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Functional Fitness Solutions Assess, Interpret, Solve Presented by Debra Atkinson, MS, CSCS

Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

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Postural Assessment and Body Mechanics approach to selection of exercise makes movement more beneficial and less likely to cause injury. A step-by-step plan not entirely different from apparently healthy populations can be applied for individuals and with planning in groups where one-on-one is not feasible. Special conditions can be overcome with careful planning.

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Page 1: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

Functional Fitness Solutions

Assess, Interpret, SolvePresented by

Debra Atkinson, MS, CSCS

Page 2: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

Ability vs. Age

• Athletic• Already Active• Getting Started• Needs a Little Assistance• Needs Ongoing Support

Page 3: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

MODIFYING ASSESSMENTSModifying movement solutions

Page 4: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

Assessments

• Lateral• Anterior• Posterior• Articulation• Squats• Tandem Lunge• Tandem Walk• Step Over• Clock

• Support• Support• Support• Possible Elimination• Height• Support and Depth• Support• Support• Reach Height

Page 5: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

Interpretation

Static Posture• Ankle Mobility• Knee F – E – N• Adductors• Abductors• Pelvis A – P – N• Thoracic Spine• Shoulders• Cervical Spine• Head

Movement Mechanics• Flexion – Extension, In-Ev• Strengthen – Stretch• Strengthen – Stretch• Strengthen - Stretch• Abs – Back• Retraction & Extension• Retraction • Retraction-Extension• Forward head -tilt

Page 6: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

Progression Plan

• Mobility (before Strength)• Clean Up Imbalances• Strength (neural connection)• Balance• Multi-planar & Unilateral movement• Physical Activity or Cardio Exercise• Increased Intensity• Power – Agility - Reaction

Page 7: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

STRETCH-STRENGTHEN-STRETCHReducing Imbalances

Page 8: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

Sample Strength & Function Class

• Core Temp Elevation• Functional Warm-up (unilateral) • Strength • Reaction – Agility – Coordination• Balance – Dual Tasking• Mobility

Page 9: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

GROUP VS. PRIVATE

• AVERAGE TARGET• Safety via Support

• ATHLETE: • A. ACTIVE:• GETTING STARTED:• Needs Assistance• Ongoing Assistance

• SPECIFIC GOALS • Ability focused • Spotting Available

Page 10: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

Lower BackIndirect

• Hip Flexibility– #4– Hip Flexor– Hamstring– Legs Open

• Lying, Standing, Seated• Kneeling, Half-stand, Standing• Lying, Seated, Standing• Lying

Page 11: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

Lower Back

• Spinal Mobility– Articulation – Rotation– Lateral flexion

• Seated• Standing• Seated on Floor• Propping with ball

Page 12: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

CORE Ex Rx

Standing • Pulling, Pushing, Static• Rotation

Seated• Pulling, Pushing, Static• Rotation

MOVEMENTS of the CORE• STABILIZATION• LATERAL FLEXION• ROTATION• EXTENTION• (FORWARD FLEXION 0)

Page 13: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

SOLUTIONS Functional Limitations• Inability to floor• Limited by Back Pain• Compromised Balance

Wall Anchored TubingCable MachinesReinforced Walls (med ball toss)One sided carrySingle Arm Pull -tubingSingle Arm Press-tubingAlternate Elbow to KneeBand stepLong Lever Weight RaiseFlashlight Rotation

Page 14: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

CORE STRENGTHCenter of Balance, Strength, Functional Stability and Movement

Page 15: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

Progression

• Stabilization– Bilateral– Unilateral– Linear– Multiplanar– Standing– Seated

Page 16: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

Progression

• Dynamic Stabilization– Body weight– Resistance bands– Weighted Balls– Reaction

Page 17: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

Progression

• Rotation– BOS manipulation– Bilateral– Unilateral– Chest height– Superior to inferior– Inferior to Superior

Page 18: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

Progression

• Back Extension– Limb extension– Bridge (floor mobile)– Bridge Roll (floor mobile)– All Fours Mobility or Bent Over Chair– All Fours Mobility with band

Page 19: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

Progression

• Lateral Flexion– Side Bridge knees vary hand placement– Side Bridge Feet scissor– Side Bridge Feet stacked– Side Bridge with Flexion

Page 20: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

EXCUSES ARE REASONSDealing with Vulnerability and Fear Caused by Conditions

Page 21: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

Knee and Other Joint IssuesThe lack of confidence and pain result in less

activity…result in greater weakness….increasing risk

Page 22: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

Obesity

Additional weight adds stress to knees, joint pain often excuse for not moving won’t improve without

weight control…

Page 23: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

VertigoBegin with static positions, move to dynamic without rotation or head movement, and pay

attention to focus, and no rapid changes

Page 24: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

Prioritize:Pain-Free Movement

Enhanced MobilityIncreased Stability

Additional Strength

Page 25: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

Include All Components Every Session

Include “homework” for individuals by level for ex.

Page 26: Functional Fitness Solutions for Older Adults: How to Assess and Interpret Postural Needs More Specifically

Thank You

Presented ByDebra Atkinson, MS, CSCSwww.voiceforfitness.com

[email protected] request a pdf of core progressions

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