Research and News
Posts tagged older adult
Exercise with Thera-Band® Stability Trainers helps improve dynamic balance in patients with hip osteoarthritis and replacement
Jun 1st
According to the American Academy of Orthopedic Surgeons, there are over 200,000 hip replacements performed each year in the United States. The most common reason for hip replacement is osteoarthritis, the most common form of arthritis. “Hip School,” an exercise program for patients with osteoarthritis and hip replacement was developed in Germany in 1995 by orthopedic surgeon Thomas Horstmann and physiotherapist Georg Haupt. In the program, small groups of patients (10-15) exercise under the supervision of a physical therapist. Home exercises are also performed 3 to 4 times per week. The exercises focus on strength and balance exercises for 20 minutes, including:
- 1-leg balance, 15-30 seconds for 5 reps on each leg
- 1-leg balance with opposite leg movement for 1 to 3 sets of 15-25 reps
- Hip lift for 3 sets of 15-25 reps
- 2-leg calf raise with 2-second hold, 1 to 3 sets for 15 to 25 reps.
- Patients progress from a stable surface to Thera-Band Stability Trainers.
In a paper published in the Journal of Geriatric Physical Therapy, German researchers wanted to compare their Hip School participants with a non-exercising control group of hip patients. Each group was tested before and after 3 months using an oscillating platform (Posturomed®) to measure their static and dynamic balance. More >
Thera-Band® strength training for older adults: from acute care to home exercise
May 27th
One of the most common clinical mistakes is to arbitrarily assign resistance training levels to older adults, often choosing very low intensities. These low loads are often insufficient to increase muscle strength. Drs. Dale Avers and Marybeth Brown of the American Physical Therapy Association’s Section on Geriatrics published a whitepaper in the Journal of Geriatric Physical Therapy on strength training for older adults.
Both the Section on Geriatrics and the American College of Sports Medicine recommend strength training at 60% of 1 repetition maximum (RM) as the minimal intensity for strength gains. 1RM is the maximal amount of resistance an individual can move for only one repetition. Unfortunately, it’s often difficult to determine 1RM capabilities in older adults. Even using a multiple RM equation to estimate 1RM may not be accurate, since they haven’t been validated in older adults. However, using Thera-Band® resistance to quantify a multiple RM level has been validated in older adults (Manor et al.)
Using a “rating of perceived exertion” or RPE scale has been advocated to better estimate resistance exercise intensity. There are 2 popular RPE scales: the Borg scale and Omni scale. Several studies on older adults using elastic resistance have used Borg’s RPE scale to dose intensity, and More >
















































