Read by QxMD icon Read

Journal of Geriatric Physical Therapy

Javier Jerez-Roig, Jéssica Fernandes de Medeiros, Kalyne do Nascimento Moreira Fidélis, Bartolomeu Fagundes de Lima Filho, Nayara Priscila Dantas de Oliveira, Fabienne Louise Juvêncio Paes de Andrade, Lidiane Maria de Brito Macedo Ferreira, Dyego Leandro Bezerra Souza, Kenio Costa Lima
BACKGROUND AND PURPOSE: Although functional assessments and programs to prevent activity limitations are fundamental for efficient geriatric evaluations and interventions, these procedures have not been satisfactorily explored at nursing homes in Brazil. Literature is scarce on the evaluation of disability in Brazilian institutionalized older people. METHODS: A cross-sectional study was conducted in 10 nursing homes in the city of Natal (Northeast Brazil). Sociodemographic and health data were collected and activity limitations were assessed by the Katz Index...
August 17, 2016: Journal of Geriatric Physical Therapy
Michelle M Lusardi, Stacy Fritz, Addie Middleton, Leslie Allison, Mariana Wingood, Emma Phillips, Michelle Criss, Sangita Verma, Jackie Osborne, Kevin K Chui
BACKGROUND: Falls and their consequences are significant concerns for older adults, caregivers, and health care providers. Identification of fall risk is crucial for appropriate referral to preventive interventions. Falls are multifactorial; no single measure is an accurate diagnostic tool. There is limited information on which history question, self-report measure, or performance-based measure, or combination of measures, best predicts future falls. PURPOSE: First, to evaluate the predictive ability of history questions, self-report measures, and performance-based measures for assessing fall risk of community-dwelling older adults by calculating and comparing posttest probability (PoTP) values for individual test/measures...
August 17, 2016: Journal of Geriatric Physical Therapy
Laura G Covill, Cynthia Utley, Cheryl Hochstein
BACKGROUND AND PURPOSE: Older adults with balance deficits often fear falling and limit their mobility. Poor balance is multifactorial, influenced by medication interactions, musculoskeletal and sensory system changes, and poor neuromuscular response to changes in body positions. Aquatic physical therapy (APT) is an intervention used to improve balance and decrease falls. Ai Chi is a water-based exercise program. It incorporates slow movements of progressive difficulty utilizing the upper and lower extremities and trunk coordinated with deep breathing...
August 3, 2016: Journal of Geriatric Physical Therapy
Deborah Doerfler, Burke Gurney, Christine Mermier, Mitchell Rauh, Liza Black, Ron Andrews
BACKGROUND AND PURPOSE: Despite improvement in pain and perceived function in older adults following total knee arthroplasty (TKA), objective outcome measures of muscular impairment and ambulatory function demonstrate significant deficits. Evidence suggests that quadriceps power may play a greater role in ambulatory function than measures of strength alone following TKA. The purpose of this study was to compare the effect of high-velocity (HV) quadriceps exercises with that of slow-velocity (SV) quadriceps exercises on functional outcomes and quadriceps power following TKA...
October 2016: Journal of Geriatric Physical Therapy
Jesse T Lang, Thomas O Kassan, Laurie Lee Devaney, Cristina Colon-Semenza, Michael F Joseph
BACKGROUND AND PURPOSE: Measurement of gait performance in individuals with Parkinson's disease (PD) can be challenging because of the daily fluctuations in performance and the progressive nature of the condition. The 10-Meter Walk Test (10MWT) is commonly used to measure gait speed of individuals with gait limitations. Existing research on the 10MWT in individuals with PD controls for many variables inherent to this condition, rendering the results of this test in settings where these variables are not controlled questionable...
October 2016: Journal of Geriatric Physical Therapy
Emi Narai, Hiroshi Hagino, Taiki Komatsu, Fumiharu Togo
BACKGROUND AND PURPOSE: Use of the affected extremity during daily life is important if disuse atrophy is to be prevented after stroke. This study examined whether objectively measured real-world upper limb movement is associated with the amount of use of the affected upper limb, as assessed by a standardized assessment tool in older adults with acute or subacute stroke. This study also examined whether the real-world upper limb movement is associated with the extent of impairment of upper and lower extremities...
October 2016: Journal of Geriatric Physical Therapy
Marie A Kelly, Margaret Finley, Steven W Lichtman, Matthew R Hyland, Ayse Ozcan Edeer
BACKGROUND AND PURPOSE: High-velocity (HV) exercise is defined as performing a concentric muscle contraction as fast as possible, or in 1 second or less. Low-velocity (LV) exercise is defined as using 2 seconds to complete the contraction. A comparison of HV to LV exercise performed by community dwelling older adults indicates that HV exercise produces greater gains in power and scores for the 8-ft up-and-go, 30-seond chair stand, and continuous scale physical function performance tests...
October 2016: Journal of Geriatric Physical Therapy
Hikaru Ihira, Hyuma Makizako, Atsushi Mizumoto, Keitarou Makino, Kiyoji Matsuyama, Taketo Furuna
BACKGROUND AND PURPOSE: In dual-task situations, postural control is closely associated with attentional cost. Previous studies have reported age-related differences between attentional cost and postural control, but little is known about the association in conditions with a one-legged standing posture. The purpose of this study was to determine age-related differences in postural control and attentional cost while performing tasks at various difficulty levels in a one-legged standing posture...
October 2016: Journal of Geriatric Physical Therapy
Rini Varghese, Christina W Y Hui-Chan, Tanvi Bhatt
BACKGROUND AND PURPOSE: Recent dual-task studies suggest that Tai Chi practitioners displayed better control of standing posture and maintained a quicker response time of postural muscle activation during a stepping down activity. Whether this effect extends to voluntary balance control, specifically the limits of excursion of the center of pressure, remains to be examined. The purpose of this study was to evaluate the cognitive-motor interference pattern by examining the effects of a concurrently performed cognitive task on attention of voluntary balance control in older adults who are long-term practitioners of Tai Chi...
October 2016: Journal of Geriatric Physical Therapy
Kathye Light, Mark Bishop, Tracy Wright
BACKGROUND AND PURPOSE: To determine the benefit of a weekly telephone contact on balance control for community-dwelling frail older adults participating in home-exercise programs. Falls in frail older adults often lead to hospitalization and sometimes death. Evidence supports the effectiveness of home exercise programs in reducing fall risk in older adults. As well, there is a high cost for the delivery of a home exercise program in a traditional manner. Poor adherence to a home exercise program can limit the expected reduction in fall risk in the older adult population...
July 2016: Journal of Geriatric Physical Therapy
Carol A Maritz, Karin Grävare Silbernagel
BACKGROUND: Falls are the number 1 cause of injury, fractures, and death among the older population. In fact, one-third of adults older than 60 years will experience 1 or more falls annually. Factors including inactivity and decreased mobility are associated with overall declines in strength, balance, and functional mobility in older adults. PURPOSE: The purpose of this study was to evaluate the effect of a balance training program, including calf muscle strengthening, in community-dwelling older adults and to evaluate how calf muscle strength correlates with risk factors for falls...
July 2016: Journal of Geriatric Physical Therapy
Alessandra de Carvalho Bastone, Bruno de Souza Moreira, Claudine Patrícia Teixeira, João Marcos Domingues Dias, Rosângela Corrêa Dias
BACKGROUND: Aerobic fitness in older adults is related to health status, incident disability, nursing home admission, and all-cause mortality. The most accurate quantification of aerobic fitness, expressed as peak oxygen consumption in mL·kg·min, is the cardiorespiratory exercise test; however, it is not feasible in all settings and might offer risk to patients. The Veterans Specific Activity Questionnaire (VSAQ) is a 13-item self-administered symptom questionnaire that estimates aerobic fitness expressed in metabolic equivalents (METs) and has been validated to cardiovascular patients...
July 2016: Journal of Geriatric Physical Therapy
Birgit Wurzer MPhty, Debra Lynn Waters, Leigh Anne Hale
BACKGROUND AND PURPOSE: To investigate reported injuries and circumstances and to estimate the costs related to falls experienced by older adults participating in Steady As You Go (SAYGO) peer-led fall prevention exercise classes. METHODS: A 12-month prospective cohort study of 207 participants attending community-based SAYGO classes in Dunedin, New Zealand. Types and costs of medical treatment for injuries and circumstances of falls were obtained via standardized fall event questionnaires and phone-administered questionnaires...
July 2016: Journal of Geriatric Physical Therapy
Hui-Ting Goh, Kavithah Ramachandram, Aishah Ahmad-Fauzi, Pathmawati Subamanian
BACKGROUND AND PURPOSE: Social participation restriction is a common barrier encountered by older adults and individuals with physical disabilities. To best direct the limited resource to support social services for individuals with disability, there is a need to objectively measure social participation restriction. A number of tools to measure levels of social participation are available, but none of them has been translated into the Malay language. This cross-sectional study examined the test-retest reliability and concurrent validity of the Life Habits Assessment (LIFE-H 3...
July 2016: Journal of Geriatric Physical Therapy
Ty B Palmer, Ryan M Thiele, Eric C Conchola, Douglas B Smith, Brennan J Thompson
BACKGROUND: Maximal and rapid strength characteristics of the knee extensor and flexor muscles play an important role in fall prevention and walking-related performances; however, few studies have investigated the ability of these variables to identify chair-rise performances in very old adults. PURPOSE: To examine the effectiveness of maximal and rapid isometric strength characteristics of the knee extensors and flexors to differentiate between very old adults who are able (higher functioning) versus unable (lower functioning) to independently rise from a chair...
July 2016: Journal of Geriatric Physical Therapy
Francis Houde, François Cabana, Guillaume Léonard
BACKGROUND: Previous studies have revealed a weak to moderate relationship between pain and disability in individuals suffering from low back pain (LBP). However, to our knowledge, no studies have evaluated if this relationship is different between young and older adults. PURPOSE: The objective of this descriptive, cross-sectional study was to determine whether the relationship between LBP intensity and physical disability is different between young and older adults...
July 2016: Journal of Geriatric Physical Therapy
Trinidad Valenzuela, Yoshiro Okubo, Ashley Woodbury, Stephen R Lord, Kim Delbaere
BACKGROUND AND PURPOSE: Exercise participation and adherence in older people is often low. The integration of technology-based exercise programs may have a positive effect on adherence as they can overcome perceived barriers to exercise. Previous systematic reviews have shown preliminary evidence that technology-based exercise programs can improve physical functioning. However, there is currently no in-depth description and discussion of the potential this technology offers to improve exercise adherence in older people...
June 29, 2016: Journal of Geriatric Physical Therapy
Gotaro Kojima
BACKGROUND AND PURPOSE: Frailty has been recognized as a medical syndrome characterized by decreased physiological reserve and vulnerability to poor resolution of homeostasis. Frailty is common in nursing homes and as many as 90% of nursing home patients are frail or prefrail. Previous studies have examined frailty as a risk factor for nursing home placement and yielded inconsistent results. The current study aims to systematically review the literature and to conduct a meta-analysis to combine the risk measures to provide the evidence on frailty as a predictor of nursing home placement among community-dwelling older adults...
June 23, 2016: Journal of Geriatric Physical Therapy
Jennifer L Vincenzo, Cindy Gibson-Horn, Michelle Gray
BACKGROUND AND PURPOSE: Mobility limitations are prevalent among older adults and are related to falls, morbidity, and mortality. BalanceWear Therapy (BWT) improves measures of mobility among people with multiple sclerosis but has not been studied in older adults. Therefore, the purpose of this investigation was to examine the effects of BWT on measures of mobility among older adults with limited mobility. METHODS: This study was a double-blind, randomized controlled trial of older adults recruited from senior living facilities...
June 23, 2016: Journal of Geriatric Physical Therapy
Yanjun J Xie, Elizabeth Y Liu, Eric R Anson, Yuri Agrawal
BACKGROUND AND PURPOSE: Walking speed is an important dimension of gait function and is known to decline with age. Gait function is a process of dynamic balance and motor control that relies on multiple sensory inputs (eg, visual, proprioceptive, and vestibular) and motor outputs. These sensory and motor physiologic systems also play a role in static postural control, which has been shown to decline with age. In this study, we evaluated whether imbalance that occurs as part of healthy aging is associated with slower walking speed in a nationally representative sample of older adults...
June 23, 2016: Journal of Geriatric Physical Therapy
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"