Acknowledgments

Guccione, Andrew A.; Wong, Rita; Avers, Dale

doi:10.1016/b978-0-323-02948-3.00005-5

Cited by 11 publications

(18 citation statements)

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“…Furthermore, evaluations assess a broad range of factors that may affect treatment in addition to the physical indication for PT care. These include vision, strength, and functional capacity limitations; response to changing conditions; and nonphysical factors that may affect learning or execution of specific skills ( Guccione, Wong, & Avers, 2012 ). Finally, active PT patients may be more likely to adhere to physical activity programs ( Jack, McLean, Moffett, & Gardiner, 2010 ).…”

Section: Background and Objectivesmentioning

confidence: 99%

Bridging the Gap After Physical Therapy: Clinical–Community Linkages With Older Adult Physical Activity Programs

Fishleder¹,

Petrescu-Prahova²,

Harris³

et al. 2018

Innovation in Aging

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Background and ObjectivesMany barriers exist to older adult participation in physical activity, despite known benefits. Referrals from physical therapists (PTs) through clinical–community linkages offer novel, promising opportunities to increase older adult engagement in appropriate community-based physical activity programs. We assessed the capacity of PTs to participate in such linkages.Research Design and MethodsWe collected qualitative data using semistructured phone interviews (n = 30) with PTs across 14 states. We conducted thematic analysis using a priori themes based on the 2008 Bridging Model of Etz and colleagues: capacity to assess patient risk, ability to provide brief counseling, capacity and ability to refer, and awareness of community resources.ResultsRisk assessment and counseling were already part of routine practice for our respondents, but counseling could be further facilitated if PTs had more skills to engage less-motivated patients. PTs expressed a desire to refer their patients to community programs; however, barriers to referrals included lack of knowledge of and trust in community programs, and limited infrastructure for communicating with potential partners.Discussion and ImplicationsPTs have the capacity to develop patient referral linkages with community-based physical activity programs. PT session length and content facilitates patient risk assessment and behavioral counseling. Integrating motivational techniques can help PTs engage less-motivated patients in physical activity. Systemic improvements should include innovations in communication infrastructure, identifying clinic-level champions, and in-person outreach initiated by organizations that deliver community physical activity programs.

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Section: Background and Objectivesmentioning

confidence: 99%

Bridging the Gap After Physical Therapy: Clinical–Community Linkages With Older Adult Physical Activity Programs

Fishleder¹,

Petrescu-Prahova²,

Harris³

et al. 2018

Innovation in Aging

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“…The fall risk factors associated with involutional changes involve a slowdown in nerve conduction velocity and the longer reaction time that results from this, motor coordination difficulties, impairment of superficial and deep sensation, impaired distance visual acuity, impairment of peripheral vision, impairment of hearing, worse spatial imagination, a decrease in the strength and tension of the lower limb muscles, degenerative changes in the ligament–tendon system, and changes in gait patterns (walking in shorter steps, not taking the feet off the ground, a slowdown and uncertainty in the cyclic and alternating movements of the limbs and torso, the lengthening of the double support phase, limited rotation of the knee and hip joint, increased physiological postural deflection, and postural bending with the center of gravity shifted forward). 2 , 5 …”

Section: Introductionmentioning

confidence: 99%

The effectiveness of virtual reality training in reducing the risk of falls among elderly people

Kamińska

Miller²,

Rotter

et al. 2018

CIA

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BackgroundVirtual reality (VR) training using modern game consoles is an innovative rehabilitation method for fall-prone elderly people. The aim of this study was to assess the effectiveness of VR training using the “Xbox 360 Kinect” in people over 60 years of age.Materials and methodsThe study involved 23 people, including 19 women and 4 men (mean age 75.74±8.09 years). The following functional tests were employed as research instruments: the 6-minute walking test (6MWT), the Dynamic Gait Index (DGI), the tandem stance test (TST), the tandem walk test (TWT), and the Beck Depression Inventory (BDI). A “spring hand dynamometer” was also used. The participants underwent 30-day VR training using an Xbox 360 Kinect. They trained 3 times a week, with each exercise lasting 30 minutes.ResultsThe 6MWT (P<0.001), the DGI (P=0.008), the TST (P<0.001), the TWT (P=0.002), and the BDI (P<0.001) outcomes were significantly improved. There were differences in the results for the strength of the “pressing muscles” in the right (P=0.106) and left (P=0.043) hands of the participants. Both participants under 80 years of age and those aged 80 years and over had visibly better results on the 6MWT (P<0.001 and P=0.008, respectively), the TST (P<0.001 and P=0.008, respectively), and the BDI (P=0.003 and P=0.012, respectively).ConclusionTraining based on VR increases the possibilities of motor training and can help reduce the risk of falls by improving the static and dynamic balance.

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“…wielkich problemów geriatrycznych. Czynniki ryzyka upadków można podzielić ze względu na wiek i na dolegliwości związane ze stanem [3]. Z badań przeprowadzonych przez Maarsingh i wsp.…”

Section: Abstraktunclassified

“…W związku z tym zaburzona zostaje koordynacja ruchowa, co ma niewątpliwy wpływ na pogorszenie reakcji równoważnych. Upośledzenie funkcji narządów zmysłów, zaburzenia czucia powierzchownego i głębokiego, osłabienie ostrości wzroku, obniżenie adaptacji do ciemności i ostrego światła, widzenia obwodowego i przestrzennego, a także zmiana pobudliwości w układzie przedsionkowym -w znacznym stopniu zwiększają ryzyko upadku bądź urazu [3].…”

Section: Podsumowanieunclassified

“…Istotna jest metodyka prowadzenia ćwiczeń, systematyczność i odpowiednio długi czas prowadzenia terapii. Zaleca się: 1) przechodzenie od ruchów statycznych do bardziej dynamicznych; 2) uwzględniać styl uczenia się pacjenta i brać pod uwagę jego funkcje poznawcze; 3) zwiększać trudności ze strony środowiska (zasada stopniowania trudności); 4) różnicować zadania; 5) dodawać zadania do utrzymywania równowagi lub chodu; 6) zmieniać powierzchnię podparcia [3]. RYCINA 6.…”

Section: Podsumowanieunclassified

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Presbyastasis – terapia zaburzeń równowagi i kontroli postawy

Gębska

Weber-Nowakowska

Malinowska³

et al. 2016

Pomeranian J Life Sci

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Według wielu badaczy systematyczne ćwiczenia ruchowe i trening równowagi mogą prowadzić do złagodzenia objawów związanych z zaburzeniami równowagi w wieku podeszłym (presbyastasis). Zmiany organiczne związane z wiekiem, takie jak osłabione czucie dotyku i propriocepcji, zmniejszona ostrość widzenia, spowolnienie czasu reakcji, zmniejszony zakres ruchu i wady postawy, ograniczają sprawność funkcjonalną osób starszych i mogą być przyczyną upadków. Na podstawie danych z piśmiennictwa opisano wybrane metody rehabilitacji ruchowej wpływające na poprawę równowagi u osób starszych z presbyastasis.

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Acknowledgments

Cited by 11 publications

References 0 publications

Bridging the Gap After Physical Therapy: Clinical–Community Linkages With Older Adult Physical Activity Programs

Bridging the Gap After Physical Therapy: Clinical–Community Linkages With Older Adult Physical Activity Programs

The effectiveness of virtual reality training in reducing the risk of falls among elderly people

Presbyastasis – terapia zaburzeń równowagi i kontroli postawy

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