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Detection of Near Falls Using Wearable Devices: A Systematic Review
Conclusions: The use of a single lightweight sensor to distinguish between different types of near falls, actual falls, and activities of daily living is a promising low-cost technology and clinical tool for long-term continuous monitoring of older people and clinical populations at risk of falls. However, currently the evidence is limited because studies have largely involved simulated laboratory events in young adults. Future studies should focus on validating near-fall detection in larger cohorts and include data from (i) people at high risk of falling, (ii) activities of daily living, (iii) both near falls and actual...
Source: Journal of Geriatric Physical Therapy - January 1, 2019 Category: Physiotherapy Tags: Systematic Reviews Source Type: research

A Scoping Review of Physical Performance Outcome Measures Used in Exercise Interventions for Older Adults With Alzheimer Disease and Related Dementias
Conclusions: The results of this review will aid clinicians and researchers in selecting reliable measures to evaluate physical performance outcomes in response to exercise interventions in older adults with ADRD. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - January 1, 2019 Category: Physiotherapy Tags: Systematic Reviews Source Type: research

Detection of Near Falls Using Wearable Devices: A Systematic Review
Conclusions: The use of a single lightweight sensor to distinguish between different types of near falls, actual falls, and activities of daily living is a promising low-cost technology and clinical tool for long-term continuous monitoring of older people and clinical populations at risk of falls. However, currently the evidence is limited because studies have largely involved simulated laboratory events in young adults. Future studies should focus on validating near-fall detection in larger cohorts and include data from (i) people at high risk of falling, (ii) activities of daily living, (iii) both near falls and actual...
Source: Journal of Geriatric Physical Therapy - December 13, 2018 Category: Physiotherapy Tags: Systematic Reviews Source Type: research

A Scoping Review of Physical Performance Outcome Measures Used in Exercise Interventions for Older Adults With Alzheimer Disease and Related Dementias
Conclusions: The results of this review will aid clinicians and researchers in selecting reliable measures to evaluate physical performance outcomes in response to exercise interventions in older adults with ADRD. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - December 13, 2018 Category: Physiotherapy Tags: Systematic Reviews Source Type: research

Improved Functional Performance in Individuals With Dementia After a Moderate-Intensity Home-Based Exercise Program: A Randomized Controlled Trial
Conclusions: The current intervention used a Strength-Based Approach to facilitate implementation of exercise activities that could be completed by the sample. Therefore, integration of these techniques into mainstream clinical practice and research should be feasible with this patient population. Future research directions and implications of these findings also are discussed. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - December 13, 2018 Category: Physiotherapy Tags: Research Reports Source Type: research

Fall Preventive Exercise With or Without Behavior Change Support for Community-Dwelling Older Adults: A Randomized Controlled Trial With Short-Term Follow-up
Conclusion: In the short-term perspective, there were no benefits of an exercise program with or without MI regarding physical performance, fall self-efficacy, activity level, handgrip strength, adherence to the exercise, and fall frequency in comparison to a control group. However, some small effects occurred within the OEP + MI group, indicating that there may be some possible value in behavioral change support combined with exercise in older adults that requires further evaluation in both short- and long-term studies. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - December 13, 2018 Category: Physiotherapy Tags: Research Reports Source Type: research

Age-Group Differences in the Performance of Selected Tests of Physical Function and Association With Lower Extremity Strength
Discussion: There was no difference in 10-m gait speed between those in the sixth and seventh decades (P> .05). Compared with the sixth decade, those in the seventh decade required an extra 39 seconds to complete 900 m, an extra 0.6 seconds to complete 5 chair rises and performed 2 fewer chair rises in a 30-second time period (P (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - December 13, 2018 Category: Physiotherapy Tags: Research Reports Source Type: research

Physical and Nutritional Prehabilitation in Older Patients With Colorectal Carcinoma: A Systematic Review
Conclusions: Physical and nutritional prehabilitation in older patients with CRC has not shown a significant reduction in postoperative complications or length of stay. One study that examined the effect of a perioperative nutritional supplement reported a reduction in postoperative complications. Future research should explore targeted combined interventions, taking into account physical and nutritional patient requirements. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - September 22, 2018 Category: Physiotherapy Tags: Systematic Review Source Type: research

Physical Performance Impairments and Limitations Among Hospitalized Frail Older Adults
Conclusions: A frail-related screening instrument may be useful in the evaluation of physical fitness in hospitalized frail older adults and may facilitate the development of realistic, individualized rehabilitation programs beneficial to an early start on the emergency medical ward. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - September 22, 2018 Category: Physiotherapy Tags: Research Reports Source Type: research

Influences of Age, Obesity, and Adverse Drug Effects on Balance and Mobility Testing Scores in Ambulatory Older Adults
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. Mobility and balance outcome measures included the Balance Evaluation Systems Test (BESTest), Berg Bala...
Source: Journal of Geriatric Physical Therapy - September 22, 2018 Category: Physiotherapy Tags: Research Reports Source Type: research

Asymmetries Identified in Sit-to-Stand Task Explain Physical Function After Hip Fracture
Conclusion: Although gait speed is the best explanator of physical function in older adults after hip fracture, lower extremity asymmetry during an STST provides a unique contribution to explaining high-level ambulatory performance after hip fracture. Efforts to reduce weight-bearing asymmetry during rehabilitation following hip fracture may improve function and recovery. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - September 22, 2018 Category: Physiotherapy Tags: Research Reports Source Type: research

Balance Training With a Dynamometric Platform Following Total Knee Replacement: A Randomized Controlled Trial
Conclusions: According to the Berg Balance Scale and Functional Reach Test, participants with TKR who have followed a 4-week training program using a dynamometric platform improved balance performance to a higher extent than a control group training without such a device. The inclusion of this instrument in the functional training protocol may be beneficial for recovering balance following TKR. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - September 22, 2018 Category: Physiotherapy Tags: Research Reports Source Type: research

Reproducible Measurements of Muscle Characteristics Using the MyotonPRO Device: Comparison Between Individuals With and Without Paratonia
Conclusions: MyotonPRO measurements of the BB muscle showed good reproducibility in both healthy subpopulations, particularly for measurements performed within the same day. In individuals with paratonia, reliability and agreement were substantially lower. MyotonPRO can be used in clinical assessment and research. However, in individuals with paratonia, careful interpretation of results is required. Research in a larger sample of persons with paratonia at different stages of disease severity is recommended. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - September 22, 2018 Category: Physiotherapy Tags: Research Reports Source Type: research

Characteristics of Patients With Satisfactory Functional Gain Following Total Joint Arthroplasty in a Postacute Rehabilitation Setting
Conclusion: Functional level on admission is the best predictive factor for a better rehabilitation outcome for patients with TJA. Age negatively affects functional gain in patients with THA. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - September 22, 2018 Category: Physiotherapy Tags: Research Reports Source Type: research

Do Older Adults Who Meet 2008 Physical Activity Guidelines Have Better Physical Performance Than Those Who Do Not Meet?
Conclusions: Meeting guidelines for both aerobic and muscle-strengthening activities may be the most effective way of preserving muscle strength, muscle power, and gait velocity in older adults, but this conclusion must be tested with an intervention study. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - June 20, 2018 Category: Physiotherapy Tags: Research Reports Source Type: research