MMOA Podcast - Physical Therapy | Fitness | Geriatrics

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