Choice of Exercise for Common Old age disorders

Choice of Exercise for Common Old age disorders

The exercise prescription for old age disorders addresses the four major components of fitness: strength, endurance, flexibility, and balance. Hence the idea is to gradually get individuals to incorporate most or all of these modalities into their weekly routine, regardless of their specific medical history.

Most chronic diseases and their associated disabilities in fact benefit from both resistance training and aerobic training. This is important for individuals who cannot participate in one mode of exercise.

Some of the most commonly encountered scenarios and suggested approaches to exercise management are listed below:

Syndrome Therapeutic exercise recommendation
1. Anorexia Endurance or resistance training before meals
2. Constipation Endurance or resistance exercise
3. Depression, anxiety, low self-efficacy Individual or group exercises, including endurance, resistive, and calisthenic activities as preferred
4. Fatigue Endurance training in the morning hours; increase duration and intensity as tolerated
5. Functional dependency Walking, stair climbing for endurance; resistance training of upper and lower extremities
6. Incontinence (stress) Pelvic muscle strengthening (kegel exercises); mobility improvement with endurance, balance and resistance training as needed
7. Insomnia Endurance or resistance exercise in midafternoon (4-6 hours before bed time)
8. Low back pain, spinal stenosis Resistance training to strengthen the back exterior muscles, rectus abdominus, and hip and knee extensor muscle groups
9. Recurrent falls, gait and balance disorders Lower extremity resistance training for hip, knee, and ankle; balance training, t’ai chi, yoga, ballet; walking in safe or supported environment; training in use of ambulatory device as needed
10. Weakness Moderate-to high-intensity resistance training for all major muscle groups