The Additive Effects of Creatine Supplementation and Exercise Training in an Aging Population: A Systematic Review of Randomized Controlled Trials
Conclusions: Creatine monohydrate is safe to use in older adults. While creatine in conjunction with moderate- to high-intensity exercise in an aging population may improve skeletal muscle health, additional studies are needed to determine the effective dosing and duration paradigm for potential combined creatine and exercise effects on bone and cognition in older adults. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - April 1, 2020 Category: Physiotherapy Tags: Systematic Reviews Source Type: research

Hip Muscle Strengthening for Knee Osteoarthritis: A Systematic Review of Literature
Conclusion: The current review identified strong, high-quality evidence to recommend hip muscle strengthening in the conservative management of persons with knee OA. Further research is needed to establish the underlying mechanisms for the clinical benefits. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - April 1, 2020 Category: Physiotherapy Tags: Systematic Reviews Source Type: research

Muscle Strength Is Associated With Muscle Mass in Patients With Esophageal Cancer Awaiting Surgery
Discussion: A tertiary referral center referred 125 individuals to physiotherapy who were eligible for the study; we finally included 93 individuals for statistical analysis. Multiple backward regression analysis showed that gender (95% confidence interval [CI], 2.05-33.82), weight (95% CI, 0.39-1.02), age (95% CI, −0.91 to −0.04), left handgrip strength (95% CI, 0.14-1.44), and inspiratory muscle strength (95% CI, 0.08-0.38) were all independently associated with muscle surface area at L3. All these variables together explained 66% of the variability (R2) in muscle surface area at L3 (P (Source: Journal of G...
Source: Journal of Geriatric Physical Therapy - April 1, 2020 Category: Physiotherapy Tags: Research Reports Source Type: research

Ranking Barriers, Motivators, and Facilitators to Promote Physical Activity Participation of Persons With Dementia: An Explorative Study
Conclusions: The results of this study suggest a difference in perspective between the more optimistic view of persons with dementia and their informal caregivers and the more critical view of physiotherapy experts regarding the most important factors that influence PA participation. In addition, there was a strong focus on the individual characteristics that influence PA behavior that warrant personalized interventions to promote PA in persons with dementia. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - April 1, 2020 Category: Physiotherapy Tags: Research Reports Source Type: research

Characteristics of Older Adults Who Are Unable to Perform a Floor Transfer: Considerations for Clinical Decision-Making
Background and Purpose: The ability to get down to and up from the floor or to perform a floor transfer (FT) is a vital and useful skill for older adults at risk of falling. Little is known about the health-related factors that separate older adults who can perform FT independently from those who cannot. Therefore, the specific aims of this cross-sectional study are to (1) describe and compare health-related factors among older adults who were independent, assisted, or dependent in FT performance; and (2) establish the parallel reliability between self-reported and actual performance of FT. Methods: A total of 46 comm...
Source: Journal of Geriatric Physical Therapy - April 1, 2020 Category: Physiotherapy Tags: Research Reports Source Type: research

Medication Status and Gait Mechanics in Older Adults: A Multivariate Analysis
Conclusion: The findings of this study indicate that certain abnormal gait parameters in participants with a history of falls are associated with taking 4 or more medications. Future studies should examine the extent to which gait changes and medications interact to predict falls. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - April 1, 2020 Category: Physiotherapy Tags: Research Reports Source Type: research

Editor's Message: Journal Status and Reviewer Appreciation 2020
No abstract available (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - April 1, 2020 Category: Physiotherapy Tags: Editorial Source Type: research

Assessment of Gait Speed in Older Adults
Conclusion: A standardized measurement protocol is proposed for measuring gait speed in older adults. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - December 10, 2019 Category: Physiotherapy Tags: Systematic Reviews Source Type: research

Tai Chi Combined With Resistance Training for Adults Aged 50 Years and Older: A Systematic Review
Conclusions: The review supports that Tai Chi in combination with resistance training improves physical function and muscle strength in adults aged 50 years and older. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - December 10, 2019 Category: Physiotherapy Tags: Systematic Reviews Source Type: research

Center of Pressure Trace and Sensory Components of the Limits of Stability Test in Older Adults With Vertebral Compression Fractures
Conclusions: Both musculoskeletal degeneration and sensory integration impairment may contribute to poor direction control and a longer reaction time in patients with VCF. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - December 10, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Validity and Reliability of Jump Height Measurements Obtained From Nonathletic Populations With the VERT Device
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. During the first session, their VJ heights were ...
Source: Journal of Geriatric Physical Therapy - December 10, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Validity of Visual Assessment of Sit to Stand After Hip Fracture
Conclusion: Judgments of lower limb ground reaction force output during STS based on observation alone are not valid and may need to be supplemented with quantitative data. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - December 10, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Effects of a Multimodal Exercise Program Plus Neural Gliding on Postural Control, Pain, and Flexibility of Institutionalized Older Adults: A Randomized, Parallel, and Double-Blind Study
Conclusions: This study suggests that adding neural gliding to a multimodal exercise program has no additional benefit. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - December 10, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Editor's Message: A Time for Every Purpose
No abstract available (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - December 10, 2019 Category: Physiotherapy Tags: Editorial Source Type: research

Pain Provocation and the Energy Cost of Walking: A Matched Comparison Study of Older Adults With and Without Chronic Low Back Pain With Radiculopathy
Conclusions: Among older adults with CLBPR, pain provocation drives increases in the energy cost of walking. Because high energy cost of walking is predictive of mobility decline, clinicians may focus on effective pain management strategies during walking, which may potentially decrease the risk of mobility decline. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Cognitive Function and Falls in Older Adults With Type 2 Diabetes Mellitus
Conclusions: Executive function and delayed recall, 2 cognitive domains reported to influence glycemic control and disease management in those with T2DM, are associated with an increased fall risk and should be included in the assessment of fall risk in this population. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Relationships Between Body Mass Index and Static and Dynamic Balance in Active and Inactive Older Adults
Conclusion: We conclude that the amount of physical activity performed is a potential contributing factor affecting the association between body mass index and balance in older persons. These findings could be of importance when identifying the main factors that influence postural control among older adults with obesity. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Social Participation Determines Quality of Life Among Urban-Dwelling Older Adults With Stroke in a Developing Country
Conclusion: Social participation and cognition were strong determinants of QoL among urban-dwelling older adults with stroke. Social and recreational activities and cognitive rehabilitation should therefore be evaluated as potential strategies to improve the well-being of older adults affected by stroke. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Objectively Assessed Physical Activity in the Oldest Old Persons With Coronary Artery Disease
Conclusions: The existing threshold values according to Copeland had the highest sensitivity and specificity to identify at least moderate intensity and are valid for use in the oldest old persons with CAD. Using accelerometry as an objective measurement for physical activity can help further improve our understanding of free-living physical activity behavior and to assess relationships between free-living physical activity and health outcomes among the oldest old persons with CAD. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

An Investigation of the Predictors of Comfortable and Fast Gait Speed in Community-Dwelling Older Adults
Conclusions: Gait speed is an important indicator for many outcomes such as fall risk, mortality, and functional status. Understanding that key variables of strength and balance comprise a large portion of gait speed allows clinicians to better direct their care and optimize rehabilitation outcomes. This study specifically used functional measures of strength and balance that can be easily implemented in the clinical setting. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

The High Precision of Functional and Neuromuscular Measures to Classify Sarcopenia in Older Women
Discussion: Regression analyses revealed 3 significant models accounting for 93.8%, 91.1%, and 86.4% of the variance in DXA-derived ASM. Paired-samples t tests revealed no significant differences between model-derived and DXA-derived ASM for each model, and each model was significantly correlated to DXA-derived ASM (P (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Reliability, Validity, and Ability to Identity Fall Status of the Berg Balance Scale, Balance Evaluation Systems Test (BESTest), Mini-BESTest, and Brief-BESTest in Older Adults Who Live in Nursing Homes
Conclusion: All balance tests presented similar reliability, reproducibility, and validity. This suggests that any of these tests can be used in clinical practice. However, the Brief-BESTest is the quickest and easiest test to perform. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Reliability and Validity of Seated Hip Extensor Strength Measurement by Handheld Dynamometer in Older Adults
This study examined the reliability and validity of the sitting measurement by a handheld dynamometer in older adults. Methods: Participants were 40 older adults (age [SD] = 82.4 [4.3] years). Measurements of isometric hip extensor muscle strength using a handheld dynamometer in 3 positions (sitting, standing, and prone) were conducted twice. A surface electromyogram was used to measure the activity of the gluteus maximus and the semitendinosus muscles. The reliability of muscle strength in each posture was examined with Cronbach α coefficient, intraclass correlation coefficients (ICCs1,1), and Bland-Altman analys...
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Minimal Detectable Change in Dual-Task Cost for Older Adults With and Without Cognitive Impairment
Conclusions: Our study provides MDCs for DTC that physical therapists may use to assess change in older adults who engage in DT training. Persons with low cognition who are receiving DT training must exhibit greater change in DTC before one can be confident the change is real. Also, greater change must be observed for more challenging DTs. Thus, cognitive level and task difficulty should be considered when measuring change with DT training. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Normative Values of Knee Extensor Isokinetic Strength for Older Women and Implications for Physical Function
Discussion: As expected, mean strength values significantly decreased with advancing age groups. Isokinetic percentile groups are presented according to age. Individuals in the lower percentile strata showed significantly reduced performance in both the Timed Up and Go and 5 times Sit-to-Stand tests (P (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

The Applicability of a High-Intensity Functional Exercise Program Among Older People With Dementia Living in Nursing Homes
Conclusion: A group-based, supervised, and individualized high-intensity functional exercise program seems to be applicable with regard to attendance, achieved intensity, and adverse events during the exercise sessions, in people with mild to moderate dementia in nursing homes. Effective strategies to enhance motivation to participate in exercise, as well as prevention and treatment of pain and behavioral and psychological symptoms of dementia, are important when promoting exercise participation in this population. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Effect of Community-Based Group Exercise Interventions on Standing Balance and Strength in Independent Living Older Adults
Conclusion: Both exercise intervention groups had an improvement in standing balance and lower extremity strength when compared with a waitlist group that did not receive exercise. Although the exercise groups did not significantly differ from each other, the OTM exercise group showed a trend toward improvement in static standing balance conditions. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Water Immersion Affects Episodic Memory and Postural Control in Healthy Older Adults
Conclusions: The findings of this study expand current support for the potential use of partial aquatic immersion as a viable method for challenging both cognitive and motor abilities in older adults. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Physical and Cognitive Functions, Physical Activity, and Sedentary Behavior in Older Adults With Multiple Sclerosis
Conclusion: There is evidence of reduced function in older adults with MS, and this might be partially managed by behavioral interventions that target physical activity and sedentary behavior for the promotion of healthy aging in older adults with MS. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Attitudes About Cognitive Screening: A Survey of Home Care Physical Therapists
Conclusions: Physical therapists recognize that they are qualified to perform cognitive screening but may need additional training to utilize cognitive findings to enhance interventions and outcomes in home care. More research is needed to determine which screens are most relevant for therapist use and to examine the effect of cognitive screening on therapy outcomes. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Performance of Different Timed Up and Go Subtasks in Frailty Syndrome
Conclusions: The findings support the value of analyzing the TUG subtasks to improve understanding of mobility deficits in frailty syndrome. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Phase Angle Is Moderately Associated With Muscle Quality and Functional Capacity, Independent of Age and Body Composition in Older Women
Background and purpose: There is a growing body of evidence indicating that phase angle (PhA) can be used as an indicator of nutritional status, disease prognosis, and mortality risk; however, it is still unknown whether PhA can be used as an explanator of functional capacity and muscle quality in older women. The main purpose of this cross-sectional study was to explore whether PhA is associated with muscle quality and functional capacity in older women, regardless of total and regional body composition. Methods: A total of 125 older women—66.7 (4.7) years; 65.6 (10.9) kg body mass; 156.1 (5.2) cm height; 26.9 ...
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Item Distribution in the Berg Balance Scale: A Problem for Use With Community-Living Older Adults
Conclusions: Comparing the item difficulty and person ability, the balance ability of the CLOAs exceeded the difficulty of the test items, rendering it less useful for detecting balance ability and fall risk in CLOAs. More challenging test items, or selection of a different balance test, are recommended for use with this population. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Validity and Responsiveness to Change of the 30-Second Chair-Stand Test in Older Adults Admitted to an Emergency Department
Conclusion: This study found a significant difference in the patients' need for help with everyday activities when comparing low and high physical performance groups. The concurrent validity of the 30s-CST was acceptable in assessing physical performance in older adults at the time of admission; the 30s-CST is thus a tool that is easy to use in older adults with acute disease. In contrast, based on very wide prediction intervals, DEMMI demonstrated better responsiveness to change than the 30s-CST, especially in older adults with low physical performance. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Investigating the Relationship of the Functional Gait Assessment to Spatiotemporal Parameters of Gait and Quality of Life in Individuals With Stroke
Conclusions: The FGA is a clinical measure of functional gait performance that reflected spatiotemporal gait parameters and ability of individuals with chronic stroke to live independently. The FGA could be used to target interventions to improve functional gait performance of individuals with chronic stroke. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

The 3-m Backwards Walk and Retrospective Falls: Diagnostic Accuracy of a Novel Clinical Measure
Conclusions: In a study of healthy older adults, the 3MBW demonstrated similar or better diagnostic accuracy for falls in the past year than most commonly used measures. People walking faster than 3.0 seconds on the 3MBW were unlikely to have reported falling, whereas people slower than 4.5 seconds were very likely to have reported falling. Further validation of the 3MBW in prospective studies, larger samples, and clinical populations is recommended. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Effect of Anodal Transcranial Direct Current Stimulation of the Motor Cortex on Elbow Flexor Muscle Strength in the Very Old
Conclusion: Contrary to our hypothesis, we observed no effect of anodal tDCS and no impairment in elbow flexor voluntary activation capacity in the very old. Whether anodal tDCS would exert a positive effect and support our initial hypothesis in another muscle group that does exhibit impairments in voluntary activation in older adults is a question that is still to be addressed. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Predictors of Improvement in Physical Function in Older Adults in an Evidence-Based Physical Activity Program (EnhanceFitness)
Conclusion: EnhanceFitness program providers may need to implement additional measures to support the participants who could benefit most from EF, such as targeting messaging, coordinating with referring providers to emphasize attendance and general activity in specific participants, and offering additional support to groups who show less improvement during classes. The evidence presented here may inform clinical decision making for older adult patients and increase health care provider confidence in EF and similar exercise programs, thereby providing a mechanism to maintain and continue functional gains made in clinical...
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Examining the Effects of an Otago-Based Home Exercise Program on Falls and Fall Risks in an Assisted Living Facility
Conclusions: An Otago-based strengthening, balance, and walking home exercise program can potentially be used to decrease the number of falls and the risk of falling among older adults residing in an assisted living facility. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Four Months of Wearing a Balance Orthotic Improves Measures of Balance and Mobility Among a Cohort of Community-Living Older Adults
Conclusions: This study suggests that wearing a BO for 4 hours per day for 4 months results in improvements in functional assessments related to fall risk (SPPB, GS, FGA, TUG, and FTSST) in a group of older adult participants with limited mobility. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Balance and Functional Outcomes for Older Community-Dwelling Adults Who Practice Tai Chi and Those Who Do Not: A Comparative Study
Conclusion: Older adults' participation in a community-based Tai Chi program may lead to improvement in strength, mobility, and confidence in performing functional tasks. Incorporation of elements of Tai Chi into therapy programs for older adults at risk for fall and referral to community-based Tai Chi programs may be viable options in the continuum of health-related care for older adults. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Editor's Message: Reading, Writing, Rigor, and Relevance
No abstract available (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - October 1, 2019 Category: Physiotherapy Tags: Editorial Source Type: research

An Exploration of Equine-Assisted Therapy to Improve Balance, Functional Capacity, and Cognition in Older Adults With Alzheimer Disease
Conclusion: These findings provide evidence of an association between EAT and improved balance and functional capacity in older adults with AD, with no significant impact on cognitive performance. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Case Series Source Type: research

Gait Speed Characteristics and Their Spatiotemporal Determinants in Nursing Home Residents: A Cross-Sectional Study
Background and Purpose: Low and slowing gait speeds among nursing home residents are linked to a higher risk of disability, cognitive impairment, falls, and mortality. A better understanding of the spatiotemporal parameters of gait that influence declining mobility could lead to effective rehabilitation and preventative intervention. The aims of this study were to objectively quantify the spatiotemporal characteristics of gait in the nursing home setting and define the relationship between these parameters and gait speed. Methods: One hundred nursing home residents were enrolled into the study and completed 3 habitual...
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Dual-Task Performance: Influence of Frailty, Level of Physical Activity, and Cognition
Conclusions: Frail older adults presented worse performance in the TUG when compared with nonfrail older adults. The dual-task test does not differentiate older adults with frailty syndrome, regardless of cognitive performance. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Energy Expenditure in Older Adults Who Are Frail: A Doubly Labeled Water Study
Discussion: The older adults who were frail presented significantly lower PAEE (1453.7 [1561.9] vs 3336.1 [1829.3] kj/d, P (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Aerobic Exercise Sustains Performance of Instrumental Activities of Daily Living in Early-Stage Alzheimer Disease
Conclusions: Our analysis extends recent work by revealing specific benefits for instrumental activities of daily living for individuals in the early stages of AD and supports the value of exercise for individuals with cognitive impairment. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Reduced Walking Speed in Subjective and Mild Cognitive Impairment: A Cross-Sectional Study
Conclusion: Usual walking speed is reduced in a graded fashion with the early symptoms of cognitive impairment. Our results suggest that reduced walking speed at both usual and fast speed is associated with impaired cognitive function, and that walking speed could be affected at very early stages of neurodegeneration. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Risk Factors for Falls in Older Adults With Mild Cognitive Impairment and Mild Alzheimer Disease
Conclusions: Careful attention should be given to dual-task and turn-to-sit activities when detecting risk of falls among older people with MCI and mild AD. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Change in Depression, Confidence, and Physical Function Among Older Adults With Mild Cognitive Impairment
Conclusions: Results demonstrate a positive impact of DEMA on depressive symptoms, confidence, and physical function. Change in occupational performance predicted change in depressive symptoms. Confidence significantly improved among those who engaged at the ICF participation level. A larger, randomized controlled longitudinal trial is needed to better assess the impact of DEMA on physical function, activity, participation restriction, and quality of life. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research