Geriatric Exercise - Principles and Practice for Optimal Function

Course Outline

This two-day introductory level course represents a comprehensive overview of geriatric exercise principles, including practice in lab format. Topics include: age-related musculoskeletal, cardiovascular, pulmonary, cognitive and neurological dysfunctions, trunk and lower extremity posture issues, gait and foot considerations, and a review of each major joint with problems and solutions addressed. Exercise approaches for common age-related syndromes such as osteoporosis, osteoarthritis, spinal stenosis, stroke, Parkinson’s disease, balance disorders, bladder dysfunction, and peripheral neuropathy will also be addressed. The course is constructed on a guideline-based model, with protocols for different diagnoses including specifics on timelines and precautions. Techniques taught and practiced will include postural and aerobic exercise, resistive and aerobic training, safe stretching, gait training, PNF, tri-planar functional exercise, and mobilization combined with exercise.

Evidence for efficacy of techniques are presented in the form of scientific literature references as well as slide and video patient case studies. The course manual includes a full set of patient exercise sheets, ready for use in your clinic, lecture notes and full bibliography.


Course Objectives

• Understand evidence-based rationale for physical changes with aging
• Evaluate the effects of common drugs on geriatric exercise clients
• Choose specific evaluation tools for common problems associated with aging
• Design a wide variety of resistive exercise interventions for geriatric clients
• Create appropriate exercise interventions for impaired trunk posture
• Treat gait and mass movement impairments with PNF techniques
• Teach an “osteoporosis dance,” Tai Chi Walk, and tri-planar exercise for balance and coordination problems
• Apply resistive and aerobic training principles to both orthopaedic and neurologically impaired patients
• Correct kyphosis with forward head using mobilization with exercise
• Apply diagnosis-specific protocols when designing geriatric exercise interventions

Schedule of instruction

  Day One   Day Two
7:30 8:00 Registration 7:30 9:00 PNF (Lab)
8:00 8:45 Introduction (Lecture)   • Extremity and mass patterns to elicit functional mobility
  • Aging demographics and quality of life issues   • Gait training-balance, peripheral neuropathy, CVA
  • The aging process 9:00 9 :15 Break
  • Cognitive aging issues 9:15 10:00 PNF (Lab)
  • Cardiovascular aging   • Contract-relax with soft tissue mobilization
  • Muscle performance changes with aging 10:00 10:30 Common Drugs Utilized in the Geriatric Population (Lecture)
  • Skeletal aging   • Adverse drug reactions
  • Age-related periarticular changes   • Effects on rehab progression
8:45 9:15 Management of Common Problems Associated with Aging: Tissue Mobility Examination (Part 1-Lecture/Lab)   • Strategies for overcoming obstacles
  • Assessing the area of greatest restriction 10:30 11:15 Protective ADL as Exercise
(Lecture/Lab)
  - Spine, ribs, extremities   • Spinal safety
  • Two joint muscle length tests   • Lower extremity alignment
  - Hip, knee, ankle, shoulder 11:15 12:00 Management of Common Problems Associated with Aging (Part 5-Lecture)
  • Periarticular dysfunction tests   • Peripheral neuropathy
  - Hip, knee, shoulder, elbow, wrist   • Stroke

9:15 9:30 Break   • Parkinson’s disease
9:30 10:30 Safe Stretches and Postural Strengthening From Head to Toe (Lab)   • White matter degeneration
  • Spinal and two-joint extremity muscle mobility 12:00 1:00 Lunch (on your own)
  • Multi-planar exercise for whole body flexibility and strength 1:00 1:45 PT “Guidicizing” the Exercise Intervention
  • Foot and ankle strength,• Pelvic floor exercise   • Osteoporosis with and without fracture
  • Protective taping, autogenic relaxation   • Impaired posture and muscle performance
10:30 12:00 Management of Common Problems Associated with Aging: Posture Principles, Postural Dysfunction and Pelvic Floor Problems (Part 2-Lecture/Lab)   • Foot pronation, ankle instability
• Pelvic floor dysfunction
  • Kypholordosis, forward head, spinal stenosis   • Sprain, strain, arthritis
  • Static stance and gait problems   • Spinal stenosis, DJD
  • Foot pronation, ankle instability, orthotics   • Fractures
  • Pelvic floor weakness and incontinence   • Joint replacements, orthopedic surgery
12:00 1:00 Lunch (on your own)   • Balance loss, vestibular dehabituation
1:00 2:15 Management of Common Problems Associated with Aging (Part 3-Lecture)   • Stroke
  • Osteoporosis   • Parkinson’s disease
  • Vertebral fracture   • White matter degeneration
  • Balance and falls   • Peripheral neuropathy
2:15 3:15 Trunk Strength Testing and Exercise (Lab)   • Cardiovascular, pulmonary deconditioning
  • Abdominals
       
  • Two joint hip flexors, ITB and shoulder flexibility tests/exercises 1:45 3:00 Mobilization with concurrent exercise (Lab)
  • Paraspinals   • Correcting kyphosis and forward head
3:15 3:30 Break   • Shoulder mobility
3:30 4:15 Management of Common Problems Associated with Aging (Part 4-Lecture) 3:00 3:15 Break
  • Deconditioning 3:15 3:30 Theraband Resistance Exercises (Lab)
  • Cardiovascular and pulmonary dysfunction   • Extremities
  • Arthritis, periarticular connective tissue dysfunction   • Trunk strength
  • Arthroplasty and orthopedic surgery 3:30 4:00 Conclusion (Lecture)
4:15 5:30 Aerobics, Mobility Training (Lecture/Lab)   • Communication with older adults
  • Resistance exercises with patient handouts   • Importance of soft tissue treatment for effective exercise
  • Balance exercises, step-up routines   • Fitness programs for older
adult-osteoporosis group class
  • “Osteoporosis dance”, Tai Chi Walk   • Risks associated with exercise for the older adult
      • Risks of inactivity and benefits of exercise
    4:00 End of Day

Downloads

Course Brochures are in Adobe PDF format. Right click and choose "Save Target As" to download brochure. If you would like to open the brochure in your browser windows, select the link.

Course Brochure for Geriatric Exercise - Principles and Practice for Optimal Function

Scheduled Dates and Locations

Start DateEnd DateLocation - **Click to Map It**TuitionHrsHotel
Dec 06, 08Dec 07, 08Tampa General Hosptial, Tampa, FL$425.0018.00View Hotels
Jan 31, 09Feb 01, 09Baylor All Saints Medical Center Ft. Worth, Fort Worth, TX$425.0015.00View Hotels
Mar 21, 09Mar 22, 09Northwest Hospital, Seattle, WA$425.0015.00View Hotels
Apr 18, 09Apr 19, 09Sunrise Hospital Medical Center, Las Vegas, NV$425.0015.00View Hotels
May 16, 09May 17, 09St. Vincent Healthcare, Jacksonville, FL$425.0018.00View Hotels
Sep 26, 09Sep 27, 09Sharp Memorial Rehabilitation Center, San Diego, CA$425.0015.00View Hotels
Oct 03, 09Oct 04, 09Jupiter Medical Center, Jupiter, FL$425.0018.00View Hotels
Oct 24, 09Oct 25, 09Gaylord Hospital, Wallingford, CT$425.0015.00View Hotels
Nov 07, 09Nov 08, 09Clarian Health Methodist Hospital, Indianpolis, IN$425.0015.00View Hotels
Nov 21, 09Nov 22, 09Adventist Rehabilitation Hospital of MD, Rockville, MD$425.0015.00View Hotels

 

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Course Instructor
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Ms. Lindsey has degrees in Physical Education and Physical Therapy from the University of California, and an advanced musculoskeletal Master’s in Allied Health from the University of Connecticut. She currently works in private practice at Physical Therapy and Massage of Connecticut with locations in Bristol and New Hartford, CT where she treats an outpatient caseload composed of osteoporosis, balance, and a large number of musculoskeletal patients of all types. She also teaches continuing education courses for rehabilitation professionals on a wide variety of topics including: Geriatric Exercise, Osteoporosis, Geriatric Manual Therapy, Osteopathic Muscle Energy, and Proprioceptive Neuromuscular Facilitation. She has been an adjunct instructor for the University of Connecticut School of Allied Health for many years, and a consultant at the Nayden Rehabilitation Clinic at the University of Connecticut. Carleen also worked for several years as senior physical therapist at Rifkin Physical Therapy in Prospect, CT. She was the Rehab Services Osteoporosis Team Leader at the University of Connecticut Health Center for 26 years, and was the primary developer of the UCHC Rehab Services Osteoporosis Prevention Program. Carleen also has experience working in acute hospital, skilled nursing, adult day-care, and home-care settings. Her continuing education is extensive in manual therapy, PNF, and geriatrics. She has participated in research and publications on osteoporosis and balance issues in the elderly, produced three patient home exercise videos, and presented numerous lectures and courses to professional and lay audiences locally and nationally. In addition to her clinical work, Carleen has been co-chair for the National Osteoporosis Foundation’s Committee on Continuing Education for Physical Therapists, and for the APTA Geriatrics Section Balance and Falls Special Interest Group. She is a member of the APTA Connecticut chapter, Women’s Health, Geriatric, Orthopaedic, and Research sections as well as the Balance and Falls and Osteoporosis Special Interest Groups. She was the 1999 winner of the APTA Section on Geriatrics Lynn Phillippi Advocacy for Older Adults Award, and received the U Conn Allied Health Research Award for Excellence in 2001.

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