Background And Purpose: A preventative model of physical therapy (PT) care to promote activity and minimize mobility loss with aging is not routine. Performance testing and patient education are recommended to increase the perceived value of results to inform health decision-making. This study evaluated (1) the Single Leg Stance (SLS) test for an annual visit based on a priori criteria and (2) the effect of education on the perceived value of SLS and walking speed test results as health indicators.
Methods: In a cross-sectional study, ambulatory adults aged 55+ completed a pre-survey, performed SLS and walking speed tests, received education about their results, and completed a post-survey. The distribution of test results was displayed with histograms and analyzed for correlations. Participants used a Likert scale to rate how they perceived the value of their test results as health indicators before and after education and their satisfaction with the education received, including a novel pocket card.
Results: On average, participants (n = 152) were 64 years old (age range 55-82), 91% white, and 61% female. Walking speed results were normally distributed, and SLS results demonstrated a ceiling effect. Participants were below published norms for SLS 33% of the time and 34% for walking speed. The SLS test took an average of 3.6 minutes to complete. Binarized results for the tests as at/above and below norms were correlated with χ2 (1, N = 152) = 10.48, P = .001. The test results were significantly more valued as health indicators after education. Seventy-two percent of participants agreed (median rating 4, range 1-5) that they would be interested in PT if their walking speed results were below the norm, and 76% agreed for SLS.
Conclusion: The ceiling effect disadvantages the SLS test with an annual PT visit. Education on test results and comparison to norms increased how older adults valued physical performance measures as health indicators.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1519/JPT.0000000000000424 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Move Better, Live Better: A novel supervised combined training for peripheral arterial disease: A quasi-experimental approach.
Am J Phys Med Rehabil
January 2025
"i+HeALTH" Strategic Research Group, Department of Health Sciences, Miguel de Cervantes European University (UEMC), Valladolid, Spain.
Objective: This study aimed to analyze the effect of a novel supervised exercise therapy (SET) program based on intermittent treadmill walking and circuit-based moderate-intensity functional training (MIFT) on walking performance and HRQoL in PAD patients.
Design: All participants underwent a 12-week SET that involved 15 to 30 minutes of treadmill walking followed by a 15-minute moderate-intensity functional training (MIFT) continued by 12-week of follow-up. Maximum walking distance (MWD), pain-free walking distance (PFWD), gait speed and estimated peak oxygen uptake (peak VO2) were calculated through the 6-minute walk test (6-MWT) and HRQoL through the Short Form-36 (SF-36) and the Vascular Quality of Life Questionnaire-6 (VascuQol-6).
Association Between Dynapenia/Sarcopenia, Extrapyramidal Symptoms, Negative Symptoms, Body Composition, and Nutritional Status in Patients with Chronic Schizophrenia.
Healthcare (Basel)
December 2024
Graduate School of Biomedical Sciences, Tokushima University, Tokushima 770-8509, Japan.
This study aimed to determine the association between chronic schizophrenia, extrapyramidal symptoms (EPSs), body composition, nutritional status, and dynapenia/sarcopenia. Data from 68 chronic patients with schizophrenia were analyzed using Spearman's rho correlation coefficients, Kruskal-Wallis test, Mann-Whitney U test, and Cramér's V statistics. Among the participants, 32.
View Article and Find Full Text PDFChanges in muscle performance among older adults with myeloid malignancies engaging in a mobile health (mHealth) exercise intervention: a single arm pilot study.
BMC Geriatr
January 2025
James P. Wilmot Cancer Institute, Rochester, New York, USA.
Background: Older adults with cancer are vulnerable to declines in muscle performance (e.g., strength, speed, duration of muscular contraction), which are associated with worse cancer-related outcomes.
View Article and Find Full Text PDFEnhancing gait mechanics: The effectiveness of a novel walking aid.
J Orthop Sci
January 2025
Department of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama City, Wakayama, 641-8509, Japan.
Background: A walking support orthosis known as the e-foot®, a rubber orthotic worn from the hip to the forefoot to enhance joint flexibility and movement, has been developed to assist elderly people and individuals with walking impairments. Despite its widespread acceptance and positive reception in some care settings, the precise impact of this device on gait dynamics remains unexplored. This study aims to bridge this gap by comparing the walking speeds of healthy volunteers using the e-foot® against their normal walking speeds.
View Article and Find Full Text PDFPilot study of the sequential square mat "Fisior® program": A strategy for improving mobility in older adults.
Geriatr Nurs
January 2025
Universidad de San Martin de Porres, Facultad de Medicina Humana, Centro de Investigación del Envejecimiento, Lima, Perú.
Objective: The present study aims to analyze the effectiveness of a gait re-education program using a sequential square mat (Tapiz Fisior®, in advance SSM Fisior®) in aspects related to mobility, balance, muscle strength, and gait of elderly people.
Methods: The intervention lasted eight weeks through progressive resistance training designed specifically for older people, with an approximate duration of 30-40 min, and was carried out three times a week on non-consecutive days using the SSM Fisior®.
Result: The intervention improved gait, balance, physical performance, lower limb strength, and walking speed.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!