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Program Design Considerations for Seniors Who Use a Walker

by James Di Naso, MS, CSCS, NSCA-CPT, Malia Gunn, Amanda Johnson, and Niondina Nyström, MS, CSCS, NSCA-CPT
Personal Training Quarterly May 2024
Vol 11, Issue 1

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This article will present exercise programming considerations for seniors who use a walker and provide an example client profile to demonstrate how these considerations can be applied to clients using a walker.

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This article originally appeared in Personal Training Quarterly (PTQ)—a quarterly publication for NSCA Members designed specifically for the personal trainer. Discover easy-to-read, research-based articles that take your training knowledge further with Nutrition, Programming, and Personal Business Development columns in each quarterly, electronic issue. Read more articles from PTQ »

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References

  1. Accetta, M. How aging affects testosterone and muscle mass in men. June 2023. Hospital for Special Surgery. Retrieved 2024 from https://www.hss.edu/article_muscle-mass-testosterone. asp#:~:text=According%20to%20Accetta%2C%20as%20 people%20age%2C%20they%20lose,speed%20up%20their%20 decline%2C%20this%20becomes%20increasingly%20harder.
  2. America’s Health Rankings. Analysis of CDC Wonder. Singlerace population estimates, United Health Foundation. Retrieved 2024 from https://www.AmericasHealthRankings.org.
  3. Bergstrom, G, Aniansson, A, Bjelle, A, Grimby, G, Lundgren- Lindquist, B, and Svanborg, A. Functional consequences of joint impairment at age 79. Scandinavian Journal of Rehabilitation Medicine 17(4): 183-190, 1985.
  4. Brooks, HL, Rushton, K, Lovell, K, Bee, P, Walker, L, Grant, L, and Rogers, A. The power of support from companion animals for people living with mental health problems: A systematic review and narrative synthesis of the evidence. BMC Psychiatry 18(1): 31, 2018.
  5. Bureau, US. Older people projected to outnumber children for the first time in U.S. history. 2021. Census.gov. Retrieved 2024 from https://www.census.gov/newsroom/press-releases/2018/cb18-41- population-projections.html.
  6. Buyukavci, R, Akturk, S, Evren, B, and Ersoy, Y. Impacts of combined osteopenia/osteoporosis and sarcopenia on balance and quality of life in older adults. Northern Clinics of Istanbul 7(6): 585-590, 2020.
  7. Chodock, E, Hahn, J, Setlock, CA, and Lipps, DB. Identifying predictors of upper extremity muscle elasticity with healthy aging. Journal of Biomechanics 103: 109687, 2020.
  8. Claflin, DR, Larkin, LM, Cederna, PS, Horowitz, JF, Alexander, NB, Cole, NM, et al. Effects of high- and low-velocity resistance training on the contractile properties of skeletal muscle fibers from young and older humans. Journal of Applied Physiology 111(4): 1021-1030, 2011.
  9. Clark, BC, and Manini, TM. What is dynapenia? Nutrition 28(5): 495-503, 2012.
  10. Corrigall, C. Overcoming barriers to elderly exercise. 2019. Aegis Living. Retrieved 2024 from https://www.aegisliving. com/resource-center/overcoming-barriers-to-exerciseamong- the-elderly/.
  11. Dhillon, RJ, and Hasni, S. Pathogenesis and management of sarcopenia. Clinics in Geriatric Medicine 33(1): 17-26, 2007.
  12. Di Naso, J, Pritschet, B, Emmett, J, Owen, J, Willardson, J, Beck, TW, et al. Comparing thigh muscle cross-sectional area and squat strength among national class Olympic weightlifters, power lifters, and bodybuilders. Sabinet 13(2): 43-84, 2014.
  13. Dubbeldam, R, Lee, YY, Pennone, J, Mochizuki, L, and Mouel, CL. Candidate fall risk prognostic factors assessed from motion analyses of challenging locomotion tasks: A systematic review. 2022. MedRxiv. Retrieved 2024 from https://www.medrxiv.org/ content/10.1101/2022.06.23.22275679v1.
  14. Elgaddal, N, Kramarow, EA, and Reuben, C. Physical activity among adults aged 18 and over: United States, 2020. NCHS Data Brief 443: 1-8, 2022.
  15. Endocrine Society. Menopause and bone loss. January 2022. Endocrine Society. Retrieved 2024 from https://www.endocrine. org/patient-engagement/endocrine-library/menopause-and-boneloss#:~: text=Menopause%20is%20the%20most%20common%20 cause%20of%20osteoporosis.,reduction%20during%20 menopause%20significantly%20speeds%20up%20bone%20loss.
  16. Flint, B, and P, Tadi. Physiology, aging. 2021. StatPearls Publishing. Retrieved 2024 from https://www.ncbi.nlm.nih.gov/ books/NBK556106/.
  17. Fuller, GF. Falls in the elderly. 2000. American Family Physician. Retrieved 2024 from https://www.aafp.org/pubs/afp/ issues/2000/0401/p2159.html.
  18. Gell, NM, Wallace, RB, LaCroix, AZ, Mroz, TM, and Patel, KV. Mobility device use in older adults and incidence of falls and worry about falling: Findings from the 2011-2012 national health and aging trends study. Journal of the American Geriatrics Society 63(5): 853-859, 2015.
  19. Himann, JE, Cunningham, DA, Rechnitzer, PA, and Paterson, DH. Age-related changes in speed of walking. Medicine and Science in Sports and Exercise 20(2): 161-166, 1988.
  20. Holubiac, IȘ, Leuciuc, FV, Crăciun, DM, and Dobrescu, T. Effect of strength training protocol on bone mineral density for postmenopausal women with osteopenia/osteoporosis assessed by dual-energy X-ray absorptiometry (DEXA). Sensors (Basel) 22(5): 1904, 2022.
  21. Jung, H, Tanaka, S, Iwamoto, Y, Kawano, T, Yamasaki, M, and Tanaka, R. Reductions in muscle strength and range of motion cause locomotion disability via locomotion-related functional limitation in Japanese older adults: A cross-sectional study. Journal of Aging Research 6627767, 2021.
  22. Lavin, KM, Roberts, BM, Fry, CS, Moro, T, Rasmussen, BB, and Bamman, MM. The importance of resistance exercise training to combat neuromuscular aging. Physiology 34(2): 112-122, 2019.
  23. Law, TD, Clark, LA, and Clark, BC. Resistance exercise to prevent and manage sarcopenia and dynapenia. Annual Review of Gerontology and Geriatrics 36(1): 205-228, 2016.
  24. Lexell, J, Taylor, CC, and Sjostrom, M. What is the cause of the ageing atrophy? Total number, size and proportion of different fiber types studied in whole vastus lateralis muscle from 15- to 83-year-old men. Journal of Neurological Science 84(2- 3): 275-294, 1988.
  25. Looker, A, and Frenk, S. Percentage of adults aged 65 and over with osteoporosis or low bone. 2015. Center for Disease and Control Prevention. Retrieved 2024 from https://www.cdc.gov/ nchs/data/hestat/osteoporsis/osteoporosis2005_2010.pdf.
  26. Misner, JE, Massey, BH, Bemben, MG, Going, S, and Patrick, J. Long-term effects of exercise on the range of motion of aging women. The Journal of Orthopaedic and Sports Physical Therapy 16(1): 37-42, 1992.
  27. Munns, K. Effects of exercise on the range of joint motion in elderly subjects. In: Smith, EL, Serfass, RC (Eds), Exercise and Aging: The Scientific Basis Enslow Publishers; 167-178, 1981
  28. National Institute of Aging. Maintaining mobility and preventing disability are key to living independently as we age. 2022. Retrieved 2024 from https://www.nia.nih.gov/news/ maintaining-mobility-and-preventing-disability-are-key-livingindependently- we-age.
  29. National Institute of Health Osteoporosis overview. 2022. Retrieved 2024 from https://www.bones.nih.gov/health-info/bone/ osteoporosis/overview.
  30. Power, GA, Dalton, BH, Behm, DG, Vandervoort, AA, Doherty, TJ, and Rice, CL. Motor unit number estimates in masters runners: Use it or lose it? Medicine and Science in Sports and Exercise 42(9): 1644-1650, 2010.
  31. Reid, KF, and Fielding, RA. Skeletal muscle power: A critical determinant of physical functioning in older adults. Exercise and Sport Sciences Reviews 40(1): 4-12, 2012.
  32. Sabharwal, S, Wilson, H, Reilly, P, and Gupte, CM. Heterogeneity of the definition of elderly age in current orthopedic research. SpringerPlus 4: 516, 2015.
  33. Takahashi, N, Ebner, C, Sigl-Glockner, J, Moberg, S, Nierwetberg, S, and Larkum, ME. Active dendritic currents gate descending cortical outputs in perception. Nature Neuroscience (10): 1277-1285, 2020.
  34. Upendram Srinivas-Shankar, Roberts, SA, Connolly, MJ, O’Connell, MDL, Adams, JE, Oldham, JA, et al, Effects of testosterone on muscle strength, physical function, body composition, and quality of life in intermediate-frail and frail elderly men: A randomized double-blind, placebo-controlled study. The Journal of Clinical Endocrinology and Metabolism 95(2): 639-650, 2010.
  35. West, BA, Bhat, G, Stevens, J, and Bergen, G. Assistive device use and mobility-related factors among adults aged ≥ 65years. 2015. Journal of Safety Research. Retrieved 2024 from https:// www.ncbi.nlm.nih.gov/pmc/articles/PMC6464113.
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James J. Di Naso, MS, CSCS, NSCA-CPT

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For the past 31 years, James Di Naso has owned and operated The Body Club, a sports performance and personal training facility in Charleston, IL. Di N ...

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Malia Gunn

Malia Gunn attended Danville Area Community College to play collegiate softball. From there, she transferred to Eastern Illinois University to finish ...

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Amanda Johnson

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Amanda Johnson is a National Academy of Sports Medicine (NASM) Certified Personal Trainer (NASM-CPT), Womens Fitness Specialist, and Certified Nutriti ...

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Photo of Niondina Manon Nystrom, CSCS, NSCA-CPT
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Niondina Manon Nystrom, CSCS, NSCA-CPT

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Niondina Nystrm was born and raised in Bors, Sweden. She moved to the United States to join the Eastern Illinois University womens soccer team and ear ...

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