Jamie Miner – Geriatric Functional Strengthening & Exercise Prescription

Outline

LATEST TRENDS IN STRENGTH TRAINING IN OLDER ADULTS (2 HOURS)

• Changes that occur with aging
• Strength training’s impact on function improvement
• Techniques to measure deconditioning level and muscle weakness
• Evidence-based supportive research for strength training
• Outcome measures for program effectiveness

THE MUSCULOSKELETAL SYSTEM: INCOROPORATE PHYSIOLOGY INTO A BALANCED EXERCISE PLAN (30 MINUTES)

• How to develop strength
• How to develop power
• How to develop aerobic/anaerobic metabolis

ESTABLISH A STARTING POINT THROUGH AGE-RELATED ASSESSMENTS (CASE STUDY ICON) (30 MINUTES)

• Posture
• Balance
• Strength
• Cardiovascular
• Range of motion
• Functional assessment

CUSTOMIZED STRENGTH TRAINING EXERCISES AND MODIFICATIONS BASED ON DIAGNOSIS (LAB ICON) (1 HOUR)

• Frailty
• Elevated fall risk
• Chair-bound adults
• Orthopedic conditions
  • Arthritis
  • Joint replacements
    • Hip
    • Knee
    • Reverse total shoulder
  • Low back pain and spine care
    • Osteoporosis
    • Spinal stenosis
    • Lumbar fusion
  • Shoulder conditions
    • Rotator cuff tears
    • Shoulder impingement
    • Frozen shoulder
    • IT band syndrome
• Cardiovascular disease, COPD, obesity, and diabete

SAFETY CONSIDERATIONS FOR EXERCISE PROGRAMMING IN AN OLDER ADULT (LAB ICON) (30 MINUTES)

• Considerations for co-morbidities and chronic conditions
• Modify activities to overcome limitations
  • Inability to tolerate hot and cold environments
  • Overreaction to external stimuli
  • Balance
• Impaired neuromuscular control and gait
  • Parkinson’s disease
  • CVA
  • MS
• Considerations for an increased injury risk
• Recovery time considerations
• Impact of medication on exercise

UNIQUE CONSIDERATIONS WHEN PRESCRIBING EXERCISE IN OLDER ADULTS (30 MINUTES)

• Volume
• Intensity
• Duration
• Frequency
• Sequencing exercise

TIPS TO MOTIVATE PATIENTS—AND KEEP THEM ACTIVE (CASE STUDY ICON) (1 HOUR)

• Overcoming mental and emotional barriers to exercise
• Implementing exercise into daily life
• Low-cost exercise solutions
• Nutritional considerations