Diminished Dynamic Physical Performance Is Associated With Orthostatic Hypotension in Geriatric Outpatients
Conclusion: Dynamic physical performance tests with a substantial postural change and center of mass displacement were significantly associated with OH. The influence of physical performance on OH in daily routine activities should be further explored to establish counteracting interventions. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Effects of Corrective Exercise for Thoracic Hyperkyphosis on Posture, Balance, and Well-Being in Older Women: A Double-Blind, Group-Matched Design
Discussion: For participants of the EG, means of all parameters showed significant improvements over time (P (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Implementation of a Personalized, Cost-Effective Physical Therapy Approach (Coach2Move) for Older Adults: Barriers and Facilitators
Conclusions: Physical therapy based on the Coach2Move strategy is substantially different from usual care. Future implementation should focus on increasing regular evaluation and feedback, taking into account individuals' contextual factors, and improving organizational facilities while mitigating income loss. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Physical Therapy Management of Patients With Chronic Low Back Pain and Hip Abductor Weakness
Discussion: The current case series describes the use of a targeted exercise approach consisting mostly of hip abductor strengthening in a group of patients with CLBP and hip abductor weakness. The results indicated that this approach may be effective in reducing pain and improving function, particularly for older patients. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Case Series Source Type: research

Predictors of Functional Change in a Skilled Nursing Facility Population
Conclusions: Poor physical function following an SNF stay places older adult at significant risk for adverse events including rehospitalization, future disability, and institutionalization. Understanding the predictors of functional change from evaluation to discharge may direct efforts toward developing innovative and effective interventions to improve function trajectories for older adults following an acute hospitalization. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Functional Performance and Balance in the Oldest-Old
Conclusions: The results of this study provide normative data regarding the balance and functional abilities of the oldest-old, and indicate a strong association between self-efficacy and function. These results emphasize the importance of incorporating strategies that maintain and improve balance self-efficacy in interventions aimed at enhancing the functional level of this cohort. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Balance Evaluation of Prefrail and Frail Community-Dwelling Older Adults
Conclusion: The BESTest seems to be more appropriate than a force plate for assessing postural control impairment and discriminating balance performance among frail, prefrail, and nonfrail older adults, providing information about different components of postural control rather than the force plate, which evaluates sensory orientation. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Caring Interactions in Secondary Prevention Programs: A Qualitative Inquiry of Individuals With Parkinson's Disease
Conclusions: Several practical implications can be gleaned from the current study including (but not limited to) remembering personal information about the patient, providing patients with undivided attention, providing support for patients, and making patients feel welcome. These findings underscore the importance of addressing affective skills in training future rehabilitation practitioners. Findings also reveal salient implications associated with caring, namely enhanced rehabilitation attendance and effort. Finally, results highlight the need to examine the generalizability of caring elements identified in the curren...
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Incidence and Risk Factors for Falls in Women With End-Stage Hip Osteoarthritis
This study was a cross-sectional analysis. One hundred fifty-three women with end-stage hip OA (mean age = 64.0 years) and 112 age-matched healthy women (mean age = 64.1 years) were analyzed using available data. All participants were examined for the number and circumstances of falls in the past year. The circumstances of falls included the location, time, direction, cause, and injury. We examined the outcome of hip function, ambulatory ability, physical activity, and limping severity in women with end-stage hip OA. Multivariate logistic regression analysis was used to identify factors influencing falls in women with hip ...
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Assessment of Mobility in Older People Hospitalized for Medical Illness Using the de Morton Mobility Index and Cumulated Ambulation Score-Validity and Minimal Clinical Important Difference
Discussion: Complete data sets were obtained for 155 patients. Baseline characteristics of those with complete data sets did not differ from those with incomplete data sets, except for the number of secondary diagnoses, which was lower in the latter. Significant and moderate relationships existed both at admission and at discharge between scores in the DEMMI and the BI (rs = 0.68, P (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Prognostic Implications of Predischarge Assessment of Gait Speed After Hip Fracture Surgery
Conclusion: The 4-m walking speed, measured early after surgical repair of hip fracture, has profound long-term prognostic implications. This assessment approach might prove helpful in clinical decision-making on the postoperative management of older hip fracture persons. (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 Floor Transfer Test as a Measure of Readiness for Independent Living Among Older Adults
Background and Purpose: The ability to get up from the floor after a fall is a basic skill required for functional independence. Consequently, the inability to safely get down to and up from the floor or to perform a floor transfer (FT) may indicate decreased mobility and/or increased frailty. A reliable and valid test of FT ability is a critical part of the clinical decision-making process. The FT test is a simple, performance-based test that can be administered quickly and easily to determine a patient's ability to safely and successfully get down and up from the floor using any movement strategy and without time restr...
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Physical Activity Scale for the Elderly (PASE) Score Is Related to Sarcopenia in Noninstitutionalized Older Adults
Background and Purpose: Sarcopenia, a loss of muscle mass and strength accompanying aging, is common in older adults who are not physically active. Nevertheless, the association between physical activity and sarcopenia has not been extensively studied. Therefore, we examined the relationship of both muscle mass and muscle strength with physical activity as quantified using the Physical Activity Scale for Elderly (PASE). Methods: PASE score, muscle mass by bioimpendiometry, and muscle strength by handgrip were evaluated in a cohort study of 420 older adult participants (mean age 82.4 [5.9] years), admitted to the Compr...
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

The Modified Otago Exercises Prevent Grip Strength Deterioration Among Older Fallers in the Malaysian Falls Assessment and Intervention Trial (MyFAIT)
Conclusions: In addition to benefits in mobility and balance, the OEP also prevents deterioration in upper limb strength. Additional benefits of exercise interventions for secondary prevention of falls in term of sarcopenia and frailty should also be evaluated in the future. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Functional Performance With Age: The Role of Long-Term Strength Training
Background and Purpose: Physical function is shown to decline with age. However, how long-term strength training may attenuate the age-related limitation in functional tasks with various force demands is unclear. Methods: In a cross-sectional study, we assessed maximal muscle strength, initial and late phase rate of force development (RFD), as well as 4 tests of functional performance in 11 strength-trained master athletes (MAs), 11 recreationally active older adults (AEs), 10 sedentary older adults (SOAs), and 9 moderately active young controls. Functional performance was divided into 2 categories: more force-demandi...
Source: Journal of Geriatric Physical Therapy - July 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research