By Kele Murdin, PT, MPT | 10.24.2019
“Healthy aging” and “aging well” are used quite often, but
people outside the aging services or health care sectors rarely understand the
full meaning of these phrases. October is National Physical Therapy Month and a
wonderful chance to remind the public of the value of physical therapy in
supporting the health and independence of America’s older adults.
In the past, physical therapy was perceived as a reactionary
profession; most people believe physical therapists (PTs) only work with
people after they were injured. This misconception overlooks
much of the value physical therapists offer the older adult community to keep
them safe and independent. PTs are changing their profession to include
treatment of injury and education on preventive strategies that reduce injuries
altogether.
Physical therapists are highly trained health care
professionals, with an expertise in movement and exercise. Their skills and
knowledge base are essential when dealing with the complexities of aging.
Physical therapy training includes assessment, exercise prescription, and
progression, all with appropriate monitoring. All these skills can be utilized
for older adults before injury happens. And if used more in this way, physical
therapists can play a key role in the prevention of injury, functional decline,
and disability.
Fitness at any age is made up of five key aspects:
- flexibility
- strength
- endurance
- posture
- balance
Extensive studies have provided norms for each of these
categories. By using these guidelines to determine what is normal for older
adults of similar age and gender physical therapists can explain how a
patient’s circumstances compare with their peers’. More importantly, a physical
therapist can assess results against important thresholds related to falls,
disability, and even mortality. When areas of concern are identified, a PT can
prescribe individualized exercises to strengthen key muscles, improve balance
and flexibility, and increase you overall wellbeing. For example, if someone
scores low in the area of balance and strength, the evidence-based Otago exercise program could be
prescribed. The Otago exercise program has been studied extensively with older
adults and is proven to reduce falls up to 50%.
Include PTs in your list of options and resources for aging
well. The knowledge and expertise they provide can prevent or reduce issues
before they arise, and make it easier for you to stay healthy and independent.
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