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 analysis. T...
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