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Gait education

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https://www.readbyqxmd.com/read/28505243/association-of-dual-task-gait-with-incident-dementia-in-mild-cognitive-impairment-results-from-the-gait-and-brain-study
#1
Manuel M Montero-Odasso, Yanina Sarquis-Adamson, Mark Speechley, Michael J Borrie, Vladimir C Hachinski, Jennie Wells, Patricia M Riccio, Marcelo Schapira, Ervin Sejdic, Richard M Camicioli, Robert Bartha, William E McIlroy, Susan Muir-Hunter
Importance: Gait performance is affected by neurodegeneration in aging and has the potential to be used as a clinical marker for progression from mild cognitive impairment (MCI) to dementia. A dual-task gait test evaluating the cognitive-motor interface may predict dementia progression in older adults with MCI. Objective: To determine whether a dual-task gait test is associated with incident dementia in MCI. Design, Setting, and Participants: The Gait and Brain Study is an ongoing prospective cohort study of community-dwelling older adults that enrolled 112 older adults with MCI...
May 15, 2017: JAMA Neurology
https://www.readbyqxmd.com/read/28503379/a-public-dataset-of-running-biomechanics-and-the-effects-of-running-speed-on-lower-extremity-kinematics-and-kinetics
#2
Reginaldo K Fukuchi, Claudiane A Fukuchi, Marcos Duarte
BACKGROUND: The goals of this study were (1) to present the set of data evaluating running biomechanics (kinematics and kinetics), including data on running habits, demographics, and levels of muscle strength and flexibility made available at Figshare (DOI: 10.6084/m9.figshare.4543435); and (2) to examine the effect of running speed on selected gait-biomechanics variables related to both running injuries and running economy. METHODS: The lower-extremity kinematics and kinetics data of 28 regular runners were collected using a three-dimensional (3D) motion-capture system and an instrumented treadmill while the subjects ran at 2...
2017: PeerJ
https://www.readbyqxmd.com/read/28482102/apolipoprotein-e4-allele-and-gait-performance-in-mild-cognitive-impairment-results-from-the-gait-and-brain-study
#3
Ryota Sakurai, Manuel Montero-Odasso
Background: The apolipoprotein E polymorphism ε4 allele (ApoE4) and gait impairment are both known risk factors for developing cognitive decline and dementia. However, it is unclear the interrelationship between these factors, particularly among older adults with mild cognitive impairment (MCI) who are considered as prodromal for Alzheimer's disease. This study aimed to determine whether ApoE4 carrier individuals with MCI may experience greater impairment in gait performance. Methods: Fifty-six older adults with MCI from the "Gait and Brain Study" who were identified as either ApoE4 carriers (n = 20) or non-ApoE4 carriers (n = 36) with 1 year of follow-up were included...
May 6, 2017: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/28476901/is-combining-gait-retraining-or-an-exercise-programme-with-education-better-than-education-alone-in-treating-runners-with-patellofemoral-pain-a-randomised-clinical-trial
#4
Jean-Francois Esculier, Laurent Julien Bouyer, Blaise Dubois, Pierre Fremont, Lynne Moore, Bradford McFadyen, Jean-Sébastien Roy
DESIGN: Single-blind randomised clinical trial. OBJECTIVE: To compare the effects of three 8-week rehabilitation programmes on symptoms and functional limitations of runners with patellofemoral pain (PFP). METHODS: Sixty-nine runners with PFP were randomly assigned to one of three intervention groups: (1) education on symptoms management and training modifications (education); (2) exercise programme in addition to education (exercises); (3) gait retraining in addition to education (gait retraining)...
May 5, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28452837/factors-related-to-self-rated-health-in-older-adults-a-clinical-approach-using-the-international-classification-of-functioning-disability-and-health-icf-model
#5
Chad W Tiernan, Hali A Fleishman, Meghann A Hiscox, Sarah N Shaver, Caitlyn M Stauffer, Patrick A W Thibodeau
BACKGROUND AND PURPOSE: A growing population of older adults will require health care professionals to become increasingly knowledgeable in geriatric care. Patient ratings, functional measures, and emphasis on health and wellness should be part of geriatric physical therapy practice. The purpose of the current study was to examine relationships between self-rated health (SRH) and movement-related variables in older adults using the International Classification of Functioning, Disability, and Health (ICF) as a research framework...
April 27, 2017: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/28414497/dual-tasking-in-parkinson-s-disease-cognitive-consequences-while-walking
#6
Robert D Salazar, Xiaolin Ren, Terry D Ellis, Noor Toraif, Olivier J Barthelemy, Sandy Neargarder, Alice Cronin-Golomb
OBJECTIVE: Cognitive deficits are common in Parkinson's disease (PD) and exacerbate the functional limitations imposed by PD's hallmark motor symptoms, including impairments in walking. Though much research has addressed the effect of dual cognitive-locomotor tasks on walking, less is known about their effect on cognition. The purpose of this study was to investigate the relation between gait and executive function, with the hypothesis that dual tasking would exacerbate cognitive vulnerabilities in PD as well as being associated with gait disturbances...
April 17, 2017: Neuropsychology
https://www.readbyqxmd.com/read/28379407/association-of-family-history-of-exceptional-longevity-with-decline-in-physical-function-in-aging
#7
Emmeline Ayers, Nir Barzilai, Jill P Crandall, Sofiya Milman, Joe Verghese
Background: Although many genetic and nongenetic factors interact to determine an individual's physical phenotype, there has been limited examination of the contribution of family history of exceptional parental longevity on decline in physical function in aging. Methods: The LonGenity study recruited a relatively genetically homogenous cohort of Ashkenazi Jewish adults age 65 and older, who were defined as either offspring of parents with exceptional longevity ([OPEL]: having at least one parent who lived to age 95 or older) or offspring of parents with usual survival ([OPUS]: neither parent survived to age 95)...
April 1, 2017: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/28317236/rehabilitation-of-revision-total-hip-replacement-a-multi-centre-survey-of-current-practice
#8
Meredith Newman, Karen Barker
BACKGROUND: Demand for revision total hip replacement (RTHR) is increasing. Outcomes after RTHR are varied, with reasonable pain relief but smaller gains in function and mobility. Whether sub-optimal rehabilitation contributes to poorer functional outcomes is unclear. Current rehabilitation is not well defined and there is little research into RTHR rehabilitation. AIMS AND OBJECTIVES: To gather information about the current rehabilitation of patients undergoing planned, single-stage revision or re-revision THR surgery...
March 20, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28284834/the-effectiveness-of-active-cycling-in-subacute-stroke-rehabilitation-a-randomized-controlled-trial
#9
Christel Vanroy, Hilde Feys, Anke Swinnen, Yves Vanlandewijck, Steven Truijen, Dirk Vissers, Marc Michielsen, Kristien Wouters, Patrick Cras
OBJECTIVE: To examine the effects of 3-month aerobic training (AT) followed by coaching on aerobic capacity, strength and gait speed after subacute stroke. DESIGN: Randomized controlled trial SETTING: Inpatient rehabilitation center PARTICIPANTS: Patients (N=59; mean age= 65.4±10.3; 21 women (36%); Barthel Index≤50= 64%) with first stroke and able to cycle at 50 revolutions/minute enrolled in the study 3-10 weeks after stroke onset. INTERVENTIONS: Patients were randomly allocated to a 3-month cycling group (ACG, n=33) and education or to a control group (CG, n=26)...
March 8, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28272726/-measurement-of-the-outcomes-in-acquired-brain-injury-in-a-neurorehabilitation-unit-a-long-term-study
#10
V Cruz-Guisado, P Diaz-Borrego, B Romero-Romero, M Rodriguez-Pinero Duran
INTRODUCTION: Following sudden brain damage, there is a loss of capabilities that affects the person's autonomy. Recovery from the physical, psychic and cognitive sequelae requires the application of multiple therapies, the outcomes of which need to be measured objectively. Our aim is to analyse the application of standardised instruments in determining the therapeutic outcomes in acquired brain injury. PATIENTS AND METHODS: We conducted a retrospective descriptive observational study lasting 13 months...
March 16, 2017: Revista de Neurologia
https://www.readbyqxmd.com/read/28248417/biology-of-falls-preliminary-cohort-study-suggesting-a-possible-role-for-oxidative-stress
#11
Joe Verghese, Emmeline Ayers
BACKGROUND: Biological underpinnings of falls in older adults are not well established. OBJECTIVES: To examine the validity of selected oxidative stress and inflammatory biomarkers for predicting incident falls in community-dwelling older adults. DESIGN: Prospective cohort study. SETTING AND PARTICIPANTS: 266 non-demented and ambulatory community-dwelling older adults (mean age 78 years, 55% women). MEASUREMENTS: Oxidative stress (malondialdehyde) and inflammatory (interleukin-6 [IL-6]) biomarkers were selected based on associations with fall risk factors, and values were log-transformed to account for non-normal distributions...
March 1, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28244566/reversible-states-of-physical-and-or-cognitive-dysfunction-a-9-year-longitudinal-study
#12
C Qualls, D L Waters, B Vellas, D T Villareal, P J Garry, A Gallini, S Andrieu
OBJECTIVES: To determine 1) age-adjusted transition probabilities to worsening physical/cognitive function states, reversal to normal cognition/physical function, or maintenance of normal state; 2) whether these transitions are modulated by sex, BMI, education, hypertension (HTN), health status, or APOE4; 3) whether worsening gait speed preceded cognition change, or vice versa. DESIGN: Analysis of 9-year prospective cohort data from the New Mexico Aging Process Study...
2017: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/28236606/physical-function-differences-between-the-stages-from-normal-cognition-to-moderate-alzheimer-disease
#13
Chisato Fujisawa, Hiroyuki Umegaki, Kazushi Okamoto, Hirotaka Nakashima, Masafumi Kuzuya, Kenji Toba, Takashi Sakurai
OBJECTIVES: We investigated the differences in the physical function test results across stages from normal cognition (NC) to moderate Alzheimer disease (AD) and how risk factors of physical function decline are correlated with the physical function test results. DESIGN: A cross-sectional study of outpatients at the Memory Disorder Outpatient Center of Japan's National Center of Geriatrics and Gerontology. PARTICIPANTS: We enrolled 882 individuals aged ≥65 diagnosed with NC (n = 210), amnestic mild cognitive impairment (aMCI; n = 273), mild AD (n = 181) or moderate AD (n = 197)...
April 1, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28229441/-robotic-systems-for-gait-re-education-in-cases-of-spinal-cord-injury-a-systematic-review
#14
T Gandara-Sambade, M Fernandez-Pereira, A Rodriguez-Sotillo
INTRODUCTION: The evidence underlying robotic body weight supported treadmill training in patients with spinal cord injury remains poorly characterized. AIM: To perform a qualitative systematic review on the efficacy of this therapy. PATIENTS AND METHODS: A search on PubMed, CINAHL, Cochrane Library and PEDro was performed from January 2005 to April 2016. The references in these articles were also reviewed to find papers not identified with the initial search strategy...
March 1, 2017: Revista de Neurologia
https://www.readbyqxmd.com/read/28221668/effect-of-physical-activity-versus-health-education-on-physical-function-grip-strength-and-mobility
#15
Adam J Santanasto, Nancy W Glynn, Laura C Lovato, Steven N Blair, Roger A Fielding, Thomas M Gill, Jack M Guralnik, Fang-Chi Hsu, Abby C King, Elsa S Strotmeyer, Todd M Manini, Anthony P Marsh, Mary M McDermott, Bret H Goodpaster, Marco Pahor, Anne B Newman
BACKGROUND: Physical activity (PA) reduces the rate of mobility disability, compared with health education (HE), in at risk older adults. It is important to understand aspects of performance contributing to this benefit. OBJECTIVE: To evaluate intervention effects on tertiary physical performance outcomes. DESIGN: The Lifestyle Interventions and Independence for Elders (LIFE) was a multi-centered, single-blind randomized trial of older adults...
February 21, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28202383/a-randomized-controlled-trial-of-screening-risk-modification-and-physical-therapy-to-prevent-falls-among-the-elderly-recently-discharged-from-the-emergency-department-to-the-community-the-steps-to-avoid-falls-in-the-elderly-study
#16
David B Matchar, Pamela W Duncan, Christopher T C Lien, Marcus Eng Hock Ong, Mina Lee, Fei Gao, Rita Sim, Kirsten Eom
OBJECTIVE: To evaluate the effectiveness of a multifactorial, tailored program of physical therapy to reduce the occurrence of falls among a heterogeneous group of high-risk elderly Singaporeans recently discharged from the Emergency Department (ED). DESIGN: Randomized controlled trial. SETTING: Communities in Central and East regions in Singapore. PARTICIPANTS: 354 adults aged at least 65 years who were seen at ED for a fall or fall-related injuries and discharged home...
February 12, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28129779/targeting-functional-fitness-hearing-and-health-related-quality-of-life-in-older-adults-with-hearing-loss-walk-talk-n-listen-study-protocol-for-a-pilot-randomized-controlled-trial
#17
Justin Lambert, Rouzbeh Ghadry-Tavi, Kate Knuff, Marc Jutras, Jodi Siever, Paul Mick, Carolyn Roque, Gareth Jones, Jonathan Little, Harry Miller, Colin Van Bergen, Donna Kurtz, Mary Ann Murphy, Charlotte Ann Jones
BACKGROUND: Hearing loss (HL) is a disability associated with poorer health-related quality of life including an increased risk for loneliness, isolation, functional fitness declines, falls, hospitalization and premature mortality. The purpose of this pilot trial is to determine the feasibility and acceptability of a novel intervention to reduce loneliness, improve functional fitness, social connectedness, hearing and health-related quality of life in older adults with HL. METHODS: This 10-week, single-blind, pilot randomized control trial (RCT) will include a convenience sample of ambulatory adults aged 65 years or older with self-reported HL...
January 28, 2017: Trials
https://www.readbyqxmd.com/read/28112776/climbing-stairs-handrail-use-and-survival
#18
J Stessman, Y Rottenberg, J M Jacobs
BACKGROUND: Negotiating stairs is identified as a challenging task by older people, and using a handrail to climb stairs is a compensatory gait strategy to overcome mobility difficulties. We examine the association between handrail use to climb stairs at increasing ages, and long term survival. METHODS: Data were collected by the Jerusalem Longitudinal Study, which is a prospective study of a representative sample from the 1920-1921 birth-cohort living in West Jerusalem...
2017: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/28008603/a-pilot-randomized-controlled-trial-of-the-effects-of-chair-yoga-on-pain-and-physical-function-among-community-dwelling-older-adults-with-lower-extremity-osteoarthritis
#19
Juyoung Park, Ruth McCaffrey, David Newman, Patricia Liehr, Joseph G Ouslander
OBJECTIVES: To determine effects of Sit 'N' Fit Chair Yoga, compared to a Health Education program (HEP), on pain and physical function in older adults with lower extremity osteoarthritis (OA) who could not participate in standing exercise. DESIGN: Two-arm randomized controlled trial. SETTING: One HUD senior housing facility and one day senior center in south Florida. PARTICIPANTS: Community-dwelling older adults (N = 131) were randomly assigned to chair yoga (n = 66) or HEP (n = 65)...
March 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27984675/exercise-interventions-for-preventing-falls-among-older-people-in-care-facilities-a-meta-analysis
#20
Seon Heui Lee, Hee Sun Kim
BACKGROUND: Falls in older people are a common problem, often leading to considerable morbidity. However, the overall effect of exercise interventions on fall prevention in care facilities remains controversial. AIMS: To evaluate the effectiveness of exercise interventions on the rate of falls and number of fallers in care facilities. METHODS: A meta-analysis was conducted of randomized controlled trials published up to December 2014. Eight databases were searched including Ovid-Medline, Embase, CINAHL, Cochrane Library, KoreaMed, KMbase, KISS, and KisTi...
February 2017: Worldviews on Evidence-based Nursing
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