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Most of us don’t build muscle mass after young adulthood. After we turn 50 our muscle mass decreases 1-2% per year. From our 20s until the age of 80, our muscle mass decreases by 30 – 50%! This becomes increasingly noticeable after age 70.Our strength declines by 10%-15% per decade until age 70, when this loss accelerates to 25% to 40% per decade. Sarcopenia, or muscle loss, often serves as a harbinger of frailty. But frailty is not normal with aging. The five factors of frailty (three must be met to be considered frail): Unintentional weight loss; exhaustion; muscle weakness; slowness in walking; low levels of activity. Multiple studies show that a good exercise program, including aerobic, strength, and balance regimens, preserves muscle mass in older generations. Chapter explains how frailty is a group of symptoms that can be effectively avoided or treated.
Edited by
Michael Selzer, University of Pennsylvania,Stephanie Clarke, Université de Lausanne, Switzerland,Leonardo Cohen, National Institute of Mental Health, Bethesda, Maryland,Pamela Duncan, University of Florida,Fred Gage, Salk Institute for Biological Studies, San Diego
Balance, a skill required to maintain upright posture, has both orientation and stability components. A postural control strategy is selected to achieve the desired body orientation and a copy of the control strategy is fed to the internal models to yield estimated orientation and expected sensory afferent signals. This chapter covers two resources that are crucial for balance control are sensory strategies and movement strategies. Nagi's disablement scheme is a helpful model to use in approaching balance assessment, the first step in balance rehabilitation. Just as assessment of balance is multifactorial, so is treatment of balance disorders. Many different approaches have been used to treat balance disorders, including generalized exercise programs, balance-specific exercises, training of postural strategies, sensory organization training, biofeedback, and environmental modifications paired with education. Through careful assessment and treatment, it is possible to significantly improve balance and reduce fall injuries in individuals with Parkinson disease (PD).
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