Medicine and Health Sciences Commons^™

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 …

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 …

Bringing Occupation To Long-Term-Care Setting, Danielle Shepers, Stephanie Blonigen

Occupational Therapy Capstones

As a person enters a long-term-care (LTC) facility, they lose their home, independence, possessions and routine (O'Sullivanm, 2004). Adopting a meaningful occupational or social role may improve psychological well-being in elders (Keung Yuen, Huang, Burik, & Smith, 2008). There is a need for resources to support the use of occupations as treatment modalities in LTC setting. The purpose of this scholarly project is to address this need.

A literature review was conducted using AOTA, AJOT, OT Practice, CINAHL, SCOPUS, and PubMed on topics relating to the populations served in LTC, and types of OT intervention used in LTC. Issues concerning …

Resource Manual For Occupational Therapists: Providing Transportation Related Resources To The Elderly Living In Poverty In North Dakota, Amanda Ralston, Lukas Wavra

Occupational Therapy Capstones

Between the ages of 65 and 74, 9% of elderly individuals live in poverty in the United States (Forum, 2010). This poverty rate increases to 11% in elderly individuals who are 75 years of age or older (Forum, 2010). In rural areas, the effects of poverty may be even more pronounced than in urban areas secondary to the societal limitations that exist within some small rural communities; rural areas in North Dakota routinely face both the effects of poverty and the societal limitations. These limitations may include a lack of public transportation or services available to the general public. Due …

Improving Community Participation Of The Inactive Elderly: Preferred Learning Style-Based Interventions, Catherine Bailey

Occupational Therapy Capstones

Occupational therapists believe social engagement is vital to the health and well-being of the older adult. Social isolation has been linked to loss of physical, cognitive and emotional health. Elders at risk of social isolation are not specifically addressed by community health programs due to lack of knowledge and resources. Social isolation and loss of meaningful activity are significant precursors to rapid decline in the health and well-being of elderly people living in their communities.

Literature indicates that use of personal learning style preferences to problem solve improves success in occupation. Older adults often lack awareness of their personal learning …

Easing The Transition Into Long Term Care: An Occupation Based Approach, Sarah Boroos, Janel Ludenia

Occupational Therapy Capstones

The purpose of this scholarly project is to present methods to help ease the transition process for older adults into a long term care (LTC) facility using a meaningful occupation based approach. An estimated .9% of the community dwelling individuals versus 72% of long term care residents exhibit some form of depression (Harris & Haffer, 2003; Harris, 2007). Consequently residents experience decrease functional status and decreased quality of life. A comprehensive literature review of adults' transitioning into LTC facilities was conducted using PubMed, Ebsco, Psychlnfo, Scopus, OT search, CINAHL, AJOT, textbooks, and the internet. The literature supp0l1s the need for …

Evidence-Based Intervention For Sleep Disturbance In Healthy Elderly Individuals, Sarah Gregory, Heather Hoffman

Occupational Therapy Capstones

Elderly individuals have a predisposition to experiencing sleep disorder, yet many remain untreated. Consequences of untreated sleep disturbance may result in decreased cognitive functioning, lowered perceived quality of life, and loss of independence. A literature review describes the definition of sleep, consequences of sleep disorder, sleep disturbance in the elderly population, intervention efficacy, principles of gerogogy, and the role of occupational therapy in sleep intervention.

The scholarly project presents a manual designed for use with well-elderly populations and intended to be guided and/or distributed by occupational therapists. The manual is entitled “Take Control of Your Sleep: An Occupational Therapy Manual …

Differentiating Dementia From Mental Illness In The Elderly: An Occupational Therapy Process, Michelle Halsted

Occupational Therapy Capstones

The purpose of this product is to provide those persons admitted to a hospital setting with an unclear diagnosis the opportunity to be efficiently and accurately diagnosed, thus allowing proper treatment, medications, and placement, if needed. Often, . there is confusion amongst professionals in the treatment team as to whether an older adult may have a developing dementia versus symptoms of a mental illness. Through the evaluation process, individuals will engage in a balance of evaluative activities that may improve physical, social, emotional, spiritual, occupational, and cognitive focus areas. These evaluations are primarily based on Allen's Cognitive Model and The …