presented by J.J. Mowder-Tinney
Recommendations in the APTA Choosing Wisely campaign have noted the importance of not under-dosing strength training in aging adults. This new educational initiative is stressing the importance of matching the intensity and duration of exercise to an individual’s goal and ability. The emphasis of this course is not on how to perform the tests but on how a few key tests can help drive your intervention choices and provide critical information to you and the patient about improvement. The use of this information will have a direct impact on improving the patient outcomes as well as patient motivation.
J.J. Mowder-Tinney received her Bachelor of Science in Psychology from the University of Colorado, Boulder and her Master of Science in Physical Therapy from the University of Miami in Florida. She completed her doctorate in physical therapy at NOVA Southeastern University. She has over 20 years of experience in a multitude of clinical settings with the majority of experience with people with neuromuscular deficits. She is certified as a clinical specialist in Neurologic Physical Therapy by the American Board of Physical Therapy Specialties (ABPTS). She also has extensive training and is certified in Neuro-Developmental Treatment (NDT), received her Certified Stroke Rehabilitation Specialist (CSRS) certification from the American Stroke Association and her Certified Exercise Expert in Aging Adults certification from the Academy of Geriatric Physical Therapy. She was the recipient of the 2017 Excellence in Education Award from the Academy of Neurologic Physical Therapy. She is currently an Associate Professor at Nazareth College in the physical therapy department. She teaches the Neuromuscular series that incorporates the onsite pro-bono clinic. In addition, she teaches an advanced neuromuscular elective. She has conducted nationwide seminars on the treatment of patients with neurological deficits, spinal cord injuries, balance challenges, Parkinson's Disease, and aging adults.
Outcome measures provide a way to improve communication with caregivers and other health professionals and can have a direct impact on patient outcomes. This chapter focuses on appropriately choosing outcome measures that not only match a person’s priority impairments but allow the patient to easily observe improvement throughout therapy. These outcome measures are broken into four major body structure/function categories: posture, strength, aerobic conditioning, and balance.
Assessing a patient’s safety at home and out in the community is a priority. However, you need to have an understanding of some basic foundational areas that can impact the body structure/function. Posture and strength are areas necessary to rule out before being able to truly identify any balance issue and the use of objective outcome measures is key.
This chapter progresses to assessing aerobic conditioning while highlighting key items to include when addressing balance. Progressing in a logical sequence through the four assessment areas can make the therapist's evaluation quick yet comprehensive.
Performing a comprehensive assessment allows a better understanding of the big picture. This chapter takes the cumulative findings from outcome measures in all four body structure/function sections and highlights the meaning of those results.