Interrater and Test-Retest Reliability and Minimal Detectable Change of the Balance Evaluation Systems Test (BESTest) and Subsystems With Community-Dwelling Older Adults
Conclusions: The BESTest total and individual subsystem scores demonstrate good to excellent interrater and test-retest reliability with community-dwelling older adults. A change of 7.6% (8.2 points) or more in the BESTest total and a percentage change ranged from 11.7% to 19.0% (2.1-3.4 points) in the subsystem scores are suggested for clinicians to be 95% confident of true change when evaluating change in this population. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - June 20, 2018 Category: Physiotherapy Tags: Research Reports Source Type: research

Determining Whether a Dosage-Specific and Individualized Home Exercise Program With Consults Reduces Fall Risk and Falls in Community-Dwelling Older Adults With Difficulty Walking: A Randomized Control Trial
Discussion: Thirty-five participants completed the study (UCG n = 22; EG n = 13). Both groups were similar at baseline on outcome measures and number of visits. Random effect model analyses demonstrated that both groups made significant reductions in fall risk over 6 months as identified by performance on outcome measures. However, the EG improved significantly more compared with the UCG over time (P (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - June 20, 2018 Category: Physiotherapy Tags: Research Reports Source Type: research

Physical Function in Older Adults With Multiple Sclerosis: An Application of the Short Physical Performance Battery
Conclusions: We provide preliminary evidence for reduced physical function based on the SPPB as a valid, objective measure of lower extremity functional performance among older adults with MS. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - June 20, 2018 Category: Physiotherapy Tags: Research Reports Source Type: research

Development and Validation of a Novel Motor-Cognitive Assessment Strategy of Compensatory Sit-to-Stand Maneuvers in People With Dementia
Conclusions: The ACSID represents the first observation-based assessment instrument to document motor and cognitive aspects in the execution of a motor key feature in people with dementia, and has been shown to be reliable, valid, feasible, and sensitive to intervention-induced changes. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - June 20, 2018 Category: Physiotherapy Tags: Research Reports Source Type: research

First-Person Perspective Action Observation Training in Individuals With Parkinson's Disease: A Consideration-of-Concept Controlled Pilot Trial
Conclusions: This pilot study suggests that FPP AOT is a feasible intervention and the research protocol designed would be suitable, with minor modifications, for the conduction of a subsequent stage 2 trial designed to verify the hypothesis that the adjunct of FPP AOT might improve motor performance in individuals with IPD. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - June 20, 2018 Category: Physiotherapy Tags: Research Reports Source Type: research

Patient-Reported and Objectively Measured Function Before and After Reverse Shoulder Arthroplasty
This study implemented a prospective, repeated-measures design. Fourteen patients undergoing RSA underwent testing before surgery, and 2 and 12 months after surgery. Patient-reported instruments included pain, Disabilities of Arm, Shoulder and hands (DASH), and physical component summary (PCS) of the 36-Item Short Form Health Survey. Objective limb activity (mean activity value, m/s2/min epoch; inactive time, %; low activity, %; and high activity, %) was captured with triaxial accelerometers worn on the upper and lower arm. A repeated-measures ANOVA tested for differences across time. The Spearman rank-order correlation wa...
Source: Journal of Geriatric Physical Therapy - June 20, 2018 Category: Physiotherapy Tags: Research Reports Source Type: research

With our Sincere Thanks, a Farewell to Outgoing Editor-in-Chief Richard Bohannon
No abstract available (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - June 20, 2018 Category: Physiotherapy Tags: Editorial Source Type: research

Active Video Games for Improving Physical Performance Measures in Older People: A Meta-analysis
Conclusions: Active video games can improve measures of mobility and balance in older people when used either on their own or as part of an exercise program. It is not yet clear whether AVGs are equally suitable for older people with significant cognitive impairments or balance or mobility limitations. Given the positive findings to date, consideration could be given to further development of age-appropriate AVGs for use by older people with balance or mobility limitations. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - March 22, 2018 Category: Physiotherapy Tags: Systematic Review Source Type: research

Validity and Reliability of a Portable Balance Tracking System, BTrackS, in Older Adults
Conclusion: BTrackS is an objective measure of balance that can be used to monitor balance in community-dwelling older adults over time. It can reliably identify changes that may require further attention (eg, fall-prevention strategies, declines in physical function) and shows promise for assessing intervention efficacy in this growing segment of the population. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - March 22, 2018 Category: Physiotherapy Tags: Research Report Source Type: research

Effect of Footwear on Joint Pain and Function in Older Adults With Lower Extremity Osteoarthritis
Conclusion: Because of the limited number of randomized control trials, it is not possible to make a definitive conclusion about the long-term effects of footwear on lower extremity joint pain caused by OA. There is mounting evidence that shock-absorbing insoles, subtalar strapping, and avoidance of high heels and sandals early in life may prevent lower extremity joint pain in older adults, but no conclusive evidence exists to show that lateral wedge insoles will provide long-term relief from knee joint pain and improved mobility in older adults with OA. More high-quality randomized control trials are needed to study the...
Source: Journal of Geriatric Physical Therapy - March 22, 2018 Category: Physiotherapy Tags: Systematic Review Source Type: research

Instrumented Test of Sensory Integration for Balance: A Validation Study
Conclusion: The instrumented mCTSIB with portable, body-worn movement allows clinicians to quantify abnormal postural sway without the ceiling effects of clinical balance testing or the expense and importability of force plate technology in the SOT. Instrumenting mCTSIB may also distinguish between fallers and nonfallers. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - March 22, 2018 Category: Physiotherapy Tags: Research Reports Source Type: research

Resistance Training Improves Muscle Function and Cardiometabolic Risks But Not Quality of Life in Older People With Type 2 Diabetes Mellitus: A Randomized Controlled Trial
Conclusion: Twelve weeks of RT increased the maximal strength in chest-press and leg-press tests, and improved 5-repetition sit-to-stand performance in older people with T2DM. Our study demonstrated that supervised, structured RT was able to promote muscle function and alleviate cardiometabolic risks in people with T2DM 65 years or older. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - March 22, 2018 Category: Physiotherapy Tags: Research Reports Source Type: research

Editor's Message: Journal Status and Thanks 2018
No abstract available (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - March 22, 2018 Category: Physiotherapy Tags: Editorial Source Type: research

Adherence to Technology-Based Exercise Programs in Older Adults: A Systematic Review
Conclusion: This systematic review indicates that technology-based exercise interventions have good adherence and may provide a sustainable means of promoting physical activity and preventing falls in older people. More research is required to investigate the feasibility, acceptability, and effectiveness of technology-based exercise programs undertaken by older people at home over extended trial periods. (Source: Journal of Geriatric Physical Therapy)
Source: Journal of Geriatric Physical Therapy - January 1, 2018 Category: Physiotherapy Tags: Systematic Reviews Source Type: research

Frailty as a Predictor of Nursing Home Placement Among Community-Dwelling Older Adults: A Systematic Review and Meta-analysis
Background and Purpose: Frailty has been recognized as a medical syndrome characterized by decreased physiological reserve and vulnerability to poor resolution of homeostasis. Frailty is common in nursing homes and as many as 90% of nursing home patients are frail or prefrail. Previous studies have examined frailty as a risk factor for nursing home placement and yielded inconsistent results. The current study aims to systematically review the literature and to conduct a meta-analysis to combine the risk measures to provide the evidence on frailty as a predictor of nursing home placement among community-dwelling older adu...
Source: Journal of Geriatric Physical Therapy - January 1, 2018 Category: Physiotherapy Tags: Systematic Reviews Source Type: research