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Journal of Geriatric Physical Therapy

Alison Mantel, Ashleigh Trapuzzano, Sara Chizmar, Lauren Haffke, Nicole Dawson
BACKGROUND/PURPOSE: To identify the unique predictors of comfortable and fast gait speed in community-dwelling older adults using measures of physical performance (eg, lower extremity strength and balance), self-reported balance confidence, and global cognitive function. METHODS: Demographic information was collected from 60 healthy, community-dwelling older adults older than 60 years. Participants completed the following assessments: Mini-Mental State Examination; Activities-Specific Balance Confidence Scale; 30-second Chair Stand (30-SCS); Functional Reach (FR); and gait speed (comfortable and fast) using the GAITRite system...
November 9, 2018: Journal of Geriatric Physical Therapy
Agnieszka Nawrat-Szołtysik, Zuzanna Miodon Ska, Józef Opara, Anna Polak, Beata Matyja, Andrzej Małecki
BACKGROUND AND PURPOSE: The study aimed to assess the effect of a program of modified Sinaki exercises and Nordic Walking on the life quality in osteoporotic and osteopenic females living in residential care facilities, taking into account their baseline level of activity and risk of falling. The study was designed as a randomized controlled trial. METHODS: A sample of 91 females 65 to 98 years of age, the residents of Upper Silesian residential care facilities, was randomized into 4 groups...
November 9, 2018: Journal of Geriatric Physical Therapy
Larissa Alamino Pereira Viveiro, Gisele Cristine Vieira Gomes, Jéssica Maria Ribeiro Bacha, Nelson Carvas Junior, Marina Esteves Kallas, Muriel Reis, Wilson Jacob Filho, José Eduardo Pompeu
BACKGROUND AND PURPOSE: In any given year, 28% to 35% of older adults experience falls. In nursing home environments, the annual rate of falls increases to 30% to 50%. Our objective was to verify and compare the reliability, validity, and ability to identify falls of the Berg Balance Scale (BBS), Balance Evaluation Systems Test (BESTest), Mini-BESTest, and Brief-BESTest for older adults who live in nursing home. METHODS: This was a cross-sectional study. Older adults (n = 49; aged 62-90 years; mean = 77...
November 6, 2018: Journal of Geriatric Physical Therapy
Y V Raghava Neelapala, Madhura Bhagat, Purvi Shah
BACKGROUND AND PURPOSE: Osteoarthritis (OA) of the knee joint results in chronic pain and functional decline among older adults. Hip muscle weakness has been observed in persons with knee OA and is claimed to increase the medial compartment loading on the knee joint. Although individual studies are available, no review has yet integrated the literature on the benefits of hip muscle strengthening for persons with knee OA. This review aims to systematically summarize the current evidence on the effectiveness of hip muscle strengthening on knee pain, lower extremity function, and biomechanical measures of the knee in persons with knee OA...
November 6, 2018: Journal of Geriatric Physical Therapy
Monica L Anderson, Kelli D Allen, Yvonne M Golightly, Liubov S Arbeeva, Adam Goode, Kim M Huffman, Todd A Schwartz, Carla H Hill
BACKGROUND AND PURPOSE: Knee osteoarthritis (KOA) is a common disease that hinders activity participation in older adults. Associated symptoms and physiological changes can increase risk of falling in individuals with KOA. Balance training can decrease fall risks in older adults. Limited evidence exists regarding utilization of balance training in physical therapy (PT) for this population. This secondary data analysis investigated the proportion of participants at high risk for falling in the PhysicAl THerapy vs...
November 6, 2018: Journal of Geriatric Physical Therapy
Lindsey E Greviskes, Leslie Podlog, Ryan D Burns, Ben Jackson, James Dimmock, Maria Newton, Leland E Dibble, Wanda Pillow
BACKGROUND AND PURPOSE: Adherence to physical therapy (PT) and secondary prevention programs (SPPs) is particularly low for individuals with Parkinson's disease. Preliminary research has linked perceptions of caring climates as well as enhanced tripartite efficacy perceptions to adherence during rehabilitation programs. In light of such preliminary research, the purpose of this study was threefold: (1) to examine relationships between perceptions of a caring climate and the 3 efficacy constructs within the tripartite model, (2) to examine the relationship between the tripartite efficacy constructs and adherence to PT/SPP exercises, and (3) to determine whether tripartite efficacy beliefs mediated the relationship between caring climate perceptions and adherence...
September 25, 2018: Journal of Geriatric Physical Therapy
Stéphanie M L M Looijaard, Monique S Slee-Valentijn, René H J Otten, Andrea B Maier
BACKGROUND AND PURPOSE: Sarcopenia and malnourishment are highly prevalent in older patients with colorectal cancer (CRC), who form a growing group of patients at risk of adverse outcome after surgery. Intervention on physical function and/or nutritional status may decrease the risk of postoperative complications. However, the overall effect of preoperative physical and nutritional interventions (better known as prehabilitation) in older patients with CRC remains unknown. The objective was to review the literature on physical and nutritional prehabilitation performed as observational cohort studies or randomized controlled trials in patients 60 years and older undergoing elective CRC surgery...
October 2018: Journal of Geriatric Physical Therapy
Eric Anson, Elizabeth Thompson, Brian L Odle, John Jeka, Zachary F Walls, Peter C Panus
BACKGROUND AND PURPOSE: The adverse effects of drugs may influence results on tests of mobility and balance, but the drug-specific impact is not identified when using these tests. We propose that a quantitative drug index (QDI) will assist in assessing fall risk based on these tests, when combined with other fall risk variables. METHODS: Fifty-seven community-dwelling older adults who could walk independently on a treadmill and had Mini-Mental State Examination (MMSE) scores equal to or greater than 24 participated...
October 2018: Journal of Geriatric Physical Therapy
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
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
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
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
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
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No abstract text is available yet for this article.
July 2018: Journal of Geriatric Physical Therapy
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
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
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
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