older adults. METHODS: This study enrolled 46 healthy elderly adults, mean age 67...
January 10, 2018: Journal of Geriatric Physical Therapy
Richard Price, Nancy Low Choy
BACKGROUND AND PURPOSE: Walking in the community is an important aspect of independence and quality of life (QOL) that poses challenges for individuals with stroke. This study investigated whether performance on the Functional Gait Assessment (FGA) differentiated spatiotemporal gait parameters, QOL, and fall history of community-ambulating individuals with stroke. We hypothesized that those scoring higher on the FGA would present with better gait speed and cadence, stride width and length, and improved load time on the paretic limb, report a higher QOL, and be less likely to have a fall history than those who scored lower on the FGA...
January 10, 2018: Journal of Geriatric Physical Therapy
Mari Kalland Knapstad, Ole Martin Steihaug, Mona Kristin Aaslund, Arne Nakling, Ingvill Fjell Naterstad, Tormod Fladby, Dag Aarsland, Lasse Melvaer Giil
BACKGROUND AND PURPOSE: Walking speed is reduced in people with dementia, but less is known about predementia conditions. We, therefore, studied the relationship between walking speed, cognition, and cerebrospinal fluid biomarkers in persons with subjective (SCI) and mild cognitive impairment (MCI). METHODS: We conducted a cross-sectional study of 22 healthy controls, 30 SCI and 17 MCI (N = 69). Walking speed was measured by a 10-m gait test at usual and fast pace...
January 2, 2018: Journal of Geriatric Physical Therapy
Eric D Vidoni, Jaime Perales, Mohammed Alshehri, Abdul-Mannaan Giles, Catherine F Siengsukon, Jeffrey M Burns
BACKGROUND AND PURPOSE: Individuals with Alzheimer disease (AD) experience progressive loss of independence-performing activities of daily living. Identifying interventions to support independence and reduce the economic and psychosocial burden of caregiving for individuals with AD is imperative. The purpose of this analysis was to examine functional disability and caregiver time in individuals with early-stage AD. METHODS: This was a secondary analysis of a randomized controlled trial of 26 weeks of aerobic exercise (AEx) versus stretching and toning (ST)...
December 28, 2017: Journal of Geriatric Physical Therapy
Srikant Vallabhajosula, Sarah K Humphrey, Alys J Cook, Jane E Freund
BACKGROUND AND PURPOSE: Previous studies have shown that older adults at high fall risk exhibit altered spatiotemporal gait parameters such as lesser gait speed, shorter step length, and greater step width compared with their healthy counterparts. Measurement of these gait parameters for older adults can play a pivotal role in clinical evaluation. While the GAITRite walkway has been previously validated and used extensively for research purposes, the Zeno walkway validity has not been established...
December 28, 2017: Journal of Geriatric Physical Therapy
Juliana Teles Tavares, Daniela Aparecida Biasotto-Gonzalez, Nárlon Cássio Boa Sorte Silva, Frank Shiguemitsu Suzuki, Paulo Roberto Garcia Lucareli, Fabiano Politti
BACKGROUND AND PURPOSE: The maintenance of postural control is influenced by the complexity of a given task. Tasks that require greater attention and cognitive involvement increase the risk of falls among older adults. The aim of the present study was to evaluate the adaptation of the postural control system to different levels of task complexity in physically inactive young and older women. METHODS: A cross-sectional study was conducted with adult women classified as physically inactive based on the results of the International Physical Activity Questionnaire...
December 28, 2017: Journal of Geriatric Physical Therapy
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