Exercise Prescription and Rehabilitation Considerations for Older Adults: Summary 71
Exercise Prescription and Rehabilitation Considerations for Older Adults 3 Contact Hours
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Author Suzanne Greenwalt, PT, DPT, CCS, GCS
Dr. Greenwalt has been a physical therapist since 2002 and worked in a variety of settings. She has worked in acute care, inpatient rehabilitation, and most recently in skilled nursing facilities. She also has served in director roles at several skilled nursing facilities. Additionally, she is the program coordinator, mentor, and educator in a Geriatric Residency Program. Dr. Greenwalt has been a faculty member in the School of Physical Therapy at Belmont University since 2013. Her teaching responsibilities include Cardiovascular and Pulmonary Physical Therapy Lecture and Lab, Lifespan Development, Pharmacology, and Clinical Education. Her interest areas in patient care, teaching, and research are geriatrics, cardiopulmonary comorbidities in the geriatric population, and interprofessional education.
LEARNING OUTCOMES ● Differentiate three conditions that older adults are more susceptible to when they are physically inactive ● Review three key principles of exercise prescription ● Predict how one repetition maximum can be used for appropriate strengthening exercise prescription in older adults ● Differentiate two common muscles that require frequent stretching in older adults to maintain optimal function ● Classify three factors that are commonly responsible
● Order the five cardiovascular disease risk factors that older adults with impaired aerobic capacity should be screened for in order to maximize outcomes, improve occupational performance and reduce further decline ● Relate the importance of interprofessional teamwork and communication regarding identification and management of cardiovascular disease risk factors ● Differentiate the three tests and measures commonly used to assess aerobic capacity in older adults ● Review three aerobic exercise contraindications for older adults ● Predict three interventions that can be utilized with older adults to improve aerobic capacity and participate in daily activities and occupations
for impaired aerobic capacity and decreased occupational performance in older adults
SELF-ASSESSMENT QUESTIONS
1.
Older adults should engage in which of the following exercise options on a regular basis: a. 150 minutes of moderate-intensity aerobic activity (brisk walking) every week b. 75 minutes of vigorous-intensity aerobic activity (jogging, hiking, running) every week c. Strength training 2x/week, stretching, and balance training d. All of the above All of the following are ways to properly assess and prescribe exercise intensity in older adults EXCEPT: a. Karvonen formula b. Borg scale of perceived exertion c. Maximal exercise stress test d. Talk test
3.
Common postural deficits in older adults include the following characteristics EXCEPT: a. Plantarflexion tightness b. Forward head c. Excessive lumbar lordosis d. Posterior and upward sloping shoulders Which forms of aerobic exercise appropriate to increase aerobic activity tolerance in an older adult? a. High-intensity interval training b. Walking c. Arm ergometry cycling and lower extremity cycling d. All of the above
4.
2.
ANSWERS: 1: d 2 : c 3: d 4 : d
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