Background: Given the public health problem generated by posture and gait disorders, a preventive approach is essential.
Objective: We investigated the impact of an ambulatory physical activity program (APAP) on the motor skills of retirees.
Method: Retirees ≥60 years were recruited in this prospective study. The APAP was supported by a French regional health insurance plan. Between inclusion (T0) and 12 weeks (T1), subjects participated in an APAP (1 h/wk) that included strengthening muscular exercises, balance work, joint flexibility exercises, one-leg-balance test (OLB), stimulation of the foot arch and rise-from-the-floor (RFF). Timed-up-and-go test (TUG) duration, gait speed (GS), OLB duration and RFF success were compared between T1 and T0.
Results: Two hundred subjects (86% women) were enrolled; mean age was 73.8 years (45.5% ≥75 years). TUG durations (s) were lower at T1 than at T0 (8.98 and 9.64; P < .0001). The GS (m/s) and OLB durations (s) were higher at T1 than at T0 (1.26 vs 1.12 for GS, 16.16 vs 13.02 for OLB; P < .0001). The rate of participants who successfully completed RFF was higher at T1 (94%) than at T0 (76%) (P < .0001). After the APAP, TUG duration was reduced in 64.5% of cases, the GS improved in 73% of cases, OLB duration increased in 50% of cases and RFF became possible in 18.5% of cases (all P < .0001).
Conclusion: Physical activity programs are effective for improving motor performance, even in older adults. Retirees must be encouraged to do regular physical activity to prevent or slow the functional decline associated with ageing, and to improve their overall quality of life.
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http://dx.doi.org/10.1111/ijcp.13474 | DOI Listing |
Am J Kidney Dis
December 2024
Division of Nephrology, Department of Medicine, University of Washington, Seattle, Washington; VA Puget Sound Healthcare System, Seattle, Washington.
Historically, the paradigm for all maladies was associated with an imbalance of the 4 humors: blood, black bile, yellow bile, and phlegm. Although our understanding of disease has evolved significantly since the time of Hippocrates, a similar cornerstone of inpatient and ambulatory care involves understanding and correcting imbalances of volume. The kidneys are the principal organs controlling extracellular volume, capable of both sensing and altering salt retention through multiple redundant pathways, including the sympathetic nervous system and the renin-angiotensin-aldosterone system.
View Article and Find Full Text PDFCurr Urol Rep
December 2024
Department of Urology, Lahey Hospital and Medical Center, MA, Burlington, USA.
Purpose Of Review: Artificial Intelligence (AI) has produced a significant impact across various industries, including healthcare. In the outpatient clinic setting, AI offers promising improvements in efficiency through Chatbots, streamlined medical documentation, and personalized patient education materials. On the billing side, AI technologies hold potential for optimizing the selection of appropriate billing codes, automating prior authorizations, and enhancing healthcare fraud detection.
View Article and Find Full Text PDFJ Am Board Fam Med
December 2024
From the University of Colorado, School of Medicine, Aurora, CO (TF, CR, CK, JC, PST, MK, AM); Division of General Internal Medicine, Department of Medicine, University of Colorado Anschutz, Medical Campus, Aurora, CO (TF); Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO (CR, CK, JC, MK); Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, CO (PST); Division of Hospital Medicine, Department of Medicine, University of Colorado Anschutz Medical, Campus, Aurora, CO (AM); Veterans' Health Administration, Eastern CO Health Care System, Aurora, CO (AM).
Background: Physician burnout contributes to distress, turnover, and poor patient outcomes. Evidence suggests individual professional coaching may mitigate burnout but is costly and time intensive. Group coaching evidence is lacking.
View Article and Find Full Text PDFPediatr Exerc Sci
December 2024
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bitlis Eren University, Bitlis,Turkey.
Objectives: To compare muscle tone and stiffness in ambulatory children with unilateral spastic cerebral palsy (UCP) with typically developing peers and explore their relationship with postural balance and functional mobility.
Methods: Forty ambulatory children with UCP and age-matched typically developing peers were assessed for tone and stiffness of lumbar spinal extensors, gastrocnemius, and hamstring muscles using a myotonometer. Functional mobility was evaluated with the 2-Minute Walk Test, and the Timed Up and Go Test, while postural balance was evaluated using the Pediatric Balance Scale and the Trunk Control Measurement Scale (TCMS).
Nurs Open
January 2025
Institute of Health and Wellbeing, Federation University Australia, Churchill, Victoria, Australia.
Aim: The overarching aim of this study was to explore patients' falls risk awareness in hospitals using section A of the validated Self Awareness of Falls Risk Measure (SAFRM).
Design: Descriptive cross-sectional study design.
Setting: Three rural/regional hospitals in the State of Victoria, Australia.
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