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Journal of Geriatric Physical Therapy

Aaron Stares, Mona Bains
BACKGROUND AND PURPOSE: The role of creatine supplementation in young athletes and bodybuilders is well established including ergogenic properties of muscular hypertrophy, strength, power, and endurance. Whether the benefits of creatine supplementation translate to an aging population with moderate training stimulus remains unclear especially in regard to gender, creatine dose, and duration. This systematic review assessed whether creatine supplementation combined with exercise results in additive improvements in indices of skeletal muscle, bone, and mental health over exercise alone in healthy older adults...
February 8, 2019: Journal of Geriatric Physical Therapy
Jeff Houck, Ryan Jacobson, Michael Bass, Chris Dasilva, Judith F Baumhauer
BACKGROUND AND PURPOSE: New generic patient-reported outcomes like the Patient-Reported Outcomes Measurement Information System (PROMIS) are available to physical therapists to assess physical function. However, the interpretation of the PROMIS Physical Function (PF) T-score is abstract because it references the United States average and not specific tasks. The purposes of this study were to (1) determine convergent validity of the PROMIS PF scale with physical performance tests; (2) compare predicted performance test values to normative data; and (3) identify sets of PROMIS PF items similar to performance tests that also scale in increasing difficulty and align with normative data...
January 15, 2019: Journal of Geriatric Physical Therapy
Ryan M Miller, Eduardo D S Freitas, Aaron D Heishman, Brandon L Stone, Michael G Bemben
BACKGROUND AND PURPOSE: Previous literature suggests that reductions in appendicular skeletal mass (ASM) may have a greater detrimental effect than total lean body mass regarding the onset and progression of sarcopenia. Unfortunately, limited access to equipment that accurately determines ASM often leads to many individuals remaining undiagnosed and experiencing functional decline. Therefore, the purpose of this investigation was to determine the ability of functional and neuromuscular measures to identify ASM in older women...
December 27, 2018: Journal of Geriatric Physical Therapy
Jason L Shaw, Barbara S Robinson, Marcia K Himes, Todd E Daniel, Lydia J Holland, Geoff D Mosley, Claire M Kraft, Rachel L Mulcahey
BACKGROUND AND PURPOSE: An accurate fall risk assessment is an important component of fall prevention, though a fall could occur during testing. To minimize this risk, different guarding methods are used, though there is disagreement regarding the optimal method. The purpose of this study was to compare the effect of 2 guarding methods, contact guarding (CG) and standby guarding (SG), on performance during the Functional Gait Assessment (FGA). We hypothesized that (1) there would not be a significant difference in FGA scores when comparing CG with SG, and (2) participants would not perceive a difference between the 2 guarding methods...
December 12, 2018: Journal of Geriatric Physical Therapy
Meiling Qi, Wendy Moyle, Cindy Jones, Benjamin Weeks
BACKGROUND AND PURPOSE: Despite Tai Chi and resistance training being recommended as suitable exercise for older adults, there are no systematic reviews synthesizing the effectiveness of a combination of Tai Chi and resistance training on health promotion of older adults. This study aimed to review the existing literature regarding the effect of Tai Chi and resistance training on physical health, mental health, pain, health-related quality of life, and age-related impairment in adults aged 50 years and older...
December 10, 2018: 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
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
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
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
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