The most powerful thing your patient can do for their health isn't hitting 10,000 steps. It's taking the first 2,000 more.

In this episode, Dustin Jones breaks down two major studies on physical activity and step counts — and what they mean for the people who feel most defeated by the guidelines. If you work with adults who are currently sedentary, this is the reframe that changes how you set goals.

What you'll take away:

Why the standard guidelines (150 min/week, 10,000 steps) backfire with sedentary patients The step-count data: 2,000 → 4,000 steps = 36% lower risk of all-cause mortality; 7,000 steps = 47%, plus 38% less dementia, 28% fewer falls, 22% fewer depressive symptoms Why a patient's past inactivity doesn't disqualify them — inactive → active = 22% lower mortality, regardless of history. The "no-plateau rule": benefit slopes flatten but never flatline, so you never stop progressing How to treat activity like progressive loading and celebrate the first jump without selling it short.

Chapters:

00:00 — Why the guidelines feel impossible for sedentary patients 02:21 — Fitness is a spectrum, not a destination 02:40 — The step-count data: 4,000 vs. 7,000 steps 07:10 — What this means for your sedentary patients 09:22 — Starting beats never: your patient's past isn't a sentence 11:43 — The no-plateau rule: don't stop at 4,000

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Studies Referenced: DOI: 10.1016/S2468-2667(25)00164-1 DOI: 10.1136/bjsports-2024-109122

My biggest clinical failure turned into one of my biggest wins.For years, I focused on easing pain — but missed the bigger picture: strength, function, and fall risk.This patient taught me that empathy isn't enough if we don't also have the courage to change the plan. Motivational interviewing and the skills learned in our course curriculum changed everything.

#PhysicalTherapy #MotivationalInterviewing #FallPrevention #ClinicalEducation #HealthcareProfessionals #OlderAdults #PTLife #PatientCare #StrengthTraining

Dr. Jeff Musgrave PT, shares his experience of how to set yourself apart as a provider of choice for older adults!

Empathetic listening, how to leverage Ai & how to balance a message of hope with honesty!

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Dr. Macy Bolt breaks down the new WHO dementia risk reduction guidelines that are hot off the press! She dug into the details so you don't have to and she'll walk you through the clinical takeaways you can start implementing them today.

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In this episode, Dr. Christina Prevett discusses the impact of ageism in healthcare, especially when working with older adults. She explores how healthcare providers' perceptions influence patient care and highlights real-world examples of systemic issues and biases.

00:00 Introduction and birthday reflection 00:29 Study on ageism among healthcare providers 00:59 How working with older adults influences perceptions 01:28 Impact of ageism on healthcare system 02:27 Vulnerable moments in older adult care 03:19 Heterogeneity of aging trajectories 04:15 Selection bias in patient populations 05:12 Traveling older adults and healthcare representation 05:40 Case example: Masters athletes and pickleball 07:06 Unintentional skewing of perceptions 08:02 Consequences of ageism in healthcare 08:29 Dismissal of symptoms and misdiagnosis 09:27 Mental health and aging stereotypes 10:51 Patronizing communication and elder speak 12:16 Under-treatment and rationing of care 13:09 Preventative care and health promotion 14:32 Systemic issues and healthcare incentives 16:03 Case study: 75-year-old with fecal impaction 17:23 Fragmented care and systemic neglect 18:49 Systemic bias and patient neglect 20:27Closing remarks and reflection on practice

​Join Kay Mayordomo, PT, DPT in this new MMOA podcast where she dives into part two of a home health case study of a 98 year old patient who wants to regain his independence at home.

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

Are your patients telling you they just don't have any appetite? They have no desire to eat? Join Trisa Hutchinson as she dives into appetite, aging, and activity - sharing some outside the box ideas to support your patient's appetite.

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It's sometimes hard to know how to differentiate between a great PT/OT vs a personal trainer as from the outside the overall goal can look similar. Get people stronger and more functional. To help with this topic, Dr. Shelby Blankenship PT, DPT, will go through some similarities and some differences to help you navigate the two.

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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

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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