Pub Date : 2022-05-30DOI: 10.1080/02703181.2022.2079800
D. Allen, L. Jaffe, Allison Pfleghaar
Abstract Medication management is an important Instrumental Activity of Daily Living (IADL) with significant consequences when it cannot be completed correctly due to unintentional errors. With the inclusion of medication management in the occupational therapy scope of practice, it is important for therapists to understand its correlation to mild cognitive impairment (MCI) to better recognize and address areas of need for clients. A scoping review was conducted to answer two questions: (1) What is the association of MCI with medication management? (2) Which areas of cognitive processes might foreshadow unintentional medication errors? MCI showed a strong correlation with medication management errors. Executive function showed a correlation to medication management with mixed relationships with different subcategories of executive function. Memory showed mixed results, but tended to have a correlation with medication management. It is important for occupational therapists to assess MCI in older adults as it may go unrecognized in earlier stages.
{"title":"Medication Management, Mild Cognitive Impairment and Occupational Therapy: A Scoping Review","authors":"D. Allen, L. Jaffe, Allison Pfleghaar","doi":"10.1080/02703181.2022.2079800","DOIUrl":"https://doi.org/10.1080/02703181.2022.2079800","url":null,"abstract":"Abstract Medication management is an important Instrumental Activity of Daily Living (IADL) with significant consequences when it cannot be completed correctly due to unintentional errors. With the inclusion of medication management in the occupational therapy scope of practice, it is important for therapists to understand its correlation to mild cognitive impairment (MCI) to better recognize and address areas of need for clients. A scoping review was conducted to answer two questions: (1) What is the association of MCI with medication management? (2) Which areas of cognitive processes might foreshadow unintentional medication errors? MCI showed a strong correlation with medication management errors. Executive function showed a correlation to medication management with mixed relationships with different subcategories of executive function. Memory showed mixed results, but tended to have a correlation with medication management. It is important for occupational therapists to assess MCI in older adults as it may go unrecognized in earlier stages.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48625552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-03DOI: 10.1080/02703181.2022.2056672
Daniella R. Hauser, N. Tripathi, Melanie N. Smith, Chelsea L. Williams, Brooke M. Lefebvre, Alyssa Ly, Melia K. Higgins
Abstract Aims: This study explored the perspectives of older adults with medically diagnosed chronic conditions living in the community regarding their participation in leisure activities. Methods: Data were collected using a phenomenological study design. Semi-structured interviews were conducted in January 2021 via Zoom, a video conference platform. A total of 5 participants, 2 males and 3 females, ranging in age from 67–84 were interviewed. Data were analyzed using open inductive coding following the Modified Stevick-Colaizzi-Keen approach via Microsoft Excel. Results: Data analysis produced five primary themes: (a) physical challenges limit leisure participation, (b) adaptations/changes required to maintain leisure participation, (c) emotional response to limitations, (d) environmental barriers exacerbate limitations, and (e) intrinsic motivation necessary to overcome limitations and maintain participation. Conclusions: Our findings indicate that chronic conditions impact leisure participation through both physical and environmental barriers, yet participation can be sustained with adaptations and the intrinsic motivation to persevere.
{"title":"The Impact of Chronic Conditions on Leisure Participation among Community-Dwelling Older Adults","authors":"Daniella R. Hauser, N. Tripathi, Melanie N. Smith, Chelsea L. Williams, Brooke M. Lefebvre, Alyssa Ly, Melia K. Higgins","doi":"10.1080/02703181.2022.2056672","DOIUrl":"https://doi.org/10.1080/02703181.2022.2056672","url":null,"abstract":"Abstract Aims: This study explored the perspectives of older adults with medically diagnosed chronic conditions living in the community regarding their participation in leisure activities. Methods: Data were collected using a phenomenological study design. Semi-structured interviews were conducted in January 2021 via Zoom, a video conference platform. A total of 5 participants, 2 males and 3 females, ranging in age from 67–84 were interviewed. Data were analyzed using open inductive coding following the Modified Stevick-Colaizzi-Keen approach via Microsoft Excel. Results: Data analysis produced five primary themes: (a) physical challenges limit leisure participation, (b) adaptations/changes required to maintain leisure participation, (c) emotional response to limitations, (d) environmental barriers exacerbate limitations, and (e) intrinsic motivation necessary to overcome limitations and maintain participation. Conclusions: Our findings indicate that chronic conditions impact leisure participation through both physical and environmental barriers, yet participation can be sustained with adaptations and the intrinsic motivation to persevere.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48493636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-20DOI: 10.1080/02703181.2022.2065403
Claire Morrisby, J. Bogle, Ruby Dillon, Claudia Reen, G. Tanner
Abstract Introduction Occupational therapy students working with people with dementia experience communication barriers. Peer-led communication training, combined with simulation using the Curtin University Empathy Simulator (CUES), may develop students’ communication skills and confidence. Objective This study investigated peer-led, communication training on occupational therapy students’ communication and perceived knowledge, confidence, and satisfaction. Method A mixed-methods quasi-experimental study design was used. The experimental group (n = 27) completed peer-led face-to-face training and interacted with the CUES. The control group (n = 26) completed online peer-led training. Evaluation included observation, pre-post questionnaires, and semi-structured interviews. Results Self-rated communication skills, knowledge, and confidence improved significantly in both groups, the control group experienced greater improvements (p ≤ 0.001) compared to the experimental group. In contrast, qualitative results found peer-led communication training using a virtual avatar fostered safe, authentic and practical learning environments. Conclusion Peer-led training using the CUES developed occupational therapy students’ ability to communicate with people with dementia.
{"title":"Peer-Led Virtual Learning: Impact of Dementia-Specific Communication Training for Occupational Therapy Students","authors":"Claire Morrisby, J. Bogle, Ruby Dillon, Claudia Reen, G. Tanner","doi":"10.1080/02703181.2022.2065403","DOIUrl":"https://doi.org/10.1080/02703181.2022.2065403","url":null,"abstract":"Abstract Introduction Occupational therapy students working with people with dementia experience communication barriers. Peer-led communication training, combined with simulation using the Curtin University Empathy Simulator (CUES), may develop students’ communication skills and confidence. Objective This study investigated peer-led, communication training on occupational therapy students’ communication and perceived knowledge, confidence, and satisfaction. Method A mixed-methods quasi-experimental study design was used. The experimental group (n = 27) completed peer-led face-to-face training and interacted with the CUES. The control group (n = 26) completed online peer-led training. Evaluation included observation, pre-post questionnaires, and semi-structured interviews. Results Self-rated communication skills, knowledge, and confidence improved significantly in both groups, the control group experienced greater improvements (p ≤ 0.001) compared to the experimental group. In contrast, qualitative results found peer-led communication training using a virtual avatar fostered safe, authentic and practical learning environments. Conclusion Peer-led training using the CUES developed occupational therapy students’ ability to communicate with people with dementia.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43983850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-30DOI: 10.1080/02703181.2022.2055251
Kanna Kato, Kanako Sato, Kyoka Chiba, Chika Koseki, Toshiaki Sato
Abstract Objective This study aimed to determine the characteristics of occlusal force, lip strength, and tongue pressure in older and young females. Methods We included 16 healthy young female university students and 16 community-dwelling females aged >65 years. Age, occlusal force, lip strength, tongue pressure, and grip strength were confirmed using Spearman’s rank correlation coefficient. Differences in these functions between young and older females were analyzed using the Mann–Whitney U test. Results The occlusal force was associated with grip strength (ρ = 0.64) and tongue pressure (ρ = 0.59). Tongue pressure and occlusal force showed significant differences between older and young women. However, there was no significant difference in lip-closing strength. Conclusion The results of this study suggest that occlusal force, lip strength, and tongue pressure should be measured, respectively, in order to evaluate oral function in female.
{"title":"Characteristics of Three Oral Functions in Young and Older Females—A Pilot Study","authors":"Kanna Kato, Kanako Sato, Kyoka Chiba, Chika Koseki, Toshiaki Sato","doi":"10.1080/02703181.2022.2055251","DOIUrl":"https://doi.org/10.1080/02703181.2022.2055251","url":null,"abstract":"Abstract Objective This study aimed to determine the characteristics of occlusal force, lip strength, and tongue pressure in older and young females. Methods We included 16 healthy young female university students and 16 community-dwelling females aged >65 years. Age, occlusal force, lip strength, tongue pressure, and grip strength were confirmed using Spearman’s rank correlation coefficient. Differences in these functions between young and older females were analyzed using the Mann–Whitney U test. Results The occlusal force was associated with grip strength (ρ = 0.64) and tongue pressure (ρ = 0.59). Tongue pressure and occlusal force showed significant differences between older and young women. However, there was no significant difference in lip-closing strength. Conclusion The results of this study suggest that occlusal force, lip strength, and tongue pressure should be measured, respectively, in order to evaluate oral function in female.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47156467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-22DOI: 10.1080/02703181.2022.2053637
Cheyenne Chelsea Empuerto, Aliza Marie Afable, Tristian Aura Bardos, Gwinseth Kae Oñes, Ezra Monique Soriano, P. M. Bulan
Abstract Aim: Productive aging is seen to have a positive influence on an individual’s health and is vital in the quality of life for older adults. Occupational therapists promote productive aging both in the individual and community level, yet little is known about productive aging from older adults. With phenomenology, authors aimed to explain the phenomenon of productive aging through older adults’ perspectives. Method: In-depth interviews were conducted on eight participants from a densely populated village in Cebu, Philippines. Results: Through thematic analysis, three themes emerged: (1) living life to its fullest as occupational beings, (2) physical and financial limitations as occupational limitations of aging, and (3) satisfaction with social responsibility as one’s purpose. Conclusion: Collaborative efforts between occupational therapists and communities are needed to draft programs to provide older adults opportunities for socialization and volunteer and civic work. Communities are called to actively involve older adults in their activities.
{"title":"An Occupational Perspective on Productive Aging among Older Adults: Occupational Therapy Implications","authors":"Cheyenne Chelsea Empuerto, Aliza Marie Afable, Tristian Aura Bardos, Gwinseth Kae Oñes, Ezra Monique Soriano, P. M. Bulan","doi":"10.1080/02703181.2022.2053637","DOIUrl":"https://doi.org/10.1080/02703181.2022.2053637","url":null,"abstract":"Abstract Aim: Productive aging is seen to have a positive influence on an individual’s health and is vital in the quality of life for older adults. Occupational therapists promote productive aging both in the individual and community level, yet little is known about productive aging from older adults. With phenomenology, authors aimed to explain the phenomenon of productive aging through older adults’ perspectives. Method: In-depth interviews were conducted on eight participants from a densely populated village in Cebu, Philippines. Results: Through thematic analysis, three themes emerged: (1) living life to its fullest as occupational beings, (2) physical and financial limitations as occupational limitations of aging, and (3) satisfaction with social responsibility as one’s purpose. Conclusion: Collaborative efforts between occupational therapists and communities are needed to draft programs to provide older adults opportunities for socialization and volunteer and civic work. Communities are called to actively involve older adults in their activities.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47902572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-26DOI: 10.1080/02703181.2022.2043983
Kendra L. Sheard, Jennifer E. Lape, Kathleen Weissberg
Abstract Aim To investigate the feasibility of occupational therapy-led multidisciplinary delirium management interventions in a long-term acute care hospital to decrease incidence of delirium and increase independence for self-care. Methods Convenience sampling was used to recruit eight patients in a long-term acute care hospital for a pretest/posttest delirium management pilot study. Interventions included mobility, functional cognition, sensory deficit correction, self-care, and sleep interventions. Delirium was assessed using the ICDSC and the CAM-ICU; self-care outcomes were measured using the AM-PAC “6 clicks” Daily Activities Short Form. Results One participant decreased delirium incidence and increased self-care independence following the intervention. However, participants in aggregate had a 25% decrease in delirium incidence. Conclusion Occupational therapy interventions may positively impact delirium incidence in long-term acute care hospital patients, but interdisciplinary team management with collaborative team interventions may be necessary to extend the impact to patient functional outcomes.
{"title":"Occupational Therapy-Led Delirium Management in Long-Term Acute Care: A Pilot","authors":"Kendra L. Sheard, Jennifer E. Lape, Kathleen Weissberg","doi":"10.1080/02703181.2022.2043983","DOIUrl":"https://doi.org/10.1080/02703181.2022.2043983","url":null,"abstract":"Abstract Aim To investigate the feasibility of occupational therapy-led multidisciplinary delirium management interventions in a long-term acute care hospital to decrease incidence of delirium and increase independence for self-care. Methods Convenience sampling was used to recruit eight patients in a long-term acute care hospital for a pretest/posttest delirium management pilot study. Interventions included mobility, functional cognition, sensory deficit correction, self-care, and sleep interventions. Delirium was assessed using the ICDSC and the CAM-ICU; self-care outcomes were measured using the AM-PAC “6 clicks” Daily Activities Short Form. Results One participant decreased delirium incidence and increased self-care independence following the intervention. However, participants in aggregate had a 25% decrease in delirium incidence. Conclusion Occupational therapy interventions may positively impact delirium incidence in long-term acute care hospital patients, but interdisciplinary team management with collaborative team interventions may be necessary to extend the impact to patient functional outcomes.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48526679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-25DOI: 10.1080/02703181.2022.2044968
M. R. Zanetti, V. Dourado, T. Scudeller, E. Vieira, Maria Teresa Mendonça Pinto Amaral
Abstract Aim To investigate if pelvic floor muscles’ (PFMs’) strength is associated with postural balance in middle-aged women. Methods The participants were 22 middle-aged women (age: 57 ± 6 years). They completed a clinical and urogynecological evaluation, PFMs’ strength testing using a perineometer, and balance testing on a force platform. The balance variables analyzed were anteroposterior (AP) and side-to-side (SS) center of pressure (COP) displacement; 95% elliptical COP area (cm2), AP and SS COP displacement median frequency. Results PFMs’ strength was moderately correlated with SS COP displacement and with AP COP median frequency in semi-tandem. Age and educational level affected the relationship between PFMs’ strength and balance. Conclusion PFMs’ strength had the strongest associations with SS COP displacement in eyes-open semi-tandem and AP COP median frequency in eyes-closed semi-tandem. Thus, these results allow us to conclude that there may be some relationship between pelvic floor muscle strength and postural balance in middle-aged women.
{"title":"Pelvic Floor Muscle Strength and the Postural Balance in Middle-Aged Women: A Pilot Study","authors":"M. R. Zanetti, V. Dourado, T. Scudeller, E. Vieira, Maria Teresa Mendonça Pinto Amaral","doi":"10.1080/02703181.2022.2044968","DOIUrl":"https://doi.org/10.1080/02703181.2022.2044968","url":null,"abstract":"Abstract Aim To investigate if pelvic floor muscles’ (PFMs’) strength is associated with postural balance in middle-aged women. Methods The participants were 22 middle-aged women (age: 57 ± 6 years). They completed a clinical and urogynecological evaluation, PFMs’ strength testing using a perineometer, and balance testing on a force platform. The balance variables analyzed were anteroposterior (AP) and side-to-side (SS) center of pressure (COP) displacement; 95% elliptical COP area (cm2), AP and SS COP displacement median frequency. Results PFMs’ strength was moderately correlated with SS COP displacement and with AP COP median frequency in semi-tandem. Age and educational level affected the relationship between PFMs’ strength and balance. Conclusion PFMs’ strength had the strongest associations with SS COP displacement in eyes-open semi-tandem and AP COP median frequency in eyes-closed semi-tandem. Thus, these results allow us to conclude that there may be some relationship between pelvic floor muscle strength and postural balance in middle-aged women.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44435168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-23DOI: 10.1080/02703181.2022.2043982
M. Iwakura, M. Wakasa, A. Saito, M. Kimoto, Yoshino Terui, Takashi Ishikawa, Megumi Tsugaruya
Abstract Aims To present reference values, clinically significant changes (CSC), and prediction equations of lower-limb muscle strength (LMS) and physical performance (PP) in community-dwelling older adults in a rural area. Methods Quadriceps muscle and toe grip strength were measured as LMS. Maximal gait speed, Timed-Up and Go test, one-legged stand test, and four-square step test were measured as PP. Overall and age-specific reference values for both sexes were presented. CSC was calculated using a distribution-based approach. We conducted multivariate regression analyses to make prediction equations for each variable. The prediction error was checked using 10-fold cross-validation. Results Three-hundred ninety-two participants (male, n = 116; female, n = 276) were included. LMS was maintained with age, while PS declined linearly. The prediction equations were significant, but the prediction error was high. Conclusions Reference values and CSC help evaluate the deterioration of LMS and PP and the effectiveness of an intervention on these outcomes.
{"title":"Lower-Limb Muscle Strength and Major Performance Tests in Community-Dwelling Older Adults","authors":"M. Iwakura, M. Wakasa, A. Saito, M. Kimoto, Yoshino Terui, Takashi Ishikawa, Megumi Tsugaruya","doi":"10.1080/02703181.2022.2043982","DOIUrl":"https://doi.org/10.1080/02703181.2022.2043982","url":null,"abstract":"Abstract Aims To present reference values, clinically significant changes (CSC), and prediction equations of lower-limb muscle strength (LMS) and physical performance (PP) in community-dwelling older adults in a rural area. Methods Quadriceps muscle and toe grip strength were measured as LMS. Maximal gait speed, Timed-Up and Go test, one-legged stand test, and four-square step test were measured as PP. Overall and age-specific reference values for both sexes were presented. CSC was calculated using a distribution-based approach. We conducted multivariate regression analyses to make prediction equations for each variable. The prediction error was checked using 10-fold cross-validation. Results Three-hundred ninety-two participants (male, n = 116; female, n = 276) were included. LMS was maintained with age, while PS declined linearly. The prediction equations were significant, but the prediction error was high. Conclusions Reference values and CSC help evaluate the deterioration of LMS and PP and the effectiveness of an intervention on these outcomes.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48537550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-17DOI: 10.1080/02703181.2022.2036295
Monika Mets, Piret Tootsi, J. Sokk, J. Ereline, T. Haviko, Mati Pääsuke, H. Gapeyeva
Abstract Aims: To evaluate changes in the bioelectrical activity of thigh muscles in concentric and eccentric movements of a sit-to-stand test in women with knee osteoarthritis after a preoperative home exercise program (HEP). Secondly, to compare patients with healthy controls. Methods: Seventeen women with knee osteoarthritis and ten healthy controls participated. The bioelectrical activity of thigh muscles during sit-to-stand test and isometric maximal voluntary contraction force of leg extensor muscles were measured. Results: Post-HEP, the knee osteoarthritis group demonstrated lower bioelectrical activity of antagonist muscles in the concentric and eccentric movements, and reduced asymmetry in muscle activation between limbs. Poorer results were noted compared to controls pre-and post-HEP. Conclusions: In knee osteoarthritis patients, the bioelectrical activity of thigh muscles during the sit-to-stand test improves after eight weeks of preoperative HEP. Preoperative HEP reduces co-activation of thigh muscles and activation asymmetry between limbs in concentric and eccentric movements of a sit-to-stand task.
{"title":"Thigh Muscle Activation After a Home Exercise Program in Knee Osteoarthritis Patients","authors":"Monika Mets, Piret Tootsi, J. Sokk, J. Ereline, T. Haviko, Mati Pääsuke, H. Gapeyeva","doi":"10.1080/02703181.2022.2036295","DOIUrl":"https://doi.org/10.1080/02703181.2022.2036295","url":null,"abstract":"Abstract Aims: To evaluate changes in the bioelectrical activity of thigh muscles in concentric and eccentric movements of a sit-to-stand test in women with knee osteoarthritis after a preoperative home exercise program (HEP). Secondly, to compare patients with healthy controls. Methods: Seventeen women with knee osteoarthritis and ten healthy controls participated. The bioelectrical activity of thigh muscles during sit-to-stand test and isometric maximal voluntary contraction force of leg extensor muscles were measured. Results: Post-HEP, the knee osteoarthritis group demonstrated lower bioelectrical activity of antagonist muscles in the concentric and eccentric movements, and reduced asymmetry in muscle activation between limbs. Poorer results were noted compared to controls pre-and post-HEP. Conclusions: In knee osteoarthritis patients, the bioelectrical activity of thigh muscles during the sit-to-stand test improves after eight weeks of preoperative HEP. Preoperative HEP reduces co-activation of thigh muscles and activation asymmetry between limbs in concentric and eccentric movements of a sit-to-stand task.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46738436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-08DOI: 10.1080/02703181.2022.2033903
S. Benham, Lilian Trinh, Kathryn Kropinski, N. Grampurohit
Abstract Aims To examine the effects of immersive virtual reality (VR) on self-identified daily activities and quality of life (QOL) of older adults with and without cognitive impairments and identify their preferred VR apps. Methods One group, pretest-posttest study of a total of eight 30-minute VR sessions over five weeks at a senior center. Measures included the Canadian Occupational Performance Measure, the World Health Organization QOL-BREF, and a preference questionnaire. Results Improvements in activity performance (p = 0.047) and satisfaction (p = 0.016) for all participants (n = 16; mean age = 69.76, SD = 5.14; 14 females), no differences in QOL, with reported preferences of leisure-oriented apps. Upon subgroup analysis based on cognition, the group with cognitive impairments (n = 7) did not report increases in activity performance (p = 0.497) while the group without cognitive impairment (n = 9) reported performance increases (p = 0.018). Conclusions In a community-based setting, leisure-oriented immersive VR may improve daily activity perceptions for older adults, regardless of mild cognitive impairments. Supplemental data for this article is available online at https://doi.org/10.1080/02703181.2022.2033903 .
{"title":"Effects of Community-Based Virtual Reality on Daily Activities and Quality of Life","authors":"S. Benham, Lilian Trinh, Kathryn Kropinski, N. Grampurohit","doi":"10.1080/02703181.2022.2033903","DOIUrl":"https://doi.org/10.1080/02703181.2022.2033903","url":null,"abstract":"Abstract Aims To examine the effects of immersive virtual reality (VR) on self-identified daily activities and quality of life (QOL) of older adults with and without cognitive impairments and identify their preferred VR apps. Methods One group, pretest-posttest study of a total of eight 30-minute VR sessions over five weeks at a senior center. Measures included the Canadian Occupational Performance Measure, the World Health Organization QOL-BREF, and a preference questionnaire. Results Improvements in activity performance (p = 0.047) and satisfaction (p = 0.016) for all participants (n = 16; mean age = 69.76, SD = 5.14; 14 females), no differences in QOL, with reported preferences of leisure-oriented apps. Upon subgroup analysis based on cognition, the group with cognitive impairments (n = 7) did not report increases in activity performance (p = 0.497) while the group without cognitive impairment (n = 9) reported performance increases (p = 0.018). Conclusions In a community-based setting, leisure-oriented immersive VR may improve daily activity perceptions for older adults, regardless of mild cognitive impairments. Supplemental data for this article is available online at https://doi.org/10.1080/02703181.2022.2033903 .","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59276844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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