Functional Standards for Optimal Aging: The Development of the Moving Target Screen
The Moving Target Screen, a performance-based functional assessment tool for adults older than 50 years, is designed to be used by exercise specialists to evaluate the 5 key aspects of fitness central to optimal aging: posture, flexibility, balance, endurance, and strength. The strength of evidence supporting each of the 15 tests that comprise the Moving Target Screen is described. The assessments require inexpensive, standard equipment used by physical and occupational therapists. The Moving Target Screen can be a powerful tool that provides a comprehensive picture of a person's function before disability and problems beg...
Source: Topics in Geriatric Rehabilitation - October 1, 2017 Category: Geriatrics Tags: Thieves' Market Source Type: research

Preface: Thieves' Market
No abstract available (Source: Topics in Geriatric Rehabilitation)
Source: Topics in Geriatric Rehabilitation - October 1, 2017 Category: Geriatrics Tags: Thieves' Market Source Type: research

Active Aging for L.I.F.E.: An Intergenerational Public Health Initiative Addressing Perceptions and Behaviors Around Longevity, Independence, Fitness, and Engagement
Objective: Active aging involves staying engaged in life in a number of ways, including maintaining independence, physical and mental fitness, and social engagement. This investigation highlights Active Aging for L.I.F.E., an intergenerational pilot health initiative developed and implemented in the state of Oklahoma. Subject and Methods: Program participants included college students 18 to 25 years of age (n = 20) and older adults older than 65 years (n = 23) who attended a 4-part speaker series focused on the domains of longevity, independence, fitness, and engagement and participated in a pre-/postsurvey. Results: Col...
Source: Topics in Geriatric Rehabilitation - July 1, 2017 Category: Geriatrics Tags: Role of Leisure and Physical Activity for Seniors in Training Source Type: research

Aquatic Exercise Among Older Adults: A Qualitative Investigation
The purpose of the study was to determine how older adults understood their exercise with particular attention to enrollment in an aquatic exercise class and subsequent compliance with participation in a 6-week class. Participants were interviewed and their narratives about exercise and the program were recorded. Five main themes emerged after transcripts were independently reviewed by the authors, including affective accounts that surrounded participation, exercise defined through somatic signs, social support associated with better attendance, exercise class as an “organizing structure,” and difficulty in knowing how...
Source: Topics in Geriatric Rehabilitation - July 1, 2017 Category: Geriatrics Tags: Role of Leisure and Physical Activity for Seniors in Training Source Type: research

How Lived Body and Lived Space Intersect to Influence the Experience of Chronic Obstructive Pulmonary Disease
Chronic obstructive pulmonary disease (COPD) impacts not only the body as symptoms are experienced, but also the way one experiences the environment. However, the intersection of these experiences is not well understood. Using interpretive phenomenology, we explored lived body and lived space among people with COPD. Eight participants were interviewed and transcripts were analyzed using detailed line-by-line analysis. Lived body was characterized by gaining stronger bodies yet experiencing bodily limitations. Similarly, lived space was both comfortable and threatening. Participants managed these experiences by negotiating ...
Source: Topics in Geriatric Rehabilitation - July 1, 2017 Category: Geriatrics Tags: Role of Leisure and Physical Activity for Seniors in Training Source Type: research

Examining Chronic Disease, Pain-Related Impairment, and Physical Activity Among Middle-Aged and Older Adults in Canada: Implications for Current and Future Aging Populations
Conclusions: Physical activity levels varied between middle-aged and older groups according to chronic disease and pain-related functional impairment status. Results are useful for developing targeted and tailored PA interventions to support the health of current and future populations. (Source: Topics in Geriatric Rehabilitation)
Source: Topics in Geriatric Rehabilitation - July 1, 2017 Category: Geriatrics Tags: Role of Leisure and Physical Activity for Seniors in Training Source Type: research

A Socioecological Approach to Women's Participation in Competitive Softball During Middle and Late Adulthood: Implications for the Future
Informed by a socioecological framework, this qualitative study contributes to the fields of allied health and aging by identifying the factors that influence older women's participation in competitive softball. Focus groups were conducted with 6 teams of women (N = 64) ranging in age from 55 to 79 years. Data were audio-recorded, transcribed verbatim, and analyzed thematically. Results revealed issues of recruitment, access to resources, and breaking age-related cultural stereotypes. Knowledge from this study can offer insight into how allied health professionals might mitigate these issues to promote competitive sports a...
Source: Topics in Geriatric Rehabilitation - July 1, 2017 Category: Geriatrics Tags: Role of Leisure and Physical Activity for Seniors in Training Source Type: research

Rural Older Adult Physical Activity Promotion: Past, Present, and Future
The last 3 decades of research in exercise science have demonstrated the role of physical activity (PA) in maintaining, as well as improving, a variety of health outcome measures in older adults. However, rates of regular participation in PA remain relatively low. This is a significant public health issue, as inactive and insufficiently physically active older adults are more likely to develop chronic diseases such as heart disease, stroke, and diabetes. Furthermore, disparities in PA exist. For example, older adults in rural areas are less physically active than those in urban areas. Determining why such disparities in he...
Source: Topics in Geriatric Rehabilitation - July 1, 2017 Category: Geriatrics Tags: Role of Leisure and Physical Activity for Seniors in Training Source Type: research

I Would Rather Die Than Live Sedentary: Is the Demonization of Passive Leisure Creating a Future Generation of Older People Who Will Not Accept Inactivity?
This critical reflection discusses some potential positive and negative implications, with particular focus on the latter, of the promotion and participation of sport and physical activity to older people. Reflecting upon my 15 years of research on older Masters athletes (and active older people in general), I argue that the field of sports/exercise sciences needs to change its framework for leisure engagement (or physical activity) for current and future cohorts of older adults from one of blaming inactivity for disease, to a framework that values all forms of leisure, from passive to active, mental to social, etc, and on...
Source: Topics in Geriatric Rehabilitation - July 1, 2017 Category: Geriatrics Tags: Role of Leisure and Physical Activity for Seniors in Training Source Type: research

Foreword: Role of Leisure and Physical Activity for Millennials, Generation X (Seniors/Older Adult in Training), and Current Cohort of Seniors
No abstract available (Source: Topics in Geriatric Rehabilitation)
Source: Topics in Geriatric Rehabilitation - July 1, 2017 Category: Geriatrics Tags: Role of Leisure and Physical Activity for Seniors in Training Source Type: research

Development of an Evidence-Based Intervention Program for Patients With Mild Cognitive Impairment After Stroke: A Home-Based, Online Cognitive Rehabilitation Program
This study was conducted to develop a home-based, online cognitive rehabilitation program that can be easily and repeatedly implemented and integrates cognitive training into daily activities. A program was devised in 3 stages: analysis, design, and development. Specific program contents were determined on the basis of needs assessment and systematic literature review. The developed program consists of general information about stroke, outlines of cognitive impairments, strategies and guidelines of the cognitive rehabilitation program, and a cognitive training workbook. The program appeared to be helpful as determined by v...
Source: Topics in Geriatric Rehabilitation - April 1, 2017 Category: Geriatrics Tags: Off the Topic Source Type: research

Gait Speed and Confidence Levels in Persons Using 1 and 2 Canes While Walking a 4-m Course
This is the first article that the researcher is aware of that compares walking speed and confidence levels with 1 cane versus 2 canes. An observational study was conducted with 30 participants who had difficulty walking. Gait speed was assessed on a 4-m course with the participants using 1 cane, then 2 canes. Of 30 participants, 28 walked faster and demonstrated improved confidence with 2 canes. Use of 2 canes with gait might be a technique that people want to consider to improve confidence or to improve walking speed, or improve both. (Source: Topics in Geriatric Rehabilitation)
Source: Topics in Geriatric Rehabilitation - April 1, 2017 Category: Geriatrics Tags: Off the Topic Source Type: research

Role of Family in the Process of Rehabilitation of Older Adults Hospitalized in a Nursing Home
The study involved 39 patients aged 76.0 (SD = 10.9) years (minimum 47 years, maximum 91 years). The examined patients came from families with varying degrees of caring capacity and, on these grounds, were assigned into subgroups. We used Mini-Mental State Examination, the Geriatric Depression Scale, and the Barthel Index. The greatest improvement in functional status after rehabilitation occurred in patients with a family characterized by a lack of caring capacity, and the smallest improvement was in the group of patients with full caring capacity. The greatest improvements in the performance of basic activities of daily ...
Source: Topics in Geriatric Rehabilitation - April 1, 2017 Category: Geriatrics Tags: Off the Topic Source Type: research

Differences in Fall Risk Factors Between Adults With Diabetes and Those Without Who Are Homebound
Conclusions: Sensation on the soles of the feet represented the best differentiator between fall risk factors when comparing homebound adults with diabetes with those without diabetes. Clinicians performing a fall risk assessment on homebound adults should recognize the variability in fall risk and perform thorough multifactorial evaluations regardless of the absence or presence of the diagnosis of diabetes, including a minimum of sensory testing and the mCTSIB that were sensitive to variations in age and protective sensation. (Source: Topics in Geriatric Rehabilitation)
Source: Topics in Geriatric Rehabilitation - April 1, 2017 Category: Geriatrics Tags: Off the Topic Source Type: research

Use of the Sharpened Romberg as a Screening for Fall Risk: A Pilot Study
A quick screening test to determine older adults' fall risk would be beneficial given that the physical therapist has limited time to complete an initial examination. The purpose of this study was to determine whether performance on the sharpened Romberg is associated with fall risk, mobility, and gait measures. Results of data from 34 adults at least 60 years of age revealed that the ability to attain and hold the tandem stance position for the sharpened Romberg is associated with low fall risk. The sharpened Romberg can serve as a quick balance screen that requires minimal space and equipment. (Source: Topics in Geriatric Rehabilitation)
Source: Topics in Geriatric Rehabilitation - April 1, 2017 Category: Geriatrics Tags: Off the Topic Source Type: research