1. Fitness Concerns for Geriatric Populations Therapy & Exercise 6/9/2016 1

2. Objectives 1.Understand the benefits of strength and conditioning programs for the elderly 2.Examine the modifications and protocol to ensure safety of the geriatric client 6/9/2016 Property of CTE Joint Venture2

3. Think-Pair-Share A 67 year-old man with bilateral knee arthritis no longer has the strength or endurance to climb the stairs from his basement laundry room to his bedroom upstairs. What can he do in order to stay in his house? PROPERTY OF PIMA COUNTY JTED, 2010

4. Write on your slates… What are some benefits of a conditioning program for elderly patients? PROPERTY OF PIMA COUNTY JTED, 2010

5. Benefits for Geriatric Populations O Increase calorie use (decrease weight) O Increase in cardiovascular fitness and strength O Decrease blood pressure O Decrease chance of stroke, some cancers, osteoporosis, and cardiovascular disease O Decrease psychological stress O Improve sleep and digestion 6/9/2016 Property of CTE Joint Venture5

6. Therapeutic Benefits O Heart attack patients O Diabetics (improves insulin response) O Decrease back pain by increasing strength O Arthritis patients (strong muscles= less joint pain) O Depression (improved self confidence) O Improves neurocognitive function O Decreases loss of muscle mass 6/9/2016 Property of CTE Joint Venture6

7. Write on your slates… Some physical conditions which could affect the development of a geriatric workout program PROPERTY OF PIMA COUNTY JTED, 2010

8. Considerations O Patient beginning health and fitness level O Modify workout based on injury/illness O Balance issues O Previous exercise experience O Medications http://wn.com/Geriatric_Neurology Property of CTE Joint Venture8

9. Clinician can control injury prevention O Ensure proper warm-up and cool down O Control lifting speed O Monitor for proper technique O Keep workout area uncluttered O Consider balance concerns: O Machines vs. free weights O Body weight or exercise bands O Seated or lying vs. standing O Stable vs. unstable surfaces http://www.chsbuffalo.org/Services /Rehab/AquaticTherapy Property of CTE Joint Venture9

10. Geriatric Conditioning Guidelines O Strength program 2-3 times/week O Controlled speeds of repetitions O Beginners: more reps and less load O Provide clear explanation of lift/move O Demonstrate lift/move O Demonstrate breathing technique O Careful supervision with positive reinforcement 6/9/2016 Property of CTE Joint Venture10

11. 1. How can we modify this exercise for improved geriatric safety? http://fitnessanddefense.com/category/safety-tips/ 6/9/2016 Property of CTE Joint Venture11

12. 2. How can we modify this exercise? http://www.womenshealthmag.com/fitness/test-the-water-squat-and-bicep-curl 6/9/2016 Property of CTE Joint Venture12

13. 3. How can we modify this exercise? http://atlantafitnesscentersforw omen.com/blog/workout-of-the- week-09-26-2011/ 6/9/2016 Property of CTE Joint Venture13

14. 4. How can we modify this exercise? http://www.ibodz.com/exercise/military-press-on-fitball 6/9/2016 Property of CTE Joint Venture14

15. Cardiovascular Training O 2-5 days/week for 20-60 minutes O Workout intensity: 60-90% max HR O Medications may affect HR O Talk test- if they can say short-medium sentences during workout, they are at good pace 6/9/2016 Property of CTE Joint Venture15

16. Clinician must enforce participant compliance with: O Increased fluid intake O Proper nutrition O Adequate rest and sleep O Proper hygiene O Approval of exercise regimen with physician O Communicate concerns to clinician 6/9/2016 Property of CTE Joint Venture16

17. Partner A turn to partner B. Tell or teach your partner the two most important things you have learned about designing conditioning programs for the elderly. Switch roles and repeat the process. PROPERTY OF PIMA COUNTY JTED, 2010 17