scholarly journals Effects of Footwear on Measurements of Balance and Gait in Women Between the Ages of 65 and 93 Years

2000 ◽  
Vol 80 (1) ◽  
pp. 17-27 ◽  
Author(s):  
Solveig A Arnadottir ◽  
Vicki S Mercer
Keyword(s):  
Older Women ◽  
Assisted Living ◽  
Repeated Measures ◽  
Retirement Communities ◽  
Assisted Living Facilities ◽  
Women Subjects ◽  
Test Occasion ◽  
Significant Difference ◽  
Functional Reach Test ◽  
Tukey Honestly Significant Difference

Abstract Background and Purpose. Footwear is not consistently standardized in the administration of the Functional Reach Test (FRT), Timed Up & Go Test (TUG), and 10-Meter Walk Test (TMW). This study was conducted to determine whether footwear affected performance on these tests in older women. Subjects. Thirty-five women, aged 65 to 93 years, were recruited from assisted living facilities and retirement communities. Methods. Each subject performed the FRT, TUG, and TMW while wearing walking shoes, wearing dress shoes, and barefooted. Because of space constraints at the facilities where the testing was performed, 22 subjects performed the FRT and TUG on a linoleum floor and 13 subjects performed the tests on a firm, low-pile, carpeted floor. All 35 subjects completed the TMW on a firm, low-pile, carpeted floor. One-way repeated-measures analyses of variance (ANOVAs) and a Tukey Honestly Significant Difference test were used to compare the outcomes for the 3 footwear conditions, with separate ANOVAs conducted for the different floor surfaces for the FRT and TUG. Results. Subjects performed better on the FRT when barefooted or wearing walking shoes compared with when they wore dress shoes, regardless of floor surface. Differences were found among all footwear conditions for the TUG performed on the linoleum floor and for the TMW. For these tests, the women moved fastest in walking shoes, slower barefooted, and slowest wearing dress shoes. Conclusion and Discussion. Footwear should be documented and should remain constant from one test occasion to another when the FRT, TUG, and TMW are used in the clinic and in research. Footwear intervention may improve performance of balance and gait tasks in older women.

Settings and Contexts for Geriatric Practice

2017 ◽  
Author(s):  
Nancy P. Kropf ◽  
Sherry M. Cummings
Keyword(s):  
Assisted Living ◽  
Mental Health Treatment ◽  
Critical Evaluation ◽  
Retirement Communities ◽  
Assisted Living Facilities ◽  
Single Family ◽  
Term Care ◽  
Diverse Range ◽  
Continuing Care Retirement Communities ◽  
Residential Context

Chapter 2, “Settings and Contexts for Geriatric Practice,” provides a critical evaluation of the various environments in which mental health treatment of older adults occurs and of the practice issues inherent in such settings. Consideration of residential context and awareness of related issues is essential for the implementation of appropriate practitioner/clinician roles and for effective geriatric practice and intervention. The diverse range of living environments, including community-based, long-term care and acute care settings, are reviewed, from single-family dwellings, continuing care retirement communities, and assisted living facilities to nursing homes, hospitals, hospices, psychiatric and addiction facilities. Diverse issues encountered by older clients in such settings are discussed, including the need for social integration, adjusting to functional and cognitive decline, accessing services, caregiving, navigating transitions, and managing acute and chronic conditions.

scholarly journals Wii-Fit for Improving Gait and Balance in an Assisted Living Facility: A Pilot Study

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Kalpana P. Padala ◽  
Prasad R. Padala ◽  
Timothy R. Malloy ◽  
Jenenne A. Geske ◽  
Patricia M. Dubbert ◽  
...  
Keyword(s):  
Pilot Study ◽  
Assisted Living ◽  
Repeated Measures ◽  
Berg Balance Scale ◽  
Assisted Living Facility ◽  
Timed Up And Go ◽  
Wii Fit ◽  
Walking Program ◽  
Significant Difference ◽  
Walking Group

Objectives. To determine the effects on balance and gait of a Wii-Fit program compared to a walking program in subjects with mild Alzheimer’s dementia (AD).Methods. A prospective randomized (1 : 1) pilot study with two intervention arms was conducted in an assisted living facility with twenty-two mild AD subjects. In both groups the intervention occurred under supervision for 30 minutes daily, five times a week for eight weeks. Repeated measures ANOVA and pairedt-tests were used to analyze changes.Results. Both groups showed improvement in Berg Balance Scale (BBS), Tinetti Test (TT) and Timed Up and Go (TUG) over 8 weeks. However, there was no statistically significant difference between the groups over time. Intragroup analysis in the Wii-Fit group showed significant improvement on BBS (P=0.003), and TT (P=0.013). The walking group showed a trend towards improvement on BBS (P=0.06) and TUG (P=0.07) and significant improvement in TT (P=0.006).Conclusion. This pilot study demonstrates the safety and efficacy of Wii-Fit in an assisted living facility in subjects with mild AD. Use of Wii-Fit resulted in significant improvements in balance and gait comparable to those in the robust monitored walking program. These results need to be confirmed in a larger, methodologically sound study.

Comparison of Esophageal, Rectal, and Gastrointestinal Temperatures During Passive Rest After Exercise in The Heat: The Influence of Hydration

2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Yuri Hosokawa ◽  
William M. Adams ◽  
Douglas J. Casa
Keyword(s):  
Repeated Measures ◽  
Wet Bulb Globe Temperature ◽  
Induced Hyperthermia ◽  
Hot Environment ◽  
Honestly Significant Difference ◽  
Significant Difference ◽  
Tukey Honestly Significant Difference ◽  
Globe Temperature ◽  
Exercise Induced ◽  
Post Hoc

Context: It is unknown how valid esophageal, rectal, and gastrointestinal temperatures (TES, TRE, and TGI) compare after exercise-induced hyperthermia under different hydration states. Objective: To examine the differences between TES, TRE, and TGI during passive rest following exercise-induced hyperthermia under 2 different hydration states: euhydrated (EU) and hypohydrated (HY). Design: Randomized crossover design. Setting: Controlled laboratory setting. Participants: 9 recreationally active male participants (mean ± SD age 24 ± 4 y, height 177.3 ± 9.9 cm, body mass 76.7 ± 11.6 kg, body fat 14.7% ± 5.8%). Intervention: Participants completed 2 trials (EU and HY) consisting of a bout of treadmill exercise (a 10-min walk at 4.8-7.2 km/h at a 5% grade followed by a 20-min jog at 8.0-12.1 km/h at a 1% grade) in a hot environment (ambient temperature 39.3 ± 1.0°C, relative humidity 37.6% ± 6.0%, wet bulb globe temperature 31.3 ± 1.5°C) followed by passive rest. Main Outcome Measures: Root-mean-squared difference (RMSD) was used to compare the variance of temperature readings at corresponding time points for TRE vs TGI, TRE vs TES, and TGI vs TES in EU and HY. RMSD values were compared using 3-way repeated-measures ANOVA. Post hoc analysis of significant main effects was done using Tukey honestly significant difference with significance set at P < .05. Results: RMSD values (°C) for all device comparisons were significantly different in EU (TRE-TGI, 0.11 ± 0.12; TRE-TES, 1.58 ± 1.01; TGI-TES, 2.04 ± 1.19) than HY (TRE-TGI, 0.22 ± 0.28; TRE-TES, 1.27 ± 0.61; TGI-TES, 1.16 ± 0.76) (P < .01). Across the 45-min bout of passive rest, there were no differences in TRE, TGI, and TES between EU and HY trials (P = .468). Conclusions: During passive rest after exercise in the heat, TRE and TGI were in good agreement when tracking body temperature, with a better agreement appearing in those maintaining a state of euhydration versus those who became hypohydrated during exercise; however, this small difference does not appear to be of clinical significance. The large differences were observed when comparing TGI and TRE with TES.

Investigating the Effect of Cognitive-behavioral Stress Management on Occupational Performance among Women with Breast Cancer

2020 ◽  
Vol 16 (2) ◽  
pp. 152-159
Author(s):  
Arezoo Shayan ◽  
Mansoureh Refaei ◽  
Farkhondeh Jamshidi
Keyword(s):  
Breast Cancer ◽  
Stress Management ◽  
Repeated Measures ◽  
Intervention Group ◽  
Performance Measure ◽  
Cognitive Behavioral ◽  
Occupational Performance ◽  
Cognitive Behavioral Stress Management ◽  
Behavioral Stress ◽  
Significant Difference

Background: Treatment of breast cancer can be accompanied by long-term consequences affecting women’s participation in many tasks. Objective: This study aimed to assess the effect of cognitive behavioral stress management (CBSM) program on occupational performance of women with breast cancer. Methods: In this randomized clinical trial, conducted between Feb 3 and Oct 26, 2016, 104 women with breast cancer who had referred to Imam Khomeini clinic in Hamadan, and who fulfilled the inclusion criteria (20-60 years old, married, suffering from grade 1-3 breast cancer with a history of recent surgery) were enrolled. They were randomly divided into two groups of 52 using a permuted block size of four. The intervention group took part in four 60-minute sessions of CBSM over four weeks. The study data were collected using a demographic information form and the Canadian Occupational Performance Measure. The statistical analyst was masked to intervention allocation. The data were analyzed using descriptive statistics, paired t-test, and repeated measures ANOVA. Results: A significant difference was observed between the two groups regarding the mean scores of occupational performance (p=0.02) and satisfaction (p=0.005) after the intervention. Each variable was measured at three time points (before the intervention, immediately and 2 weeks after intervention). A significant difference was observed in the two groups’ mean scores of performance (p=0.026) and satisfaction (p=0.01), irrespective of the time of assessment. Conclusion: The CBSM program promoted the occupational performance immediately and two weeks after the intervention in women with breast cancer. This technique can be used as a complementary method alongside medical therapies in oncology centers.

Exploring the Experiences of Mr. J. W. Green

2018 ◽  
Author(s):  
David Wendell Moller
Keyword(s):  
Decision Making ◽  
Social Services ◽  
Assisted Living ◽  
Medical Decision Making ◽  
Life Experience ◽  
Medical Decision ◽  
Physician Communication ◽  
Assisted Living Facilities ◽  
Optimal Care ◽  
Low Health Literacy

Inattentive care and lack of compassion exacerbated the Whites’ suffering, leading to unconscionable indignity for both in the nursing home. Ken and Virble White were a part of the ongoing fabric of our society, that portion which includes the working poor. We know that individuals like them are subject to worse health outcomes. They possess inadequate resources to make the health system work in their favor or even on balance with the rest of the population. Their medical decision-making takes place in a context of inadequate patient–physician communication, low health literacy, lack of access to social services, and other factors that undermine optimal care. These factors are present in different ways throughout the life experience of disempowered patients every day in clinics, hospitals, and assisted-living facilities throughout the nation.

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