Journal of Geriatric Physical Therapy最新文献

{"title":"Relationship Between Sarcopenia and Intensity-Specific Physical Activity in Older Adults Living in a Rural Area: An Isotemporal Substitution Analysis from the NEIGE Study.","authors":"Yudai Sasaki, Hiroshi Kohno, Shiho Amagasa, Yuki Shirakura, Yuka Ohaku, Takeo Fujiwara, Hiroshi Murayama, Shigeru Inoue, Yugo Shobugawa","doi":"10.1519/JPT.0000000000000508","DOIUrl":"10.1519/JPT.0000000000000508","url":null,"abstract":"<p><strong>Background and purpose: </strong>This study examined the relation between sarcopenia and the replacement of sedentary behavior (SB) with physical activity (PA) of varying intensities using the isotemporal substitution (IS) model. We explored effective intensities and time substitution patterns that may contribute to the prevention of sarcopenia through increased PA and reduced SB.</p><p><strong>Methods: </strong>A total of 527 community-dwelling adults aged 65-84 years in Tokamachi city, Niigata, wore accelerometers for 7 consecutive days to measure time spent in SB, light PA (LPA), and moderate-to-vigorous PA (MVPA). Sarcopenia was assessed based on the criteria of the Asian Working Group for Sarcopenia, using skeletal muscle mass index, gait speed, and grip strength. Three analytical approaches were applied: the single-factor model, partition model, and IS model. The IS model specifically evaluated the effects of reallocating time among SB, LPA, and MVPA.</p><p><strong>Results and discussion: </strong>The prevalence of sarcopenia in this population was 6.3%. The IS model revealed that reallocating 10 minutes per day of either SB or LPA to MVPA was significantly associated with improved gait speed. Furthermore, replacing SB with MVPA was linked to a reduced prevalence of sarcopenia.</p><p><strong>Conclusion: </strong>These findings suggest that preventing sarcopenia requires not only reducing SB but also replacing sitting or lying time with MVPA. Physical therapists should therefore encourage older adults to decrease prolonged sitting and engage in more active movements, such as brisk walking or structured exercise.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":"195-204"},"PeriodicalIF":3.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279586","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 Perspective and Needs of Older Adults With Osteoporosis With a Recent Upper Extremity Fragility Fracture Concerning Fall Risk and Fear of Falling.","authors":"Sahar Johari, Joy MacDermid, Laura J Graham, Christina Tina Ziebart, Bansari Patel","doi":"10.1519/JPT.0000000000000507","DOIUrl":"10.1519/JPT.0000000000000507","url":null,"abstract":"<p><strong>Background and purpose: </strong>Osteoporosis increases the risk of fragility fractures, contributes to significant morbidity, and is a psychological challenge-fear of falling (FoF)-which can limit activity and engagement in rehabilitation. These challenges are often overlooked after a fracture, despite their relevance to rehabilitation planning. Understanding these challenges is crucial for health care practitioners, particularly physical and occupational therapists, who are central to fall prevention and post-fracture care. This study explored the perspectives of older adults with osteoporosis who had upper extremity fractures, focusing on their health concerns, the impact of falls and FoF on daily life, and their views on rehabilitation.</p><p><strong>Methods: </strong>This qualitative study used interpretive description methodology. Thirteen participants (mean age: 67.3 years) were recruited from a hospital in Ontario, Canada. In-depth, semi-structured interviews were conducted and analyzed using inductive coding and constant comparison, with themes emerging from the participant narratives. Interviews continued until thematic saturation was reached.</p><p><strong>Results: </strong>Four overarching themes emerged: (1) The complex interplay of multiple factors is associated with falls, (2) Navigating life after a fall involves both adaptive strategies and maladaptive changes, (3) Implementing comprehensive strategies is crucial for preventing falls and managing FoF, and (4) achieving optimal osteoporosis care remains an ongoing struggle. Participants described limited awareness of osteoporosis as a fall risk factor and gaps in education and rehabilitation support.</p><p><strong>Conclusions: </strong>Older adults with osteoporosis face multifaceted challenges related to fall risk and FoF. Findings highlight the need for better patient education, psychological support, and access to comprehensive rehabilitation addressing both physical and psychological health needs.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":"185-194"},"PeriodicalIF":3.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148333664","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":"Frailty and its Association With Strength and Balance Variables in Chilean Older Adults: A Structural Equation Model.","authors":"Héctor Felipe Retamal-Matús, Alejandra M Fernández-Elgueta, Elena Marqués-Sulé, José M Tomás, Noemí Moreno-Segura, Elide Mariela Alarcón-Bustos, María Cristina Furrianca-Llaneza, Trinidad Sentandreu-Mañó","doi":"10.1519/JPT.0000000000000512","DOIUrl":"10.1519/JPT.0000000000000512","url":null,"abstract":"<p><strong>Background: </strong>Frailty is a geriatric syndrome associated with adverse health outcomes in older adults. However, the specific contribution of neuromuscular factors-including inspiratory strength, lower-limb strength, and balance-to frailty development remains unclear.</p><p><strong>Purpose: </strong>This study aimed to investigate the associations of inspiratory strength, lower-limb strength, and static and dynamic balance with frailty in Chilean older adults.</p><p><strong>Methods: </strong>A cross-sectional observational study was conducted in 209 older adults. Frailty was assessed using Fried's phenotype. Inspiratory strength (maximum inspiratory pressure), lower-limb strength (quadriceps peak force and Five Times Sit-to-Stand Test), static balance (posturography), and dynamic balance (Limits of Stability and Timed Up and Go Test) were evaluated. A structural equation model was used to predict a latent frailty variable from age, gender, strength, and balance.</p><p><strong>Results: </strong>The final structural equation model showed excellent fit (χ 2 (1) = 3.30, P > .05; comparative fit index = 0.995; root mean square error of approximation = 0.106; Standardized Root Mean Squared Residual [SRMR] = 0.048). Specifically, values of more than 0.95 for the comparative fit index and less than 0.08 for the SRMR are indicative of excellent fit. Inspiratory strength (β = -0.374, P < .01), quadriceps peak force (β = -0.463, P < .01), and dynamic balance (β = 0.439, P < .01) significantly predicted frailty, explaining 79.4% of its variance. Static balance was not a significant predictor.</p><p><strong>Conclusions: </strong>Neuromuscular factors, particularly inspiratory strength, quadriceps strength, and dynamic balance, are key factors associated with frailty. Future research should investigate whether interventions focused on inspiratory muscle training, lower-limb strengthening, and functional balance exercises are able to prevent or reduce frailty in older adults.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":"212-221"},"PeriodicalIF":3.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013081","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":"Comparative Analysis of Muscle Strength, Dynamic Stability, Balance, Sit-to-Stand Capacity, Fear of Falling, and Fall History in Older Adults With Distinct Frailty Phenotypes.","authors":"Jéssica R Almeida, Paula M M A Castro, Carolina S Santos, Isabelle P Assis, Lourdes C C Montenegro, Aloísio J F Ribeiro, Renan A Resende, Juliana M Ocarino","doi":"10.1519/JPT.0000000000000499","DOIUrl":"10.1519/JPT.0000000000000499","url":null,"abstract":"<p><strong>Background and purpose: </strong>In this study, we compared muscle strength, dynamic postural stability, balance, sit-to-stand capacity, fear of falling, and fall history among robust, prefrail, and frail older adults.</p><p><strong>Methods: </strong>This cross-sectional Cross-sectional study included 159 community-dwelling older adults classified by frailty phenotypes. Muscle strength was assessed with a hand-held dynamometer. Dynamic postural stability during gait was measured with the Functional Gait Assessment. Static balance was assessed via the Single-Leg Stance test and the Modified Clinical Test of Sensory Interaction and Balance. Reactive balance response was assessed via the forward compensatory stepping correction task. Sit-to-stand capacity was measured using the Five-Time Sit-to-Stand test. Fear of falling was assessed with the Falls Efficacy Scale-International, and the history of falls in the past year was self-reported. Analysis of covariance was used for continuous outcomes (muscle strength, sit-to-stand performance, dynamic postural stability, static balance, and fear of falling), and binomial and ordinal logistic regression were used for categorical and ordinal outcomes (history of falls and reactive balance response).</p><p><strong>Results: </strong>Compared with robust individuals, frail older adults had lower trunk and lower limb strength, static balance, dynamic stability, and sit-to-stand capacity (all P values <.05); greater fear of falling; worse reactive balance; and higher fall history. Prefrail adults also showed declines in lower limb strength, static balance, dynamic stability, sit-to-stand capacity, and reactive balance response (all P values <.05).</p><p><strong>Conclusions: </strong>Physical and functional declines in frail and prefrail older adults highlight the need to include these parameters in their assessment.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":"174-184"},"PeriodicalIF":3.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147950056","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 Journal of Geriatric Physical Therapy Seeks a New Editor-in-Chief.","authors":"Leslie K Allison","doi":"10.1519/JPT.0000000000000516","DOIUrl":"https://doi.org/10.1519/JPT.0000000000000516","url":null,"abstract":"","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":"49 4","pages":"173"},"PeriodicalIF":3.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139038","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":"Inspiratory Muscle Strength and Cardiorespiratory Fitness in Sarcopenic and Dynapenic Older Adults: A Cross-Sectional Study.","authors":"Büşra Seçkinoğullari Korkusuz, Süleyman Korkusuz, Zeliha Özlem Yürük, Ferdi Yavuz, Gülşen Taşkin, Neslihan Durutürk, Hülya Arikan","doi":"10.1519/JPT.0000000000000509","DOIUrl":"10.1519/JPT.0000000000000509","url":null,"abstract":"<p><strong>Background and purpose: </strong>While sarcopenia and dynapenia, common in older adult, are known to affect general motor function, their specific effects on inspiratory muscle strength and cardiorespiratory fitness have not been adequately investigated. Therefore, the aim of our study was to compare inspiratory muscle strength and cardiovascular fitness levels in sarcopenic, dynapenic, and older adults without sarcopenia or dynapenia.</p><p><strong>Methods: </strong>The study included 75 community-dwelling older adults aged 65-85. Individuals were divided into 3 groups: dynapenic, sarcopenic, and control groups (older adults without sarcopenia or dynapenia), according to the ISarcoPRM diagnostic algorithm, which includes measuring anterior thigh thickness by ultrasonography. The S-index, flow, and volume parameters were measured using the Powerbreathe K5 system to assess inspiratory muscle strength in older adults. A 2-minute step test (2MST) was used to assess cardiorespiratory fitness.</p><p><strong>Results: </strong>The sarcopenic group had lower values than the control in the S-index, flow, and volume parameters ( p < .05). In the 2MST, which evaluates cardiorespiratory fitness, all three groups were different from each other, and the sarcopenic group had the lowest scores ( p < .05). It was observed that anterior thigh muscle thickness had a low correlation with volume ( r = 0.347, p = .002). Anterior thigh muscle thickness had a moderate correlation with S-index ( r = 0.405, p < .001), flow ( r = 0.421, p < .001), and 2MST ( r = 0.454, p < .001).</p><p><strong>Conclusion: </strong>It is thought that loss of respiratory muscle strength in older adults is seen in individuals with loss of muscle mass (sarcopenic).</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":"205-211"},"PeriodicalIF":3.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148333742","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":"Retraction: Effect of Sitting Pause Times on Balance After Supine to Standing Transfer in Dim Light.","authors":"Eric G Johnson, Abdulaziz A Albalwi, Fuad M Al-Dabbak, Noha S Daher","doi":"10.1519/JPT.0000000000000514","DOIUrl":"10.1519/JPT.0000000000000514","url":null,"abstract":"","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":"49 4","pages":"221"},"PeriodicalIF":3.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139017","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 6-Minute Walk Test Can Estimate the Physical Activity Levels of Community-Dwelling Older Adults: A Cross-Sectional Study.","authors":"Lívia de Araújo Mota, Liliane Maciel Barreto, Lucas Saboya Amora, Mayle Andrade Moreira, Cíntia Ehlers Botton, Fabianna Resende de Jesus-Moraleida, Merrill R Landers, Ana Carla Lima Nunes","doi":"10.1519/JPT.0000000000000493","DOIUrl":"10.1519/JPT.0000000000000493","url":null,"abstract":"<p><strong>Background and purpose: </strong>Physical activity is a key determinant of health in older adults. Despite the World Health Organization (WHO) recommendations, many older adults remain insufficiently active. The clinical measurement of physical activity levels remains a challenge, as the gold standard for this measurement is costly and requires multiple days of assessment. The aim of this study was to explore the correlation between subjective and objective physical activity levels and identify whether moderate-to-vigorous physical activity (MVPA) levels correlate with functional tests in community-dwelling older adults, establishing a cutoff point.</p><p><strong>Methods: </strong>This cross-sectional study evaluated 90 older adults regarding their physical activity level [MVPA, metabolic equivalent, and sedentary behavior] using both subjective [International Physical Activity Questionnaire, Brazilian version (IPAQ-Br)] and objective (activity monitor) measurements. Functional performance was assessed by the 6-Minute Walk Test (6MWT), Timed Up and Go test, and Berg Balance Scale. Spearman's correlation test, Student t -test, and receiver operating characteristic curves were used for statistical analyses.</p><p><strong>Results and discussion: </strong>Most participants were female (85.5%) with a mean (SD) age of 69 (6) years, and 87.8% were between 60 and 74 years old. The correlation between objective and subjective measures of sedentary behavior ( P = .06), MVPA ( P = .34), and metabolic equivalents ( P = .10) was not significant. The objective measurement of MVPA recorded lower levels compared to subjective measurement (95% CI = 38.2-351.5). The correlation between objective MVPA measurement and 6MWT was moderate ( r = 0.43; P < .0001). The correlation between MVPA and Timed Up and Go ( P = .065) and Berg Balance Scale ( P = .137) was not significant. The 6MWT cutoff point was 362.50 m (walking speed of 1 m/s) to identify active individuals according to WHO guidelines (area under the curve = 0.83).</p><p><strong>Conclusion: </strong>Objective and subjective physical activity levels were not correlated in older adults in this study, who were predominantly female and had good physical capacity. They may overestimate their physical activity levels, with self-reported activity levels higher than objective ones. Clinical testing can add value to assessing physical activity levels, with the objective measures being correlated with 6MWT. Based on cut score, maintaining an average gait speed of 1 m/s during the 6MWT may be useful in identifying older adults who meet WHO physical activity MVPA recommendations.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":"e157-e163"},"PeriodicalIF":3.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146126995","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":"Perception of Physical Therapists on the Use of Mobile Applications to Prevent Falls in Older Adults-A Cross-Sectional Web-Based Survey.","authors":"Marcos Paulo Miranda De Aquino, Camila Astolphi Lima, Renato Barbosa Dos Santos, Monica Rodrigues Perracini","doi":"10.1519/JPT.0000000000000480","DOIUrl":"10.1519/JPT.0000000000000480","url":null,"abstract":"<p><strong>Background: </strong>Mobile apps (MA) may help to identify and measure fall risk factors to develop fall prevention interventions. However, the perception of health care professionals on using MA needs further investigation. Understanding the needs, context, and opinions of users is essential for developing high-quality tools.</p><p><strong>Objective: </strong>This study aimed to investigate the perception of physical therapists about using MA for fall risk assessment in older adults.</p><p><strong>Methods: </strong>Physical therapists caring for older adults (>60 years) in Brazil were invited to respond a web-based survey consisting of an online questionnaire about fall prevention in clinical practice. The likelihood of using MA for fall risk assessment was measured on a scale from 0 (not likely) to 10 (very likely). Sociodemographic, educational, and professional data were also collected. Barriers to MA use were investigated quantitatively and qualitatively. Descriptive statistics summarized the data, and the Chi-square test identified associations between perceived barriers and participant data. Qualitative data were summarized and analyzed using the Theoretical Domains Framework (TDF).</p><p><strong>Results: </strong>The survey received responses from 454 physical therapists. Most participants were women (age between 22 and 73 years) who worked independently and had six or more years of professional experience. The mean likelihood of using MA for fall risk assessment was 8.5 out of 10 (± 2.3). The main barriers were paying for the MA (n = 288; 63.4%) and need for internet connection (n = 103; 22.7%). Qualitative barriers were mostly related to the TDF domains of \"environmental context and resources\" and \"goals\". Younger age and practice in geriatric physical therapy were associated with a high likelihood of using MA for fall risk assessment.</p><p><strong>Conclusion: </strong>Optimal design of MA for fall risk assessment should address potential barriers for its use, such as cost and internet connectivity. Additionally, these tools should account for user acceptability and environmental factors to ensure their successful implementation.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":"e148-e156"},"PeriodicalIF":3.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146041952","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 Exercise for Managing Fatigue in Parkinson's Disease: Clinical and Research Recommendations From a Systematic Review and Meta-Analysis.","authors":"Valton Costa, Mariana Lara Zambetta, Anna Carolyna Gianlorenço","doi":"10.1519/JPT.0000000000000481","DOIUrl":"10.1519/JPT.0000000000000481","url":null,"abstract":"<p><strong>Background and purpose: </strong>Fatigue is among the most disabling symptoms of Parkinson's disease (PD), and physical exercise is a promising intervention. This study aimed to evaluate the effects of physical exercise on PD-related fatigue and provide clinical and research recommendations.</p><p><strong>Methods: </strong>This systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Two independent investigators conducted searches using the \"Patient, Intervention, Comparison, Outcome\" strategy in PubMed, Cochrane Library, Scopus, Web of Science, Embase, and Physiotherapy Evidence Database (PEDro) until August 2024. Randomized clinical trials examining physical exercise and fatigue in PD were included. The standardized mean difference (SMD) was used for effect estimation, and a random-effects model was applied for meta-analysis. Methodological quality was assessed using the PEDro scale, and confidence in cumulative evidence was evaluated with the Grading of Recommendations, Assessment, Development, and Evaluation framework.</p><p><strong>Results: </strong>Twenty-two studies were included. Meta-analysis comparing exercise with nonexercise (usual care) interventions showed a large effect favoring exercise (SMD = -0.92, 95% CI: -1.57 to -0.28; 7 studies), with interventions including multimodal training, walking, strengthening, and dance. An overview of all the studies with available data (19 studies) suggested that interventions with greater specificity, intensity, or active engagement had larger effects. However, certain control interventions, such as sleep hygiene, relaxation/education, and stretching, may play a role comparable to some active exercises. Fatigue was primarily measured using the Parkinson's Fatigue Scale and the Fatigue Severity Scale.</p><p><strong>Conclusions: </strong>Moderate-certainty evidence supports that physical exercise, particularly active, continuous modalities such as walking, aerobic, resistance, and multimodal training at moderate intensity (at least twice weekly for 20-60 minutes), can reduce PD-related fatigue. Future research should distinguish between central and peripheral fatigue, compare high-intensity exercise interventions, and explore combinations of exercise with other promising interventions.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":"163-171"},"PeriodicalIF":3.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991559","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}