Functional Assessment and Exercise for the Aging Adult

Author / Instructor: Dale Avers PT, DPT, Ph.D., FAPTA and Patrick VanBeveren PT, DPT, MA, OCS, GCS, CSCS 
Profession: Physical Therapist Assistants, Physical Therapists
Jurisdiction: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Guam, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virgin Islands (U.S.), Virginia, Washington, West Virginia, Wisconsin, Wyoming
CEU Hours: 7
Course Method: Online
Provider: Educata
Amount: $210
Active: Yes

Functional Assessment and Exercise for the Aging AdultRecommended Lecture Sequence:

Introduction to Functional Assessment (1.50 hours)

Description

This 1.5 hour course introduces the concept of a function-based examination versus the standard impairment-based examination within the context of the disablement model. We discuss the limitations of a traditional strength examination when addressing mobility disability and explore the role of physical activity. Standards for choosing the best functional assessment tools are examined with emphasis on clinimetric properties.

Goals & Objectives:

Following your active participation in this course, you will be able to:

  1. Philosophically adopt a function-based approach to evaluating an aging adult.
  2. Recognize the role of physical activity in aging.
  3. Understand the role of sarcopenia in mobility disability.
  4. Utilize likelihood ratios to evaluate the predictive validity of a test.
  5. Utilize the MCID in evaluating an individual patient’s progress.

Introduction to Exercise (1.00 hour)

Description

This one-hour course describes common musculoskeletal changes seen in aging individuals including the sequelae of sarcopenia and osteoporosis. The role of physical activity and exercise and their consequences in mobility disability among aging adults is discussed within the context of the slippery slope of aging with methods to prevent the typical sequalae proposed.

Goals & Objectives:

Following your active participation in this course, you will be able to:

  1. Describe the benefits of physical activity and exercise for the aging/older adult.
  2. Describe the consequences of a sedentary lifestyle at the individual and societal level.
  3. Manage the sequelae of mobility disability in aging adults.
  4. Diagram and examine the slippery slope of aging.

Mobility Disability (2.00 hours)

Description

This two-hour lecture describes six credible and popular tools to measure and assess functional mobility including timed walk tests, stair climbing, and gait speed. Current evidence regarding each test’s validity, procedures, and interpretation is examined and applied to patient examples. Actual patient videos are used to demonstrate the tests.

Goals & Objectives:

Following your active participation in this course, you will be able to:

  1. Perform and interpret the following tests on appropriate patients/clients:
    1. Timed Up and Go Test
    2. Timed walk tests
    3. Gait speed tests
    4. Stair climbing tests
    5. Floor rise tests
  2. Document and communicate results accurately and effectively to others.

Strengthening Principles (2.50 hours)

Description

This 2.5-hour course presents an evidence-based exercise prescription for the most effective intervention for mobility disability, strengthening. Within the context of the physical stress theory, overload, specificity, repetitions, frequency, type of contraction, adaptation, motor learning, progression and safety are thoroughly examined and applied to specific presentations of mobility disability.

Goals & Objectives:

Following your active participation in this course, you will be able to:

  1. Develop an evidence-based exercise prescription for older adults, utilizing parameters of frequency, intensity, specificity, and dose (sets and reps) for the remediation of mobility disability based on functional level across a variety of settings.
  2. Interpret and apply the physical stress theory within the context of an exercise prescription for aging adults.
  3. Differentiate between the role of overload and specificity and discuss their relative importance in mediating mobility disability.
  4. Differentiate between motor learning and strength gains.
  5. Develop specific exercises to improve power, strength, and coordination.
  6. Utilizing a version of the 1RM principle, objectively evaluate any movement for the effective amount of overload required to gain strength.
  7. Design an exercise prescription for different muscle types.
  8. Integrate the concept of muscle confusion into an exercise prescription.
  9. Recognize safety issues in exercise prescription.
  10. Recognize consequences of lack of adherence to evidence-based exercise prescription principles.

Continuing education credits

This course is acceptable for credit in most states for PTs and PTAs.
 

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