Journal of Geriatric Physical Therapy最新文献

{"title":"Erratum: The Importance of Racially and Ethnically Inclusive Gait Speed Reference Values in Individuals 90 Years and Older: LifeAfter90.","authors":"Katherine A Colcord, Paola Gilsanz, Kristen M George, Claudia H Kawas, Luohua Jiang, Rachel A Whitmer, María M Corrada","doi":"10.1519/JPT.0000000000000475","DOIUrl":"10.1519/JPT.0000000000000475","url":null,"abstract":"","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reference Values Derived From The 90+ Study: The Five Times Sit to Stand Test.","authors":"Katherine A Colcord, Nikki J Arnold, Luohua Jiang, Zarui A Melikyan, Zeinah Al-Darsani, Claudia H Kawas, María M Corrada","doi":"10.1519/JPT.0000000000000471","DOIUrl":"https://doi.org/10.1519/JPT.0000000000000471","url":null,"abstract":"<p><strong>Background and purpose: </strong>Physical performance reference values play an important role in older adult care, yet data are extremely limited in individuals 90 years and older, the \"oldest old.\" The Five Times Sit to Stand Test (5XSST) is a frequently used method of quantifying functional lower extremity strength. To improve the classification and interpretation of 5XSST scores, we aim to develop 5XSST reference values in individuals 90+ years.</p><p><strong>Methods: </strong>Participants are members of The 90+ Study, a longitudinal oldest-old cohort study. The current study is cross-sectional, using data from the first visit on which each participant completed the 5XSST. Participants performed the 5XSST with arms folded (traditional test) or using their arms to push from the chair (modified test). We calculated means, standard deviations, and percentiles (5th, 10th, 25th, 50th, 75th, 90th, 95th) by test type and age category. We used linear regression to compare mean scores by sex (men, women), age category (90-91, 92-94, 95+), test type (traditional, modified), living situation (home alone, home with another person, nursing home/assisted living), and falls in the past year (0, 1+).</p><p><strong>Results and discussion: </strong>The 972 participants had a mean age of 93.0 years (range = 90.0-103.1, SD = 2.5). Of these, 64.8% performed the traditional test and 36.2% the modified test. Mean time for the traditional test was 16.2 seconds (SD = 6.3) and, for the modified test, 22.6 seconds (SD = 9.9). Scores were significantly slower in participants in the oldest age category, who performed the modified test, lived in a facility, or fell in the past year. No significant differences were found according to sex. We present 5XSST reference values in men and women by test type and age category. Previous studies in younger groups have reported faster 5XSST times than those from our 90+ cohort, which suggests using reference values established in younger groups to categorize the performance of oldest-old individuals is not optimal for accurate categorization of scores.</p><p><strong>Conclusions: </strong>The reference values we present will allow providers to correctly classify and interpret 5XSST scores in the rapidly growing group of individuals 90 years and older.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical Therapy Management of Fall Risk in Community-Dwelling Older Adults: An Evidence-Based Clinical Practice Guideline From the American Physical Therapy Association - Geriatrics: Erratum.","authors":"Neva Kirk-Sanchez, Christine McDonough, Keith G Avin, Jennifer Blackwood, Timothy A Hanke","doi":"10.1519/JPT.0000000000000474","DOIUrl":"https://doi.org/10.1519/JPT.0000000000000474","url":null,"abstract":"","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Exercise on Gait and Functional Performance in Individuals With Idiopathic Normal Pressure Hydrocephalus: A Scoping Review.","authors":"Sunee Bovonsunthonchai, Theerapol Witthiwej, Ninwisan Hengsomboon, Dusit Tongkongharn, Nonthaphat Siriwannaphar, Noppanun Sanguankwamdee, Jeerati Rattanatreyanupab, Piyawan Chokchaijaroensin, Jim Richards","doi":"10.1519/JPT.0000000000000464","DOIUrl":"https://doi.org/10.1519/JPT.0000000000000464","url":null,"abstract":"<p><strong>Background and purpose: </strong>Exercise is recommended for individuals with idiopathic normal pressure hydrocephalus (iNPH), but its effects on gait and functional performance remain underexplored. This scoping review aimed to search (1) effects of exercise or physical therapy on gait and functional outcomes in individuals with iNPH, along with its underlying physiological and biomechanical mechanisms; (2) challenges to exercise implementation; and (3) replication potential of interventions.</p><p><strong>Methods: </strong>Five databases (PubMed, Embase, Latin American and Caribbean Health Sciences Literature, Cumulative Index to Nursing and Allied Health Literature, and SpringerLink) were searched for full-text, peer-reviewed articles (2010-2023) on exercise or physical therapy for individuals with iNPH, with all types of study design. Two reviewers independently screened, extracted, and tabulated the search results. Research quality was assessed using the Joanna Briggs Institute critical appraisal checklist. The Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews and the Template for Intervention Description and Replication checklists were used as reporting guidelines.</p><p><strong>Results: </strong>Six articles met the criteria, covering exercise interventions such as the Lee Silverman Voice Treatment-BIG exercise program, Dynamic Equilibrium Gait Training, High-Intensity Functional Exercise, Action Observation, and home-based physical exercise program (stretching exercises for back, gluteal, and trunk; strengthening exercise for shoulder, arm, and leg; and balance training). These exercises indicated positive effects on gait, sit-to-stand, mobility, balance, balance confidence, and disability, but did not significantly improve quality of life. All six articles provided sufficient details for replication; however, two were based on the same study project, leaving five unique studies included.</p><p><strong>Conclusion: </strong>Exercise interventions, when carefully prescribed by physical therapists, represent a promising approach for improving gait and balance in individuals with iNPH. However, the current paucity of well-powered randomized controlled trials highlights the urgent need for further research to identify the most effective exercise protocol. Future studies should focus on specific exercise modalities and their long-term impact to improve management and rehabilitation of individuals with iNPH.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improvements in Physical Capacity via a Wearable Sensor May Not Indicate Reductions in Real-World Sedentary Activity: A Longitudinal Post-Total Hip Arthroplasty Study.","authors":"Rashelle M Hoffman, Lauren Hinrichs-Kinney A, Jeri E Forster, Michael Dayton, Douglas Dennis, Dana L Judd, Cory L Christiansen, Jennifer E Stevens-Lapsley","doi":"10.1519/JPT.0000000000000467","DOIUrl":"https://doi.org/10.1519/JPT.0000000000000467","url":null,"abstract":"<p><strong>Background and purpose: </strong>Patients with end-stage hip osteoarthritis typically elect total hip arthroplasty (THA) to improve life activity performance while clinical outcomes focus on physical capacity. However, it is unclear how improvements in life activity performance relate to improvements in physical capacity following THA. This study aimed to assess the longitudinal relationship between improvement in life activity performance (ie, decreases in sedentary time) and improvements in physical capacity (ie, increases in 6-Minute Walk [6MWT] distance) from before THA to a 6-month post-THA follow-up time point.</p><p><strong>Methods: </strong>This is a secondary analysis of a double-blind randomized controlled trial that enrolled individuals 50 to 85 years of age with unilateral hip osteoarthritis who underwent THA. Longitudinal variables of interest included the % of active wear time in sedentary activity using a hip-mounted wearable accelerometer-based monitor [ActiGraph wGT3X-BT] and 6MWT distance. The variables were modeled to extract predicted change scores, and simulations were used to determine if each participant had a change in sedentary time and 6MWT distance. Participants were classified on whether they improved sedentary activity time (P+: decrease in sedentary time or P-: no improvement in sedentary time) and/or 6MWT distance (C+: increased 6MWT distance or C-: no improvement in 6MWT distance). Independent sample t-tests (continuous variables) and Fisher exact tests (categorical variables) were used to compare characteristics between classification groups.</p><p><strong>Results and discussion: </strong>All 76 participants (age: 63.9 ± 7.0 years, 64.5% male) were classified as C+, as all improved physical capacity. A majority (n = 45; 59.2%) were C+/P+, while 31 participants (40.8%) were classified as C+/ P-, and no participants were classified as C-/P+ or C-/ P-.</p><p><strong>Conclusions: </strong>There is a noted disagreement between improvements in life activity performance versus physical capacity suggesting gains in the 6MWT are not always associated with reductions in sedentary time during recovery from THA. Improving physical capacity does not equate to decreased sedentary time. Thus, different rehabilitation targets (ie, behavior change interventions) may need to be identified and explored to enhance life activity performance following THA that may better align with patient performance goals.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Roles and Tasks of Physiotherapists in Nursing Homes: A Survey.","authors":"Shanty Sterke, Ana Paula Nascimento da Cunha, Lennard Voogt, Marleen Goumans","doi":"10.1519/JPT.0000000000000462","DOIUrl":"https://doi.org/10.1519/JPT.0000000000000462","url":null,"abstract":"<p><strong>Background and purpose: </strong>Physiotherapists in nursing homes perform a diversity of roles and tasks. But the delivery of physiotherapy services varies widely between organizations and between individual physiotherapists. This depends on both organizational and personal factors. This study aims to investigate to what extent physiotherapists in Dutch nursing homes agree on the scope and content of their professional roles and tasks.</p><p><strong>Methods: </strong>We performed a cross-sectional survey study of a convenience sample of physiotherapists in nursing homes. The questions were divided into five themes: (1) care and functional problems (falls, incontinence, physical strain, decubitus, inactivity/immobility, pain, problems with lying and sitting, the use of physical restraints, malnutrition and sarcopenia, overweight, behavioral problems, oedema, joint contractures), (2) referrals and accessibility, (3) assessments and examinations, (4) interventions and actions, and (5) organizational matters. We asked the participants to answer the questions on a five-point Likert scale. We defined consensus when ≥75% of the participants rated the question with a Likert-score of 4 or 5 or with a Likert-score of 1 or 2.</p><p><strong>Results and discussion: </strong>Sixty-five physiotherapists returned the survey. They agreed that physiotherapists play an essential role in the management of prevention of falls, mobility problems, transfer problems, ergonomic advice, physical strain, pain, problems with sitting and lying, sarcopenia, and joint contractures. There was a discrepancy in consensus regarding what a physiotherapist should do in the specific cases versus what they actually do.</p><p><strong>Conclusion: </strong>Physiotherapists in nursing homes agreed they have an important role in a variety of care and functional problems. However, there was a difference between what needs to be done versus what is actually done by the physiotherapists. Future research should focus on the underlying reasons for this inconsistency.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Diagnostic Accuracy of Subjective Screening for Identifying Mobility Impairment in Older Adults.","authors":"Dalerie Lieberz, Molly Watkins, Emily J Johnson, Kylie Butterfield, Kellie Huschle, Madilyn Jankila, Mallery Johnson, Amy Leopold, Brayden Mogg","doi":"10.1519/JPT.0000000000000460","DOIUrl":"10.1519/JPT.0000000000000460","url":null,"abstract":"<p><strong>Background and purpose: </strong>Identifying preclinical mobility limitation (PCML) and mobility disability are critical for a preventative model of physical therapy. Subjective fall risk and mobility screening questions are used to determine the need for objective testing. This study aimed to determine the diagnostic accuracy of subjective screening for mobility impairment.</p><p><strong>Methods: </strong>Participants answered 8 evidence-based subjective fall risk and mobility screening questions followed by evaluation with the Short Physical Performance Battery (SPPB) and the grip strength test. Gait speed and the Five Times Sit to Stand Test time were calculated from the SPPB. Reference standards for the tests were used to binarize results as at/above or below standards. Relationships between binarized subjective screening and objective test results were analyzed with Phi (φ) correlation coefficients. Sensitivity and specificity were calculated for relationships with acceptable cutoff values ( P < .05, φ  > 0.3). Binomial regression was used to determine the sensitivity and specificity of asking multiple questions. Screening questions were considered useful predictors of the objective test result if combined sensitivity and specificity were ≥1.5.</p><p><strong>Results and discussion: </strong>Ambulatory adults (N = 83) aged 65 to 92 years ( M = 70) participated. One question-\"Do you have difficulty with balance?\"-met the diagnostic accuracy threshold for predicting the SPPB outcome with a sensitivity of 0.632 and a specificity of 0.871.</p><p><strong>Conclusions: </strong>Subjective screening does not adequately predict objective test results for identifying PCML. The findings indicate that improved screening tools or more referrals for objective testing are needed to detect early mobility loss with aging.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Movement Framework for Older Adults: Application of the Geriatric 5Ms.","authors":"Susan J Leach, Marni Larkin, Laura Z Gras, Myla U Quiben, Kenneth L Miller, Michelle M Lusardi, Gregory W Hartley","doi":"10.1519/JPT.0000000000000473","DOIUrl":"10.1519/JPT.0000000000000473","url":null,"abstract":"<p><p>Physical therapy for older adults must evolve to address the increasingly complex needs of older adults, who are living longer and managing multiple chronic conditions within challenging psychosocial and environmental contexts. Foundational models, such as the International Classification of Functioning, Disability and Health and the Patient/Client Management model provide structural guidance but fail to fully integrate critical components necessary for comprehensive geriatric care. These models often emphasize immediate medical concerns rather than considering the broader, multifaceted influences on function and overall well-being. The prevailing focus remains on restorative approaches rather than proactive prevention and individualized management strategies, limiting their effectiveness in optimizing movement, function, and quality of life. The Movement Framework for Older Adults (MFOA) offers a paradigm shift in geriatric physical therapy by bridging these gaps and prioritizing a holistic, movement-centered approach. Rooted in the Geriatric 5Ms-Mind, Mobility, Medication, Multicomplexity, and what Matters Most-the MFOA provides a structured yet adaptable model by integrating movement with the physiological, cognitive, psychosocial, and pharmacological factors influencing mobility and function. This approach compels clinicians to assess and address the unique needs of each older adult, moving beyond impairment-based care toward a more comprehensive, person-centered strategy. Developed by the APTA Academy of Geriatrics' Geriatric Movement System Task Force, the MFOA builds upon existing frameworks by explicitly incorporating movement and the Geriatric 5Ms into the assessment and intervention process. It aligns with hypothesis-driven clinical reasoning, equipping physical therapists with a systematic method to analyze movement impairments and functional limitations. This paper introduces the MFOA as a critical advancement in geriatric physical therapy, strengthening the foundation of current practice and enhancing its relevance to the evolving landscape of aging and health care. By emphasizing movement as a fundamental determinant of function and well-being, the MFOA empowers physical therapists to deliver targeted, effective, and person-centered care that aligns with what Matters Most to older adults.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building Seamless Care Transitions: Connecting Physical Therapy to Community Resources for Older Adults With Arthritis.","authors":"Julia Chevan, Joy D Doll, Trina Radske-Suchan, Elizabeth Erck, Heather Murphy","doi":"10.1519/JPT.0000000000000459","DOIUrl":"10.1519/JPT.0000000000000459","url":null,"abstract":"","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating the Geriatric 5Ms: Enhancing Physical Therapy Care of Older Adults.","authors":"Myla U Quiben, Michelle M Lusardi, Marni Larkin, Susan J Leach, Kenneth L Miller, Laura Z Gras, Gregory W Hartley","doi":"10.1519/JPT.0000000000000472","DOIUrl":"10.1519/JPT.0000000000000472","url":null,"abstract":"<p><p>The Geriatric 5Ms framework offers a comprehensive, person-centered approach to addressing the complex needs of older adults. Initially developed in geriatric medicine, the 4Ms strategy- Medications, Mind, Mobility , and what Matters Most to the patient-challenges clinicians to consider these dimensions in guiding care decisions. The Geriatric 5Ms builds on this framework and adds Multicomplexity , which emphasizes the management of multiple co-existing acute and chronic conditions, along with social and environmental factors and access to resources. The Geriatric Movement System Task Force recognizes the relevance of the 5Ms framework for addressing the functional movement needs of older adults with complex medical conditions. As movement experts, physical therapists are uniquely positioned to assess, monitor, and address Mobility issues while considering the impact of Medications, Mind, and Multicomplexity on movement and function. Engaging in meaningful conversations with older adults and their families about what Matters Most further ensures that care aligns with the individual's values and goals, forming the groundwork for successful outcomes. This article highlights the significance of the Geriatric 5Ms framework and advocates for its integration into physical therapy practice. By adopting this model, physical therapists can enhance examination, intervention planning, and rehabilitation outcomes, ultimately optimizing care for older adults.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}