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Comprehensive Approach to Aging Confidently: Geriatric Posture, Core and Balance – Shari Kalkstein

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Improving Quality of Life Through Training the Spine

According to the National Osteoporosis Foundation, about 54 million Americans have osteoporosis and low bone mass, putting them at increased risk for osteoporosis. Approximately 1 in 2 women and up to 1 in 4 men age 50 and older will break a bone due to osteoporosis. Falls are the leading cause of injury-related death and nonfatal injuries in adults age 65 and older. The National Council on Aging reports that every 15 seconds, an older adult is seen in the ER for a fall-related injury. This problem becomes more prevalent as the population of older adults increases. However, with appropriate nutrition, exercise, and guidance from well-trained professionals, adults can live more active and enjoyable lives.

This recording provides you with hands-on, practical insight into some of the physical changes occurring in the spines of older adults. Gain easy-to-use tools to understand the risk factors for a fall-related incident and identify clients most at risk of falls. Several degenerative conditions will be discussed, along with how to address them through strength training and postural exercises. New approaches and strategies will be demonstrated and practiced with hands-on lab, allowing you to immediately adapt them with your clients. Learn how to empower your clients so they can regain their strength, posture, and confidence.


  1. Evaluate the effects of degenerative spinal conditions associated with aging
  2. Identify controllable and uncontrollable risk factors for osteoporosis
  3. Discuss the goals of strength training for clients with spinal and postural degeneration
  4. Identify risk for falls and balance concerns
  5. Incorporate healthy balance and fall activities into their current exercise program
  6. Develop and instruct older adults on self-assessments following a fall

THE SPINE

  • Degenerative spine conditions associated with aging
    • Stenosis
    • Spondylosis
    • Spondylolisthesis
    • Osteoporosis
  • Definition of each
  • Risk factors for osteoporosis
    • Uncontrollable
    • Controllable

GUIDELINES FOR EXERCISE

  • Goals for the aging adult
  • Evaluation and prioritizing types of exercises for the aging adult
  • Modifications for exercises

POSTURAL RE-EDUCATION EXERCISE

  • Modifications
  • Priority of extension exercises

TRUNK, CORE (ABDOMINALS & SPINAL)

  • Guidelines
  • Neutral spine
  • Core stability exercises

BALANCE & FALLS

  • Risk factors for falls
  • Preventing falls
  • Balance assessments
    • 11 assessments of balance and fall risk
      • Flexibility
      • Strength and endurance
      • Agility and balance
  • I’ve fallen, now what?
    • Skills following a fall
    • Floor mobility
      • Exercises
    • Arthritic modifications
  • Cognitive components of exercises
    • Counting
    • Multi-planer exercises

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