Article
Medicine, General & Internal
Junekyung Lee, Min Ho Chun, Jiyeon Lee
Summary: This study aimed to investigate the effect of gait and balance training on an unstable mudflats surface in older adults. The results showed that muscle strength and balance of older people could be improved through training on the mudflats surface.
Article
Multidisciplinary Sciences
Ryan J. Downey, Natalie Richer, Rohan Gupta, Chang Liu, Erika M. Pliner, Arkaprava Roy, Jungyun Hwang, David J. Clark, Chris J. Hass, Todd M. Manini, Rachael D. Seidler, Daniel P. Ferris
Summary: This study investigated the effects of altering terrain unevenness on gait kinematics, and found that increasing terrain unevenness led to greater stride-to-stride variability and reduced perceived stability in participants.
Review
Medicine, General & Internal
Julia Loewenthal, Kim E. Innes, Margalit Mitzner, Carol Mita, Ariela R. Orkaby
Summary: This study aims to evaluate the effect of yoga-based interventions on frailty in older adults. The findings indicate that compared to education or inactive control, yoga has a moderate-certainty effect in improving gait speed and lower-extremity strength and endurance in older adults. There is low-certainty evidence for its effect on balance and multicomponent physical function measures, and very low-certainty evidence for handgrip strength.
ANNALS OF INTERNAL MEDICINE
(2023)
Article
Orthopedics
Pamela M. Dunlap, Breanna M. Crane, Subashan Perera, Kyle D. Moored, Michelle C. Carlson, Jennifer S. Brach, Brooke N. Klatt, Andrea L. Rosso
Summary: This study compared the effects of two interventions, standard strength and endurance training, and standard plus timing and coordination training, on community mobility in older adults. The results showed that neither intervention significantly improved community mobility, suggesting the need for more comprehensive interventions in the future.
Article
Geriatrics & Gerontology
Takehiko Doi, Sho Nakakubo, Kota Tsutsumimoto, Satoshi Kurita, Hideaki Ishii, Hiroyuki Shimada
Summary: Gait is a valuable measure of physical function in older adults, with slower gait speed, shorter stride length, lower cadence, and higher stride length variability being associated with increased mortality risk. Participants with low function in all gait variables had higher mortality risk, and the risk increased with the number of variables showing low gait function compared to normal gait function. Multifaceted gait analysis may be useful for evaluating mortality risk.
Article
Geriatrics & Gerontology
Michele L. Callisaya, Oshadi Jayakody, Anagha Vaidya, Velandai Srikanth, Maree Farrow, Kim Delbaere
Summary: This study aimed to examine the efficacy of a novel tablet-delivered cognitive-motor program on mobility in older people with cognitive impairment. Despite not reaching the planned sample size due to COVID-19 restrictions, the intervention group showed a trend towards improvement in gait speed.
EXPERIMENTAL GERONTOLOGY
(2021)
Article
Geriatrics & Gerontology
Urs Granacher, Thomas Muehlbauer, Gerd Goestemeyer, Stefanie Gruber, Markus Gruber
Summary: The study found that home-based balance exercises conducted twice daily during tooth brushing routines were not sufficient to improve balance and muscle strength in healthy older adults. Structured balance training programs using higher exercise dosages and/or more difficult balance tasks are recommended for older adults to enhance balance and muscle strength.
Article
Orthopedics
Volkan Yuzlu, Semra Oguz, Eren Timurtas, Elcin Aykutoglu, M. Gulden Polat
Summary: This study compares the effects of integrated and consecutive cognitive dual-task balance training on balance and gait performance in older adults. The results show that there is no statistically significant difference in the impact of the two training methods on balance and gait performance after an 8-week training period. This suggests that consecutive dual-task balance training can be used as an alternative method to improve balance and gait in older adults who cannot perform integrated dual-task activities.
Article
Clinical Neurology
Rodrigo Vitorio, Mahmoud El-Gohary, Sean Pearson, Patricia Carlson-Kuhta, Graham Harker, Fay B. Horak, Jodi Lapidus, Mike Studer, Martina Mancini
Summary: This study aims to evaluate the effectiveness of a wearable inertial sensor feedback system, Mobility Rehab, in gait training for older adults. The research is a single-center, pragmatic clinical trial involving 200 elderly patients with gait disturbances undergoing either standard physical therapy or therapist-assisted feedback therapy for 6 weeks.
FRONTIERS IN NEUROLOGY
(2021)
Article
Geriatrics & Gerontology
Rachel Downey, Louis Bherer, Kristell Pothier, Tudor Vrinceanu, Brittany Intzandt, Nicolas Berryman, Maxime Lussier, Thomas Vincent, Antony D. Karelis, Anil Nigam, Thien Tuong Minh Vu, Laurent Bosquet, Karen Z. H. Li
Summary: Cognitive-motor dual-tasking is a complex activity that predicts falls risk and cognitive impairment in older adults. Both cognitive and physical training can improve dual-task performance, particularly for older adults with lower cognitive ability. Regardless of the type of intervention, training appears to enhance cognitive efficiency during dual-tasking.
FRONTIERS IN AGING NEUROSCIENCE
(2022)
Review
Health Care Sciences & Services
Jose Carlos Leal, Vinicius Silva Belo, Ingrid Morselli Santos, Rodrigo Vinicius Ferreira, Saulo Nascimento de Melo, Eduardo Sergio da Silva
Summary: This systematic review examines the efficacy of exergames in reducing fall risk in older adults. The results show statistically significant reductions in the risk of falls and improvements in balance with the use of exergaming. However, some knowledge gaps still exist.
Article
Rehabilitation
Mei Zhen Huang, Mark W. Rogers, Douglas Pizac, Ann L. Gruber-Baldini, Denise Orwig, Marc C. Hochberg, Brock A. Beamer, Robert A. Creath, Douglas N. Savin, Vincent M. Conroy, Kathleen K. Mangione, Rebecca Craik, Li-Qun Zhang, Jay Magaziner
Summary: The objective of this study was to investigate the effect of 16-week home-based physical therapy interventions on gait and muscle strength. The study found that both the experimental and control groups showed significant increases in usual and fast walking speed after the intervention. However, there was no significant difference in the increases between the groups. The study also showed that the experimental group had a significant improvement in lower limb muscle strength compared to the control group.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Article
Health Care Sciences & Services
Carolina Alexandra Cabo, Orlando Fernandes, Maria Mendoza-Munoz, Sabina Barrios-Fernandez, Laura Munoz-Bermejo, Rafael Gomez-Galan, Jose A. Parraca
Summary: Research shows that exercise training programmes can improve older adults' health-related quality of life and well-being. This study aims to investigate the effects of an active retirement programme on Portuguese older adults, focusing on body composition, physical fitness, HRQoL, and physical activity level (PAL).
Article
Geriatrics & Gerontology
Li-Chin Sow, Hsin-Hsuan Liu, Ray-Yau Wang, Shun-Hwa Wei, Hsiao-Kuan Wu, Yea-Ru Yang
Summary: The study found that interactive stepping exercise is a feasible and effective intervention for improving executive function and gait variability in community-dwelling older adults. Participants showed significant improvement in Trail Making Test and stride length variability during cognitive dual-task walking after the 12-week intervention.
Article
Geriatrics & Gerontology
Natalie Ganz, Eran Gazit, Nir Giladi, Robert J. Dawe, Anat Mirelman, Aron S. Buchman, Jeffrey M. Hausdorff
Summary: Novel tandem walking (TW) metrics were developed and validated, showing significant associations with mobility disability, gait, and postural control measures in older adults. The TW frequency composite factor independently correlated with mobility disability, suggesting a potential for better risk stratification for adverse outcomes in this population.
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
(2021)
Review
Geriatrics & Gerontology
Allyn M. Bove, Erin Dong, Leslie R. M. Hausmann, Sara R. Piva, Jennifer S. Brach, Allen Lewis, G. Kelley Fitzgerald
Summary: This qualitative study explored race differences in the rehabilitation experience and satisfaction following total knee arthroplasty (TKA). The results showed that individuals undergoing TKA generally had positive rehabilitation experiences, but barriers to accessing physical therapy existed, with potential differences between Black and White patients. Physical therapists should be aware of these barriers and work to minimize them whenever possible.
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
(2022)
Article
Geriatrics & Gerontology
Jennifer S. Brach, Gardenia Juarez, Subashan Perera, Kathleen Cameron, Jennifer L. Vincenzo, Jennifer Tripken
Summary: The study describes the implementation of evidence-based fall prevention programs by Administration for Community Living grantees from 2014 to 2019. Analysis of the data showed that participation in the programs led to improved confidence, decreased fear of falling, and fewer falls and injurious falls among older adults.
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
(2022)
Article
Geriatrics & Gerontology
Pamela M. Dunlap, Andrea L. Rosso, Xiaonan Zhu, Brooke N. Klatt, Jennifer S. Brach
Summary: The study aimed to identify the association between mobility determinants and life space in older adults. The results showed that age, lower extremity power, gait efficacy, and energy cost of walking were associated with life space.
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
(2022)
Article
Rheumatology
Allyn M. Bove, Leslie R. M. Hausmann, Sara R. Piva, Jennifer S. Brach, Allen Lewis, G. Kelley Fitzgerald
Summary: This observational cohort study examined race differences in physical therapy utilization and patient-reported physical function following total knee arthroplasty (TKA). Results showed similar total physical therapy received between White and Black participants, but significant differences in utilization within specific settings. While race did not significantly predict postoperative function, Black participants reported slightly lower function compared to White participants before and after surgery.
ARTHRITIS CARE & RESEARCH
(2022)
Article
Geriatrics & Gerontology
Rebekah Harris, Elsa S. Strotmeyer, Leena Sharma, C. Kent Kwoh, Jennifer S. Brach, Robert Boudreau, Jane A. Cauley
Summary: This study examined how the severity of radiographic knee osteoarthritis (KOA) affects recurrent falls in middle-aged and older individuals. The results showed that older adults with radiographic evidence of KOA had a higher likelihood of experiencing recurrent falls compared to those without KOA, regardless of established risk factors. On the other hand, middle-aged adults with KOA did not have an increased odds of recurrent falls, except for those with possible KOA.
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
(2023)
Article
Environmental Sciences
Jennifer L. Vincenzo, Lori A. Schrodt, Colleen Hergott, Subashan Perera, Jennifer Tripken, Tiffany E. Shubert, Jennifer S. Brach
Summary: The majority of physical therapists and physical therapist assistants in the United States are familiar with and use the Centers for Disease Control and Prevention's STEADI toolkit for clinical fall-risk screening. However, there is still a lack of familiarity and utilization among some practitioners. Further research is needed to investigate the tools used by physical therapists for multifactorial fall screening and management, as well as the impact of using the STEADI toolkit on patient outcomes.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Article
Gerontology
Mariana Wingood, Salene M. W. Jones, Nancy M. Gell, Jennifer S. Brach, Denise M. Peters
Summary: This study aimed to refine and evaluate the reliability and validity of the Inventory of Physical Activity Barriers Scale (IPAB) for assessing barriers to physical activity participation among older adults. The refined scale consists of 27 items with good internal consistency and high test-retest reliability. The IPAB scores were significantly different between those who met the recommended levels of physical activity and those who did not.
Article
Rehabilitation
Mariana Wingood, Denise M. Peters, Nancy M. Gell, Jennifer S. Brach, Jonathan F. Bean
Summary: This study examined changes in physical activity levels among adults 50 years and older during the COVID-19 pandemic. Factors associated with reduced physical activity were identified, including lack of access to workout places, feelings of anxiety, and difficulty committing to physical activity. Factors that protected against reduced physical activity included self-identified heart or lung-related diagnoses and a history of falling in the past 12 months.
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
(2022)
Article
Endocrinology & Metabolism
R. J. Harris, N. Parimi, P. M. Cawthon, E. S. Strotmeyer, R. M. Boudreau, J. S. Brach, C. K. Kwoh, J. A. Cauley
Summary: This study aimed to evaluate the associations between the components of sarcopenia and fracture types. The findings showed that men with slow walking speed had a higher risk of experiencing any clinical, hip, or major osteoporotic fracture compared to those with normal walking speed. However, low lean mass and low grip strength were not significantly associated with fractures.
OSTEOPOROSIS INTERNATIONAL
(2022)
Article
Medicine, General & Internal
Jennifer S. Brach, Subashan Perera, Valerie Shuman, Alexandra B. Gil, Andrea Kriska, Neelesh K. Nadkarni, Bonny Rockette-Wagner, Rakie Cham, Jessie M. VanSwearingen
Summary: The study found no difference in gait speed change between the standard and standard-plus intervention groups, but both groups showed sustained improvements in mobility 24 weeks after the intervention.
Letter
Endocrinology & Metabolism
Rebekah J. Harris, Neeta Parimi, Peggy M. Cawthon, Elsa S. Strotmeyer, Robert M. Boudreau, Jennifer S. Brach, C. Kent Kwoh, Jane A. Cauley
OSTEOPOROSIS INTERNATIONAL
(2023)
Review
Geriatrics & Gerontology
Julie Richardson, Marla Beauchamp, Jonathan Bean, Jennifer Brach, Paulo H. M. Chaves, Jack M. Guralnik, Alan M. Jette, Suzanne G. Leveille, Helen Hoenig, Todd Manini, Richard Marottoli, Michelle M. Porter, Susanne Sinclair, Lori Letts, Ayse Kuspinar, Brenda Vrkljan, Ashley Morgan, Shaghayegh Mirbaha
Summary: Early change in function in older adults, known as preclinical disability (PCD), has been understudied compared to other stages of disability. A standardized approach to research in PCD, including a common definition and measurement approaches, is needed to advance this work and prevent further decline.
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
(2023)
Article
Geriatrics & Gerontology
Pamela M. Dunlap, Breanna M. Crane, Subashan Perera, Kyle D. Moored, Michelle C. Carlson, Jennifer S. Brach, Brooke N. Klatt, Andrea L. Rosso
Summary: In this study, increased time spent outside of home was associated with a lower risk of incident hospitalization over one year among community-dwelling older adults. Falls and emergency department visits were not significantly associated with GPS indicators of community mobility.
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
(2023)
Article
Orthopedics
Pamela M. Dunlap, Breanna M. Crane, Subashan Perera, Kyle D. Moored, Michelle C. Carlson, Jennifer S. Brach, Brooke N. Klatt, Andrea L. Rosso
Summary: This study compared the effects of two interventions, standard strength and endurance training, and standard plus timing and coordination training, on community mobility in older adults. The results showed that neither intervention significantly improved community mobility, suggesting the need for more comprehensive interventions in the future.
Review
Sport Sciences
Tibor Hortobagyi, Tomas Vetrovsky, Jennifer S. Brach, Martijn van Haren, Krystof Volesky, Regis Radaelli, Pedro Lopez, Urs Granacher
Summary: This study examined the effects of exercise training on muscle quality in healthy older individuals and individuals with neurological conditions. The results showed that exercise training had positive effects on muscle quality in healthy older individuals, but there is a lack of research on individuals with neurological conditions. More studies are needed to fill this research gap and understand the relevance of exercise-induced changes in muscle quality in daily function among older individuals.
SPORTS MEDICINE-OPEN
(2023)