Journal of Geriatric Physical Therapy最新文献

{"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":"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":"67-76"},"PeriodicalIF":3.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13001892/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editor's Message: 2025 and 2026 JGPT Best Article Awards, Journal Status, and Reviewer Appreciation 2025.","authors":"Leslie K Allison","doi":"10.1519/JPT.0000000000000498","DOIUrl":"https://doi.org/10.1519/JPT.0000000000000498","url":null,"abstract":"","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":"49 2","pages":"55-56"},"PeriodicalIF":1.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500529","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: 2025 and 2026 JGPT Best Article Awards, Journal Status, and Reviewer Appreciation 2025.","authors":"Leslie K Allison","doi":"10.1519/JPT.0000000000000498","DOIUrl":"https://doi.org/10.1519/JPT.0000000000000498","url":null,"abstract":"","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445759","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":"Validating Falls Efficacy and Balance Confidence Scales as Windows Into Real-Time Fall Anxiety in Older Adults.","authors":"Nesreen Alissa, Kelly P Westlake","doi":"10.1519/JPT.0000000000000492","DOIUrl":"10.1519/JPT.0000000000000492","url":null,"abstract":"<p><strong>Background and purpose: </strong>Fear of falling (FOF) is a common concern among older adults that can affect balance control. The Falls Efficacy Scale-International (FES-I) and the Activities-specific Balance (ABC) scale, while commonly used for assessing FOF, were originally validated for measuring concern about falling and balance confidence during imagined activities. This study aimed to validate the use of FES-I and ABC as measures of fall-related state anxiety during unpredictable balance challenges by examining their relationship with skin conductance levels (SCLs) as a measure of psychophysiological state anxiety. Additionally, we aimed to compare state anxiety responses during sudden balance perturbations between older adults with high versus low concern about falls.</p><p><strong>Methods: </strong>Sixteen community-dwelling and ambulatory older adults (mean age, 70.29 ± 5.31 years) were exposed to 3 unpredictable trip perturbations. Outcomes included FES-I and ABC, Subjective Units of Distress Scale (SUDS, measuring state anxiety), and SCL. The Wilcoxon signed rank test compared SCL before and after perturbations. Spearman's correlations analyzed relationships between SCL change and FES-I and ABC scores. The Mann-Whitney U test compared SUDS between participants with low (FES-I <23) and high (FES-I ≥23) concern about falls.</p><p><strong>Results: </strong>SCL significantly increased from pre- to post-trip perturbation (P = .03), indicating perturbation-induced state anxiety. This increase correlated positively with both FES-I (rho = 0.62, P = .01) and ABC (rho = -0.59, P = .02) scores. Subjective Units of Distress Scale scores differed significantly (P = .01) between older adults with high vs low concern for falls.</p><p><strong>Conclusions: </strong>Results suggest that FES-I and ABC scores are related to perturbation-induced state anxiety in older adults during balance challenges. Additionally, older adults with high concern about falls report higher levels of subjective state anxiety during these challenges. These findings provide initial evidence for the criterion validity of these clinical scales in relation to fall-related state anxiety. Further investigations with larger cohorts encompassing a wider range of falls efficacy and balance confidence levels are warranted.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158986","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":"Comparing Coach2Move and Usual Physical Therapy Among Older Adults: A Qualitative Study.","authors":"Li-Zandre Philbrook, Ward Heij, Anne Thackeray, Jeff Houck, Tyler Whited, Lyndsay Stutzenberger, Matthew Miller, Mark Vorensky","doi":"10.1519/JPT.0000000000000495","DOIUrl":"https://doi.org/10.1519/JPT.0000000000000495","url":null,"abstract":"<p><strong>Background and purpose: </strong>Older adults in the US often do not meet the recommended amount of physical activity. Coach2Move has demonstrated effectiveness in improving physical activity, yet its comparisons with usual physical therapy from the patients' perspectives are limited. This study examined patients' perceptions and experiences of Coach2Move compared to usual care.</p><p><strong>Methods: </strong>This qualitative study employed semi-structured interviews using reflexive thematic analysis. Participants included 15 community-dwelling older adults (≥65 years) with musculoskeletal pain, balance deficits, or general health decline recruited from an assisted living facility and surrounding suburban communities in the Pacific Northwest. Each participant received two 60-minute physical therapy evaluations in random order: 1 using Coach2Move and 1 using usual physical therapy. Physical therapists trained in both approaches followed structured guides, and interviews occurred within 3 days of the second session.</p><p><strong>Results: </strong>Four themes were generated reflecting participants' perceptions of evaluation style, therapist characteristics, person centeredness, and behavior change. Both approaches were viewed positively, though participants often favored Coach2Move for its greater challenge, person-centered focus, and support for behavior change.</p><p><strong>Conclusion: </strong>Findings highlight positive perceptions of Coach2Move and suggest that its emphasis on collaboration and tailored activity may promote behavior change and physical activity among older adults.</p><p><strong>Clinical relevance: </strong>These findings provide insight into potential strategies important to older adults when promoting physical activity and behavior change.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127038","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 Summary of Facilitators and Barriers to Physical Therapy Engagement for Older Adults With Lumbar Spinal Stenosis: A Scoping Review.","authors":"Rachel Smertz, Catherine T Schmidt","doi":"10.1519/JPT.0000000000000494","DOIUrl":"https://doi.org/10.1519/JPT.0000000000000494","url":null,"abstract":"<p><strong>Background and purpose: </strong>Lumbar spinal stenosis (LSS) is a common spine disease in older adults leading to mobility limitations and decreased quality of life. Physical therapy (PT) is effective at improving pain and function for patients with LSS. However, PT utilization remains low contributing to higher surgical rates. Compared to PT, surgery is associated with greater medical risk and health care costs. The purpose of this scoping review is to identify facilitators and barriers to PT engagement among older adults with LSS with the aim of understanding PT underutilization and reducing unnecessary surgical interventions.</p><p><strong>Methods: </strong>Two independent reviewers searched 3 databases, PubMed, CINAHL (EBSCO), and PEDro. Inclusion criteria were the following: observational (prospective or retrospective), experimental (randomized and nonrandomized controlled trials, prospective clinical trials, and cohort studies) and qualitative studies published in English; adults ages 60 years and older with LSS; evidence of PT utilization; and outcomes of facilitators and/or barriers. Thematic analysis was used to categorize facilitators and barriers extracted from included studies.</p><p><strong>Results and discussion: </strong>Of 332 studies, 8 remained following screening of titles, abstracts, and full texts. A total of 392 patients were included across studies. Six themes were identified for both, facilitators and barriers. Facilitators included flexible clinic scheduling and accessibility, personalized patient education, and positive social support. Barriers included unreliable transportation, high cost, symptoms from a medical condition(s), and excessive travel and time. Patient-centered factors, patient-provider relationship, and delivery of care were categorized as both facilitators and barriers. Facilitators and barriers identified for patients with LSS align with those previously identified for other musculoskeletal conditions.</p><p><strong>Conclusion: </strong>This scoping review is the first to identify facilitators and barriers influencing PT engagement for patients with LSS. It is imperative that clinicians consider facilitators and barriers in addition to patient-specific needs to optimize engagement in PT and maximize mobility and health for patients with LSS. Future research should focus on other potential factors impacting PT engagement such as health care practitioner referrals to PT.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146041980","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":"Association Between SARC-F and Clinical Outcomes in Older Adults With Cardiovascular Diseases Admitted to the Emergency Room: A Longitudinal Study.","authors":"Luciana D L Sousa, Paloma B de Lima, Mariana D G Dos Santos, Osmair G de Macedo, Tiago D S Alexandre, Patrícia A Garcia","doi":"10.1519/JPT.0000000000000438","DOIUrl":"10.1519/JPT.0000000000000438","url":null,"abstract":"<p><strong>Introduction: </strong>Sarcopenia can be more significant and severe in the presence of cardiovascular diseases. In hospitalized older adults with acute cardiac disease, assessing strength parameters, muscle mass, and physical performance is difficult largely because of bed rest restrictions. In this context, a simple questionnaire to rapidly diagnose sarcopenia (SARC-F) emerges as a feasible screening tool to identify sarcopenia in an emergency room setting.</p><p><strong>Objectives: </strong>Assess the association between SARC-F, length of stay, mechanical ventilation, and in-hospital mortality in older adults with cardiovascular diseases admitted to the ER.</p><p><strong>Methodology: </strong>An observational longitudinal study with 160 Brazilian older adults with cardiovascular diseases admitted to the hospital following an ER visit. The risk of sarcopenia was assessed by the SARC-F tool (independent variable). Length of stay, use of mechanical ventilation, and in-hospital mortality were the dependent variables, collected via an electronic medical chart. Data were analyzed by simple and multiple linear and logistic regression.</p><p><strong>Results: </strong>SARC-F explained 62% of length of stay, adjusted for the confounding variables age, male sex, and use of continuous medication, mechanical ventilation, and corticosteroids. Risk of sarcopenia was also associated with mechanical ventilation during hospitalization (odds ratio = 1.398; 95% CI, 1.018-1.919). SARC-F was not related to mortality.</p><p><strong>Conclusion: </strong>Older adults with cardiovascular diseases hospitalized at greater risk of sarcopenia were more likely to need invasive mechanical ventilation and more prone to prolonged hospital stays.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":"46-54"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814697","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":"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 (5 th , 10 th , 25 th , 50 th , 75 th , 90 th , 95 th ) 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":"26-36"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","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":"CSM 2025 Poster Abstracts.","authors":"","doi":"10.1519/JPT.0000000000000488","DOIUrl":"10.1519/JPT.0000000000000488","url":null,"abstract":"","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":"49 1","pages":"E41-E122"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688630","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":"Item Response Theory of the English Version of the Falls Efficacy Scale-International Tool Among Community-Dwelling Older Adults From Four Different Sites.","authors":"Owis Eilayyan, Saionara Câmara, Carmen-Lucia Curcio, Cristiano Dos Santos Gomes, Fernando Gomez, Ricardo Guerra, Tamer Ahmed, Mohammad Auais","doi":"10.1519/JPT.0000000000000445","DOIUrl":"10.1519/JPT.0000000000000445","url":null,"abstract":"<p><strong>Background and purpose: </strong>The Falls Efficacy Scale-International (FES-I) is widely used in clinical practice, but it is unclear how each item can discriminate different levels of fall concern. This study applied item response theory (IRT) to evaluate the psychometric properties of each item in the original English version of FES-I among older adults, and compared those properties across genders and with translations in French, Portuguese, and Spanish.</p><p><strong>Methods: </strong>This cross-sectional study used data from the International Mobility in Aging Study, which recruited community-dwelling older adults. Modified graded IRT was used to assess the psychometric properties of the FES-I items, specifically estimating difficulty and discrimination (ie, ability to differentiate levels of fall concern) parameters. Item reliability across the different levels of fall concern was estimated and differential item functioning (DIF) was tested for each item to assess if participants perceived the items similarly regardless of gender and language.</p><p><strong>Results and discussion: </strong>The study included 1608 community-dwelling older adults, of which 395 had completed the English version of the FES-I. Generally, the IRT results showed that the English version was a reliable tool, especially for older adults with high fall concerns, but did not distinguish between low and moderate levels of concern. Factor analysis supported the construct validity of the FES-I. In the DIF analysis, 2 items were perceived differently by gender in the English version, and 9 items were perceived differently between the English and the translated versions (French, Spanish, and Portuguese). The presence of DIF indicates that the psychometric properties of these items are different across genders and languages, and they might relate to cultural factors, the surrounding environment, the wording, the biological differences between men and women, and the item's task itself.</p><p><strong>Conclusions: </strong>The FES-I is a reliable and valid scale for identifying older adults with high fall concern, but it should include more difficult items. Additionally, differing perceptions of items across genders and languages necessitate caution in comparing results among diverse populations.</p>","PeriodicalId":49035,"journal":{"name":"Journal of Geriatric Physical Therapy","volume":" ","pages":"37-45"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039377","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}