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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

Senior Sway: Using a Mobile Application to Measure Fall Risk
Conclusions: Senior Sway is a promising application to improve identification of adults at risk for falls and need for rehabilitation but warrants further research. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

The Association Between Body Adiposity Measures, Postural Balance, Fear of Falling, and Fall Risk in Older Community-Dwelling Women
Discussion: All adiposity measures were correlated to at least 1 postural stability parameter and to fear of falling (ρ= 0.163, P (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Score Distributions of the Balance Outcome Measure for Elder Rehabilitation (BOOMER) in Community-Dwelling Older Adults With Vertebral Fracture
Conclusions: While the BOOMER compares well with the SPPB in community-dwelling women with vertebral fractures, researchers or clinicians considering using the BOOMER in similar or higher-functioning populations should be aware of the potential for ceiling effects. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Age-Related Changes in Postural Control in Physically Inactive Older Women
Conclusions: In this study, the adaption of the postural control system to different levels of task complexity did not differ between physically inactive young and physically inactive older women. However, the physically inactive older women exhibited greater sway velocity compared with the young women. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Involvement of Acute Care Physical Therapists in Care Transitions for Older Adults Following Acute Hospitalization: A Cross-sectional National Survey
Conclusions: Physical therapists' communications across health care setting about older adults discharging from acute care hospitalization are infrequent, but may represent a meaningful intervention target for future studies. Future research is needed to evaluate best practices for hospital-based physical therapists during care transitions. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Reliability and Validity of the Patient-Specific Functional Scale in Community-Dwelling Older Adults
Background and Purpose: Clinical measurement of physical function that is both specific to the individual and generates comparable outcome data is a fundamental need in physical therapy examination. The Patient-Specific Functional Scale (PSFS) has been found to be a reliable and valid measure of physical function in patients with musculoskeletal disorders and may have applications for other patient populations. However, the reliability and the validity of the PSFS have not been evaluated in older adults. The purpose of this study was to investigate the reliability and the validity of the PSFS in community-dwelling older ...
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Reliability and Validity of Computerized Force Platform Measures of Balance Function in Healthy Older Adults
This study enrolled 46 healthy elderly adults, mean age 67.67 (5.1) years, who had no history of falls. They were assessed on 3 standardized tests on the NeuroCom Equitest FP system: limits of stability (LOS), motor control test (MCT), and sensory organization test (SOT). The test battery was administered twice within a 10-day period for test-retest reliability; intraclass correlation coefficients (ICCs), standard error of measurement (SEM), and minimal detectable change based on a 95% confidence interval (MDC95) were calculated. FP measures were compared with criterion clinical balance (Mini-BESTest and Functional Gait As...
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Dynamic Handgrip Strength Endurance: A Reliable Measurement in Older Women
Conclusion: A dynamic protocol of 12 repeated maximal repetitions may be used for the evaluation of dynamic handgrip strength endurance, using the repeated maximal repetitions and the percentage change as the most reliable indicators for the determination of muscle endurance. However, the assessment of fatigue index should be interpreted with more caution. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Concurrent Validity of the Zeno Walkway for Measuring Spatiotemporal Gait Parameters in Older Adults
Conclusion: Concurrent validity for spatiotemporal parameters between the GAITRite walkway and the Zeno walkway was moderate to excellent for older adults dependent on the specific parameter (spatial vs temporal), population (healthy or fall risk), and walking pace (comfortable or fast). (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Acute Effects of Walking on the Deformation of Femoral Articular Cartilage in Older Adults
Conclusions: This is the first study comparing the acute effects of walking on femoral cartilage deformation between older adults with and without knee OA. Although there was not a difference in walking-induced femoral cartilage deformation between the OA and control groups, knee valgus was related to lateral femoral cartilage deformation after walking. Our findings suggested that walking exercises may be used safely in older adults without knee malalignment. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research