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":"104 1","pages":"319 - 336"},"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}
Pub Date : 2022-01-27DOI: 10.1080/02703181.2022.2030849
A. R. Rios Rincon, C. Daum, Antonio Miguel Cruz, Lili Liu, Eleni Stroulia
Abstract Aims: To investigate the feasibility and acceptability of a serious mobile-game intervention on older adults’ engagement, affect, and cognitive function. Methods: In this single-subject design, twenty older adults, six of whom living with dementia, participated in a 16-session mobile-game intervention. Before and after the intervention, participants had sessions involving traditional paper-based cognitive activities. Engagement and affect were measured in each session. Cognitive measures were administered before and after the intervention. Acceptability was explored through interviews. Results: After the intervention, there was a statistically significant increase in engagement in 37% of participants, and in affect in 21% of participants. Participants preferred the mobile games to the paper-based activities. Cognitive measures showed improvement in four participants with dementia. Conclusions: Although not conclusive, participants experienced higher levels of engagement and positive affect while playing the mobile games compared to paper-based activities. The results indicate feasibility and acceptability of the mobile game intervention.
{"title":"Feasibility and Acceptability of a Serious Mobile-Game Intervention for Older Adults","authors":"A. R. Rios Rincon, C. Daum, Antonio Miguel Cruz, Lili Liu, Eleni Stroulia","doi":"10.1080/02703181.2022.2030849","DOIUrl":"https://doi.org/10.1080/02703181.2022.2030849","url":null,"abstract":"Abstract Aims: To investigate the feasibility and acceptability of a serious mobile-game intervention on older adults’ engagement, affect, and cognitive function. Methods: In this single-subject design, twenty older adults, six of whom living with dementia, participated in a 16-session mobile-game intervention. Before and after the intervention, participants had sessions involving traditional paper-based cognitive activities. Engagement and affect were measured in each session. Cognitive measures were administered before and after the intervention. Acceptability was explored through interviews. Results: After the intervention, there was a statistically significant increase in engagement in 37% of participants, and in affect in 21% of participants. Participants preferred the mobile games to the paper-based activities. Cognitive measures showed improvement in four participants with dementia. Conclusions: Although not conclusive, participants experienced higher levels of engagement and positive affect while playing the mobile games compared to paper-based activities. The results indicate feasibility and acceptability of the mobile game intervention.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":"40 1","pages":"295 - 318"},"PeriodicalIF":0.9,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46515626","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}
Abstract Aim To summarize the available evidence on the effects of multisensory environments (MSE) for improving occupational engagement for people with dementia living in long-term care facilities. Methods Seven databases were searched. The methodological quality of each study was assessed for the risk of bias. Results Ten studies were included in the review. Nine studies used MSE in a dedicated space, such as Snoezelen room and one used a natural MSE. Only one study used MSE as part of a task-oriented treatment plan. The included studies showed the benefits of MSE on some outcomes of occupational engagement, such as decreased agitation, improved mood and behavior, and increased environmental and social interaction. Other outcomes of interest were cognition, quality of life, balance, and ADL engagement. Conclusions MSE may be used to decrease behavioral and psychological symptoms and improve mood, which may increase occupational engagement in residents of long-term care facilities who have dementia.
{"title":"Multisensory Environments for Outcomes of Occupational Engagement in Dementia: A Systematic Review","authors":"Ellie Cusic, Maureen Hoppe, Mollie Sultenfuss, Katherine Jacobs, Hattie Holler, A. Obembe","doi":"10.1080/02703181.2022.2028954","DOIUrl":"https://doi.org/10.1080/02703181.2022.2028954","url":null,"abstract":"Abstract Aim To summarize the available evidence on the effects of multisensory environments (MSE) for improving occupational engagement for people with dementia living in long-term care facilities. Methods Seven databases were searched. The methodological quality of each study was assessed for the risk of bias. Results Ten studies were included in the review. Nine studies used MSE in a dedicated space, such as Snoezelen room and one used a natural MSE. Only one study used MSE as part of a task-oriented treatment plan. The included studies showed the benefits of MSE on some outcomes of occupational engagement, such as decreased agitation, improved mood and behavior, and increased environmental and social interaction. Other outcomes of interest were cognition, quality of life, balance, and ADL engagement. Conclusions MSE may be used to decrease behavioral and psychological symptoms and improve mood, which may increase occupational engagement in residents of long-term care facilities who have dementia.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":"40 1","pages":"275 - 294"},"PeriodicalIF":0.9,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49184955","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 : 2022-01-02DOI: 10.1080/02703181.2021.1986194
V. Athan, M. Bissett, Niamh Boland, Kasey Owen, J. Collins
Abstract Aims Transition Care Programs support older adults to return home post hospital admission. This study explored the experiences of older adults who identified therapy goals relating to out-of-home occupations. Methods In this convergent mixed methods study, we assessed 10 older adults using the Meaningful Activity Participation Assessment and the Life-space Questionnaire, followed by in-depth interviews to explore out-of-home occupational engagement. Results Participants described continued engagement in out-of-home occupations, albeit adapted due to their changing health. They reported experiencing an ongoing health and occupational journey which required them to actively consider barriers and enablers to their occupational engagement. These adults were skilled in analyzing their own performance and engagement in out-of-home occupations. Conclusion Older adults make progressive adaptations to maintain their occupational engagement. They are experts in analyzing enablers and barriers for out-of-home occupations and should be proactively invited to share their expertise during therapy.
{"title":"Engagement of Older Adults in out-of-Home Occupations: Transitioning from Hospital to Home","authors":"V. Athan, M. Bissett, Niamh Boland, Kasey Owen, J. Collins","doi":"10.1080/02703181.2021.1986194","DOIUrl":"https://doi.org/10.1080/02703181.2021.1986194","url":null,"abstract":"Abstract Aims Transition Care Programs support older adults to return home post hospital admission. This study explored the experiences of older adults who identified therapy goals relating to out-of-home occupations. Methods In this convergent mixed methods study, we assessed 10 older adults using the Meaningful Activity Participation Assessment and the Life-space Questionnaire, followed by in-depth interviews to explore out-of-home occupational engagement. Results Participants described continued engagement in out-of-home occupations, albeit adapted due to their changing health. They reported experiencing an ongoing health and occupational journey which required them to actively consider barriers and enablers to their occupational engagement. These adults were skilled in analyzing their own performance and engagement in out-of-home occupations. Conclusion Older adults make progressive adaptations to maintain their occupational engagement. They are experts in analyzing enablers and barriers for out-of-home occupations and should be proactively invited to share their expertise during therapy.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":"40 1","pages":"94 - 111"},"PeriodicalIF":0.9,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48917209","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 : 2021-12-17DOI: 10.1080/02703181.2021.2015518
S. A. Ferreira, E. Vieira, M. R. Queiroga, T. Cavazzotto, V. Probst, Viviane de Souza Pinho Costa, D. Teixeira
Abstract Purpose Investigate the mediating effects of functional fitness on age-related cognitive decline in older adults. Design Cross-sectional study. Methods A sample of 427 community-dwelling older adults reported their medical history and sociodemographic characteristics. Functional fitness was assessed based on the sit-and-reach, grip strength, sit to stand, agility, single-leg stance time and the 6-minute walk tests. Cognitive performance was assessed using the Mini-Mental State Examination. Multilevel mediation models were applied to assess the relationship between age and cognitive status. Results In women, the relationship between age and cognitive decline (β = −0.08; P < 0.05) was attenuated by agility (β = −0.05; P < 0.05) and balance (β = −0.4; P < 0.05). However, none of the functional fitness tests affected the relationship between age and cognitive decline in older men. Conclusion Agility and balance attenuated the relationship between age and cognitive decline among older women by 50% and 40%, respectively.
{"title":"Functional Fitness and Cognition in Older Adults: A Mediation Model","authors":"S. A. Ferreira, E. Vieira, M. R. Queiroga, T. Cavazzotto, V. Probst, Viviane de Souza Pinho Costa, D. Teixeira","doi":"10.1080/02703181.2021.2015518","DOIUrl":"https://doi.org/10.1080/02703181.2021.2015518","url":null,"abstract":"Abstract Purpose Investigate the mediating effects of functional fitness on age-related cognitive decline in older adults. Design Cross-sectional study. Methods A sample of 427 community-dwelling older adults reported their medical history and sociodemographic characteristics. Functional fitness was assessed based on the sit-and-reach, grip strength, sit to stand, agility, single-leg stance time and the 6-minute walk tests. Cognitive performance was assessed using the Mini-Mental State Examination. Multilevel mediation models were applied to assess the relationship between age and cognitive status. Results In women, the relationship between age and cognitive decline (β = −0.08; P < 0.05) was attenuated by agility (β = −0.05; P < 0.05) and balance (β = −0.4; P < 0.05). However, none of the functional fitness tests affected the relationship between age and cognitive decline in older men. Conclusion Agility and balance attenuated the relationship between age and cognitive decline among older women by 50% and 40%, respectively.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":"40 1","pages":"261 - 274"},"PeriodicalIF":0.9,"publicationDate":"2021-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44986555","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 : 2021-12-15DOI: 10.1080/02703181.2021.2015048
Fatih Özden, İsmet Tümtürk
Abstract Aims To present a comprehensive report of the psychometric properties of performance-based outcome measures in older adults with Total Knee Arthroplasty (TKA). Methods A literature search was carried out in PubMed, Scopus, and Web of Science electronic databases. The bias risk and methodological validity of the studies included in the study were analyzed using the four-point COSMIN tool. Results The systematic review contained 16 articles. Intra-rater reliability was presented in nine studies, validity in nine studies, calculation error in nine studies, inter-rater reliability in four studies, and responsiveness analysis in five studies. The floor-ceiling effect was not stated in any of the experiments. Conclusion The present systematic review demonstrated the quality and the evidence of physical performance-based outcome measures in TKA. All psychometric property analysis of studies has a “poor”, “fair” or “good” quality. Further studies should focus on inter-rater reliability, responsiveness, and floor-ceiling effect with higher sample size.
摘要目的全面报道老年人全膝关节置换术(TKA)的心理测量特性。方法在PubMed、Scopus和Web of Science电子数据库中进行文献检索。采用四点COSMIN工具分析纳入研究的偏倚风险和方法学效度。结果系统评价共纳入文献16篇。9项研究提出了评价者内部信度，9项研究提出了效度，9项研究提出了计算误差，4项研究提出了评价者间信度，5项研究提出了反应性分析。在任何实验中都没有提到地板-天花板效应。结论本系统评价显示了TKA中基于体能表现的结局指标的质量和证据。所有研究的心理测量性质分析都有“差”、“一般”或“好”的质量。进一步的研究应集中在更大样本量下的评分者间信度、反应性和下限-上限效应。
{"title":"Performance-Based Outcome Measures in Total Knee Arthroplasty: A Systematic Review","authors":"Fatih Özden, İsmet Tümtürk","doi":"10.1080/02703181.2021.2015048","DOIUrl":"https://doi.org/10.1080/02703181.2021.2015048","url":null,"abstract":"Abstract Aims To present a comprehensive report of the psychometric properties of performance-based outcome measures in older adults with Total Knee Arthroplasty (TKA). Methods A literature search was carried out in PubMed, Scopus, and Web of Science electronic databases. The bias risk and methodological validity of the studies included in the study were analyzed using the four-point COSMIN tool. Results The systematic review contained 16 articles. Intra-rater reliability was presented in nine studies, validity in nine studies, calculation error in nine studies, inter-rater reliability in four studies, and responsiveness analysis in five studies. The floor-ceiling effect was not stated in any of the experiments. Conclusion The present systematic review demonstrated the quality and the evidence of physical performance-based outcome measures in TKA. All psychometric property analysis of studies has a “poor”, “fair” or “good” quality. Further studies should focus on inter-rater reliability, responsiveness, and floor-ceiling effect with higher sample size.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":"40 1","pages":"241 - 260"},"PeriodicalIF":0.9,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46666272","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 : 2021-12-15DOI: 10.1080/02703181.2021.2015049
Allison J. Naber, M. Dendinger, Vitoria L. Heier, Madison Michels, Dana L. Vandenberg, Whitney Lucas Molitor
Abstract Aims Prolonged sedentary behaviors increase the risk for adverse health outcomes among older adults. This study explored the effects of participation in meaningful occupations on sedentary behavior, quality of life, and occupational performance among community-dwelling older adults. Methods This exploratory study utilized a one-group, pretest-posttest design using the Sedentary Behavior Questionnaire, RAND-SF 36, and the Canadian Occupational Performance Measure. Results Six community-dwelling older adults between the ages of 76 and 87 (M = 81.83, SD = 3.87) participated in this exploratory study. No significant difference was noted in sedentary behavior. Significant changes in physical function and role limitations were found. Change in occupational satisfaction and performance was significant among some participants. Engagement in meaningful occupations did not result in improved quality of life. Conclusions Occupation-based interventions may impact the perceived quality of life and occupational performance in community-dwelling older adults; however, further research is needed.
{"title":"Sedentary Behavior, Quality of Life, and Occupational Performance among Community-Dwelling Older Adults","authors":"Allison J. Naber, M. Dendinger, Vitoria L. Heier, Madison Michels, Dana L. Vandenberg, Whitney Lucas Molitor","doi":"10.1080/02703181.2021.2015049","DOIUrl":"https://doi.org/10.1080/02703181.2021.2015049","url":null,"abstract":"Abstract Aims Prolonged sedentary behaviors increase the risk for adverse health outcomes among older adults. This study explored the effects of participation in meaningful occupations on sedentary behavior, quality of life, and occupational performance among community-dwelling older adults. Methods This exploratory study utilized a one-group, pretest-posttest design using the Sedentary Behavior Questionnaire, RAND-SF 36, and the Canadian Occupational Performance Measure. Results Six community-dwelling older adults between the ages of 76 and 87 (M = 81.83, SD = 3.87) participated in this exploratory study. No significant difference was noted in sedentary behavior. Significant changes in physical function and role limitations were found. Change in occupational satisfaction and performance was significant among some participants. Engagement in meaningful occupations did not result in improved quality of life. Conclusions Occupation-based interventions may impact the perceived quality of life and occupational performance in community-dwelling older adults; however, further research is needed.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":"40 1","pages":"205 - 216"},"PeriodicalIF":0.9,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59276831","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 : 2021-11-28DOI: 10.1080/02703181.2021.2008087
Katie Andersen, Lyndel Hewitt, K. J. Davis
Abstract Aims To determine associations between frailty and patient outcomes for participants in an acute rehabilitation program. Methods Retrospective participant data (n = 987) was extracted, and correlations between the Clinical Frailty Scale (CFS) and patient outcomes (FIMTM, FIMTM Efficiency, LOS, Discharge Destination, Unexpected clinical complication) were examined through statistical analysis (Logistic regression, ANCOVA, Kendall’s Tau, odds ratios). Results The study cohort was 49.1% female and 50.9% male, averaging 82.3 years of age. FIMTM was weakly correlated with frailty, with both extent and efficiency declining with increasing frailty. This was statistically significant, despite being weak (p < 0.001). There was a similar correlation between increasing CFS and less favorable discharge destination. CFS was not a reliable indicator of LOS nor unexpected clinical complication. Conclusions More frail patients often benefited from rehabilitation, and frailty score alone should not be used to select acute rehabilitation inpatients.
{"title":"Impact of Frailty on Acute Rehabilitation Outcomes: An Observational Study in a Regional Australian Context","authors":"Katie Andersen, Lyndel Hewitt, K. J. Davis","doi":"10.1080/02703181.2021.2008087","DOIUrl":"https://doi.org/10.1080/02703181.2021.2008087","url":null,"abstract":"Abstract Aims To determine associations between frailty and patient outcomes for participants in an acute rehabilitation program. Methods Retrospective participant data (n = 987) was extracted, and correlations between the Clinical Frailty Scale (CFS) and patient outcomes (FIMTM, FIMTM Efficiency, LOS, Discharge Destination, Unexpected clinical complication) were examined through statistical analysis (Logistic regression, ANCOVA, Kendall’s Tau, odds ratios). Results The study cohort was 49.1% female and 50.9% male, averaging 82.3 years of age. FIMTM was weakly correlated with frailty, with both extent and efficiency declining with increasing frailty. This was statistically significant, despite being weak (p < 0.001). There was a similar correlation between increasing CFS and less favorable discharge destination. CFS was not a reliable indicator of LOS nor unexpected clinical complication. Conclusions More frail patients often benefited from rehabilitation, and frailty score alone should not be used to select acute rehabilitation inpatients.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":"40 1","pages":"225 - 240"},"PeriodicalIF":0.9,"publicationDate":"2021-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45913396","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 : 2021-11-26DOI: 10.1080/02703181.2021.2008086
D. Connelly
Abstract Aims This study describes recovery of mobility during inpatient rehabilitation and 12-weeks at home post-discharge in a group of community-living older adults following a fragility hip fracture and surgical repair. Methods A prospective descriptive design employed repeated measures of five mobility measures at inpatient rehabilitation admission, discharge, and at home 2-, 6-, and 12-weeks post-discharge. Mobility scores were compared to age- and sex-reference scores from the literature. Results The greatest gains in recovery were made during inpatient rehabilitation with continued improvement (p<.001) at home over 12-weeks on performance-based (Functional Independence Measure, Timed Up and Go, 6-Minute Walk, and Berg Balance Scale) and self-report (Composite Physical Function Scale) measures. Normative sex- and age-reference scores were not achieved at 12-weeks post-discharge. Conclusions The deficit in recovery to normative scores indicates that these older adults will continue to be at risk of further decline in functional and physical performance, and institutionalization.
{"title":"Recovery in Mobility by Community-Living Older Adults following Fragility Hip Fracture","authors":"D. Connelly","doi":"10.1080/02703181.2021.2008086","DOIUrl":"https://doi.org/10.1080/02703181.2021.2008086","url":null,"abstract":"Abstract Aims This study describes recovery of mobility during inpatient rehabilitation and 12-weeks at home post-discharge in a group of community-living older adults following a fragility hip fracture and surgical repair. Methods A prospective descriptive design employed repeated measures of five mobility measures at inpatient rehabilitation admission, discharge, and at home 2-, 6-, and 12-weeks post-discharge. Mobility scores were compared to age- and sex-reference scores from the literature. Results The greatest gains in recovery were made during inpatient rehabilitation with continued improvement (p<.001) at home over 12-weeks on performance-based (Functional Independence Measure, Timed Up and Go, 6-Minute Walk, and Berg Balance Scale) and self-report (Composite Physical Function Scale) measures. Normative sex- and age-reference scores were not achieved at 12-weeks post-discharge. Conclusions The deficit in recovery to normative scores indicates that these older adults will continue to be at risk of further decline in functional and physical performance, and institutionalization.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":"40 1","pages":"188 - 204"},"PeriodicalIF":0.9,"publicationDate":"2021-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47742728","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}
Abstract Aims This study aims to examine group differences in performance and self-report measures distinguishing non-, single, and recurrent fallers. Methods Fifty-seven community-dwelling older adults completed cognitive and functional assessments and reported number of falls over 12 months. A one-way analysis of variance (ANOVA) examined differences between non-, single, and recurrent fallers. Results Significant group differences were found on fast and comfortable gait speed (p < .01 and p < .01, respectively), Falls Efficacy Scale-International (FES-I) (p = .04), 30-Second Chair Stand (30-SCS) (p < .01), and Mini Mental State Examination (MMSE) (p < .01). An analysis of covariance (ANCOVA) was used to control for MMSE after which the previous outcome measures no longer displayed significance. Conclusions Group differences exist between fallers; further, single fallers may experience a fall differently than other fallers. This sample consisted of healthy older adults yet cognition still played a role, demonstrating that the link between cognition and fall risk is yet to be fully understood.
{"title":"Group Differences in Fall Risk Assessment among Community-Dwelling Older Adults","authors":"Alison Mantel, Estefania Zuluaga, Joanna Keough, Lara Suarez, Nicole T. Dawson","doi":"10.1080/02703181.2021.2002997","DOIUrl":"https://doi.org/10.1080/02703181.2021.2002997","url":null,"abstract":"Abstract Aims This study aims to examine group differences in performance and self-report measures distinguishing non-, single, and recurrent fallers. Methods Fifty-seven community-dwelling older adults completed cognitive and functional assessments and reported number of falls over 12 months. A one-way analysis of variance (ANOVA) examined differences between non-, single, and recurrent fallers. Results Significant group differences were found on fast and comfortable gait speed (p < .01 and p < .01, respectively), Falls Efficacy Scale-International (FES-I) (p = .04), 30-Second Chair Stand (30-SCS) (p < .01), and Mini Mental State Examination (MMSE) (p < .01). An analysis of covariance (ANCOVA) was used to control for MMSE after which the previous outcome measures no longer displayed significance. Conclusions Group differences exist between fallers; further, single fallers may experience a fall differently than other fallers. This sample consisted of healthy older adults yet cognition still played a role, demonstrating that the link between cognition and fall risk is yet to be fully understood.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":"40 1","pages":"173 - 187"},"PeriodicalIF":0.9,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41991996","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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