Journal of Geriatric Physical Therapy最新文献

{"title":"Determinants of Implementing an Adapted Version of STEADI for Fall Prevention of Older Adults Attending Outpatient Rehabilitation in a Large Health Care System.","authors":"Jennifer L Vincenzo, Mariana Wingood, Sarah K Council, Aaron J Scott, Ramey Moore, Jamie M Caulley, Geoffrey M Curran","doi":"10.1519/JPT.0000000000000447","DOIUrl":"https://doi.org/10.1519/JPT.0000000000000447","url":null,"abstract":"<p><strong>Background and purpose: </strong>An adapted version of the Centers for Disease Control and Prevention Stopping Elderly Accidents, Deaths, and Injuries (STEADI) fall prevention initiative was implemented for older adults ≥ 65 years of age attending 34 outpatient physical therapy clinics in a large state-wide health system.</p><p><strong>Methods: </strong>We explored physical therapists' (PTs) use and perceived determinants of implementation of an adapted version of STEADI using an explanatory mixed-methods approach (n = 50 surveys, 13 interviews). We analyzed survey data using descriptive statistics and mapped interview data to Consolidated Framework for Implementation Research 2.0 constructs using rapid template analysis.</p><p><strong>Results and discussion: </strong>Participants believed that falls were preventable, used STEADI > 50% of the time, and agreed that STEADI was suitable and implementable. The STEADI components with low reported complexity aligned with high use and are included in the original STEADI (>50%; assessing and intervening in foot problems/footwear, home safety, balance, strength, endurance, gait, activity modifications, and caregiver training). Components with high reported complexity aligned with lower use, and the majority are not included in the original STEADI (<50%; assessing medication, vestibular function, cognition, and pelvic health interventions). Implementation facilitators included compatibility, embedding components of STEADI (eg, questionnaire and functional assessment) in the workflow and electronic health record (EHR), and relational connections. Implementation barriers included perceived lack of capability to conduct specific STEADI components (eg, medication assessment and specific interventions), lack of the EHR workflow of assessment and intervention components, and desire for more clinical decision support in the EHR, implementation support, and ongoing training.</p><p><strong>Conclusion: </strong>Physical therapists reported higher adoption rates and lower complexity to implement components original to STEADI or common in physical therapy practice compared to the adapted/additional components added by the health system. The study results can be used to develop and adapt strategies to support the implementation and dissemination of STEADI or adapted versions in other outpatient clinics and health systems.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056517","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 Systematic Review and Meta-Analysis to Examine the Effectiveness of Exercise Training in People With Osteoporosis or Osteopenia Compared to Other Rehabilitation Interventions on Fear of Falling and the Number of Falls.","authors":"Sahar Johari, Joy MacDermid, Laura J Graham, Christina Tina Ziebart, Erfan Shafiee","doi":"10.1519/JPT.0000000000000457","DOIUrl":"https://doi.org/10.1519/JPT.0000000000000457","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background and purpose: &lt;/strong&gt;Fear of falling (FoF) and falls are significant concerns for community-dwelling older adults with osteoporosis or osteopenia, leading to decreased mobility and quality of life. Despite evidence suggesting the benefits of exercise training, its specific effects on the FoF and number of falls (NoF) in this population are not well-documented. This study aims to appraise research evidence on the effects of exercise training, including balance, resistance, and aerobic exercises, on the FoF and NoF in community-dwelling older adults with osteoporosis or osteopenia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A comprehensive search was conducted on scientific databases, including EMBASE, MEDLINE, PEDRO, the Cochrane Library, Psych INFO, CINHAL, and Google Scholar, to identify relevant articles. Randomized controlled trials written in English and focusing on exercise training in older adults with osteoporosis or osteopenia were considered for inclusion in this study. Two independent authors conducted screening and reviewed articles. They extracted pertinent information, including authors' names, publication year, sample characteristics, intervention and comparison groups details, the FoF and NoF outcomes, intervention duration and dosage, and follow-up periods. We used the Cochrane Risk of Bias tool (RoB2) for the risk of bias assessment and the GRADE approach to evaluate the quality of evidence for each outcome. We calculated standardized mean difference, Incidence Rate Ratio, and 95% confidence intervals for the quantitative synthesis of the FoF and NoF.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results and discussion: &lt;/strong&gt;We included 14 randomized controlled trials (8 for FoF, 5 for the NoF, and 1 with both outcomes) with 2797 participants. All studies but one (with some risk) had a high risk of bias. The primary sources of bias in the included studies were the measurement of outcomes and selective reporting of results. Meta-analyses demonstrated that exercise training including balance, resistance, and aerobic exercises reduced FoF measured using the Fall Efficacy Scale International (overall effect size: -2.15, 95% CI = -3.16 to -1.15, Z = -4.2, P = .001, and I2 = 0.97) and NoF (IRR = 0.46, 95% CI: 0.14 to 0.78, Z = 2.79, P = .012, and I2 = 96%) significantly. Exercise training may effectively reduce the FoF and fall incidence in patients with osteoporosis or osteopenia. However, the considerable variability, high risk of bias, and methodological limitations in most studies underscored the critical need for high-quality studies to inform evidence-based guidelines, optimize intervention protocols, and establish these programs' long-term effects and sustainability.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Our study highlighted that exercise training including balance, resistance, and aerobic exercises can significantly decrease the FoF and NoF in older adults with osteoporosis or osteopenia. This issue supports the inclusion of tailored exercise pr","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027411","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":"Editor's Message: Journal Status, Editorial Team Changes, and Reviewer Appreciation 2024.","authors":"","doi":"10.1519/JPT.0000000000000466","DOIUrl":"https://doi.org/10.1519/JPT.0000000000000466","url":null,"abstract":"","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":"48 2","pages":"53-54"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056053","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.","authors":"Neva Kirk-Sanchez, Christine McDonough, Keith Avin, Jennifer Blackwood, Timothy Hanke","doi":"10.1519/JPT.0000000000000454","DOIUrl":"https://doi.org/10.1519/JPT.0000000000000454","url":null,"abstract":"<p><p>APTA-Geriatrics, an Academy of the American Physical Therapy Association, appointed a guideline development group (GDG) to develop a clinical practice guideline (CPG) synthesizing the evidence for physical therapy management of fall risk in community-dwelling older adults. The GDG consisted of five physical therapists with clinical expertise in the management of fall risk in older adults and methodological expertise in evidence-based document development. The CPG includes a systematic review of existing literature, and stringent methodology developed by the American Physical Therapy Association to form the evidence-based recommendations. The CPG content, including methodology, recommendations and algorithm were externally reviewed by clinical providers and academicians with expertise in fall risk management for older adults. These recommendations are intended to assist physical therapists and physical therapist assistants who are engaged in fall risk management for community-dwelling older adults.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":"48 2","pages":"62-87"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042993","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":"Unmet Social Needs of Older Adults With Mobility Limitations Following Inpatient Rehabilitation Discharge in Nigeria: A Qualitative Narrative Inquiry Study.","authors":"Chuwkuenyegom Joesph Egbumike, Blessing Ojembe, Chigozie Juliet Ezulike, Oluwagbemiga Oyinola, Ernest Nwachukwu, Michael Ebe Kalu","doi":"10.1519/JPT.0000000000000419","DOIUrl":"10.1519/JPT.0000000000000419","url":null,"abstract":"<p><strong>Background and purpose: </strong>Approximately, 30% to 60% of older adults experience functional decline following hospitalization, which has implications for their ability to meet social needs after discharge. Exploring the unmet social needs of older adults following discharge is warranted to rethink the elements of hospital discharge in low-resource countries. This study explored the unmet social needs of older adults with mobility limitations following discharge from an inpatient rehabilitation unit in a state hospital in Northern Nigeria.</p><p><strong>Methods: </strong>This narrative qualitative study is based on the social constructivism paradigm guided by the 3-Dimensional Narrative Inquiry Space (3-D NIS) methodology. We purposively selected and conducted telephone interviews with 12 older adults, aged 55 years and older, with mobility limitations and discharged from inpatient rehabilitation units. The 3-D NIS guided the thematic analysis of the data. Two author coders independently conducted a thematic analysis of the transcripts. Reflexivity was maintained throughout the research process.</p><p><strong>Results and discussions: </strong>Two related themes [6 sub-themes] emerged: \"limitations in social functioning\" [leisure activity, religious engagement, and instrumental activities of daily living modifications]; and \"accepting the status quo\" [Care/support from relatives, friends, and strangers, regrets and aspirations, and adaptation to psychological needs]. Seven tensions from the participants' transcripts were embedded in emotions, focused on belief, well-being, and spirituality, COVID-19 pandemic impact, desire to be \"normal,\" limited finance, non-age-friendly homes and community settings, and undetailed rehabilitation discharge planning.</p><p><strong>Conclusion: </strong>This study highlights the substantial unmet social needs of older adults with mobility limitations following discharge from inpatient rehabilitation units in Northern Nigeria, underscoring the importance of a holistic approach to hospital discharge planning. Future research in low-resource countries should delve deeper into developing comprehensive discharge strategies that integrate social workers and rehabilitation professionals to effectively address these multifaceted social needs.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":"E147-E155"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048407","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":"Longitudinal Analysis of Functional Capacity in Nursing Home Residents During the COVID-19 Pandemic.","authors":"Pau Moreno-Martin, Eduard Minobes-Molina, Anna Escribà-Salvans, Vinicius Rosa Oliveira, Sandra Rierola-Fochs, Pau Farrés-Godayol, Pol Gràcia-Micó, Dyego Leandro Bezerra de Souza, Dawn A Skelton, Javier Jerez-Roig","doi":"10.1519/JPT.0000000000000418","DOIUrl":"10.1519/JPT.0000000000000418","url":null,"abstract":"<p><strong>Background and purpose: </strong>The COVID-19 pandemic has raised concerns about nursing home (NH) residents' well-being, with recent studies indicating a significant increase in functional decline rate during this critical period. However, a comprehensive exploration of functional capacity trajectories in NH residents during the pandemic remains unexplored. This study aims to address this research gap by conducting an in-depth analysis of the impact of the COVID-19 pandemic on NH residents' functional capacity.</p><p><strong>Methods: </strong>A 24-month multicenter prospective study involving 123 NH residents from Spain, with data collected at 6-month intervals over 5 waves, starting just before the pandemic's onset. Functional capacity was assessed using the Modified Barthel Index, and data were analyzed employing the actuarial method, log-rank test, and Cox's regression.</p><p><strong>Results and discussion: </strong>The likelihood of maintaining functional capacity was unfavorable, with only a 19.3% chance of preservation for a 1-point decline (FD-1) in Barthel scores and a 50.5% probability for a 10-point decline (FD-10). Personal hygiene, eating, and toilet use were identified as the most affected activities of daily living. Urinary continence decline emerged as a risk factor for FD-1, while fecal continence decline was associated with FD-10. The probability of maintaining functional capacity in the initial 6 months of a pandemic was comparable to a 2-year non-pandemic follow-up. Pandemic-induced isolation strategies significantly impacted toileting and personal hygiene. Urinary decline was associated with minor functional decline (FD-1), while fecal decline correlated with major functional decline (FD-10). Notably, the number of days spent in room confinement did not significantly contribute to the observed decline.</p><p><strong>Conclusions: </strong>A substantial increase in the risk of FD among NH residents during the COVID-19 pandemic compared to the pre-pandemic period was found. It is crucial to implement urgent, targeted interventions that prioritize promoting physical activity and the implementation of mobility and toileting programs. These measures are pivotal for mitigating functional decline and enhancing the overall health and well-being of NH residents in a pandemic context.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":"98-110"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983618","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":"Functional Mobility and Its Relationship With Cognition in Older Adults With Normal Cognition, Motoric Cognitive Risk Syndrome, and Mild Alzheimer's Disease.","authors":"Sang-I Lin, Pei-Hao Chen, Ying-Yi Liao, Jhih-Yu Huang, Fang-Yu Cheng","doi":"10.1519/JPT.0000000000000455","DOIUrl":"https://doi.org/10.1519/JPT.0000000000000455","url":null,"abstract":"<p><strong>Background and purpose: </strong>Motoric cognitive risk syndrome (MCR) is a predementia syndrome and is a strong predictor of Alzheimer's disease (AD). Functional mobility, such as balance, sit-stand transitions, and turning, has not been clearly investigated in this population. This study aimed to compare functional mobility among older adults with normal cognition (NC), MCR, and mild AD. Cognitive-motor interactions were also investigated in all the groups.</p><p><strong>Methods: </strong>This cross-sectional study included 91 older adults, including 36 with NC, 32 with MCR, and 23 with mild AD. A battery of neuropsychology tests encompassing several domains, including general cognition, executive function, attention, episodic memory, visuospatial performance, and language, was administered, and functional mobility tasks, including the Short Physical Performance Battery (SPPB) and the Timed Up and Go Test (TUG), were also carried out. Differences between groups were analyzed with MANCOVAs (post hoc Bonferroni correction). Partial correlation analysis adjusted for age and education levels was used to examine correlations between functional mobility and cognitive function in each group. Canonical correlation analyses were used to determine the extent of the relationship between a set of cognitive variables (executive function, attention, and visuospatial performance) and a set of functional mobility variables (the SPPB and TUG) in the NC, MCR, and mild AD groups.</p><p><strong>Results and discussion: </strong>The SPPB and TUG performance of the MCR and mild AD groups was significantly worse than that of the NC group. Visuospatial performance and depression were significantly correlated with functional mobility in the MCR group, while depression was the only specific cognitive aspect associated with functional mobility in the mild AD group. Canonical analysis demonstrated a significant relationship between cognition and mobility, explaining approximately 28.4% of the variance, in the NC group. However, the other two groups showed no significant correlation between cognition and mobility.</p><p><strong>Conclusions: </strong>In addition to slow gait, deficits in sit-stand transitions and turning were also observed in the MCR and mild AD groups. We also found that motor-cognitive interactions may differ according to the level of cognitive impairment. Future studies should comprehensively assess functional mobility for different cognitive impairment populations.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":"48 2","pages":"88-97"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027562","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":"Survey of Geriatric Competencies and Curricular Models in Entry-Level DPT Programs in the United States.","authors":"Justin T Mierzwicki, Karen M Blood","doi":"10.1519/JPT.0000000000000432","DOIUrl":"10.1519/JPT.0000000000000432","url":null,"abstract":"<p><strong>Background and purpose: </strong>Nearly 2 decades have elapsed since the last national survey examining entry-level PT geriatric content. Furthermore, no survey has been completed investigating the extent to which the \"Essential Competencies in the Care of Older Adults at the Completion of Entry-level Physical Therapist Professional Program of Study\" were incorporated into DPT programs. The purpose of this study is to identify the extent to which DPT programs include geriatric topics and the Essential Competencies within curricula and determine geriatric content requiring proficiency for entry-level practice.</p><p><strong>Methods: </strong>A survey was developed in Qualtrics™ and distributed via email 4 times over 2 months in 2023 to DPT program chairs and APTA social media platforms. The survey contained sections on geriatric curriculum models, environment of content coverage, incorporation of Essential Competencies, and skills requiring entry-level proficiency. Data analysis was completed using descriptive statistics.</p><p><strong>Results and discussion: </strong>Responses were received from 134/276 programs. Seventy-nine and nine tenths percent of responding programs have a dedicated geriatric course, 93.4% of which require 1 geriatric course, with a mean of 2.6 credits (SD 1.02). In programs without dedicated geriatric courses, a mean of 2.7 credit hours (SD 2.88) of geriatric content was reported. Eighty-nine percent of programs cover age-related changes to major body systems and balance and fall screening, with <60% addressing interventions for cognition and social isolation. Of the surveyed Essential Competencies, 80.4% were incorporated into >70% of programs. A total of 31.6% of the tests and measures were taught, 15.8% were practiced, and 10.5% were identified by >70% of programs as requiring proficiency for entry-level practice.</p><p><strong>Conclusions: </strong>There is variation in geriatric content incorporated into entry-level DPT programs and moderately robust uptake of Essential Competencies. Entry-level education may not meet APTA-Geriatrics Best Practice guidelines with relatively few tests, measures, and interventions recommended with consensus to be proficient prior to entry-level practice. Improved knowledge translation and curricular guidance may help reduce practice variation and enhance entry-level education in geriatric physical therapy.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":"E138-E146"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899320","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 Influence of Aging on Hip Abductor Muscle Torque, Power, Velocity and the Association With Lower Limb Physical Function.","authors":"Marcel Bahia Lanza, Carolina da Cruz de Souza, Vicki L Gray","doi":"10.1519/JPT.0000000000000431","DOIUrl":"10.1519/JPT.0000000000000431","url":null,"abstract":"<p><strong>Background and purpose: </strong>Muscle strength, power, and mass decline with aging, leading to functional loss highly correlated with balance and falls in older adults. Lower limb muscle function is critical for fall prevention in older adults, and hip abductor force and rapid force development have been shown to be important during stepping tasks. However, it remains unclear whether hip abductor muscle function changes with aging. Therefore, the primary aim of this study was to compare maximum torque, submaximal power, and submaximal velocity of hip abductor muscles, as well as hip abductor strength and power clinical assessments, between young and older adults. The secondary aim was to investigate whether there is a relationship between the clinical assessments and hip abduction maximum torque, submaximal power, and submaximal velocity in young and older adults.</p><p><strong>Methods: </strong>The volunteers young (n = 20, 26.5 ± 3.9) and older (n = 20, 71.9 ± 5.3) adults performed a hip abduction estimated 1-repetition maximum (e1RM) and submaximal tests (40%, 60%, and 70% of e1RM) and clinical assessments (stair climb power test and the 30-second chair stand test).</p><p><strong>Results: </strong>Older adults exhibited a statistically significant decline in hip abduction torque, power, and velocity, accompanied by lower scores in clinical assessments in comparison to young adults. However, young adults did not exhibit any significant associations between clinical assessments and hip abduction maximum torque, power, and velocity, whereas older adults demonstrated strong correlations (r ≥ 0.52, P ≤ .02).</p><p><strong>Discussion: </strong>Older adults have a significant reduction in their ability to produce hip abduction torque, power, and velocity, as well as poor performance in clinical assessments compared to young adults. The declines in hip abductor maximum torque, power, and velocity with aging may be related to functional performance, as shown by the significant correlations between these variables and clinical assessments in older adults.</p><p><strong>Conclusion: </strong>Health care professionals should consider declines in the ability to generate muscle force rapidly, given its significance to lower limb function and overall physical capabilities.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":"E129-E137"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957410","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":"2025 Carole B. Lewis Distinguished Lecture: Address to the APTA Geriatrics Membership Combined Sections Meeting, Houston, TX, February 13, 2025 I Get Great Results With My Patients-What Is Wrong With the Research?","authors":"Kathleen Kline Mangione","doi":"10.1519/JPT.0000000000000461","DOIUrl":"https://doi.org/10.1519/JPT.0000000000000461","url":null,"abstract":"","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":"48 2","pages":"55-61"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041587","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}