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presented by Jennifer Bottomley, PT, MS, PhD
Financial: Jennifer Bottomley receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.
Non-Financial: Jennifer Bottomley has no competing non-financial interests or relationships with regard to the content presented in this course.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
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Jennifer Bottomley, PT, MS, PhD
Jennifer M. Bottomley, PT, MS, PhD, embodies the characteristics of leadership, having worked on committees and task forces and behind the scenes to advance the goals and vision of the profession of physical therapy for 40 years. Bottomley is an independent geriatric rehabilitation program consultant, advisor, and educator. Previously, she held clinical roles at Sunspectrum…
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1. Defining Frailty in the Elderly & Aging Changes Leading to Frailty
The older adult experiences system-wide changes related to aging. However, the active older adult can slow or halt the progression of many of these changes. Inactivity, conversely, can accelerate aging and lead the older adult down the slippery slope leading to frailty. “Use it or lose it” is the mantra for successful aging. Frailty in the older adult is a complex clinical syndrome. Understanding the physiologic and anatomic underpinnings of this condition and the relationship of multiple systems to function and quality of life is of great importance to assist in creating a path for effective intervention.
2. Age-Related Changes in Muscle Strength
Understanding the physiologic changes in muscle related to aging and inactivity has great relevance when working with the older adult. Concepts such as sarcopenia, muscle fiber type changes with aging and generation of muscle force, body stability, and ability to maintain activity over time (endurance), as well as body composition, are all important concepts to consider when assessing and prescribing exercise.
3. Flexibility
Flexibility for the aging adult is critical for optimal functioning, and for the treating therapist, understanding the underlying physiologic components that optimize tissue health, joint mobility, and posture is vital, appreciating that, “extension equals function”. These physiologic components, which include the fibroblast, glycoproteins, hyaluronic acid, contractile proteins, and fibrinogen, all play varying roles in the maintenance of flexibility in the older adult. Malfunctioning of these components can lead to inflexibility, and ultimately contribute to the syndrome of frailty.
4. Bone Mass
Age related changes in bone mass have important relevance for the clinician. Understanding the normal and pathologic changes in bone related to aging and inactivity is important in helping the older adult maximize posture and facilitate function. As with all aging systems, activity level and nutritional status play vital roles in ensuring adequate bone mass that will help prevent falls and fractures that can lead to frailty.
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