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Journal of Geriatric Physical Therapy

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
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
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
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
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
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
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
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
Maarten A van Egmond, Marike van der Schaaf, Eliza R C Hagens, Hanneke W M van Laarhoven, Mark I van Berge Henegouwen, Elizabeth B Haverkort, Raoul H H Engelbert, Suzanne S Gisbertz
BACKGROUND AND PURPOSE: Decreased muscle mass and muscle strength are independent predictors of poor postoperative recovery in patients with esophageal cancer. If there is an association between muscle mass and muscle strength, physiotherapists are able to measure muscle strength as an early predictor for poor postoperative recovery due to decreased muscle mass. Therefore, in this cross-sectional study, we aimed to investigate the association between muscle mass and muscle strength in predominantly older patients with esophageal cancer awaiting esophagectomy prior to neoadjuvant chemoradiation...
June 1, 2018: Journal of Geriatric Physical Therapy
Anna Sondell, Erik Rosendahl, Yngve Gustafson, Nina Lindelöf, Håkan Littbrand
BACKGROUND AND PURPOSE: Exercise programs for people with dementia need to be optimized. We therefore evaluated the applicability of a high-intensity functional exercise program among people with dementia in nursing homes with regard to attendance, achieved exercise intensity, adverse events, a focus on dementia type, and whether symptoms of dementia or other medical conditions common in this population were associated with program applicability. METHODS: The Umeå Dementia and Exercise study, a cluster-randomized controlled trial set in 16 nursing homes in Umeå, Sweden...
May 25, 2018: Journal of Geriatric Physical Therapy
Hui-Ting Goh, Maw-Pin Tan, Mazlina Mazlan, Lydia Abdul-Latif, Pathmawati Subramaniam
BACKGROUND AND PURPOSE: Poor quality of life (QoL) is a well-recognized consequence after stroke. Quality of life is influenced by a complex interaction between personal and environmental factors. Most previous investigations of the QoL after stroke have focused on personal factors, for example, physical deficits directly resulting from stroke. The influence of environmental factors, including social participation, is relatively understudied partly due to its high variation across different sociocultural contexts...
May 25, 2018: Journal of Geriatric Physical Therapy
José M Cancela Carral, Carlos Ayán, Lea Sturzinger, Gema Gonzalez
BACKGROUND AND PURPOSE: Although the association between higher body mass index and poorer balance has been observed in older adults, the role of physical activity in this relationship is not well established. This study aimed to provide scientific evidence about the relationship between body mass index and balance, taking into account the amount of physical activity performed as a confounding variable. METHODS: We collated cross-sectional data from 160 community-dwelling older adults whom we divided into 3 body mass index categories: normal weight (≥18...
May 23, 2018: Journal of Geriatric Physical Therapy
Juscelia Cristina Pereira, Silvia Gonçalves Ricci Neri, Baruch Vainshelboim, André Bonadias Gadelha, Martim Bottaro, Ricardo Jacó de Oliveira, Ricardo M Lima
BACKGROUND AND PURPOSE: Lower-limb strength is required for everyday activities and thus its evaluation has been especially emphasized in older adults. Isokinetic testing is a criterion standard method to assess muscle strength; however, lack of reference values limits its usefulness in geriatric evaluation and rehabilitation. The aim of this study was to develop reference values of knee extensor isokinetic strength for older women. As a secondary aim, functional tests were performed for clinical significance validation...
May 23, 2018: Journal of Geriatric Physical Therapy
Cynthia Zablotny, Tiffany Hilton, Linda Riek, Janet Kneiss, Joshua Tome, Jeff Houck
BACKGROUND AND PURPOSE: When treating older adults post-hip fracture, physical therapists routinely assess the sit-to-stand (STS) task using observational analysis. Studies have demonstrated that significant movement asymmetries in ground reaction force production of the fractured lower limb persist during STS, even though individuals may rise independently. To date, the validity of therapist judgments of lower limb force during STS has not been addressed. The purpose of this observational cohort study was to determine the accuracy of physical therapists' observational assessments of STS for detecting the involved limb and its ground reaction force contribution in older adults post-hip fracture...
May 5, 2018: Journal of Geriatric Physical Therapy
Eadric Bressel, Talin J Louder, Adam C Raikes, Sushma Alphonsa, Anastasia Kyvelidou
BACKGROUND AND PURPOSE: Previous research has reported that younger adults make fewer cognitive errors on an auditory vigilance task while in chest-deep water compared with on land. The purpose of this study was to extend this previous work to include older adults and to examine the effect of environment (water vs land) on linear and nonlinear measures of postural control under single- and dual-task conditions. METHODS: Twenty-one older adult participants (age = 71...
May 4, 2018: Journal of Geriatric Physical Therapy
Chandra da Silveira Langoni, Thais de Lima Resende, Andressa Bombardi Barcellos, Betina Cecchele, Mateus Soares Knob, Tatiane do Nascimento Silva, Juliana Nunes da Rosa, Tamiris de Souza Diogo, Irenio Gomes da Silva Filho, Carla Helena Augustin Schwanke
BACKGROUND AND PURPOSE: Mild cognitive impairment (MCI) may be a precursor to dementia; however, its progression may be prevented or slowed with exercise. This study aimed at determining the effects of group aerobic and strength training on cognition, conditioning, muscle endurance, and balance in underprivileged community-dwelling older adults with MCI. METHODS: This was a single-blind, randomized, and matched-pair controlled (gender, age, body mass index, and Addenbrooke's Cognitive Examination-Revised for MCI diagnosis) clinical trial...
May 4, 2018: Journal of Geriatric Physical Therapy
Morris Beato, Nicole Dawson, Lana Svien, Tracy Wharton
BACKGROUND AND PURPOSE: The Otago exercise program is a strengthening, balance, and walking program designed to decrease falls among community-dwelling older adults. Few studies have examined the effects of the Otago program in an assisted living environment. The purpose of the current study was to assess the effects of an Otago-based home exercise program in decreasing falls and the risk of falls among older adults living in an assisted living facility. METHODS: A retrospective chart review of 30 individuals residing at either of 2 assisted living facilities in central Florida was undertaken...
April 25, 2018: Journal of Geriatric Physical Therapy
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July 2018: Journal of Geriatric Physical Therapy
Ruth Ann Mathis, J David Taylor, Brian H Odom, Chad Lairamore
BACKGROUND AND PURPOSE: Clinical measurement of physical function that is both specific to the individual and generates comparable outcome data is a fundamental need in physical therapy examination. The Patient-Specific Functional Scale (PSFS) has been found to be a reliable and valid measure of physical function in patients with musculoskeletal disorders and may have applications for other patient populations. However, the reliability and the validity of the PSFS have not been evaluated in older adults...
April 6, 2018: Journal of Geriatric Physical Therapy
Thais Borges de Araujo, Wagner Rodrigues Martins, Marco Polo Freitas, Einstein Camargos, Jéssica Mota, Marisete Peralta Safons
BACKGROUND AND PURPOSE: Alzheimer disease (AD) is a chronic, progressive dementia syndrome that features cognitive and behavioral symptoms, as well as physical and functional limitations that develop over the course of the disease. As an activity that involves physical and cognitive aspects, equine-assisted therapy (EAT) could be a useful therapeutic approach in conditions that involve physical and cognitive decline. However, to date, there are no reports of the use of this therapy in participants with AD...
April 6, 2018: Journal of Geriatric Physical Therapy
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