Katharina Gordt

Universität Heidelberg

BACKGROUND Older adults are at increased risk of developing health disorders and functional decline. A comprehen-sive geriatric assessment (CGA) to identify early signs of negative trajectories has enormous potential for patients, society and health care system. However, due to time constraints and considerable effort physicians rarely conduct the...

Background Older adults are at increased risk of developing health disorders and functional decline. However, owing to time constraints and considerable effort, physicians rarely conduct comprehensive assessments to detect early signs of negative trajectories. If designed properly, digital technologies could identify health risks already at a precl...

Context Long-term adherence to physical activity (PA) interventions is challenging. The Lifestyle-integrated Functional Exercise programmes were adapted Lifestyle-integrated Functional Exercise (aLiFE) to include more challenging activities and a behavioural change framework, and then enhanced Lifestyle-integrated Functional Exercise (eLiFE) to be...

Background Digital health apps have a large potential for autonomous screening and monitoring of older people with respect to maintaining their independence. Due to demographic change and the shortage of specialized personnel in medicine, these premedical self-assessment apps could be of great value in the future. Objective This narrative review en...

Editorial on the special issue: Wearable Motion Sensors Applied in Older Adults

Objective To examine sensitivity to change and responsiveness of the Community Balance & Mobility Scale (CBM) and shortened CBM (s-CBM) Design Secondary analysis using data of a randomized controlled trial Setting General community Participants Community-dwelling seniors aged 61-70 years Intervention Participants underwent 12 months of exercise...

Background In nursing home residents, the combination of decreasing mobility and declining cognitive abilities, including spatial orientation, often leads to reduced physical activity (PA) and life-space (LS) mobility. As a consequence of sedentary behavior, there is a lack of social interaction and cognitive stimulation, resulting in low quality o...

The aim of this study was to identify in-hospital fall risk factors specific for multimorbid hospitalized geriatric patients with dementia (PwD) during hospitalization. Geriatric inpatients during ward-based rehabilitation (n = 102; 79.4% females; 82.82 (6.19) years of age; 20.26 (5.53) days of stay) were included in a comprehensive fall risk asses...

Background Understanding the association between motor capacity (MC) (what people can do in a standardized environment), mobility performance (MP) (what people actually do in real-life) and falls is important for early detection of and counteracting on functional decline, particularly in the rapidly growing population of young seniors. Therefore, t...

Mobilität ist eine wichtige Voraussetzung für Gesundheit, Wohlbefinden und Unabhängigkeit. Um diese möglichst lange beizubehalten und ein gesundes, selbstständiges Leben zu ermöglichen, wird in den letzten Jahren zunehmend gefordert, mit der Erkennung und Behandlung von Mobilitäts- und Gleichgewichtseinschränkungen frühzeitig vor dem Auftreten von...

Falls are the leading cause of fatal and non-fatal injuries among seniors with serious and costly consequences. Laboratory evidence supports the view that impaired ability to execute compensatory balance reactions (CBRs) or near-falls is linked to an increased risk of falling. Therefore, as an alternative to the commonly used fall risk assessment m...

Background: The Community Balance & Mobility Scale (CBM) was shown to be reliable and valid for detecting subtle balance and mobility deficits in people who are 61 to 70 years of age. However, item redundancy and assessment time call for a shortened version. Objective: The objective was to create and validate a shortened version of the CBM (s-CB...

Background: The incidence of proximal humeral fractures (PHF) increased by more than 30% over the last decade, which is accompanied by an increased number of operations. However, the evidence on operative vs. non-operative treatment and post-operative treatments is limited and mostly based on expert opinion. It is mandatory to objectively assess f...

Background: Decreasing performance of the sensory systems' for balance control, including the visual, somatosensory and vestibular system, is associated with increased fall risk in older adults. A smartphone-based version of the Timed Up-and-Go (mTUG) may allow screening sensory balance impairments through mTUG subphases. The association between mT...

Background Walking is not an automatic movement task but requires continuous attention resources. While walking and undertaking an additional task (dual tasking), gait changes occur which are associated with falls in older adults. To date, the evaluation of gait characteristics under dual task conditions is typically performed during walking straig...

Background: With the growing number of young-older adults (baby-boomers), there is an increasing demand for assessment tools specific for this population, which are able to detect subtle balance and mobility deficits. Various balance and mobility tests already exist, but suffer from ceiling effects in higher functioning older adults. A reliable an...

Most falls occur after a loss of balance following an unexpected perturbation such as a slip or a trip. Greater understanding of how humans control and maintain stability during perturbed walking may help to develop appropriate fall prevention programs. The aim of this study was to examine changes in spatiotemporal gait and stability parameters in...

Data of the gait characteristics and dynamic stability. Parameters including SL, SW, cadence, MoS-ML, and MoS-AP were measured over each gait cycle during the time frames of interest in each walking condition. (XLSX)

Background: Tools to detect subtle balance deficits in high-functioning community-dwelling older adults are lacking. The Community Balance and Mobility Scale (CBM) is a valuable tool to measure balance deficits in this group; however, it is not yet available in the German language. Objective: The aim was 1) to translate and cross-culturally adap...

Background: Wearable sensors (WS) can accurately measure body motion and provide interactive feedback for supporting motor learning. Objective: This review aims to summarize current evidence for the effectiveness of WS training for improving balance, gait and functional performance. Methods: A systematic literature search was performed in PubM...

The poster presents a study aimed to evaluate the validity, reliability, internal consistency, and ceiling effects of a challenging balance and mobility scale, the Community Balance and Mobility Scale (CB&M) in young-older adults aged 60 to 70 years

Aquatic exercises are widely used for rehabilitation or preventive therapies in order to enable mobilization and muscle strengthening while minimizing joint loading of the lower limb. The load reducing effect of water due to buoyancy is a main advantage compared to exercises on land. However, also drag forces have to be considered that act opposite...

Peak resultant hip and knee joint forces (Fres) during non-weight-bearing activities. BW = bodyweight. *p<0.05, Wilcoxon test. P-values are only stated for a sample size of n = 6 per joint. (EPS)

Peak resultant hip and knee joint forces (Fres) during weight-bearing activities. BW = bodyweight. *p<0.05, Wilcoxon test. (EPS)

Peak resultant hip and knee joint forces (Fres) during dynamic activities. BW = bodyweight. *p<0.05, Wilcoxon test. P-values are only stated for a sample size of n = 6 per joint. (EPS)