Pub Date : 2021-04-01DOI: 10.1097/TGR.0000000000000309
Muharrem Gökhan Beydağı, Zilan Bazancir, S. Bozgeyik, O. Ulger
Supplemental Digital Content is Available in the Text. Objective: This systematic review aimed to evaluate and summarize the effects of therapeutic exercise clinically in reducing pain intensity in patients with knee osteoarthritis. Methods: A search of PubMed, Web of Science, Scopus, EBSCO, and Cochrane Central Register of Controlled Trials (CENTRAL) databases from the date of inception to December 15, 2019, was conducted. Primary outcome of interest was pain measurement using the visual analog scale. The methodological quality of the studies was assessed using the Physiotherapy Evidence Database (PEDro) scale. Results: Sixteen studies were included in this systematic review. These studies reported that therapeutic exercise is clinically effective in reducing pain intensity in patients with knee osteoarthritis. In addition, compared with a short-term and low-intensity therapeutic exercise, there was strong evidence that therapeutic exercise, in combination with pain inhibition interventions, may play a significant role in reducing pain intensity. Conclusion: The systematic review provides evidence for the use of therapeutic exercises, which is high-intensity, long-term, and combined with other interventions, for reducing pain intensity clinically.
文本中提供了补充数字内容。目的：本系统综述旨在评估和总结治疗性运动在减轻膝骨关节炎患者疼痛强度方面的临床效果。方法：检索自成立之日至2019年12月15日的PubMed、Web of Science、Scopus、EBSCO和Cochrane对照试验注册中心（Central）数据库。感兴趣的主要结果是使用视觉模拟量表进行疼痛测量。使用物理治疗证据数据库（PEDro）量表评估研究的方法学质量。结果：本系统综述包括16项研究。这些研究表明，治疗性运动在降低膝骨关节炎患者疼痛强度方面具有临床疗效。此外，与短期低强度的治疗性运动相比，有强有力的证据表明，治疗性运动与疼痛抑制干预相结合，可能在降低疼痛强度方面发挥重要作用。结论：该系统综述为临床上使用高强度、长期的治疗性运动并结合其他干预措施来降低疼痛强度提供了证据。
{"title":"Is Therapeutic Exercise Clinically Effective in Reducing Pain Intensity in Patients With Knee Osteoarthritis? A Systematic Review","authors":"Muharrem Gökhan Beydağı, Zilan Bazancir, S. Bozgeyik, O. Ulger","doi":"10.1097/TGR.0000000000000309","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000309","url":null,"abstract":"Supplemental Digital Content is Available in the Text. Objective: This systematic review aimed to evaluate and summarize the effects of therapeutic exercise clinically in reducing pain intensity in patients with knee osteoarthritis. Methods: A search of PubMed, Web of Science, Scopus, EBSCO, and Cochrane Central Register of Controlled Trials (CENTRAL) databases from the date of inception to December 15, 2019, was conducted. Primary outcome of interest was pain measurement using the visual analog scale. The methodological quality of the studies was assessed using the Physiotherapy Evidence Database (PEDro) scale. Results: Sixteen studies were included in this systematic review. These studies reported that therapeutic exercise is clinically effective in reducing pain intensity in patients with knee osteoarthritis. In addition, compared with a short-term and low-intensity therapeutic exercise, there was strong evidence that therapeutic exercise, in combination with pain inhibition interventions, may play a significant role in reducing pain intensity. Conclusion: The systematic review provides evidence for the use of therapeutic exercises, which is high-intensity, long-term, and combined with other interventions, for reducing pain intensity clinically.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"37 1","pages":"89 - 103"},"PeriodicalIF":0.5,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47251960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.1097/TGR.0000000000000306
Martin S. Dietze-Hermosa, Samuel Montalvo, Matthew P. Gonzalez, S. Dorgo
Aims: To determine the association between fear of falling and self-perceived balance with the modified Functional Movement Screen (FMS) and determine whether fear of falling, self-perceived balance, and modified FMS scores differ depending on age group and sex. Methods: One hundred and fifty-six active older adults completed a fear of falling and self-perceived balance questionnaire and then the modified FMS. Results: Modified FMS scores differed by age group and sex (P < .05). Increasing age was associated with poorer modified FMS scores while females outperformed males on most components of the modified FMS (P < .05). Associations of the modified FMS with age group and sex indicated that better modified FMS scores were associated with decreased fear of falling and greater self-perceived balance. Conclusion: Focus on different aspects of the modified FMS may depend on age and sex. There is a small relationship between the modified FMS with fear of falling and self-perceived balance.
{"title":"Association Between the Modified Functional Movement Screen Scores, Fear of Falling, and Self-Perceived Balance in Active Older Adults","authors":"Martin S. Dietze-Hermosa, Samuel Montalvo, Matthew P. Gonzalez, S. Dorgo","doi":"10.1097/TGR.0000000000000306","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000306","url":null,"abstract":"Aims: To determine the association between fear of falling and self-perceived balance with the modified Functional Movement Screen (FMS) and determine whether fear of falling, self-perceived balance, and modified FMS scores differ depending on age group and sex. Methods: One hundred and fifty-six active older adults completed a fear of falling and self-perceived balance questionnaire and then the modified FMS. Results: Modified FMS scores differed by age group and sex (P < .05). Increasing age was associated with poorer modified FMS scores while females outperformed males on most components of the modified FMS (P < .05). Associations of the modified FMS with age group and sex indicated that better modified FMS scores were associated with decreased fear of falling and greater self-perceived balance. Conclusion: Focus on different aspects of the modified FMS may depend on age and sex. There is a small relationship between the modified FMS with fear of falling and self-perceived balance.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"37 1","pages":"64 - 73"},"PeriodicalIF":0.5,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49305393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.1097/TGR.0000000000000313
Shogo Fukui, M. Kawakami, K. Hayashida, Aiko Ishikawa, Naoki Mori, Y. Oguma, K. Fukuda, T. Tsuji
The purpose of this study was to investigate changes over time in instrumental activities of daily living (IADL), physical function, physical frailty, cognitive function, and nutritional status after transcatheter aortic valve implantation (TAVI). Fifty consecutive older patients with aortic stenosis as possible candidates for TAVI were prospectively enrolled. Their average age was 84.6 ± 3.1 years, and 39 (78%) were female. The results of the linear mixed-effects model for the isometric knee extension muscular strength showed a significant change. IADL and nutritional status were significantly different preoperatively compared with 6 months postoperatively after transfemoral TAVI.
{"title":"Functional Status and Instrumental Activities of Daily Living After Transcatheter Aortic Valve Replacement","authors":"Shogo Fukui, M. Kawakami, K. Hayashida, Aiko Ishikawa, Naoki Mori, Y. Oguma, K. Fukuda, T. Tsuji","doi":"10.1097/TGR.0000000000000313","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000313","url":null,"abstract":"The purpose of this study was to investigate changes over time in instrumental activities of daily living (IADL), physical function, physical frailty, cognitive function, and nutritional status after transcatheter aortic valve implantation (TAVI). Fifty consecutive older patients with aortic stenosis as possible candidates for TAVI were prospectively enrolled. Their average age was 84.6 ± 3.1 years, and 39 (78%) were female. The results of the linear mixed-effects model for the isometric knee extension muscular strength showed a significant change. IADL and nutritional status were significantly different preoperatively compared with 6 months postoperatively after transfemoral TAVI.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"37 1","pages":"128 - 131"},"PeriodicalIF":0.5,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45428447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.1097/TGR.0000000000000310
Mohammed F Safi, Mohamud S. Mohamud
Objective: The aim of this study was to determine (a) whether submental electrical stimulation could induce hyolaryngeal movement in healthy adults, (b) the effect of submental surface electrical stimulation on hyolaryngeal movement during stimulated swallows in comparison to nonstimulated swallows, and (c) the effect of submental surface electrical stimulation on vestibular closing both during stimulated swallows and stimulation at rest. Methods: Seven healthy participants with a mean age was 51 ± 5.6 years were included in this study. Each participant received submental neuromuscular electrical stimulation and was given 5 mL of liquid barium to swallow both with and without stimulation. Six randomized trials were recorded—3 with submental surface stimulation and 3 without stimulation with at least one sham stimulation swallow trial at rest. Trials were recorded via videofluoroscopy. Results: A total of 82 trails were recorded. The results of this study indicated (a) there was a hyoid movement as a result of submental stimulation, (b) no laryngeal movement occurred as a result of stimulation, and (c) the vestibule opening size was larger during stimulated swallows as compared with nonstimulated swallows. Conclusion: This study shows that there is increased risk of aspiration with submental stimulation as a result of increased vestibular opening following submental neuromuscular electrical stimulation.
{"title":"Effect of Submental Surface Neuromuscular Stimulation on Laryngeal Vestibule Opening in Healthy Volunteers at Rest and During Swallowing","authors":"Mohammed F Safi, Mohamud S. Mohamud","doi":"10.1097/TGR.0000000000000310","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000310","url":null,"abstract":"Objective: The aim of this study was to determine (a) whether submental electrical stimulation could induce hyolaryngeal movement in healthy adults, (b) the effect of submental surface electrical stimulation on hyolaryngeal movement during stimulated swallows in comparison to nonstimulated swallows, and (c) the effect of submental surface electrical stimulation on vestibular closing both during stimulated swallows and stimulation at rest. Methods: Seven healthy participants with a mean age was 51 ± 5.6 years were included in this study. Each participant received submental neuromuscular electrical stimulation and was given 5 mL of liquid barium to swallow both with and without stimulation. Six randomized trials were recorded—3 with submental surface stimulation and 3 without stimulation with at least one sham stimulation swallow trial at rest. Trials were recorded via videofluoroscopy. Results: A total of 82 trails were recorded. The results of this study indicated (a) there was a hyoid movement as a result of submental stimulation, (b) no laryngeal movement occurred as a result of stimulation, and (c) the vestibule opening size was larger during stimulated swallows as compared with nonstimulated swallows. Conclusion: This study shows that there is increased risk of aspiration with submental stimulation as a result of increased vestibular opening following submental neuromuscular electrical stimulation.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"37 1","pages":"104 - 107"},"PeriodicalIF":0.5,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45099284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.1097/TGR.0000000000000312
A. Abit Kocaman, N. Kırdı, S. Aksoy, Özgün Elmas, B. B. Doğu
Background: Fall is one of the most common geriatric syndromes in the elderly population. It is important to determine the most effective exercise training in elderly individuals who are at risk of falling. Aim: To investigate the effects of different exercise trainings on functionality in older fallers. Method: A total of 30 older adults, 16 females and 14 males, were enrolled in this randomized controlled trial. The older adults were divided into 3 groups: vestibular exercise (VE), posturography balance exercise (PBE), and square step exercise (SSE) groups. All groups received VE training. Sensory Organization Test (SOT), Adaptation Test (ADT), Fall Efficacy Scale (FES), Montreal Cognitive Assessment (MoCA), Vestibular Disorders Activities of Daily Life Scale (VADL), and the World Health Organization Quality of Life Scale–Older Adults Module (WHOQOL-Old) were administered before and at the end of the 24 training sessions. Results: The MoCA and the composite balance score of the SOT were improved in the PBE and SSE groups and the FES in all groups. According to multiple comparison analyses, toes up in the VE and PBE groups, toes down of the ADT in the PBE group, VADL in the PBE and SSE groups, the WHOQOL-Old in all groups significantly improved (P < .010). Conclusion: VE training alone is not sufficient for older fallers. A combination of PBE and SSE training, which was applied 3 times a week for 8 weeks, was more effective in improving functionality in older fallers.
{"title":"The Effect of Different Exercise Training Types on Functionality in Older Fallers","authors":"A. Abit Kocaman, N. Kırdı, S. Aksoy, Özgün Elmas, B. B. Doğu","doi":"10.1097/TGR.0000000000000312","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000312","url":null,"abstract":"Background: Fall is one of the most common geriatric syndromes in the elderly population. It is important to determine the most effective exercise training in elderly individuals who are at risk of falling. Aim: To investigate the effects of different exercise trainings on functionality in older fallers. Method: A total of 30 older adults, 16 females and 14 males, were enrolled in this randomized controlled trial. The older adults were divided into 3 groups: vestibular exercise (VE), posturography balance exercise (PBE), and square step exercise (SSE) groups. All groups received VE training. Sensory Organization Test (SOT), Adaptation Test (ADT), Fall Efficacy Scale (FES), Montreal Cognitive Assessment (MoCA), Vestibular Disorders Activities of Daily Life Scale (VADL), and the World Health Organization Quality of Life Scale–Older Adults Module (WHOQOL-Old) were administered before and at the end of the 24 training sessions. Results: The MoCA and the composite balance score of the SOT were improved in the PBE and SSE groups and the FES in all groups. According to multiple comparison analyses, toes up in the VE and PBE groups, toes down of the ADT in the PBE group, VADL in the PBE and SSE groups, the WHOQOL-Old in all groups significantly improved (P < .010). Conclusion: VE training alone is not sufficient for older fallers. A combination of PBE and SSE training, which was applied 3 times a week for 8 weeks, was more effective in improving functionality in older fallers.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"37 1","pages":"114 - 127"},"PeriodicalIF":0.5,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41607948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.1097/TGR.0000000000000318
Takuya Nakamura, M. Kawakami, Shogo Fukui, Sho Takeuchi, Fumio Liu, Shinji Kawaguchi, K. Hayashida, H. Shimizu, K. Fukuda, T. Tsuji, Meigen Liu
The aim of this study was to examine the incidence and risk factors of postoperative dysphagia in cases of severe aortic stenosis. The subjects were 192 severe aortic stenosis patients who underwent either surgical aortic valve replacement or transcatheter aortic valve implantation. We evaluated the frequency of postoperative dysphagia using the Food Intake Level Scale. Stepwise multivariate logistic regression analysis was performed to identify independent predictors of postoperative dysphagia. The only independent predictor of postoperative dysphagia was procedure type. The operative procedure type is a risk factor for postoperative dysphagia in cases of severe aortic stenosis.
{"title":"Incidence and Risk Factors of Postoperative Dysphagia in Severe Aortic Stenosis","authors":"Takuya Nakamura, M. Kawakami, Shogo Fukui, Sho Takeuchi, Fumio Liu, Shinji Kawaguchi, K. Hayashida, H. Shimizu, K. Fukuda, T. Tsuji, Meigen Liu","doi":"10.1097/TGR.0000000000000318","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000318","url":null,"abstract":"The aim of this study was to examine the incidence and risk factors of postoperative dysphagia in cases of severe aortic stenosis. The subjects were 192 severe aortic stenosis patients who underwent either surgical aortic valve replacement or transcatheter aortic valve implantation. We evaluated the frequency of postoperative dysphagia using the Food Intake Level Scale. Stepwise multivariate logistic regression analysis was performed to identify independent predictors of postoperative dysphagia. The only independent predictor of postoperative dysphagia was procedure type. The operative procedure type is a risk factor for postoperative dysphagia in cases of severe aortic stenosis.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"37 1","pages":"58 - 63"},"PeriodicalIF":0.5,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46898438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: The fear of falling (FOF) is defined as low perceived self-efficacy at avoiding falls during the nonhazardous activities of daily life. The FOF can lead to negative consequences including the physical change, and it might decrease the quality of life of the elderly. The aim of study was to assess the prevalence of FOF and identify the associated factors among Thai elderly patients. Methods: A cross-sectional study was performed. A total of 101 participants 60 years or older were recruited from October to November 2017. The data obtained through questionnaires, face-to-face interviews, and gait and balance tests that were measured by the researchers. The structured questionnaire included demographic data, history of falls, the Thai geriatric depression scale (TGDS), the Falls Efficacy Scale-International (FES-I), and the Thai mental state examination (TMSE). The balance and gait tests were conducted using the timed up and go (TUG) test and the Berg balance scale. Results: The prevalence of FOF was 70.3%. The logistic regression analysis showed a significant association between FOF and female gender (odds ratio [OR], 4.07; 95% confidence interval [CI], 1.63-10.46), whereas factors were not associated with FOF included age, living status, education, number of underlying disease, comorbidities, number of drugs used, history of fall, consequences of falls, visual acuity, TGDS, TMSE, TUG, and Berg balance test. In the multivariate model, the factors associated with the FOF were gender (OR, 4.28; 95% CI, 1.58-12.14) and hypertension (OR, 3.46; 95% CI, 1.11-11.72). Conclusion: The prevalence of FOF was high among Thai elderly patients. The present findings may help health care providers identify individuals who have FOF. These people could benefit from interventions, which focus on gender differences and hypertension aimed at reducing the FOF.
{"title":"The Prevalence and Associated Factors of the Fear of Falling in Elderly Patients at the Primary Care Clinic of Songklanagarind Hospital","authors":"Panya Chamroonkiadtikun, Thareerat Ananchaisarp, Panitan Wajancomkul","doi":"10.1097/TGR.0000000000000302","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000302","url":null,"abstract":"Objective: The fear of falling (FOF) is defined as low perceived self-efficacy at avoiding falls during the nonhazardous activities of daily life. The FOF can lead to negative consequences including the physical change, and it might decrease the quality of life of the elderly. The aim of study was to assess the prevalence of FOF and identify the associated factors among Thai elderly patients. Methods: A cross-sectional study was performed. A total of 101 participants 60 years or older were recruited from October to November 2017. The data obtained through questionnaires, face-to-face interviews, and gait and balance tests that were measured by the researchers. The structured questionnaire included demographic data, history of falls, the Thai geriatric depression scale (TGDS), the Falls Efficacy Scale-International (FES-I), and the Thai mental state examination (TMSE). The balance and gait tests were conducted using the timed up and go (TUG) test and the Berg balance scale. Results: The prevalence of FOF was 70.3%. The logistic regression analysis showed a significant association between FOF and female gender (odds ratio [OR], 4.07; 95% confidence interval [CI], 1.63-10.46), whereas factors were not associated with FOF included age, living status, education, number of underlying disease, comorbidities, number of drugs used, history of fall, consequences of falls, visual acuity, TGDS, TMSE, TUG, and Berg balance test. In the multivariate model, the factors associated with the FOF were gender (OR, 4.28; 95% CI, 1.58-12.14) and hypertension (OR, 3.46; 95% CI, 1.11-11.72). Conclusion: The prevalence of FOF was high among Thai elderly patients. The present findings may help health care providers identify individuals who have FOF. These people could benefit from interventions, which focus on gender differences and hypertension aimed at reducing the FOF.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"37 1","pages":"44 - 49"},"PeriodicalIF":0.5,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48286822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1097/TGR.0000000000000304
Alen Kapel, Domen Serdoner, Ester Fabiani, T. Velnar
The purpose of this study was to demonstrate the impact of COVID-19 pandemic restrictions on patients with Parkinson disease in the absence of physiotherapy interventions. We analyzed 42 patient surveys on motor and mental aspects in the neurological state. The survey was conducted in 3 primary care–level clinics specialized in neurological rehabilitation in the seventh week of COVID-19 restrictions, which started on March 13, 2020. A number of deteriorations, worsening of disorder, and emerging conditions were found. The absence of physiotherapy interventions in COVID-19 restrictions had a significant multidimensional impact on the neurological state of patients with Parkinson disease.
{"title":"Impact of Physiotherapy Absence in COVID-19 Pandemic on Neurological State of Patients With Parkinson Disease","authors":"Alen Kapel, Domen Serdoner, Ester Fabiani, T. Velnar","doi":"10.1097/TGR.0000000000000304","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000304","url":null,"abstract":"The purpose of this study was to demonstrate the impact of COVID-19 pandemic restrictions on patients with Parkinson disease in the absence of physiotherapy interventions. We analyzed 42 patient surveys on motor and mental aspects in the neurological state. The survey was conducted in 3 primary care–level clinics specialized in neurological rehabilitation in the seventh week of COVID-19 restrictions, which started on March 13, 2020. A number of deteriorations, worsening of disorder, and emerging conditions were found. The absence of physiotherapy interventions in COVID-19 restrictions had a significant multidimensional impact on the neurological state of patients with Parkinson disease.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"37 1","pages":"50 - 55"},"PeriodicalIF":0.5,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42669875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1097/TGR.0000000000000296
Tzurei Chen, Yuri Yoshida
Falls are a common health issue among older adults. Muscle weakness, limited physical function, and balance impairment have been identified as the modifiable risk factors for falls. The purpose of this review is to analyze current evidence about the efficacy of power training in improving physical function, improving balance, and preventing falls in older adults. We also provide recommendations regarding power training protocols for older adults. This review suggests that power training is effective in reducing several risk factors for falls. Future interdisciplinary studies are needed to provide evidence about how to incorporate power training in a fall prevention program.
{"title":"Effects of Power on Balance and Fall Prevention in Aging and Older Adults","authors":"Tzurei Chen, Yuri Yoshida","doi":"10.1097/TGR.0000000000000296","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000296","url":null,"abstract":"Falls are a common health issue among older adults. Muscle weakness, limited physical function, and balance impairment have been identified as the modifiable risk factors for falls. The purpose of this review is to analyze current evidence about the efficacy of power training in improving physical function, improving balance, and preventing falls in older adults. We also provide recommendations regarding power training protocols for older adults. This review suggests that power training is effective in reducing several risk factors for falls. Future interdisciplinary studies are needed to provide evidence about how to incorporate power training in a fall prevention program.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"37 1","pages":"7 - 11"},"PeriodicalIF":0.5,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43071672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1097/tgr.0000000000000303
Kevin K. Chui, Kimberly Malin, S. Yen
{"title":"Preface","authors":"Kevin K. Chui, Kimberly Malin, S. Yen","doi":"10.1097/tgr.0000000000000303","DOIUrl":"https://doi.org/10.1097/tgr.0000000000000303","url":null,"abstract":"","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46406167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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