PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS最新文献

英文中文

Evaluating the Content Validity of a New On-Road Driving Test 新道路驾驶考试内容效度评估

IF 0.9 Q4 REHABILITATION

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS

Pub Date : 2021-02-03 DOI: 10.1080/02703181.2021.1873476

Tatsunori Sawada, K. Tomori, Kana Sakaue, Yuki Higashikawa, Kanta Ohno, Yuho Okita, Yousuke Seike, Yoshio Fujita, Masaru Umeda

Abstract This study aimed to examine the content validity of on-road tests in real traffic environments over 4 phases. Phase 1: Extracted on-road test items from the previous study. Phase 2: Conducted a semi-structured interview with occupational therapists and driving instructors, and analyzed the qualitative data. Phase 3: Developed texts for the new on-road tests. Phase 4: Conducted a web-based Delphi survey. Phase 1: Extracted the large items (1006 labels) from 18 on-road tests. Phase 2: Categorized 49 items of the on-road tests into the 11 categories. Phase 3: Created new on-road test items. Phase 4: After four rounds of the web-based Delphi survey, consent was obtained for all items from more than 80% of respondents. Finally, we reached a consensus with 44 items in the driving school evaluation and 47 in the public on-road test. Our results support strong content validity of the on-road test regarding driving behavior.

摘要本研究旨在检验真实交通环境下道路测试的内容效度。阶段1:从前期研究中提取道路试验项目。第二阶段:对职业治疗师和驾驶教练进行半结构化访谈，并对定性数据进行分析。第三阶段:为新的道路测试开发文本。第四阶段:进行基于网络的德尔菲调查。阶段1:从18个道路测试中提取大型项目(1006个标签)。第二阶段:将道路测试的49个项目分为11个类别。阶段3:创建新的道路测试项目。第四阶段:经过四轮基于网络的德尔菲调查，80%以上的受访者对所有项目都表示同意。最终，我们就驾校考核的44项和公开路试的47项达成共识。我们的研究结果支持关于驾驶行为的道路测试的强内容效度。

引用次数: 0

Sleep Disturbances and Physical Impairment: A Systematic Review and Meta-Analysis 睡眠障碍与身体损害：系统综述和荟萃分析

IF 0.9 Q4 REHABILITATION

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS

Pub Date : 2021-01-20 DOI: 10.1080/02703181.2021.1871699

S. Amiri, S. Behnezhad

Abstract Objectives This research intends to address the relationship between sleep disturbances and physical impairment using systematic review and meta-analysis methods. Method The study design was a systematic review and meta-analysis. The search was limited to the articles published in English and available online until July 2019. The odds ratio and the lower and upper confidence intervals were converted into logarithms, and then the standard error was calculated. Result The total number of participants in the meta-analysis was 581,945. Sleep disturbances are associated with physical impairment, and this odds ratio (OR) is equal to 1.33 and the confidence interval (CI) is 1.19–1.48 (P < 0.001). In prospective cohort studies, the results are equal to OR = 1.40 and CI = 1.24–1.58 (P < 0.001), and in cross-sectional OR was 1.26 and 1.08–1.47 (P = 0.004). Discussion Sleep disturbances are associated with physical impairment. Therefore, improving sleep is associated with better Mobility, ADL, and IADL.

摘要目的本研究旨在通过系统综述和荟萃分析方法探讨睡眠障碍与身体损伤之间的关系。方法采用系统回顾和荟萃分析的方法进行研究设计。搜索仅限于2019年7月之前在线发布的英文文章。将比值比、置信区间下限和置信区间上限转换为对数，然后计算标准误差。结果参与荟萃分析的总人数为581945人。睡眠障碍与身体损伤有关，比值比（OR）等于1.33，置信区间（CI）为1.19-1.48（P < 0.001）。在前瞻性队列研究中，结果等于OR=1.40和CI=1.24-1.58（P < 0.001），横截面OR分别为1.26和1.08-1.47（P = 0.004）讨论睡眠障碍与身体损伤有关。因此，改善睡眠与更好的行动能力、ADL和IADL有关。

引用次数: 3

Changes in Stroke Patient’s Awareness through the Driving Simulation in Rainy Weather 雨天行车模拟对脑卒中患者意识的影响

IF 0.9 Q4 REHABILITATION

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS

Pub Date : 2021-01-13 DOI: 10.1080/02703181.2021.1871700

Yuki Choji, Ryota Yoshino, Y. Yoshimura

Abstract Objectives This study was conducted to examine the situation awareness of stroke patients by means of the simulation and practice for driving in rain (SPDR). Methods Twenty-one stroke patients underwent the SPDR. Then, semi-structured interviews were conducted before and after the SPDR. The data of the interviews were analyzed through qualitative analysis based on content analysis. Results As a result of the qualitative analysis, it was found that many patients became aware of driving risks, of which they had not previously been aware, through the simulation; these were categorized as improved awareness and confusion. Conclusions The findings from the qualitative approach indicate that the SPDR is a useful strategy for stroke patients to improve the awareness of driving risks.

摘要目的本研究采用模拟和练习雨中驾驶（SPDR）的方法来检验脑卒中患者的情境意识。方法对21例脑卒中患者进行SPDR。然后，在SPDR前后进行半结构化访谈。在内容分析的基础上，对访谈数据进行了定性分析。结果定性分析发现，通过模拟，许多患者意识到了他们以前没有意识到的驾驶风险；这些被归类为意识的提高和困惑。结论定性研究结果表明，SPDR是脑卒中患者提高驾驶风险意识的有效策略。

引用次数: 0

The Effect of Localized Upper Extremity Fatigue on Balance in Young and Older Adults 中老年人上肢局部疲劳对平衡的影响

IF 0.9 Q4 REHABILITATION

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS

Pub Date : 2021-01-02 DOI: 10.1080/02703181.2020.1781321

A. Aron, Jaclyn Powell, Esther Kim, D. Gidu, Kristen L Jagger, Arco P Paul

Abstract Aim This study investigated the effects of upper extremity muscle fatigue on dynamic and static balance in young and old populations. Methods Static and dynamic balance was assessed in 20 males before and after an upper extremity (UE) fatigue protocol. Fatigue was achieved using an arm crank ergometer protocol, which consisted of 3-minute intervals of UE exercise, increasing by 25 watts in a range of 70-80 rpms, until exhaustion. Results The UE fatigue protocol did not negatively impact dynamic or static balance levels in either young or old populations. In fact, UE fatigue was shown to have a positive influence on dynamic balance in the posterolateral direction in the young population. Conclusion Although old population demonstrated preexisting balance impairments, UE exercise does not appear to further impair balance. Additionally, the influence on dynamic balance after UE fatigue in the young population may indicate a possible priming effect.

摘要目的研究上肢肌肉疲劳对青年和老年人动、静态平衡的影响。方法对20名男性在上肢（UE）疲劳方案前后的静态和动态平衡进行评估。疲劳是使用曲柄测力计协议实现的，该协议包括3分钟的UE锻炼间隔，在70-80转/分的范围内增加25瓦，直到筋疲力尽。结果UE疲劳协议对年轻或老年人群的动态或静态平衡水平没有负面影响。事实上，在年轻人群中，UE疲劳对后外侧方向的动态平衡有积极影响。结论尽管老年人表现出先前存在的平衡障碍，但UE运动似乎不会进一步损害平衡。此外，年轻人群中UE疲劳后对动态平衡的影响可能表明可能的启动效应。

引用次数: 1

Effects of Diaphragmatic Breathing Maneuver and Abdominal Drawing-in Maneuver on trunk stability in stroke patients 横膈膜呼吸法和腹部收缩法对脑卒中患者躯干稳定性的影响

IF 0.9 Q4 REHABILITATION

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS

Pub Date : 2021-01-02 DOI: 10.1080/02703181.2020.1770395

Hammad Rasheed, I. Ahmad, M. Javed, J. Rashid, Rana Saqib Javeed

Abstract Background one of the most frequent determinants of long-term disability in the adults is Stroke which may affect the normal functioning of trunk and hence may disturb balance. Objective to assess the effects of “Abdominal Drawing-in Maneuver” and “Diaphragmatic Breathing Maneuver” in improving the stability of trunk in stroke patients. Methods A quasi-experimental study including 36 patients with confirmed diagnosis of the first incident of stroke was conducted. Patients were assigned randomly in two groups ADIM and DBM. Outcome measurements were evaluated using the “Trunk Impairment Scale”. Results after 4 weeks of training; “Trunk Impairment Scale” score improved significantly. Between groups comparison shows that trunk stability significantly improved in the group DBM as compared those in the group ADIM. Conclusion it may be concluded that Diaphragmatic Breathing Maneuver can be an effective technique in improving trunk stability in stroke patients.

摘要背景中风是成人长期残疾最常见的决定因素之一，它可能影响躯干的正常功能，从而扰乱平衡。目的探讨“腹内缩法”和“横膈呼吸法”在提高脑卒中患者躯干稳定性中的作用。方法对36例首次卒中确诊患者进行准实验研究。患者随机分为ADIM组和DBM组。结果测量采用“主干损伤量表”进行评估。训练4周后的结果;“躯干损伤量表”得分显著提高。组间比较表明，DBM组的主干稳定性较ADIM组明显改善。结论横膈呼吸法是提高脑卒中患者躯干稳定性的有效方法。

引用次数: 4

Validity of Instrumented 360° Turn Test in Older Adults with Cognitive Impairment. 对认知障碍老年人进行仪器式 360° 转体测试的有效性。

IF 0.9 Q4 REHABILITATION

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS

Pub Date : 2021-01-01 Epub Date: 2020-01-08 DOI: 10.1080/02703181.2019.1710319

Ellen L McGough, Molly Gries, Linda Teri, Valerie E Kelly

Aims: To examine concurrent and construct validity of inertial sensor 360°turn measures in relation with motion capture and mobility assessments in cognitively impaired older adults.

Methods: Data was collected in 31 participants, mean age 85.2 (SD 5.2), during clockwise (CW) and counter clockwise (CCW) 360° turns using (1) APDM body-worn inertial sensors and (2) Qualisys 8-camera laboratory-based motion capture.

Results: Absolute agreement between inertial sensor and motion capture measures was excellent for turn duration and turn peak velocity (ICC = 0.96-0.98). Strong to moderate correlations were present between inertial sensor turn measures and performance on the Timed Up and Go, Short Physical Performance Battery and 90-s Balance Test. ROC curve analysis of CCW 360° turn duration and turn peak velocity distinguished higher risk versus lower risk for mobility disability.

Conclusions: Inertial sensor 360° turn measures demonstrated concurrent and construct validity in relation to motion capture and mobility assessments.

目的：研究惯性传感器 360° 转动测量与运动捕捉和认知障碍老年人活动能力评估的并发有效性和结构有效性：收集了 31 名参与者（平均年龄为 85.2 岁（SD 5.2））在顺时针（CW）和逆时针（CCW）360° 旋转过程中使用（1）APDM 体戴式惯性传感器和（2）Qualisys 8 摄像机实验室运动捕捉的数据：在转弯持续时间和转弯峰值速度方面，惯性传感器和动作捕捉测量结果的绝对一致性非常好（ICC = 0.96-0.98）。惯性传感器的转弯测量结果与定时上下楼、短期体能测试和 90 秒平衡测试的成绩之间存在强到中等程度的相关性。CCW 360°转体持续时间和转体峰值速度的ROC曲线分析区分了行动障碍的高风险和低风险：惯性传感器 360° 转体测量与动作捕捉和行动能力评估具有并发有效性和结构有效性。

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引用次数: 0

Understanding the Multilevel Disability Self-Management Strategies of Puerto Rican Older Men. 了解波多黎各老年男子多层次残疾自我管理策略。

IF 0.9 Q4 REHABILITATION

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS

Pub Date : 2021-01-01 Epub Date: 2021-02-05 DOI: 10.1080/02703181.2021.1880530

Elsa M Orellano-Colón, Nanichi D Goff-Molina, Andrea C Ferré-Martínez, Pedro A Acevedo-Santiago, Edgardo J Colón-Cartagena, Mauricio Lizama-Troncoso, Ivonne Z Jiménez-Velázquez, Nelson Varas-Díaz, Jeffrey W Jutai, Marta Rivero-Méndez

Aims: To explore the person, environment, and occupation-related self-management strategies used by older Hispanic men to cope with disabilities in different types of daily activities.

Methods: A concurrent transformative mixed method design (with priority given to the qualitative phase) guided by the Environment and Occupational Performance Model was used to collect and analyze data of 12 participants with functional disabilities. Quantitative data was gathered using the PROMIS Physical Function Short Form-20. Qualitative data was obtained from in-depth semi-structured interviews on participants' self-management strategies.

Results: The average T-score (35.96) was below the national average. Participants reported higher levels of functional disabilities in instrumental activities of daily living (IADL), and predominantly used practical social support and change in method of performance to manage their difficulties in self-care, IADL, and functional mobility activities.

Conclusions: These strategies may be used with similar populations to design interventions aimed at increasing older Puerto Rican's function.

目的:探讨西班牙裔老年男性在不同类型的日常活动中应对残疾的个人、环境和职业相关自我管理策略。方法:采用以环境与职业绩效模型为指导的并行转化混合方法设计(优先考虑定性阶段)，对12名功能障碍参与者的数据进行收集和分析。使用PROMIS物理功能简表-20收集定量数据。通过对参与者自我管理策略的深度半结构化访谈获得定性数据。结果:平均t得分(35.96)低于全国平均水平。参与者报告了在日常生活工具活动(IADL)中较高水平的功能性残疾，并且主要使用实用的社会支持和改变表现方法来管理他们在自我照顾、IADL和功能性活动方面的困难。结论:这些策略可用于类似人群，设计旨在提高波多黎各老年人功能的干预措施。

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引用次数: 0

Effects of Preferred Music Listening on Adherence to Upper Extremity Home Programs 首选音乐聆听对上肢家庭计划依从性的影响

IF 0.9 Q4 REHABILITATION

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS

Pub Date : 2020-12-29 DOI: 10.1080/02703181.2020.1865500

E. D. Donoso Brown, Joanna Eskander, Sarah E. Wallace, J. Mull

Abstract Aims This study investigated the effect of preferred music listening on adherence to home practice. Methods This study implemented a single-subject, reversal design with additional pre/post- measures. Seven participants with chronic hemiparesis and aphasia completed the study. Participants received an individualized, repetitive task practice upper extremity home program and a preferred music playlist to listen to during intervention phases. The primary outcome was adherence to practice as measured by self-reported session duration and number of repetitions recorded in an aphasia-friendly logbook. All logbook data were analyzed visually for within phase and between phase differences. Results Visual analysis revealed no consistent effect of preferred music listening on adherence to home practice for either variable. C-statistic analyses confirmed these findings. Conclusions In this sample, preferred music listening during practice did not modify adherence variables. Future studies should explore other strategies to increase home program adherence. Trial Registration ClinicalTrials.gov NCT02906956

摘要目的本研究调查了偏好听音乐对坚持家庭实践的影响。方法本研究采用单一受试者、反向设计和额外的前/后测量。七名患有慢性偏瘫和失语症的参与者完成了这项研究。参与者接受了一个个性化的、重复性的任务练习上肢家庭计划和一个在干预阶段喜欢听的音乐播放列表。主要结果是通过失语症友好日志中记录的自我报告的会话持续时间和重复次数来衡量对实践的依从性。对所有日志数据进行了相位内和相位间差异的可视化分析。结果视觉分析显示，无论哪一个变量，偏好听音乐对坚持家庭实践的影响都不一致。C统计分析证实了这些发现。结论在这个样本中，在练习中更喜欢听音乐并没有改变依从性变量。未来的研究应该探索其他策略来提高家庭项目的依从性。试验注册ClinicalTrials.gov NCT02906956

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引用次数: 2

Comparison of Trigger Finger Orthotic Wearing Schedules: A Feasibility Study 扳机指矫形器佩戴方案的可行性研究

IF 0.9 Q4 REHABILITATION

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS

Pub Date : 2020-12-14 DOI: 10.1080/02703181.2020.1850603

J. C. Avery, L. Richards

Abstract Aim: This randomized prospective pre-post test, single-subject, case series (NCT04094389) feasibility study evaluated the feasibility of conducting a clinical trial to compare the effect of three different trigger finger orthotic daily wear schedules on digital triggering and pain level in adults with trigger finger. Methods: Nine participants enrolled through convenience sampling were randomly assigned to a wear group: continuous, sleeping, or waking. Descriptive statistics were utilized to describe participant demographics and examine the data for changes across the six to ten weeks of study. Results: The study successfully obtained feasibility data regarding participant recruitment rate, demographics, methods as well as orthotic wear comfort, functionality, adverse effects and wearing compliance. The rate of recruitment was 1.9 participants per month. Conclusions: The results suggest it is feasible to perform a RCT, though recruitment was challenging. Recruitment for a RCT may be facilitated by broadening the inclusion/exclusion criteria to obtain participants.

摘要目的：这项随机前瞻性前后试验、单受试者、病例系列（NCT04094389）可行性研究评估了进行临床试验的可行性，以比较三种不同的扳机指矫形器日常佩戴方案对成人扳机指手指触发和疼痛水平的影响。方法：9名通过方便抽样登记的参与者被随机分配到一个穿着组：连续、睡眠或清醒。描述性统计被用来描述参与者的人口统计数据，并检查数据在研究的六到十周内的变化。结果：该研究成功获得了关于参与者招募率、人口统计、方法以及矫形器佩戴舒适度、功能、不良反应和佩戴依从性的可行性数据。招聘率为每月1.9名参与者。结论：研究结果表明进行随机对照试验是可行的，尽管招募具有挑战性。通过扩大纳入/排除标准以获得参与者，可以为RCT的招募提供便利。

引用次数: 0

Monitorization of Timed Up and Go Phases in Elderly 老年人起身和走时的监测

IF 0.9 Q4 REHABILITATION

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS

Pub Date : 2020-10-27 DOI: 10.1080/02703181.2020.1836111

M. Lima, Sílvia Rocha Rodrigues, P. Bezerra, L. Rodrigues, J. Cancela

Abstract Aims to characterize functional mobility during timed “Up and Go” (TUG) test using Wiva® science sensor and to identify which parameter of TUG test best correlates with health-related outcomes in elderly. Methods 1598 participants (71.53 ± 4.99 y, 64.1% women) were recruited. The body mass index (BMI), muscle strength, health status, and all TUG phases (sit-to-stand, gait-to-go, turning, gait-return, and stand-to-sit) were evaluated. 5-TUG performance-group scores are reported for the <20th; 20–40th, 40–60th, 60–80th, 80–100th percentiles, as there is no health standard cutoff for Portuguese elderly. The Pearson’s correlations were assessed between variables (p < 0.05). Results The best TUG performers (<20th) presented better results than the other groups for all tests, with the exception of the Turning phase. Both gait, sit-to-stand and stand-to-sit were inversely correlated with health status and muscle strength, and positively correlated with BMI. Conclusions All phases of TUG test are an important tool to assess functional mobility, providing complementary data for clinical settings in elderly population.

摘要旨在描述使用Wiva®科学传感器进行定时“上下”（TUG）测试期间的功能移动性，并确定TUG测试的哪个参数与老年人的健康相关结果最相关。方法1598名参与者（71.53 ± 女性占64.1%）。评估了身体质量指数（BMI）、肌肉力量、健康状况和所有TUG阶段（从坐到站、从步态到走、转身、步态返回和从站到坐）。5-TUG表现组得分为<20；20–40、40–60、60–80、80–100个百分位数，因为葡萄牙老年人没有健康标准的截止值。评估变量之间的Pearson相关性（p < 结果在所有测试中，表现最好的TUG组（<20）表现出比其他组更好的结果，但转弯阶段除外。步态、坐-站和站-坐与健康状况和肌肉力量呈负相关，与BMI呈正相关。结论TUG测试的所有阶段都是评估功能移动性的重要工具，为老年人群的临床环境提供了补充数据。

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