Journal of Geriatric Physical Therapy最新文献

{"title":"\"Mind the Gap\": Brazilian Physiotherapists Are Not Implementing Early Mobilization Interventions for Postoperative Patients With Hip Fractures.","authors":"Saionara M A Câmara, Juliana Martins Pinto, Núbia Carelli Pereira de Avelar, Daniela Cristina Carvalho de Abreu, Amanda Aparecida Oliveira Leopoldino, Camila Astolphi Lima, Marcos Paulo Miranda de Aquino, Melise Jacon Peres-Ueno, Gisele de Cássia Gomes, Leani Souza Máximo Pereira, Monica Rodrigues Perracini","doi":"10.1519/JPT.0000000000000489","DOIUrl":"10.1519/JPT.0000000000000489","url":null,"abstract":"<p><strong>Background and purpose: </strong>Early mobilization, such as standing and walking within the first day after surgery, is crucial to enhance recovery after a hip fracture, yet its implementation remains a challenge. This paper aims to understand the Brazilian physiotherapists' (PTs) knowledge and practices regarding early mobilization after hip fracture repair.</p><p><strong>Methods: </strong>An online survey was conducted from September 1, 2022 to May 31, 2023 with PTs involved in postoperative care for hip fracture patients. Participants were recruited via social media and email, and answered questions assessing their knowledge and typical practices regarding the timing of early mobilization (standing and ambulation) post-hip fracture surgery. Responses were classified from the most to least associated with best practices: since the first day, the second day, and the third day or later. They also reported professional and organizational aspects related to their background, training, and work practice. Ordinal regression models identified variables associated with better knowledge and/or implementation of early mobilization.</p><p><strong>Results: </strong>Of the participants, 234 completed questions on organizational and professional aspects, 169 on standing, and 155 on ambulation. PTs working in orthogeriatric teams showed best knowledge of standing (OR = 1.92, P = .048) and ambulation (OR = 1.88, P = .039). Working in private hospitals (OR = 2.32, P = .010), assisting fewer than 10 patients per day (OR = 1.91, P = .041), and using mobility assessments (OR = 1.86, P = .084) were associated with better knowledge of early mobilization. Not relying on surgeon authorization (OR = 2.27, P = .015) and assisting fewer than 10 patients per day (OR = 2.26, P = .011) were associated with better implementation of standing and/or ambulation practices. Attending training on post-hip fracture rehabilitation was significantly associated with better standing practice (OR = 1.91, P = .031).</p><p><strong>Conclusions: </strong>Multiple modifiable factors are associated with knowledge and practice of early mobilization. These findings may help practitioners and managers identify the shortcomings of current care provision, as well as the barriers and challenges to improving best practices in rehabilitation.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":"e137-e147"},"PeriodicalIF":3.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943356","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}

{"title":"Call for Papers Special Issue on Preclinical Mobility Limitation in Older Adults.","authors":"Leslie K Allison","doi":"10.1519/JPT.0000000000000511","DOIUrl":"https://doi.org/10.1519/JPT.0000000000000511","url":null,"abstract":"","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":"49 3","pages":"117-118"},"PeriodicalIF":3.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266695","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 Scoping Review of Principles of Multisensory Exercise Training Interventions in Older Adults Emphasizing Balance and Fall Incidence.","authors":"Sahar Johari, Joy MacDermid, Laura J Graham, Christina Tina Ziebart, Erfan Shafiee","doi":"10.1519/JPT.0000000000000477","DOIUrl":"10.1519/JPT.0000000000000477","url":null,"abstract":"<p><strong>Background and purpose: </strong>Multisensory exercises target visual, vestibular, and somatosensory systems to improve balance and mobility, thus reducing fall risk in older adults. Unlike traditional exercise interventions focusing on physical strength or motor skills, multisensory exercises challenge sensory inputs to enhance adaptability and stability. Despite their potential benefits, the role of sensory training in balance improvement and fall prevention has not been extensively explored. This scoping review aimed to examine and summarize multisensory exercise interventions' content, delivery, and outcomes in older adults without specific health diagnoses.</p><p><strong>Methods: </strong>A scoping review was conducted following Arksey and O'Malley's framework, encompassing stages such as identifying the research question, identifying relevant studies, study selection, charting the data, and synthesizing, summarizing, and reporting the results. Cochrane Library, Medline, PEDro, EMBASE, ProQuest, and Google Scholar were systematically searched using key terms such as \"older adults,\" \"multisensory,\" \"balance,\" \"exercise,\" and \"fall.\" Studies were included if they evaluated the impact of multisensory exercises on balance and fall incidence in older adults without specific health diagnoses. The TIDieR checklist guided data extraction to ensure comprehensive reporting and analysis of intervention protocols.</p><p><strong>Results and discussion: </strong>A total of 21 articles met the inclusion criteria, including 15 randomized controlled trials and 6 pre-post design studies without control groups. The total number of enrolled older adults was 1,018, 65% of whom were women. The review identified 4 principal categories of sensory interventions targeting visual, vestibular, proprioceptive modalities, and their combinations. Walking with sensory stimulation was the most common exercise intervention, featured in almost 60% of the studies. The Berg Balance Scale was the most frequently employed outcome measure, used in 42% of studies. However, the studies demonstrated considerable diversity in objectives, reporting, and intervention designs, including variations in exercise duration, frequency, intensity, and the specific sensory challenges applied. Additionally, inconsistencies were observed in the selection of outcome measures, with limited standardization across studies, making comparisons challenging.</p><p><strong>Conclusion: </strong>Although multisensory interventions are widely used to improve balance, empirical evidence is limited by inconsistencies in study design, intervention delivery, and reporting. Greater theoretical clarity, operational definitions, intervention mapping, and codesign techniques are necessary to enhance the quality and impact of future research in clinical practice.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":"151-162"},"PeriodicalIF":3.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145582180","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":"Feasibility and Effects of Synchronous Online vs. Face-to-Face Multicomponent Physical Exercise in Older Nursing Home Residents: A Pilot Randomized Controlled Trial.","authors":"Aida Ruiz-Fernandez, Jon Irazusta, Andrea Martin-Perez, Ander Espin, Ana Carbonell-Baeza, Maite Alda, Asier Mañas, Ana Rodriguez-Larrad, Miriam Urquiza","doi":"10.1519/JPT.0000000000000478","DOIUrl":"10.1519/JPT.0000000000000478","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background and purpose: &lt;/strong&gt;While evidence supports the feasibility and benefits of online exercise programs for community-dwelling older adults, there is a lack of research on their use among nursing home (NH) residents. This pilot randomized controlled trial aimed to (i) evaluate the feasibility of a synchronous online (SO) group-based supervised physical exercise intervention, and (ii) explore the comparative effects of SO versus face-to-face (F2F) group-based programs on the physical, mental, and quality-of-life outcomes of older people living in NH.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;Twelve older people were randomly assigned to SO (n = 6) or F2F groups (n = 6). Both interventions consisted of a 12-week moderate-intensity multicomponent supervised physical exercise program performed twice per week, including balance, strength, and aerobic exercises guided by a physiotherapist.Feasibility was assessed based on adherence (completion, attendance, and compliance) and exercise program characteristics (session mean duration, exercises per workout, intensity mean of resistance and aerobic exercises measured by OMNI scale, and dose modifications). Moreover, safety was monitored by reporting adverse events and participants' satisfaction level was assessed with a 0-10 visual analog scale and the Basic Psychological Needs in Exercise scale. The preliminary effects of the programs were evaluated including physical, mental, and quality-of-life assessments. Physical assessment measurement included the Short Physical Performance Battery (SPPB), the arm curl, the 8 Foot-Up and Go (8FUG) and the 2 Minute Walk (2MWT) tests. The mental assessment included cognitive assessment with the Trail Making Test-part A (TMTa) and the Montreal Cognitive Assessment (MoCA). Depression was evaluated by the Yesavage 15-item Geriatric Depression Scale (GDS-15) and anxiety with the Zung Self-Rating Anxiety Scale (SAS). The unpaired Student's t - and chi 2 tests were used to assess between-group differences at baseline and at completion. Between-group comparisons were performed using Student t - or chi 2 tests .Within-group comparisons were conducted using paired t -tests, and mixed-design ANCOVA (with baseline values as covariates) was used to calculate group × time interactions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results and discussion: &lt;/strong&gt;All participants in both groups completed the intervention with high levels of attendance and compliance rates. Intervention characteristics differed between groups, with significantly shorter duration of F2F sessions (49 min) compared to SO group (59 min) ( P &lt; .001). Perceived cardiovascular intensity and satisfaction were significantly higher in the F2F group ( P = .020). Both groups showed significant improvements in the SPPB (SO P = .038; F2F P = .049) and the arm curl tests (SO P = .009; F2F P = .004), with only the F2F group showing significant improvement in the 8FUG test ( P = .041). Geriatric Depression Scale scores improved signific","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":"129-140"},"PeriodicalIF":3.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145582344","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":"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":"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":"119-128"},"PeriodicalIF":3.0,"publicationDate":"2026-07-01","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":"Walking Independence Within 14 Days After Surgery in Patients With Proximal Femoral Fractures Can Be Predicted From Weight Bearing Ratio.","authors":"Takashi Nasu, Keishin Kobayashi, Yusuke Kuji, Tomoya Tachikawa, Ai Kawamura, Daiki Yamawaki, Hideaki Shirai, Mizuki Tamekawa, Masatomo Watanabe, Ohori Masaaki, Takeshi Morifuji","doi":"10.1519/JPT.0000000000000510","DOIUrl":"https://doi.org/10.1519/JPT.0000000000000510","url":null,"abstract":"<p><strong>Background and purpose: </strong>Early prediction of walking independence after proximal femoral fracture (PFF) surgery is essential for discharge planning and rehabilitation. However, many existing models require multiple assessments, limiting feasibility in the early postoperative period. This study investigated whether the weight-bearing ratio (WBR), measured on postoperative days 3, 5, and 7, predicts walking independence within 14 days after surgery and compared predictive accuracy across timepoints.</p><p><strong>Methods: </strong>This retrospective cohort study included patients who underwent surgical treatment for PFF at a single acute-care hospital between December 2021 and December 2023. Fifty participants who were able to walk independently on flat ground before injury were analyzed. The WBR was measured on postoperative days 3, 5, and 7 using a floor scale during supported standing. Walking independence at postoperative day 14 was defined as a functional independence measure gait score ≥ 6. Receiver operating characteristic curve analysis identified optimal cutoff values and evaluated predictive accuracy. Associations between WBR and clinical factors were examined using correlation and multiple regression analyses.</p><p><strong>Results and discussion: </strong>The optimal WBR cutoff values for predicting walking independence were 60% on postoperative day 3, 70% on day 5, and 76% on day 7. The area under the curve was 0.91 on postoperative days 3 and 5 and 0.95 on day 7, with no significant differences between timepoints. On postoperative day 3, WBR was independently associated with pain during weight bearing and lower limb muscle endurance, whereas balance ability was significant on days 5 and 7. These findings suggest that early postoperative WBR reflects changes in pain, strength, and balance influencing walking recovery.</p><p><strong>Conclusions: </strong>The WBR measured as early as postoperative day 3 predicts walking independence within 14 days with accuracy comparable to later measurements. Early WBR assessment provides a simple, low-cost indicator that may support identification of participants at risk for delayed recovery and guide rehabilitation and discharge planning after PFF surgery.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279571","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 an Intervention for Improving Toe Pressure Strength on the Physical Function of Older Adults Requiring Long-Term Care: A Double-Blind Randomized Controlled Trial.","authors":"Kamasaki Taishiro, Otao Hiroshi, Hachiya Mizuki, Maruta Michio, Shimokihara Suguru, Maeda Noriaki, Komiya Makoto, Ochishi Kohei, Kumamaru Hironobu, Tabira Takayuki","doi":"10.1519/JPT.0000000000000500","DOIUrl":"https://doi.org/10.1519/JPT.0000000000000500","url":null,"abstract":"<p><strong>Background and purpose: </strong>Toe pressure strength measured in the standing position has been shown to contribute more to health promotion and disease prevention in older adults than conventional toe grip strength. Toe pressure strength in the standing position was associated with standing ability and walking speed. However, it remains unclear whether interventions designed to improve toe pressure strength in the standing position (ie, assessed while standing) increase muscle strength and improve physical function. This study aimed to examine the effects of interventions on toe pressure strength in the standing position among community-dwelling older adults participating in a day program.</p><p><strong>Methods: </strong>This double-blind randomized controlled trial was conducted among community-dwelling older adults participating in a day program. The 40 participants selected for analysis were randomly divided into a control group (n = 20) and an intervention group (n = 20). The control group received standard rehabilitation, whereas the intervention group received standard rehabilitation plus toe pressure strength training (5 seconds × 10 repetitions for 3 sets over 12 weeks). Two-way repeated-measures analysis of variance was conducted to compare changes in variables after the intervention between groups.</p><p><strong>Results and discussion: </strong>18 participants in each group completed the intervention and were included in the final analysis (control: 82 ± 6 years, 67% female; intervention: 85 ± 5 years, 61% female). A significant interaction was observed between toe pressure strength in the standing position and maximum walking speed. The post hoc tests showed no significant differences in any of the variables at baseline between the groups. Conversely, significant differences only in toe pressure strength in the standing position and maximum walking speed was observed between the groups after 12 weeks.</p><p><strong>Conclusions: </strong>Toe pressure strength training improved toe pressure strength in the standing position and maximum walking speed. This has been the first study to clarify the effects of toe pressure strength training, with our results highlighting its importance in the community-dwelling older adults.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139490","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 Structured Aerobic Exercise Program Increases Physical Activity in People With Parkinson's Disease: A Secondary Analysis of the CYCLE-II Trial.","authors":"Anson B Rosenfeldt, A Elizabeth Jansen, Cielita Lopez-Lennon, Eric Zimmerman, Peter B Imrey, Leland E Dibble, Jay L Alberts","doi":"10.1519/JPT.0000000000000505","DOIUrl":"10.1519/JPT.0000000000000505","url":null,"abstract":"<p><strong>Background and purpose: </strong>It has been proposed that a structured exercise program will increase overall physical activity in people with Parkinson's disease (PwPD). Initial studies present conflicting results. The aim of this project was to determine the impact of a home-based aerobic exercise (AE) program on overall physical activity over 12 months in PwPD.</p><p><strong>Methods: </strong>This project was a secondary analysis of data gathered during a multisite randomized controlled clinical trial. Individuals with Parkinson's disease were randomized to a home-based AE or usual and customary care (UCC) group. The AE group exercised 3×/wk, progressing to 30-45 minutes, for 12 months on a commercially available stationary cycle. Physical activity for both groups was captured by a lower extremity activity monitor. The difference in overall physical activity between the UCC and AE groups was evaluated using a linear mixed model.</p><p><strong>Results: </strong>A total of 118 and 119 people were included in the AE (mean [standard deviation] age 62.5 [8.1] years; 67.8% male) and UCC (mean [standard deviation] age 65.3 [8.2] years; 66.4% male) groups, respectively. Mean physical activity per day was 19% (~1000 steps) higher in the AE group compared with the UCC group. In the AE group, physical activity was 85% higher on exercise than nonexercise days. Both groups exhibited an overall negative trend in physical activity over 12 months.</p><p><strong>Conclusions: </strong>Physical activity gained from AE in a cohort of PwPD was additive to usual activity, as physical activity in the AE group remained considerably higher than the UCC group throughout the year. The increase did not arrest the gradual annual declines in physical activity among PwPD but may create a buffer to the decline. Physical therapists should prescribe structured AE programs to increase overall physical activity in PwPD.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036972","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":"Test-Retest Reliability, Validity, and Clinical Utility of the Modified Figure-of-Eight Balance Test with Tandem Gait in High-Functioning Older Adults.","authors":"Lih-Jiun Liaw, Hong-Ze Li, Chia-Chi Yang","doi":"10.1519/JPT.0000000000000504","DOIUrl":"10.1519/JPT.0000000000000504","url":null,"abstract":"<p><strong>Background and purpose: </strong>Enhancing or maintaining dynamic balance is essential for older adults to mitigate the risk of mobility decline associated with aging and to preserve their ability to engage in socially active and independent lifestyles. The Modified Figure-of-Eight balance test with tandem gait (MFEtan) was specifically designed to challenge mediolateral stability and assess balance control during tasks requiring continuous directional changes, providing a more demanding evaluation for high-functioning older adults. The test yields 2 performance domains: completion time and number of oversteps. This cross-sectional study evaluated the test-retest reliability and validity of the MFEtan test and discussed its implications for clinical utility in high-functioning older adults.</p><p><strong>Methods: </strong>Fifty-two participants (mean age = 69.6 years; SD = 3.8 years; 82.7% female) completed the MFEtan balance and other established balance tests (one-leg stance [OLS], Timed Up and Go, walking speed, and Functional Gait Assessment). The test-retest reliability of the MFEtan balance test was evaluated by repeating the test after a 5-7 day interval. Statistical analyses, including intraclass correlation coefficients (ICCs), Bland-Altman analysis, and minimal detectable change (MDC), were applied to assess the consistency of test results and quantify measurement error. Correlations with established balance tests were analyzed to explore potential validity relations.</p><p><strong>Results and discussion: </strong>The MFEtan balance test demonstrated good test-retest reliability for completion time (ICC = 0.85) and oversteps (ICC = 0.93). The MDC 95 for completion time was 9.49 seconds, with an MDC% of 26.68%. For oversteps, the MDC 95 was 1.8 steps, and the MDC% was 62.63%, reflecting higher relative measurement variability. Significant correlations were observed between oversteps and performance in the OLS ( r = -0.45, P =.001) and Functional Gait Assessment ( r = -0.54, P < .001), suggesting its association with both static OLS and dynamic functional gait assessment balance control.</p><p><strong>Conclusions: </strong>The MFEtan balance test demonstrates good test-retest reliability and shows partial construct validity, suggesting that it captures distinct aspects of balance performance. It may serve as a valuable complement to existing tools for monitoring balance changes and guiding interventions in high-functioning older adults, especially when traditional tools show ceiling effects.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976673","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}