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AGE AND EXERCISE

AGE AND EXERCISE. By Dr. Michael Banoub. Reversing Decline. Although both aerobic and resistance training are recommended to improve muscular function in the elderly, only resistance training can reverse or delay the decline in muscle mass and strength with aging. (why).

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AGE AND EXERCISE

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  1. AGE AND EXERCISE By Dr. Michael Banoub

  2. Reversing Decline • Although both aerobic and resistance training are recommended to improve muscular function in the elderly, only resistance training can reverse or delay the decline in muscle mass and strength with aging. (why)

  3. Aerobic exercise has long been an important recommendation for those with many of the chronic diseases typically associated with old age. These include non-insulin-dependent diabetes mellitus, hypertension, heart disease, and osteoporosis.

  4. The opposite spectrum of exercise training is inactivity, or immobilization (a decrease in physical activity). With immobilization, there is a significant decline in muscle strength and endurance. Skeletal muscle mass declines rapidly (atrophy). • In the cardiovascular system, resting and submaximal heart rates and blood pressure increase, and maximal oxygen consumption is reduced. and blood viscosity is increased along with the risk of thromboembolism.

  5. Case Description:: A 68 years old female with a 2 year history of was referred to physical therapy with a history of falls, increasing loss of balance and rapidly progressing lower body Parkinson's like dysfunction.

  6. Examination included range of motion, muscle strength, motor control, ambulation with and without assistive device, and determination of postural hypotension. Functional Reach (FR), Timed Up and Go (TUG), timed single limb stance (SLS), and the Performance Oriented Mobility Assessment (POMA) assessed safety, balance, and fall risk. • Hypokinesia and festinating gait were observed during ambulation. Transfers sit to stand were functional, Impairments of muscle performance were found at ankle, knee, and hip. The patient wanted to be able to live at home to care for herself and disabled spouse.

  7. Low to moderate intensity, lower extremity resistance training was added (twice weekly) to an existing program of balance and flexibility exercises. • Outcomes:: Clinically meaningful gains were achieved in all functional measures, and the patient performed SLS for 10 seconds when previously unable. More importantly, she achieved her goal of remaining at home with her spouse.

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