MMOA Podcast - Physical Therapy | Fitness | Geriatrics

Ellen Csepe explains how motivational interviewing can help clinicians motivate older adult patients without turning treatment into an argument or an arm-wrestling match. She introduces the PACE spirit - partnership, acceptance, compassion, and empowerment - and shows how curiosity and patient-centered conversations can connect behavior change to what matters most to each person.

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

Did you know patients can have therapy on hospice? Most commonly this will be a one-time evaluation. Join Trisa Meyer to learn more about what the purpose for this evaluation and how this could be life changing for the patient.

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.

Have you ever felt completely stuck with someone feeling dizzy and unsteady? Join Dr. Macy Bolt as she shines a light on the most effective technique for calming down a ramped up vestibular and nervous system.

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

How you answer this question may dictate your ability to be successful with this patient!

Jeff Musgrave, PT, DPT, shares how YOU can feel confident answering this question!

Listen in on this new MMOA podcast as Kay Mayordomo, PT, DPT reflects on what she gained from the Clinical Management of the Fitness Athlete Live course she recently had the opportunity to take.

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

Your pre-frail patients are your biggest opportunity, and their brain may be the variable you're missing.

In this episode, Dustin Jones (Lead Faculty, MMOA) breaks down a new BMC Geriatrics study that followed 13,000 community-dwelling older adults for six years, and what it means for your plan of care on Monday.

What you'll learn: ✅ What cognitive reserve is (and how it mirrors physical reserve) ✅ How higher cognitive reserve lowers the risk of progressing toward frailty ✅ Why pre-frail patients are the most responsive window you'll get ✅ 4 ways to bake cognitive demand into exercises you already use ✅ How to prescribe leisure participation seriously, and where to find community resources

Chapters (estimated from transcript timestamps — verify against the final edit) 00:00 Intro: cognitive reserve & frailty 01:30 The study: 13,000 older adults 02:20 How frailty was measured 03:00 Cognitive reserve vs. physical reserve 04:30 How cognitive reserve is measured 05:30 Key findings: progression & recovery 06:55 The pre-frail opportunity 09:15 Baking cognition into your plan of care 10:45 Prescribing leisure participation 12:00 Finding community resources 13:55 Wrap-up

Study Lifelong cognitive reserve as a resilience factor for frailty progression and recovery in later life. BMC Geriatrics, 2026. https://link.springer.com/article/10.1186/s12877-026-07919-4

Links 🎧 MMOA Podcast: https://seniorrehab.libsyn.com/ 📺 MMOA YouTube: https://www.youtube.com/channel/UCDuRJeLios_VBCgD8FpDgrg 📸 MMOA Instagram: https://www.instagram.com/mmoa.icephysio/ 🎓 ICEphysio Certified Specialist in Older Adults: https://ptonice.com/certifications/mmoa/

Get research like this in your inbox every week 👇 Join the MMOA Digest: https://institute-of-clinical-excellence.kit.com/a3837f54b7

Your pre-frail patients are your biggest opportunity, and their brain may be the variable you're missing.

In this episode, Dustin Jones (Lead Faculty, MMOA) breaks down a new BMC Geriatrics study that followed 13,000 community-dwelling older adults for six years, and what it means for your plan of care on Monday.

What you'll learn: ✅ What cognitive reserve is (and how it mirrors physical reserve) ✅ How higher cognitive reserve lowers the risk of progressing toward frailty ✅ Why pre-frail patients are the most responsive window you'll get ✅ 4 ways to bake cognitive demand into exercises you already use ✅ How to prescribe leisure participation seriously, and where to find community resources

Chapters (estimated from transcript timestamps — verify against the final edit) 00:00 Intro: cognitive reserve & frailty 01:30 The study: 13,000 older adults 02:20 How frailty was measured 03:00 Cognitive reserve vs. physical reserve 04:30 How cognitive reserve is measured 05:30 Key findings: progression & recovery 06:55 The pre-frail opportunity 09:15 Baking cognition into your plan of care 10:45 Prescribing leisure participation 12:00 Finding community resources 13:55 Wrap-up

Study Lifelong cognitive reserve as a resilience factor for frailty progression and recovery in later life. BMC Geriatrics, 2026. https://link.springer.com/article/10.1186/s12877-026-07919-4

Links 🎧 MMOA Podcast: https://seniorrehab.libsyn.com/ 📺 MMOA YouTube: https://www.youtube.com/channel/UCDuRJeLios_VBCgD8FpDgrg 📸 MMOA Instagram: https://www.instagram.com/mmoa.icephysio/ 🎓 ICEphysio Certified Specialist in Older Adults: https://ptonice.com/certifications/mmoa/

Get research like this in your inbox every week 👇 Join the MMOA Digest: https://institute-of-clinical-excellence.kit.com/a3837f54b7

Follow along as Dr. Shelby Blankenship goes through day 1 and 2 of an older adult case and how you can benefit address pelvic floor concerns without being a "pelvic floor PT" ----

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

Christina Prevett discusses the importance of effortful, adequately dosed rehabilitation for older adults, highlighting how underdosing can lead to downstream complications and shift patient expectations.

00:00 Introduction to the case of an older adult with knee replacements 02:23 Assessment of traditional rehab exercises and patient feedback 04:27 Introducing sliders and load progression in rehab 04:55 Patient's reflection on previous PT being too easy 05:22 Shifting narratives and expectations in geriatric rehab 07:18 The impact of patient expectations on rehab success 08:45 Risks of underdose care and downstream complications 10:11 Reframing the fear of flare-ups and overloading 11:09 The future of PT: effortful movement and patient expectations 12:08 Closing remarks and upcoming courses

What if the future of geriatric rehab looked less like a traditional clinic—and a lot more like a gym?

In this episode, ICEphysio's CEO, Jeff Moore, interviews Older Adult Faculty, Dustin Jones, to talk about Hyphen, a gym-first model that brings skilled rehabilitation, group fitness, and lifelong health under one roof for older adults.

Dustin breaks down where the idea for Hyphen came from, how the model allows clinicians to leverage Medicare benefits as an on-ramp to long-term fitness, and what they've learned while launching and scaling the concept.

We also dive into why ICE Physio-trained clinicians are uniquely positioned to thrive in this environment—combining skilled rehab with coaching, fitness, and a higher standard for what aging can look like.

If you're a clinician who loves working with older adults but wants to think beyond the traditional boundaries of geriatric rehab, this conversation is for you.

Links:

• https://hyphengym.com
• https://instargram.com/dustinjones.dpt

*This episode is a rebroadcast from the PTonICE Podcast.

Working with someone who is moving to a memory care community? This episode serves as your "Go to Guide" for how you can provide education and information to support the family, collaborate with the facility, and be there for the patient. Listen to learn practical tips that help make this, sometimes tricky transition, a little more seamless.

Your smile is about more than your teeth—it may offer important clues about your overall health.For clinicians working with older adults, oral health deserves a closer look. Poor oral health is associated with conditions like dementia, diabetes, and high blood pressure. Common medications can also cause dry mouth, making oral hygiene more challenging.Ask your patients: "Do you have a dentist you trust?"

Bleeding gums, mouth sores that don't heal, or swallowing difficulties may be reasons to seek further evaluation. And if brushing is difficult, consider what barriers might be getting in the way—like limited endurance, hand function, or access to supplies. Sometimes the mouth is one of the first places we notice that something needs attention. Save this reminder and share it with a clinician who works with older adults.What oral health barriers do you see most often in your patients?#OlderAdultCare #OralHealth #HealthcareEducation #GeriatricCare #ClinicalPractice

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

You send someone home and hope the environment holds up. Justin, an outpatient PT, got tired of hoping, so he built Safe Home AI: an AI home-safety assessment that turns a few phone photos into a prioritized, tailored report patients and families can actually act on. We get into what it does, where it's headed, and the clinical judgment behind assessing any home well.

What you'll take away: – Why "how's your home?" gets you an answer you can't use and what to ask instead – The discharge gap between leaving a facility and home health arriving, and why it dictates so much of what follows – The big rocks of any home assessment: pattern recognition, the bathroom, lighting, and future-proofing with blocking between the studs – Why a 70-item checklist overwhelms people into doing nothing and how triaging to the top 3 fixes changes everything – How a clinician with no tech background built a real tool by refusing to stay still

Chapters: 00:00 – Keeping people home as long as possible 01:00 – Certified Aging in Place & the billable-time problem 02:57 – The article that lit the spark 04:45 – What Safe Home AI actually does 07:09 – Tailored reports + one-tap product links 07:48 – "What to fix first" (and what's already working) 08:52 – Who it's really for and where it's headed 11:19 – The discharge gap clinicians dread 13:20 – Why the 70-item checklist fails 15:37 – Privacy: what happens to the photos 17:51 – Consumer model now, clinician model next 20:10 – The big rocks of home assessment 24:17 – Advice for the clinician sitting on a problem 26:35 – Try Safe Home AI / reach Justin

Links: – Safe Home AI: https://safehome-ai.com – Contact Justin: justin@safehome-ai.com – "Something Big Is Happening" by Matt Shumer - https://www.linkedin.com/pulse/something-big-happening-matt-shumer-so5he/

Want helpful conversations like this one in your inbox? Join the MMOA Digest 👉 https://institute-of-clinical-excellence.kit.com/a3837f54b7

Your fitness tracker is lying to you! The ring on your watch may be closed, but you may be missing key elements required to ensure your patients actually live a long, healthy life!

Dr. Jeff Musgrave, PT, DPT, shares what is actually being tracked and what is NOT.

Join Dr. Macy Bolt as she unpacks the 4Ms Framework: What Matters, Medication, Mentation, Mobility and the impact that implementation can have on major functional outcomes for our hospitalized patients.

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

Rosner, Thombley, Rogers, Adler-Milstein. "Patient Outcomes Associated With a Composite Measure of 4Ms Care Adherence in the Inpatient Setting." Journal of the American Geriatrics Society, 2026.

The barbell is the last piece of equipment most clinicians would reach for with an older adult. Dustin Jones makes the case that it's the most powerful confidence-building tool you have — and walks through exactly how to get it into the hands of someone who's convinced they're fragile.

In this episode: → Why the gap between "who I am" and "who lifts a barbell" is your biggest opportunity → How barbell strength transfers to real life — travel, hobbies, and time with grandkids → Introducing load without overwhelm: limiting novelty in movement and equipment → Intentional underdosage: dosing to perception to build buy-in and alliance → Progressing weight before range of motion — and the "swap trick" that makes the barbell feel easy → Gear that works: training bars and plates that punch above their weight

Chapters: 00:00 — Why the barbell, and why I changed my mind 02:28 — Why the bar feels a mile away (and why that gap is the opportunity) 04:51 — What changes off the platform: trips, hobbies, grandkids 07:08 — Introducing load: limiting novelty in movement + equipment 09:28 — Intentional underdosage: dose to perception, then progress 11:39 — The barbell swap: passing the bar's weight, then making it feel light 14:02 — Bars, plates, and your reps in the comments

Want breakdowns like this every week? Join the MMOA Digest — clear, actionable geriatrics you can use on your next patient: https://institute-of-clinical-excellence.kit.com/a3837f54b7

Part 3 of the Independent at 98 case study from Kay Mayordomo, PT, DPT is here! This episode is all about how the conversation with the patient's daughter and caregiver went, what discharge looked like, and lessons learned from this case.

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

In this episode, Dr. Shelby Blankenship PT, DPT discusses prehab and rehabbing a masters athlete who competes in the tactical games.

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

Trisa Hutchinson shares the benefits of dancing with patients beyond the smiles and laughter!

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.

Christina Prevett discusses the importance of proactive falls prevention, challenging common misconceptions, and emphasizing the role of rehab professionals in leading this effort to improve older adults' resilience and safety. Keywordsfalls prevention, older adults, rehab professionals, resilience, injury risk, strength training, healthcare system, proactive care In this episode, we go over

• The importance of resilience over fear
• Role of strength and physical activity in fall prevention
• Limitations of current fall prevention programs
• The need for personalized, human-centered approaches
• Healthcare system's focus on preventing first fall
• The untapped potential of rehab professionals in fall prevention
• Building networks and advocacy for proactive care

In this episode, Dr. Annoushka Ranaraja explores the use of textured insoles when working with people with diabetic peripheral neuropathy who maintain protective sense.

Want to make sure you stay up to date on all things Geriatrics in less that 3 minutes every other week? Join thousands of others in our free MMOA Digest Email list - https://institute-of-clinical-excellence.kit.com/a3837f54b7