1. Exercise and the Neuromuscular System Interdisciplinary, Community-Based, Health Education for Diverse Elders. HRSA Grant #1 D37 HP OO838-01 Stacy Gropack, PhD, PT Eric Lamberg, EdM, PT Rebecca States, PhD William Susman, PhD, PT

2. The Neuromuscular System Neuro= Brain and nerves Muscular = Muscles, tendons and ligaments

3. Exercises for the Neuromuscular System Balance – prevention of falls Coordination – smoothness of movement Strength – moving body parts against gravity or resistance

4. Falls More than one-third of adults ages 65 years and older fall each year ( Hornbrook 1994; Hausdorff 2001 ).

5. Prevention of Falls Exercise is one of the most important things to do to reduce your chances of falling. Exercise increases: Balance Strength Coordination

6. Home Safety Remove things you can trip over (such as papers, books, clothes, and shoes) from stairs and places where you walk. Remove small throw rugs or use double-sided tape to keep the rugs from slipping. Keep items you use often in cabinets you can reach easily without using a step stool.

7. Home Safety Have grab bars put in next to your toilet and in the tub or shower. Use non-slip mats in the bathtub and on shower floors. Improve the lighting in your home. As you get older, you need brighter lights to see well. Lamp shades or frosted bulbs can reduce glare.

8. Home Safety Have handrails and lights put in on all staircases. Wear shoes that give good support and have thin non-slip soles. Avoid wearing slippers and athletic shoes with deep treads.

9. Balance Exercise One leg balance Calf raise Hip raise Side leg raise Hip extension Knee bend ALWAYS USE SUPPORT WHEN NEEDED