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https://www.readbyqxmd.com/read/29659311/a-knowledge-translation-intervention-designed-using-audit-and-feedback-and-the-theoretical-domains-framework-for-physical-therapists-working-in-inpatient-rehabilitation-a-case-report
#1
Wendy Romney, Nancy Salbach, James Scott Parrott, Judith E Deutsch
BACKGROUND AND PURPOSE: Little is known about the process of engaging key stakeholders to select and design a knowledge translation (KT) intervention to increase the use of an outcome measure using audit and feedback. The purpose of this case report was to describe the development of a KT intervention designed with organizational support to increase physical therapists' (PTs) use of a selected outcome measure in an inpatient sub-acute rehabilitation hospital. CASE DESCRIPTION: Eleven PTs who worked at a sub-acute rehabilitation hospital participated...
April 16, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29627023/motor-and-non-motor-features-of-parkinson-s-disease-in-lrrk2-g2019s-carriers-versus-matched-controls
#2
Steven A Gunzler, David E Riley, Shu G Chen, Curtis M Tatsuoka, William M Johnson, John J Mieyal, Ellen M Walter, Christina M Whitney, I Jung Feng, Harry Owusu-Dapaah, Shivam O Mittal, Amy L Wilson-Delfosse
INTRODUCTION: LRRK2 G2019S mutation carriers with Parkinson's disease (PD) have been generally indistinguishable from those with idiopathic PD, with the exception of variable differences in some motor and non-motor domains, including cognition, gait, and balance. LRRK2 G2019S is amongst the most common genetic etiologies for PD, particularly in Ashkenazi Jewish (AJ) populations. METHODS: This cross-sectional data collection study sought to clarify the phenotype of LRRK2 G2019S mutation carriers with PD...
May 15, 2018: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/29608043/physical-frailty-and-mortality-risk-in-japanese-older-adults
#3
Atsumu Yuki, Rei Otsuka, Chikako Tange, Yukiko Nishita, Makiko Tomida, Fujiko Ando, Hiroshi Shimokata
AIM: The association between frailty and increased mortality risk is unknown. The present study assessed the longitudinal relationship between frailty and mortality risk in Japanese community-dwelling older adults. METHODS: Participants included 841 randomly chosen community-dwelling Japanese individuals, including 175 older adults aged 65-88 years with incomplete data at the baseline examination (July 2006-July 2008). Participants were followed from baseline to 31 December 2015 (mean 7...
April 2, 2018: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29607855/factors-associated-with-sarcopenia-among-older-patients-attending-a-geriatric-clinic-in-nigeria
#4
L A Adebusoye, A M Ogunbode, O O Olowookere, S A Ajayi, M M Ladipo
Context: Aging is characterized by progressive and generalized loss of skeletal muscle mass and strength called sarcopenia which causes poor health and disability. There is paucity of data on this syndrome of public health importance among older Nigerians. Aim: This study determined the prevalence and factors associated with sarcopenia among persons aged 60 years and above at a geriatric center in Nigeria. Materials and Methods: A cross-sectional study of 642 persons aged ≥60 years who attended the geriatric center between March and July 2014...
April 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29601227/the-use-of-pain-neuroscience-education-in-older-adults-with-chronic-back-and-or-lower-extremity-pain
#5
Adam Rufa, Katherine Beissner, Michelle Dolphin
INTRODUCTION: Chronic pain due to musculoskeletal disorders is the leading cause of disability among older adults and is associated with a lower quality of life, reduced function, and increased risk of institutionalization. Pain Neuroscience Education (PNE) has demonstrated effectiveness in reducing pain and improving pain self-efficacy in individuals under 60 years of age, but there is a paucity of research examining its use with older adults. If PNE has similar effects in older adults, it has the potential to be a useful non-pharmacological intervention for this population...
March 30, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29601084/elder-abuse-and-chronic-pain-cross-sectional-and-longitudinal-results-from-the-preventing-elder-abuse-and-neglect-initiative
#6
Raudah M Yunus, Noran N Hairi, Wan Y Choo, Maw P Tan, Farizah Hairi, Rajini Sooryanarayana, Norliana Ismail, Shatanapriya Kandiben, Devi Peramalah, Zainudin M Ali, Sharifah N Ahmad, Inayah A Razak, Sajaratulnisah Othman, Fadzilah Hm Mydin, Karuthan Chinna, Awang Bulgiba
OBJECTIVES: To examine the cross-sectional and longitudinal relationships between elder abuse and neglect (EAN) and chronic pain in rural older Malaysians. DESIGN: Two-year prospective cohort study. SETTING: Kuala Pilah, a district in Negeri Sembilan approximately 100 km from the capital city, Kuala Lumpur. PARTICIPANTS: Community-dwelling older adults aged 60 and older. Using a multistage cluster sampling strategy, 1,927 respondents were recruited and assessed at baseline, of whom 1,189 were re-assessed 2 years later...
March 30, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29600247/the-effects-of-combinations-of-cognitive-impairment-and-pre-frailty-on-adverse-outcomes-from-a-prospective-community-based-cohort-study-of-older-chinese-people
#7
Ruby Yu, John E Morley, Timothy Kwok, Jason Leung, Osbert Cheung, Jean Woo
Objectives: To examine how various combinations of cognitive impairment (overall performance and specific domains) and pre-frailty predict risks of adverse outcomes; and to determine whether cognitive frailty may be defined as the combination of cognitive impairment and the presence of pre-frailty. Design: Community-based cohort study. Participants: Chinese men and women ( n  = 3,491) aged 65+ without dementia, Parkinson's disease and/or frailty at baseline...
2018: Frontiers in Medicine
https://www.readbyqxmd.com/read/29582896/cognitive-dysfunction-in-urban-community-dwelling-prefrail-older-subjects
#8
H Umegaki, T Makino, H Shimada, T Hayashi, X Wu Cheng, M Kuzuya
OBJECTIVES: A number of studies have reported that frailty is cross-sectionally associated with cognitive decline and is also a risk for future cognitive decline or dementia; however, there have been only a few studies that focus on the association between prefrailty and cognitive dysfunction. In the current study, we investigated the association between prefrailty and cognition. DESIGN: A cross-sectional study of the data obtained at registration in a randomized control trial...
2018: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/29547442/assessment-of-sarcopenia-in-virally-suppressed-hiv-infected-asians-receiving-treatment
#9
Siti Azdiah Abdul Aziz, Megan Mcstea, Nor Syuhada Ahmad Bashah, Meng Li Chong, Sasheela Ponnampalavanar, Sharifah Faridah Syed Omar, Helmi Sulaiman, Iskandar Azwa, Maw Pin Tan, Adeeba Kamarulzaman, Reena Rajasuriar, Shahrul Bahyah Kamaruzzaman
OBJECTIVES: In a clinic-based, treated HIV-infected cohort, we identified individuals with sarcopenia and compared with age, sex and ethnically matched controls; and investigated associated risk factors and health outcomes. DESIGN: Sarcopenia (age-related muscle loss) causes significant morbidity to the elderly, leading to frequent hospitalizations, disability and death. Few have characterized sarcopenia in the HIV-infected who experience accelerated aging. METHODS: Sarcopenia was defined as low muscle mass with weak grip strength and/or slow gait speed using lower 20th percentiles of controls...
March 15, 2018: AIDS
https://www.readbyqxmd.com/read/29529870/six-hours-of-task-oriented-training-optimizes-walking-competency-post-stroke-a-randomized-controlled-trial-in-the-public-health-care-system-of-south-africa
#10
Megan Knox, Aimee Stewart, Carol L Richards
OBJECTIVE: To evaluate a minimal dose intervention of six 1-hour sessions of task-oriented circuit gait training including a caregiver over a 12-week period to persons post stroke in the South African public health sector. DESIGN: Stratified, single blinded, randomized controlled trial with three intervention groups. PARTICIPANTS: Persons post stroke ( n = 144, mean age 50 years, 72 women), mean 9.5 weeks post stroke. INTERVENTIONS: Task group ( n = 51)-accompanied by a caregiver; task-oriented circuit gait training (to improve strength, balance, and task performance while standing and walking)...
March 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29505321/functional-measures-show-improvements-after-a-home-exercise-program-following-supervised-balance-training-in-older-adults-with-elevated-fall-risk
#11
Kristen Tisher, Kimberly Mann, Sarah VanDyke, Charity Johansson, Srikant Vallabhajosula
Supervised balance training shows immediate benefit for older adults at fall risk. The long-term effectiveness of such training can be enhanced by implementing a safe and simple home exercise program (HEP). We investigated the effects of a12-week unsupervised HEP following supervised clinic-based balance training on functional mobility, balance, fall risk, and gait. Six older adults with an elevated fall risk obtained an HEP and comprised the HEP group (HEPG) and five older adults who were not given an HEP comprised the no HEP group (NoHEPG)...
March 5, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29486479/use-of-vitamin-k-antagonists-and-brain-morphological-changes-in-older-adults-an-exposed-unexposed-voxel-based-morphometric-study
#12
Antoine Brangier, Sébastien Celle, Frédéric Roche, Olivier Beauchet, Guylaine Ferland, Cédric Annweiler
BACKGROUND: Vitamin K antagonists (VKAs) are commonly used for their role in haemostasis by interfering with the vitamin K cycle. Since vitamin K also participates in brain physiology, this voxel-based morphometric study aimed to determine whether the duration of exposure to VKAs correlated with focal brain volume reduction in older adults. METHODS: In this exposed/unexposed (1: 2) study nested within the GAIT (Gait and Alzheimer Interactions Tracking) cohort, 18 participants exposed to VKA (mean age 75 ± 5 years; 33...
February 27, 2018: Dementia and Geriatric Cognitive Disorders
https://www.readbyqxmd.com/read/29484250/patellofemoral-chondral-defect-in-a-preadolescent-skier-a-case-report-in-early-sport-specialization
#13
Nicholas N DePhillipo, Mark E Cinque, Nicholas I Kennedy, Jorge Chahla, Gilbert Moatshe, Robert F LaPrade
Background and Purpose: Early sport specialization (ESS) refers to intense training year round in a specific sport starting at a young age with no or limited participation in other sports. This approach to training is highly controversial; recent literature suggests that this type of specialized training could be a contributing source to overuse injuries in youth athletes. The purpose of this case report was to describe a patellofemoral articular cartilage defect of the knee in a preadolescent skier due to overuse and repetitive microtrauma as a result of ESS...
February 2018: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29481608/the-role-of-mitochondrial-dna-variation-in-age-related-decline-in-gait-speed-among-older-men-living-with-hiv
#14
Jing Sun, Todd T Brown, David C Samuels, Todd Hulgan, Gypsyamber D'Souza, Beth D Jamieson, Kristine M Erlandson, Jeremy Martinson, Frank J Palella, Joseph B Margolick, Gregory D Kirk, Jennifer A Schrack
Background: Age-related gait speed decline is accelerated in men with HIV. Mitochondrial genetic variation is associated with frailty and mortality in the general population, and may provide insight into mechanisms of functional decline in people aging with HIV. Material & Methods: Gait speed was assessed semi-annually in the Multicenter AIDS Cohort Study (MACS). Mitochondrial DNA (mtDNA) haplogroups were extracted from genome-wide genotyping data, classifying men ≥ 50 years into 5 groups: mtDNA haplogroup H, J, T, Uk, and other...
February 22, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29479645/association-of-sitting-time-and-breaks-in-sitting-with-muscle-mass-strength-function-and-inflammation-in-community-dwelling-older-adults
#15
N Reid, G N Healy, J Gianoudis, M Formica, P A Gardiner, E E Eakin, C A Nowson, R M Daly
The mechanisms through which excessive sitting time impacts health are important to understand. This study found that each hour of sitting per day was not associated with physical function, although associations with poor body composition were observed. Reducing sitting time for improved weight management in older adults needs further exploration. INTRODUCTION: To examine the association of sitting time and breaks in sitting time with muscle mass, strength, function, and inflammation in older Australians...
February 26, 2018: Osteoporosis International
https://www.readbyqxmd.com/read/29450651/who-will-remain-tremor-dominant-the-possible-role-of-cognitive-reserve-in-the-time-course-of-two-common-parkinson-s-disease-motor-subtypes
#16
Talia Herman, S Shema-Shiratzky, L Arie, N Giladi, J M Hausdorff
In a prospective 5-year study among Parkinson's disease (PD) tremor-dominant (TD) patients, we investigated who will remain TD and who will later convert into the postural instability gait difficulty (PIGD) phenotype. At follow-up, 38% were still considered TD. At baseline the TD non-convertors had more years of education and better cognitive function than the convertors and significantly smaller deterioration in gait, balance, cognitive function and other non-motor symptoms. These results highlight the potential role of cognition in protecting against the development of PIGD symptoms...
February 15, 2018: Journal of Neural Transmission
https://www.readbyqxmd.com/read/29431619/prevalence-of-physical-conditions-and-multimorbidity-in-a-cohort-of-adults-with-intellectual-disabilities-with-and-without-down-syndrome-cross-sectional-study
#17
Deborah Kinnear, Jill Morrison, Linda Allan, Angela Henderson, Elita Smiley, Sally-Ann Cooper
OBJECTIVES: To investigate the prevalence of multimorbidity in adults with intellectual disabilities with and without Down syndrome. DESIGN: Large, population-based cross-sectional study. SETTING: The geographical area of one Health Board, Scotland. PARTICIPANTS: All adults (aged 16+ years) known to general practitioners to have intellectual disabilities and adults receiving services provided or paid by intellectual disabilities health or social work services...
February 5, 2018: BMJ Open
https://www.readbyqxmd.com/read/29427525/frailty-versus-stopping-elderly-accidents-deaths-and-injuries-initiative-fall-risk-score-ability-to-predict-future-falls
#18
Rebecca S Crow, Matthew C Lohman, Dawna Pidgeon, Martha L Bruce, Stephen J Bartels, John A Batsis
OBJECTIVES: To compare the ability of frailty status to predict fall risk with that of community fall risk screening tools. DESIGN: Analysis of cross-sectional and longitudinal data from NHATS. SETTING: National Health and Aging Trend Study (NHATS) 2011-2015. PARTICIPANTS: Individuals aged 65 and older (N = 7,392). MEASUREMENTS: Fall risk was defined according to the Stopping Elderly Accidents, Deaths and Injuries (STEADI) initiative...
February 10, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29395632/predictors-of-clinical-success-in-runners-with-patellofemoral-pain-secondary-analyses-of-a-randomized-clinical-trial
#19
Jean-Francois Esculier, Laurent J Bouyer, Blaise Dubois, Jean Leblond, Mélanie Brisson, Luc Chau, Jean-Sébastien Roy
OBJECTIVES: To identify predictors of outcome to a rehabilitation program focused on education and management of training loads in runners with patellofemoral pain (PFP). DESIGN: Secondary analyses of a randomized clinical trial. METHODS: Fifty-eight runners with PFP (62% female, aged 31.2±6.6years, running 20.3±5.6km/week) were included in analyses. Following baseline collection of demographics, anthropometry, symptomatology, isometric strength, running mechanics and radiological data, runners were randomized to one of the three 8-week intervention program: (1) Education on symptoms management and training modifications; (2) Education+Exercise program; (3) Education+Gait retraining...
January 27, 2018: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/29382298/improving-physical-activity-after-stroke-via-treadmill-training-and-self-management-impact-a-protocol-for-a-randomised-controlled-trial
#20
Sandra G Brauer, Suzanne S Kuys, Jennifer D Paratz, Louise Ada
BACKGROUND: The level of physical activity undertaken by stroke survivors living in the community is generally low. The main objectives of the IMPACT trial are to determine, in individuals undergoing rehabilitation after stroke, if 8 weeks of high-intensity treadmill training embedded in self-management education (i) results in more physical activity than usual physiotherapy gait training and (ii) is more effective at increasing walking ability, cardiorespiratory fitness, self-efficacy, perception of physical activity, participation, and health-related quality of life as well as decreasing cardiovascular risk, and depression, at 8 and 26 weeks...
January 30, 2018: BMC Neurology
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