Advances in Strength Training for Older Adults

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Speaker

Jamie Miner, PT, DPT, GCS Related seminars and products

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Jamie Miner, PT, DPT, GCS, provides specialized services to many skilled nursing facilities and earned geriatric clinical specialist designation through the American Physical Therapy Association. She has experience in home health, acute care, outpatient vestibular rehab and fall prevention, acute rehab, sub-acute rehab, and long-term care. Additionally, she serves as a clinical instructor to many doctoral physical therapy students. Jamie graduated with a BS degree in PT from UNC Chapel Hill, a DPT from Shenandoah University in March 2003.

 

Speaker Disclosures:
Financial: Jamie Miner has employment relationships with Gallowayridge Rehabilitation and Sunnybrook Skilled Nursing Facility. She receives a consulting fee, speaking honorarium, and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Jamie Miner is a member of the American Physical Therapy Association, the Neurology Section and Academy of Geriatric Physical Therapy, and the Vestibular Disorders Association. She serves on the North Carolina Board of Physical Therapy Examiners.

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Objectives

1. Assess normal age-related changes and will develop treatment plans to minimize those effects to accommodate for the normal age-related changes.
2. Analyze when weakness, deconditioning, poor posture, faulty movement habits, and poor core stability affect function and formulate the best treatment strategies to address these problems.
3. Apply evidence-based treatment plans to strength training principles to enhance patient outcomes across various diagnosis and injuries.
4. Analyze the proper balance between core muscles in the maintenance of spinal health and specific treatment approaches to address spinal changes with aging.
5. Skillfully assess older patients for gait, balance, strength, coordination, flexibility with specific outcome measures using the recently established guidelines and recommendation.
6. Integrate the risks and precautions for osteoporosis treatment exercises, treatment and prevention of frailty fractures and the dietary requirement to promote bone healing.
7. Integrate motivation and engagement into treatment plans to enhance patient compliance.

Outline

• Musculoskeletal and postural changes
• Osteoporosis and osteoarthritis
• Cardiovascular changes
• Vision and hearing changes
• Joint replacement
• Aging and disease processes
• The impact of medications and the contraindications as indicated in the BEERs criteria as published by the American Geriatrics Society (AGS)

• Pain
• Gait 
• Posture
• Mobility 
• Strength 
• Balance
• Range of motion
• Aerobic capacity
• Sensory-motor assessment
• Cognition
• Motivation

• Quick tips to fallers
• Reduce fall risk, minimize fall impact and injury
• Fall recovery
• Reduce environmental fall risks
• Strategies for home safety   
• Impact comorbidities have on an individual’s fall risk, including arthritis, stroke, neurological diseases such as Parkinson’s disease and multiple sclerosis
• Care after a fall and conduct a root cause analysis when a fall occurs to identify patient, environmental and systemic conditions that may have led to a fall
• Safe transfer techniques, wheelchair safety and evaluation of assistance devices

• Safe and Effective Exercise for Aging Adults
• Precautions to exercise in the elderly
• Intensity and frequency considerations
• Exercises and accommodations for:
  • Pain management
  • Building strength and endurance
  • Improving balance
  • Increasing mobility
  • Aerobic conditioning 
• Recognize red flags and contraindication to exercise
• Tips to optimize motivation and compliance

• Frailty
• Obese
• Cardiovascular patients
• Limited mobility (chair bound)
• Diabetics
• Cardiovascular disease
• Parkinson’s dis
• CVA
• MS

• Specific needs for those with Parkinson’s disease, osteoporosis. diabetes

• Use of skilled terminology, avoidance of red flags, and adequate, concise documentation.

Target Audience

• Physical Therapists
• Occupational Therapists
• Chiropractors
• Athletic Trainers
• Nursing Home Administrators
• Personal Trainers
• Exercise Physiologists