A5060172585- Hip and Femur Fractures
- Frailty in Older Adults
- Intensive Care Unit Cognitive Disorders
- Nutrition and Health in Aging
- Bone health and osteoporosis research
- Emergency and Acute Care Studies
- Cerebral Palsy and Movement Disorders
- Balance, Gait, and Falls Prevention
- Stroke Rehabilitation and Recovery
- Cardiac Health and Mental Health
- Cardiovascular and exercise physiology
- Chronic Disease Management Strategies
- Bone fractures and treatments
- Osteoarthritis Treatment and Mechanisms
- Pelvic and Acetabular Injuries
- Scoliosis diagnosis and treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Musculoskeletal pain and rehabilitation
- Hematopoietic Stem Cell Transplantation
- Lower Extremity Biomechanics and Pathologies
- Body Composition Measurement Techniques
- Heart Failure Treatment and Management
- Childhood Cancer Survivors' Quality of Life
- Resilience and Mental Health
- Musculoskeletal Disorders and Rehabilitation
Arcadia University
2015-2025
American Physical Therapy Association
2022
Arcadia
2022
University of Delaware
2011
University of Maryland, Baltimore
2011
Widener University
2010
Abington Memorial Hospital
2000-2010
Foundation for Physical Therapy Research
2001
Hip fracture is a leading cause of profound morbidity in individuals aged 65 years and older, ranking the top 10 causes loss disability-adjusted life-years for older adults. Worldwide, number people with hip expected to rise significantly due aging population other factors. Physical therapist management recommended within medical, surgical, multidisciplinary clinical practice guideline (CPGs) considered be standard care rehabilitation fracture. The goal this CPG was review evidence relevant...
Abstract Background and Purpose. Inconsistent research findings make it unclear whether therapeutic exercise improves gait speed in community-dwelling elderly people. Using meta-analytical procedures, we examined the effect of on changing older adults type, intensity, dose speed. Method. Studies were retrieved using a comprehensive database search. Two independent reviewers determined study eligibility based inclusion criteria, rated quality, extracted information methods, design,...
People with osteoarthritis (OA) of the knee experience pain and deconditioning that lead to disability. This study challenged clinical belief repetitive lower extremity exercise is not indicated in persons OA. The effects high-intensity low-intensity stationary cycling on functional status, gait, overall acute pain, aerobic capacity were examined.Thirty-nine adults (71+/-6.9 years old) complaints diagnosis OA randomized either a (70% heart rate reserve [HRR]) or (40% HRR) group for 10 weeks...
Physical therapists often treat older adults with marked deficits in physical function secondary to an acute hospitalization. These are collectively defined as hospital-associated deconditioning (HAD). However, there is a paucity of evidence that objectively demonstrates the efficacy therapy for HAD. Older HAD represent highly variable and complex population thus may be difficult study develop effective interventions using our current rehabilitation strategies. This perspective article...
Older subjects after hip fracture walk more slowly than age-matched peers. The extent to which they is difficult define because the standard error of measure (SEM), sensitivity change, and clinically important change have not been reported for gait speed. purposes this study were quantify SEM habitual fast speeds among older fracture, minimal detectable (MDC), estimate difference (MCID) speed.A sample 92 was drawn from 3 studies that collected speed data.An MDC determined by use SEM. MCID...
African American older adults have higher rates of self-reported disability and lower physical performance scores compared with white adults. Measures are used to predict future morbidity determine the effect exercise. Characteristics measures not known for adults.The purpose this study was estimate standard error measurement (SEM) minimal detectable change (MDC) Short Physical Performance Battery (SPPB), Timed "Up & Go" Test (TUG) time, free gait speed, fast Six-Minute Walk (6MWT) distance...
OBJECTIVES: To compare the effectiveness of a short‐term leg‐strengthening exercise program with that attentional control on improving strength, walking abilities, and function 1 year after hip fracture. DESIGN: Randomized controlled pilot study. SETTING: Patients' homes. PARTICIPANTS: Community‐dwelling older adults (n=26) 6 months fracture at baseline. INTERVENTION: Exercise participants received interventions from physical therapists twice week for 10 weeks. The group high‐intensity...
<h3>Importance</h3> Disability persists after hip fracture in older persons. Current rehabilitation may not be sufficient to restore ability walk the community. <h3>Objective</h3> To compare a multicomponent home-based physical therapy intervention (training) with an active control on <h3>Design, Setting, and Participants</h3> Parallel, 2-group randomized clinical trial conducted at 3 US centers (Arcadia University, University of Connecticut Health Center, Maryland, Baltimore). Randomization...
The majority of patients after a hip fracture do not return to prefracture functional status. Depression has been shown affect recovery. Although exercise can reduce impairments, access issues limit elderly people from participating in facility-based programs. primary purpose this study was determine the effects and feasibility home program moderate- or high-intensity exercise. A secondary explore relationship depression physical recovery.Thirty-three (24 women, 9 men; mean = 78.6 years age,...
OBJECTIVES: To estimate meaningful improvements in gait speed observed during recovery from hip fracture and to evaluate the sensitivity specificity of changes detecting change self‐reported mobility. DESIGN: Secondary longitudinal data analysis two randomized controlled trials SETTING: Twelve hospitals Baltimore, Maryland, area. PARTICIPANTS: Two hundred seventeen women admitted with fracture. MEASUREMENTS: Usual mobility (ability walk 1 block climb flight stairs) measured 2 12 months after...
Objective Differences in cognitive outcomes for two home-based 16-week interventions after usual rehabilitative care post-hip fracture were examined. Methods Community Ambulation Project randomized controlled trial included 210 hip participants. Interventions: Specific multi-component (PUSH) strength-, balance-, function-, and endurance-based exercises; non-specific active control (PULSE) seated range-of-motion exercises sensory transcutaneous electrical neurostimulation. Cognitive measures:...
After hospitalizations, many older adults experience a rapid functional decline and rely on home health (HH) care services to regain physical function. Understanding rehabilitation treatment elements that improve function is important for optimizing care. Two randomized controlled trials demonstrated similar improvement in (≥65 years, ≥3 comorbidities) receiving either high intensity (n=133) or standardized usual (n=140) HH approaches the 60 days following hospitalization. This secondary...
We conducted a secondary analysis from 3 clinical trials with 428 older adults testing the hypothesis that patients reporting exhaustion would have lower baseline function and show less improvement in physical performance compared to those without exhaustion. Exhaustion was defined using frailty criteria or by question OASIS. The primary outcome modified test (mPPT). Hierarchical linear model (n = 411) performed determine impact of on mPPT recovery. main effect for not significant, but time...
Potential Adverse Effects of Statins on Muscle Many people have high blood cholesterol that may lead to coronary heart disease (CHD).A multifaceted approach consisting diet, exercise, and pharmacological management is recommended lower the risk CHD. 1 Elevated low-density lipoprotein-cholesterol (LDL-C) has been established as a major cause The group cholesterol-lowering drugs known statins (3-hydroxy-3-methylglutaryl coenzyme A [HMG-CoA] reductase inhibitors) are widely successfully used in...
Reduced physical function following hospitalization places older adults at risk of adverse health events. Many receive home therapy to reverse their deconditioning; however, optimal approaches improve are currently not known. This study aimed evaluate the effectiveness a care approach comprised high-intensity exercise, enhanced transition, and protein supplementation.
Background and Purpose. People with osteoarthritis (OA) of the knee who have pain generally exhibit decreased activity physical deconditioning. This study investigated effects mechanical unweighting on exercise responses in people OA pain. Subjects. Four men 23 women, a mean age 67.9 years (SD=11.3, range=50–88) having 12-year average duration OA, participated. Methods. A unloading device enabled subjects to perform modified Naughton treadmill test at 0%, 20%, 40% body weight support (BWS)....
Following hip fracture, patients demonstrate greatly reduced walking speeds 1 year later compared with age-matched elders. The purpose of our study was to examine the factors that relate gait speed in after fracture.Forty-two men and women (mean age 79 +/- 7.5 years) who sustained a fracture participated this study. Linear regression analysis used determine statistical model best predicted speed, dependent variable. Gait measured computerized mat. independent variables were age, sex, height,...
Purpose: This study examined employment of specific recruitment and retention strategies in a evaluating outcomes moderate activity exercise program for older African American women with functional impairments attending Program All-Inclusive Care Elders (PACE). Design Methods: Recruitment focused on (1) partnership between researchers participants, (2) clinicians, (3) overcoming administrative issues, (4) reducing burden clinicians participants. The protocol consisted strength endurance 2 to...
Abstract The movement system has been adopted as the key identity for physical therapy profession, and recognition of therapists’ primary expertise in managing dysfunction is an important achievement. However, existing models seem inadequate guiding education, practice, or research. Lack a clear, broadly applicable model may hamper progress therapists actually adopting this identity. We propose composed 4 elements essential to all movement: motion, force, energy, control. Although these...
The majority of older people who survive a hip fracture have residual mobility disabilities. Any attempt to systematically reduce disabilities after fracture, however, requires knowledge the adequacy current management practices. Therefore, purpose this study was begin understand nature physical therapy home care by describing "usual care" for fracture.In 2003 and 2004, national survey conducted all members American Physical Therapy Association identified as their primary practice setting...
A majority of older adults with hip fracture retain longstanding disabilities following surgery. Research suggests that more aggressive treatment techniques can improve outcome. The purpose this case report is to describe an evidence-based approach guide physical therapy examination and intervention for a woman significant frailty recovering from fracture.The patient 97-year-old residing in skilled nursing facility 3 months status-postsurgical repair intertrochanteric fracture. She had...
Background Women in early postmenopause and with low bone mineral density (BMD) may exhibit markers for physical frailty as a result of sarcopenia osteopenia. Objective The purpose this study was to determine whether women BMD decreased performance differences gait variability fall fracture rates. Design This an observational cohort design participants assigned groups on the basis status. Methods Fifty-four women, 31 23 normal BMD, participated. conducted university research facility....