Published by Institute of Clinical Excellence - Older Adult Division
MMOA (Modern Management of the Older Adult) helps rehab & fitness pros get results with older adults. Brought to you by the Institute of Clinical Excellence, tune in to hear pertinent geriatric discussions, relevant research, & treatment ideas. Good for Physical Therapists, Occupational Therapists, Assistants, Students, New Grads, Seasoned Veterans, Geriatricians, & Fitness Professionals. Find out more at www.MMOA.online
Listen on Apple Podcasts9 min
Join @JMusgravePT as he discusses a recent systematic review on how to get the best results from adding cognitive complexity to your client programming! Guan, Li & Bu (2026). Four-Limb Coordinated Training and Neuroplasticity in Older Adults with Cognitive Frailty. Clinical Interventions in Aging. DOI: 10.2147/CIA.S594798 Join MMOA Digest mmoa.online to get more helpful info!
9 min
In today's episode, Annoushka discusses how in the world of geriatric rehabilitation, tactile cueing has long been a staple for therapists aiming to ensure the safety of their patients. But have you ever stopped to consider: who is truly learning during these interactions? When we place our hands on patients to guide them, we often believe we are helping. However, in this episode, we will explore why stepping back and using hands-off cues can be one of the most effective strategies for promoting independence and motor learning in older adults while also addressing the instances where it may be necessary to be hands on. Want to make sure you stay up to date in all things Geriatrics in less than 3 minutes every other week? Join thousands of others in our free MMOA Digest Email list - https://institute-of-clinical-excellence.kit.com/a3837f54b7
18 min
Is osteoarthritis just "wear and tear" on the joint? Not so much! will be discussing three recent publications that challenge the "wear and tear" narrative around osteoarthritis and what it means for you in the clinic. You'll walk away with a clear gameplan of how to prioritize different treatment methods and get the most bang for your buck. Referenced Links: Original Recording: https://app.ptonice.com/c/ptonice-daily-show/rethinking-oa Strengthening & Joint Forces - https://pubmed.ncbi.nlm.nih.gov/41693614/ Frailty & Knee OA - https://pubmed.ncbi.nlm.nih.gov/41894355/ OA & Systemic Inflammation - https://pubmed.ncbi.nlm.nih.gov/41619154/ Arthritis Workshop Resource - https://institute-of-clinical-excellence.ck.page/fe7f739c26
8 min
GLP-1 meds for just $50/month? Here's what providers need to know about the Medicare Part D Bridge Program—and why strength training matters more than ever. #GLP1 #Medicare #HealthcareProviders #WeightLossMedication #StrengthTraining #PatientCare
13 min
In this episode, Dr. Macy Bolt unpacks a shoulder case study and shares her favorite 3 clinical pearls in working with a patient with the perception that their joint was "blown out" beyond repair. Spoiler: it wasn't! Want to make sure you stay up to date in all things Geriatrics in less than 3 minutes every other week? Join thousands of others in our free MMOA Digest Email list - https://institute-of-clinical-excellence.kit.com/a3837f54b7
16 min
In this episode, Christina Prevett discusses the pitfalls of standardized post-operative protocols, emphasizing the importance of individualized care and clinical judgment in rehabilitation. She highlights how rigid protocols can hinder patient recovery and professional autonomy. Key Topics: The limitations of surgeon-prescribed protocols The importance of clinical judgment in rehab Research evidence on post-op rehab effectiveness The impact of protocols on therapist autonomy Patient variability and personalized care The influence of healthcare policies on rehab practices The role of research in shaping rehab guidelines Strategies for advocating for autonomous practice 00:00 Introduction to Post-Operative Protocols 02:53 The Limitations of Standardized Protocols 06:10 The Need for Individualized Care 08:54 Research and Its Impact on Rehabilitation 11:49 Advocating for the Role of Physical Therapists/ Occupational Therapists
13 min
Navigating the conversation about alcohol as people age can be tricky but often is necessary to have! Join as she talks about the impact alcohol has on older adults and considerations you should ponder before diving into this topic with your patients! If you found this content helpful, go to https://PTonICE.com to check out our collection of Free Resources like the MMOA Digest our Bi-Weekly Research Email that goes out to thousands of clinicians.
13 min
Join Kay Mayordomo, PT, DPT on this new episode of the MMOA podcast. At 98 years old, independence is still possible. This home health case study shows how falls are rarely caused by just one thing and how the right plan can help someone rebuild strength and confidence step by step to regain independence. Want to make sure you stay on top of all things geriatrics? Sign up for the free MMOA Digest Email. A bi-weekly 5 minute ready that's jam-packed with research reviews, intervention ideas, updates in our profession - https://institute-of-clinical-excellence.kit.com/a3837f54b7
8 min
Dr. Jeff Musgrave, PT, DPT, shares 3 research-based tips to improve results with those who have survived cancer!
13 min
Dr. Shelby Blankenship PT, DPT discusses the importance of adductor strengthening in older adults. She emphasizes its role in pelvic floor support, balance training, and functional capacity and ideas for treatment that you can implement tomorrow. Want to make sure you stay up to date in all things Geriatrics in less than 3 minutes every other week? Join thousands of others in our free MMOA Digest Email list - https://institute-of-clinical-excellence.kit.com/a3837f54b7
14 min
Most older adults are undernourished, dehydrated, and unaware of simple yet powerful changes that can dramatically improve their quality of life—yet many are missing the big picture. Join Dustin Jones reveals a straightforward, science-backed framework that helps seniors fuel their fitness efforts, avoid common pitfalls, and live more independently. You can get the Older Adult Nutrition Guide that Dustin references here: https://institute-of-clinical-excellence.kit.com/40478932b1
10 min
In this episode, Annoushka Ranaraja PT, DPT explores how to effectively prescribe and progress balance training for older adults or people with balance deficits. It emphasizes the importance of dosage, intensity, and safety to promote neural adaptation and functional improvements. Want to make sure you stay up to date in all things Geriatrics in less than 3 minutes every other week? Join thousands of others in our free MMOA Digest Email list - https://institute-of-clinical-excellence.kit.com/a3837f54b7
16 min
Want to level up your group fitness in Memory Care? Join Trisa as she reviews considerations for set up, maintaining attention to task, and specific cues for exercise and safety. https://music.apple.com/us/playlist/exercise-class/pl.u-XkD04X0UDYkKkKp If you found this content helpful, go to https://PTonICE.com to check out our collection of Free Resources like the MMOA Digest our Bi-Weekly Research Email that goes out to thousands of clinicians.
11 min
Discover the crucial role of fiber in improving health and reducing inflammation! In this episode of the MMOA podcast, Ellen Csepe discusses how fiber can significantly impact your patients' well-being and lower their risk of chronic diseases. Key takeaways: * Fiber can reduce the risk of colorectal cancer by 44% with just a 10-gram increase in daily intake. * High fiber diets help decrease inflammation, which is linked to various chronic diseases. * Patients with obesity, diabetes, and chronic conditions see the most significant benefits from increased fiber. * Recommended daily fiber intake is 25 grams for women and 35 grams for men, but many struggle to meet these goals. * Incorporating a variety of fruits, vegetables, nuts, and whole grains can enhance gut health and diversity. What's your biggest challenge with discussing fiber intake with patients? Drop it in the comments! Subscribe for weekly insights on nutrition and health!
12 min
Christina Prevett shares a detailed case study of a COPD patient named Bob, demonstrating how HIIT training can improve functional capacity and oxygen efficiency in pulmonary rehabilitation. The discussion covers personalized exercise protocols, monitoring strategies, and the importance of adaptable training for chronic conditions.
15 min
Join Dr. Macy Bolt as she unpacks a patient case of an individual struggling with significant balance deficits. She talks all things sensory reweighting and how to facilitate functional improvement for someone with a visual impairment and how that changes testing and treatment. Want to make sure you stay up to date in all things Geriatrics in less than 3 minutes every other week? Join thousands of others in our free MMOA Digest Email list - https://institute-of-clinical-excellence.kit.com/a3837f54b7
12 min
In part 3 of Geri Programming Hacks Dr. Jeff Musgrave doctor of physical therapy shares how using a clock during your session can improve your efficiency & help you dial in your intensity!
10 min
Join Kay Mayordomo, PT, DPT as she reviews a 2026 systematic review on the association between BMI and osteoporosis risk. Did you know your BMI could be misleading when it comes to osteoporosis risk? Recent research reveals an association between body mass index (BMI) and osteoporosis. Lower BMIs are often associated with higher osteoporosis risk, especially in women. As BMI increases, the risk generally decreases, suggesting that more body mass can help maintain bone density. But...there's always a but: BMI doesn't tell the whole story. It's just a number, a ratio of height to weight. It doesn't reflect muscle mass, fat distribution, or overall health. Two people can have the same BMI, but vastly different bone health based on their lifestyle and habits. As clinicians, we need to look beyond BMI. Focus on strength training, nutrition, and healthy habits. Help patients maintain their muscle mass and overall well-being. So while BMI can indicate osteoporosis risk, remember it's just one piece of the puzzle. Let's prioritize looking at the whole picture. https://pubmed.ncbi.nlm.nih.gov/41862888/ Want to stay up to date in all things Geriatrics in less than 3 minutes every other week? Join thousands of others in our free MMOA Digest: Want to make sure you stay on top of all things geriatrics? Go to https://MMOA.online to check out our Free eBooks, Lectures, & the MMOA Digest Email List- https://institute-of-clinical-excellence.kit.com/a3837f54b7
31 min
Why do we wait for a catastrophic injury or dramatic decline before addressing physical health? In this episode of the MMOA podcast, Dustin Jones sits down with Dr. Mike Puthoff and Dr. Victoria Hamby, leaders of the APTA's Academy of Geriatric Task Force, to explore the transformative potential of the Annual Mobility Assessment . As clinicians, we often see patients in the later stages of decline when it's much harder to reverse damage. This episode highlights how shifting our focus "upstream" can help us identify preclinical mobility limitations—the subtle changes that occur years before a fall or injury—and intervene when it matters most. Key takeaways from this episode include: The Six Pillars of Mobility: A breakdown of the physical performance measures used in the AMA, including usual/fast gait speed, chair stands, and cognitive dual-tasking . The "Report Card" Approach: How using a simple red-yellow-green system makes complex data tangible and empowering for patients . Moving Beyond the HEP: Why moving away from a "dictator" approach toward Brief Action Planning —letting the patient take ownership of their goals—leads to more sustainable behavior change . Practical Implementation: Advice for busy clinicians on how to integrate these assessments into existing workflows, whether through community outreach or as part of a standard plan of care . Stop managing decline and start optimizing capacity. Tune in to learn how to become a movement specialist who identifies problems before they become emergencies. Referenced Links: APTA Geriatrics AMA Resources: https://aptageriatrics.org/ annual-mobility-assessment/ Mike's IG: https://www.instagram.com/puthoffml/ Mike's LInkedIn: https://www.linkedin.com/in/michael-puthoff/ Victoria's IG: https://www.instagram.com/toto_hamby/ Victoria's LinkedIn: http://www.linkedin.com/in/victoria-hamby-pt-dpt-ocs-46028546 --- Want to stay up to date in all things Geriatrics in less than 3 minutes every other week? Join thousands of others in our free MMOA Digest Email list - https://institute-of-clinical-excellence.kit.com/a3837f54b7
11 min
Think your clinical practice is exempt from geriatrics? Think again. In this episode of the PTonICE Daily Show, Dustin Jones challenges the misconception that geriatric care is limited to specific settings like nursing homes or home health. Whether you specialize in sports, orthopedics, or pediatrics, Dustin argues that every healthcare professional is inherently a "geri-clinician." He outlines three powerful reasons why embracing this identity will not only make you a more effective and fulfilled clinician but also profoundly impact your own life: The Reality of Your Caseload: Regardless of your setting, a vast majority of the patients you treat are either older adults now or are heading there fast . Influencing Future Longevity: Every patient you see, from the 5-year-old child to the 40-year-old athlete, hopes to become an older adult . Your current interventions—and the language you use—set the trajectory for their future health, helping them either thrive or live in fear of decline . "Old People in Training": Embracing this identity isn't just about your patients; it's about you . By understanding the aging process, you can adopt a more realistic and motivating perspective on your own health, time, and mortality . Stop waiting until the later stages of life to understand the principles of healthy aging. Tune in to learn how shifting your mindset can help you become an "old person in training," improve your professional confidence, and ultimately help your patients live more independent, fulfilling lives . ---- Want to stay up to date in all things Geriatrics in less than 3 minutes every other week? Join thousands of others in our free MMOA Digest Email list - https://institute-of-clinical-excellence.kit.com/a3837f54b7
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