recent research readings

We finally got our condo on the market – hopefully it will sell before we need to move to Minnesota (I should be licensed by June 10th, and residency starts September 1st!).  Now that the hectic time has passed, I’ve had time to read and share.

  1. Hip fracture recovery:  Kristensen M.  Factors affecting functional prognosis of patients with hip fracture.  Eur J Phys Rehabil Med. 2011 Jun;47(2):257-64.  (free text).  I have wondered why some patients do really really well after a hip fracture and others have not done as well.  This paper is a good overview of the answer to that question, and maybe a few ideas for treatment (dovetails well with the recent Cochrane review about hip fractures and rehab).
  2. More on hip fracture recovery:  The lead author on this is also an author on the recent Cochrane review, but this is free text (yeah for open access!).   Sherrington C, Tiedemann A, Cameron I.  Physical exercise after hip fracture: an evidence overview.  Eur J Phys Rehabil Med. 2011 Jun;47(2):297-307. Epub 2011 May 10.
  3. Adherence to exercise:  I had the opportunity to hear Dr. Resnick present at ExPAAC last summer – she is a great speaker and I got a lot of great ideas that I would love for my employer to implement to improve physical function in older adults in assisted living and LTC.  I haven’t had a chance to read the study itself yet (requesting a copy of the study), but according to the abstract “self-efficacy and negative outcome expectations are directly related to exercise behavior.”  We as PT’s need to be encouraging our patients’ self-efficacy and addressing outcome expectations (I love the topic of adherence – if/when I go back for a PhD, that will most likely be my focus somehow)  Resnick B, D’Adamo C.  Factors associated with exercise among older adults in a continuing care retirement community.  Rehabil Nurs. 2011 Mar-Apr;36(2):47-53, 82.
  4. Land vs. aquatic therapy for hip or knee OA:  We have a pool onsite, so when I saw the title I wanted to read further.  They found no differences between the two for outcomes, and unfortunately  the variability of the programs and the quality of the designs were not great, and they reported that the components of the programs were not described (this could be due to space limitations of the paper – word limits can hamper what you want to say which is good in that you are concise but bad because you might not be able to be as thorough).  If you ever write a case report or conduct a study, see if you can include this type of information in an appendix.  Batterham SI, Heywood S, Keating JL. Systematic review and meta-analysis comparing land and aquatic exercise for people with hip or knee arthritis on function, mobility and other health outcomes.  BMC Musculoskeletal Disorders 2011, 12:123doi:10.1186/1471-2474-12-123
  5. BWST vs. HEP.  For those that missed it, part of the LEAPS trial has been published with the report that there is no difference between early gait training with BWS and a progressive HEP – so don’t feel bad if you don’t have a BWS system (we don’t either). Duncan PW, Sullivan KJ, Behrman AL, Azen SP, Wu SS, Nadeau SE, Dobkin BH, Rose DK, Tilson JK, Cen S, Hayden SK; LEAPS Investigative Team.  Body-weight-supported treadmill rehabilitation after stroke.  N Engl J Med. 2011 May 26;364(21):2026-36.
  6. Urban elderly, fall reduction, and adherence:  For the residency I’ll be at Augustana in downtown Minneapolis 4 days a week.  One of the things that drew me to the program is that it is urban and there is more variety in the patient population.  When I read the title of this article I wanted to read more.  It is interesting that over half attended all the onsite sessions but only one person reported exercising at home all 12 weeks (I would be interested to see what  was the overall percentage of adherence to both), and even more interesting is that if they lived alone they were more likely to attend, but if they were depressed they were less likely to attend all the classes (I’ve requested this article, haven’t received it yet).  Stineman MG, Strumpf N, Kurichi JE, Charles J, Grisso JA, Jayadevappa R.  Attempts to reach the oldest and frailest: recruitment, adherence, and retention of urban elderly persons to a falls reduction exercise program.Gerontologist. 2011 Jun;51 Suppl 1:S59-72.

We have some changes going on at work, and I hope to have some good research and posts out of them soon – stay tuned!

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