Medicine and Health Sciences Commons^™

Electromyographic (Emg) Activity Of The Gluteus Medius During Various Hip Exercises, Kalie Maiden, Mitchell Karbo, Taylor Doeden, Analise Richtsmeier

Physical Therapy Scholarly Projects

Background and Purpose. The purpose of the study was to record and analyze muscle recruitment patterns of the gluteus medius and gluteus maximus muscles when performing a side lying abduction exercise requiring consistent force to roll a ball up and down the wall using the dominant lower extremity. Comparisons were made between the use of either a small, medium or large ball. The subjects performed a standing abduction exercises with theraband around both ankles as well.

Case Description. Fifteen subjects were recruited from the University of North Dakota Department of Physical Therapy to perform the four different types of exercises. …

The Effectiveness Of "Stepping On" In Reducing Fall Risk In The Elderly Using The 30-Second Chair Stand Test, Brianna Albrecht

Physical Therapy Scholarly Projects

Background: One-third of all adults over the age of 65 years of age falls each year. Falls cost patients financially, physically, and emotionally. Balance and strength deficits contribute to increasing an individual's fall risk. Studies have shown the efficiency of community-based exercise and education programs on reducing the risk of falling.

Objective: The purpose of this study was to determine whether participants in Stepping On experienced an improvement in balance and confidence following completion of the program. The study also evaluated the correlation between self-perceived risk of falling on the CDC Fall Risk Survey and their actual risk …

The Activities-Specific Balance Confidence Scale And Its Use In The Stepping On Program To Determine The Relationship Between Balance Confidence And Fall Risk, Erin Yankovec

Physical Therapy Scholarly Projects

Introduction: Due to the high incidence of falls in the elderly population, there is a continued need to develop intervention strategies and prevention programs to help reduce the risk of fall related injuries. Stepping On is a 7 week program designed to reduce falls and build confidence in older adults. Participants are educated on balance and strengthening exercises along with information on home hazards, community mobility, safe footwear and equipment, coping, and many other topics to help reduce falls.

Purpose: To determine if group education and exercise classes, like Stepping On, improve balance confidence levels, if balance confidence …

Effectiveness Of The Stepping On Program In Fall Prevention Measured By The Four Stage Balance Test (Fsbt), Jenna Goecke

Physical Therapy Scholarly Projects

Introduction: Falls are a leading cause of injury for older adults. Stepping On is one of many fall prevention programs in which individuals who have a fear of falling can participate. Stepping On is a 7 week multifactorial fall prevention program for community-dwelling adults age 65 and older. The program implements an exercise program and addresses education on mobility safety in the community and home. The program addresses how different fall risk factors impact function including diet, medication, vision, balance, and strength.

Purpose: The purpose of this study is to measure pre- and post-program fall risk with the …

Evaluation Of Program Satisfaction, Quality Of Life, Strength, And Fall Risk Of Community-Dwelling Older Adults Participating In A Community Exercise Program: Part 2, Marissa Adolphson, Roy Nelson, Jenna Wyffels

Physical Therapy Scholarly Projects

Background and Purpose: Bone Builders is an exercise program that incorporates both lower and upper extremities and is specifically designed for the older adult population. It was originally created for those that wanted to reduce their risk of osteoporosis, but currently there is no evidence that demonstrates these effects. However, exercises that are completed in the class are those that target causes of fall risk such as strengthening of hip abductors and balance activities. Participants have also reported that benefits of the class include improved balance, increased energy and mobility, and social support. Our study consisted of testing the …

Effectiveness Of The Timed Up And Go (Tug) Test In Assessing Fall Risk In Community-Dwelling Elders Participating In The Stepping On Program, Megan Shanahan

Physical Therapy Scholarly Projects

Background: The Timed Up and Go (TUG) is intended to predict fall risk through assessment of balance, functional mobility, and gait in community-dwelling adults age 65 and older. The Stepping On program aims toward fall prevention through education, exercise, and shared experiences among participants. Previous evidence has displayed positive, significant results for Stepping On and the TUG, indicating use of the assessment to track participants' progress in the program.

Objective: The purpose of this study was: 1) to determine if the Stepping On program decreases fall risk in community-dwelling elderly individuals as measured by the TUG test, 2) …

Evaluation Of Fall Risk, Functional Mobility, And Quality Of Life Changes Of Community-Dwelling Older Adults With Parkinson's Disease Participating In A Community Exercise Program: Part Ii, Lauren Trudel, Courtney Mcdonald, Brittany Bleichner

Physical Therapy Scholarly Projects

Purpose/Hypothesis: As a person ages, the risk of a fall increases. Parkinson Disease (PD) is most commonly seen in the elderly population, which presents with symptoms such as bradykinesia, decreased balance, tremors, postural instability, and muscle weakness. These symptoms are associated with an increase in falls; therefore, a person with PD is more susceptible to falls than the average elderly individual. Exercise has been shown to combat those symptoms affecting people with PD. This study is an extension of a previous study, which examined the effect of a community based exercise program, for people with PD, on quality of …

Evaluation Of Fall Risk, Functional Mobility And Quality Of Life Changes Of Community-Dwelling Older Adults With Parkinson's Disease Participating In A Community Exercise Program, Gabrielle Dahl, Elizabeth Hermanson, Laura Nelson, Kayla Selinger

Physical Therapy Scholarly Projects

Purpose/Hypothesis: Falls are evident in the older population and are a common and disabling feature of Parkinson Disease (PO). The benefits of activity are well known to decrease balance deficits and increase overall quality of life in the older adult population. In addition highly challenging exercises have been suggested to increase neuroplasticity in individuals with PD. The effect of challenging exercises on clinical outcomes in a structured Physical Therapy setting is documented in literature; however, the effect of a community based program is not well documented. Our pilot study examined the effect of a community exercise program on improving …

Effectiveness Of The 30 Second Chair Stand Test In Reducing The Fall Risk Of Community Dwelling Older Adults Participating In The Stepping On Program, Corissa Kruse

Physical Therapy Scholarly Projects

Stepping On is a seven week fall prevention program that utilizes education and exercise. The purpose of this study is to see if the participants of Stepping On can show a decrease in fall risk through the use of the 30 Second Chair Stand Test (30sCST), a functional assessment tool used to assess fall risk. This study looked at a group of 14 females (M=87 y/o) at an assisted living facility, who met the program's qualifications (community dwelling individuals and ≥ 65 y/o) and attended the Stepping On program. Only eight participants were tested using the 30sCST at Week 1 …

The Effectiveness Of The "Stepping On" Program For Reducing The Incidence Of Falls In The Elderly: Measured By Four Stage Balance Test, Julia Nelson

Physical Therapy Scholarly Projects

Introduction: The Stepping On program encompasses both a balance and strengthening exercise regimen that is targeted towards reducing falls in community-dwelling individuals over the age of 65, who have experienced a fall or are fearful of falling.

Purpose: The purpose of this study was to determine if the Four Stage Balance Test (FSBT) is an appropriate measure of fall risk in the Stepping On program and to determine if the Stepping On program is effective at reducing fall risk, measured by improved time performance.

Methods: Eight participants, all female, ages ranging from 80-94 years old (M=87.2) completed …

The Activities-Specific Balance Confidence Scale And Its Use In Assessing Confidence In Elderly Community-Dwellers Attending The Stepping On Program, Sierra Heeren

Physical Therapy Scholarly Projects

Introduction: Stepping On is a 7-week comprehensive fall program aimed at reducing falls for the community-dwelling elderly. Participants are educated on balance and strengthening exercises, and the influence medications, visions, inclement weather, etc. has on safety and falls.

Purpose: The main purpose of this study is to utilize the Activities-specific Balance Confidence scale (ABC) and survey results to determine if attendance of Stepping On improves balance confidence. Secondly, this research sought out to discover if increased balance confidence relates to decreased fall risk.

Methods: Participants of this were included 13 individuals initially (with one participant joining the …

Timed Up And Go (Tug) Test And Its Effectiveness In Fall Risk Screening And Assessing The Success Of The Stepping On Program In Fall Prevention, Eric Estes

Physical Therapy Scholarly Projects

Background: The Timed Up and Go (TUG) test is a functional assessment that has been proven effective at identifying individuals at a risk for falls. The Stepping On program aims toward fall prevention through education, exercise, and shared experiences among participants. With previous evidence displaying positive, significant results for Stepping On and the TUG, a utilization of this assessment to track participants' progress in the course is indicated.

Objective: The purpose of this study was 1) to determine if the Stepping On program displays a decrease in fall risk through the application of the TUG and 2) if …

Effectiveness Of Cognitive Timed Up And Go Test In Assessing Fall Risk In The Older Adult, Cory Sailer

Physical Therapy Scholarly Projects

Introduction: Falls are a common and devastating injury for the older adult. Fall programs, such as the Stepping On program, are used to educate, strengthen, and sequentially reduce the number of falls its participant's endure. The Stepping On program is a multifactorial fall prevention program that addresses: balance and strength exercises, visual impairments, home modifications, pharmacologic effects, and even assistive devices. One aspect that has been found to be influential on fall risk is cognition, in particular executive functioning during ambulation.

Purpose: The purpose of this study was to screen participants of the Stepping On program for unknown …

Evaluation Of Program Satisfaction, Quality Of Life, Strength, And Fall Risk Of Community-Dwelling Older Adults Participating In A Community Exercise Program, Rachel Bothun, Christine Gillespie, Zachariah Kvidt, Krista Moonnan

Physical Therapy Scholarly Projects

Background and Purpose: Exercise programs aimed at prevention of osteoporosis are effective in fall prevention and improving mobility in older adults. This trial examined whether the Bone Builder's community exercise program decreases fall risk and improves mobility in community dwelling females over the age of 60.

Methods: Fifty one females ages 60-90 who currently are participating in the Bone Builder's program volunteered to participate in four different assessments as well as two questionnaires. Tests included: the 4-stage balance, timed up and go, gait speed (measured with the GAITRite system), 30 second sit-to-stand, and grip strength. The Functional Efficacy …

The Effectiveness Of The "Stepping On" Program For Reducing The Incidence Of Falls In The Elderly, Lisa Yonker, Jacqueline Maddock, Kathleen Breuer

Physical Therapy Scholarly Projects

Background: One in three adults greater than 65 years of age have had an accidental fall in their lifetime. In 2012, accidental falls cost the U.S. healthcare system $30.1 billion dollars. Strength, balance, and coordination deficits contribute to an individual experiencing a fall. Studies have shown that community based-exercise programs for older adults can improve strength, balance, and coordination and reduce the risk of falls.

Objective: The purpose of this study was to discover whether participant balance and confidence improved following the completion of the Stepping On program. Also, the study evaluated the effectiveness of Stepping On in …

Fall Prevention Algorithm And Programs For Wyoming Medical Center, Janna Rone

Occupational Therapy Capstones

Falls are the leading cause of fatal and non-fatal injuries for people over the age of 65 (Center of Disease Control and Prevention, 2008). Literature indicates that 30-40% of falls are preventable (Sjosten, Vaapia, & Kivela, 2008). The population for this scholarly project is people over the age of 65 who are admitted into Wyoming Medical Center (WMC). WMC is a 180 bed acute care hospital that services the medical needs of the residents of Casper, Wyoming and the surrounding area. Like many acute care hospitals around the country, WMC has a problem with the number of fall occurrences. This …

Falls Prevention Program For Community-Dwelling Older Adults, Brittanie Field, Krista Radi

Occupational Therapy Capstones

The purpose of this scholarly project was to develop a multidisciplinary falls prevention program manual intended to be implemented in Senior Citizen Centers (SCC) for the community-dwelling older adult population. Falls have a major impact on the independence of the older adult population aged 65 years and older (Stevens & Sogolow, 2008). Therefore, the goal of this project is to promote healthy aging in place through the use of meaningful occupations in order to potentially reduce the number of falls among the older adults.

A literature review was conducted to obtain scientific reading and research to find what has and …

A Pilot Study To Screen Fall Risk In Adult Health Care Employees, Patricia Borboa, Emily Hansen, Jessica Hoeft, Alicia Holzer

Physical Therapy Scholarly Projects

Background and Purpose: Due to the increasing age of the working population, falls are becoming an escalating problem especially in the healthcare industry. The purpose of this research study is to develop a cost effective quick screen to determine fall risk in healthcare employees. Our overall goal is to take the results gained from this pilot study and apply them on a larger scale in hopes of preventing falls thus decreasing dollars spent by companies on work injury.

Subjects: Volunteers from a local Health Care System. Inclusion criteria: permanent employees, over the age of 20, without an assistive device. A …

Environmental Modifications For Persons With Disability, Jacob R. Bryan

Occupational Therapy Capstones

No abstract provided.