How do you cope with impaired mobility?

by compound complex 30 Replies latest social entertainment

  • jgnat

    Also in my fifties here. With lifestyle changes I have been enjoying increased mobility these past few months. That even with some major setbacks including some cracked ribs. Listening to the body is a new skill. The burning pain of straining muscles, good. Sharp pain, stop. When I push past the burning pain I am rewarded with stronger muscles within a few days. I am delighted how fast the body responds.

  • compound complex
    compound complex

    Good morning, Zoos, cultBgone, bsmart and jgnat:

    Your kind and helpful words are much appreciated. THANKS!

    Yes, Zoos, exercise is very important. Got to keep moving, even if slowly!

    I understand what you mean about diet, cultBgone. Lots of vegetables here and no pro-food. Thanks for your commiseration!

    It's good you've found a remedy, bsmart, for your condition. Something that works. !

    Thankfully, your setbacks haven't hampered you, jgnat. I've always pictured you as a woman of action -- KUDOS!



  • stillin

    CoCo, I save pain killing drugs for the worst episodes. I do hard physical work and I'm in my mid sixties. The pain med with naproxen is an over-the-counter drug that I might take once a month or less, but it is very good.

    What bothers me most is not waking up refreshed, but still having joint pain. I wonder whether a few days off would make a difference. I once pulled one of my hamstring tendons and no matter how much I protected it at work, it refused to heal until I took a couple of days off and sat down in a chair all day and ice packed it.

  • Scott77
    "...Walking each morning took away the pain in my legs and lowered my blood pressure..."

    Yep, I agree walking does help. In regard to stalling the aging process, please see what research as to say about it.


    Gretchen Reynolds on the science of fitness.

    Regular exercise, including walking, significantly reduces the chance that a frail older person will become physically disabled, according to one of the largest and longest-running studies of its kind to date.

    The results, published on Tuesday in the journal JAMA, reinforce the necessity of frequent physical activity for our aging parents, grandparents and, of course, ourselves.

    While everyone knows that exercise is a good idea, whatever your age, the hard, scientific evidence about its benefits in the old and infirm has been surprisingly limited.

    “For the first time, we have directly shown that exercise can effectively lessen or prevent the development of physical disability in a population of extremely vulnerable elderly people,” said Dr. Marco Pahor, the director of the Institute on Aging at the University of Florida in Gainesville and the lead author of the study.

    Countless epidemiological studies have found a strong correlation between physical activity in advanced age and a longer, healthier life. But such studies can’t prove that exercise improves older people’s health, only that healthy older people exercise.

    Other small-scale, randomized experiments have persuasively established a causal link between exercise and healthy aging. But the scope of these experiments has generally been narrow, showing, for instance, that older people can improve their muscle strength with weight training or their endurance capacity with walking.

    So, for this latest study, the Lifestyle Interventions and Independence for Elders, or LIFE, trial, scientists at eight universities and research centers around the country began recruiting volunteers in 2010, using an unusual set of selection criteria. Unlike many exercise studies, which tend to be filled with people in relatively robust health who can easily exercise, this trial used volunteers who were sedentary and infirm, and on the cusp of frailty.

    Ultimately, they recruited 1,635 sedentary men and women aged 70 to 89 who scored below a nine on a 12-point scale of physical functioning often used to assess older people. Almost half scored an eight or lower, but all were able to walk on their own for 400 meters, or a quarter-mile, the researchers’ cutoff point for being physically disabled.

    Then the men and women were randomly assigned to either an exercise or an education group.

    Those in the education assignment were asked to visit the research center once a month or so to learn about nutrition, health care and other topics related to aging.

    The exercise group received information about aging but also started a program of walking and light, lower-body weight training with ankle weights, going to the research center twice a week for supervised group walks on a track, with the walks growing progressively longer. They were also asked to complete three or four more exercise sessions at home, aiming for a total of 150 minutes of walking and about three 10-minute sessions of weight-training exercises each week.

    Every six months, researchers checked the physical functioning of all of the volunteers, with particular attention to whether they could still walk 400 meters by themselves.

    The experiment continued for an average of 2.6 years, which is far longer than most exercise studies.

    By the end of that time, the exercising volunteers were about 18 percent less likely to have experienced any episode of physical disability during the experiment. They were also about 28 percent less likely to have become persistently, possibly permanently disabled, defined as being unable to walk those 400 meters by themselves.

    Most of the volunteers “tolerated the exercise program very well,” Dr. Pahor said, but the results did raise some flags. More volunteers in the exercise group wound up hospitalized during the study than did the participants in the education group, possibly because their vital signs were checked far more often, the researchers say. The exercise regimen may also have “unmasked” underlying medical conditions, Dr. Pahor said, although he does not feel that the exercise itself led to hospital stays.

    A subtler concern involves the surprisingly small difference, in absolute terms, in the number of people who became disabled in the two groups. About 35 percent of those in the education group had a period of physical disability during the study. But so did 30 percent of those in the exercise group.

    “At first glance, those results are underwhelming,” said Dr. Lewis Lipsitz, a professor of medicine at Harvard Medical School and director of the Institute for Aging Research at Hebrew SeniorLife in Boston, who was not involved with the study. “But then you have to look at the control group, which wasn’t really a control group at all.” That’s because in many cases the participants in the education group began to exercise, study data shows, although they were not asked to do so.

    “It wouldn’t have been ethical” to keep them from exercise, Dr. Lipsitz continued. But if the scientists in the LIFE study “had been able to use a control group of completely sedentary older people with poor eating habits, the differences between the groups would be much more pronounced,” he said.

    Over all, Dr. Lipsitz said, “it’s an important study because it focuses on an important outcome, which is the prevention of physical disability.”

    In the coming months, Dr. Pahor and his colleagues plan to mine their database of results for additional followup, including a cost-benefit analysis.

    The exercise intervention cost about $1,800 per participant per year, Dr. Pahor said, including reimbursement for travel to the research centers. But that figure is “considerably less” than the cost of full-time nursing care after someone becomes physically disabled, he said. He and his colleagues hope that the study prompts Medicare to begin covering the costs of group exercise programs for older people.

    Dr. Pahor cautioned that the LIFE study is not meant to prompt elderly people to begin solo, unsupervised exercise. “Medical supervision is important,” he said. Talk with your doctor and try to find an exercise group, he said, adding, “The social aspect is important.”

    Mildred Johnston, 82, a retired office worker in Gainesville who volunteered for the LIFE trial, has kept up weekly walks with two of the other volunteers she met during the study.

    “Exercising has changed my whole aspect on what aging means,” she said. “It’s not about how much help you need from other people now. It’s more about what I can do for myself.” Besides, she said, gossiping during her group walks “really keeps you engaged with life.”

    A version of this article appears in print on 05/28/2014, on page A12 of the NewYork edition with the headline: Exercise for Older Adults Helps Reduce Their Risk Of Disability, Study Says .

  • compound complex
    compound complex

    I'm sorry to hear this, stillin!

    I can relate totally with your situation, which closely resembles mine.

    Yes, a few days off, a few days off . . . We may feel recovered during that moment of respite, but back at the hard work we both must do, the increasing lack of mobility and resultant pain are exasperating. I hope you can find some level of balance, stillin!

    Seems we'll be working till that last moment. ???



  • compound complex
    compound complex

    Thanks, Scott77!

    Great read! We want to remain engaged with life:

    “Exercising has changed my whole aspect on what aging means,” she said. “It’s not about how much help you need from other people now. It’s more about what I can do for myself.” Besides, she said, gossiping during her group walks “really keeps you engaged with life.”

  • compound complex
    compound complex

    Have a good day, all!

    Off and running (well, figuratively speaking!) to work.



  • Scott77

    Hi CoCo,

    Thank you. Just this morning I saw this article and decided must save it for future use in case I reach past 50s. COCO, I hope you are doing well and that you may need to find alternative job that is less physically straining.


  • snowbird

    Hi, CoCo.

    How do I cope with impaired mobility?

    I force myself to walk - around the house, the backyard, down the road.

    If I'm going for a lengthy walk, I ask my g'daughter to come with me; in case the dizziness (Meniere's disease) becomes too much for me to handle, she can go back and get the car.

    I absolutely refuse to allow myself to become a couch potato.


  • villagegirl

    Read an article on carbonated drinks, Coca Cola, 7-UP, and all similiar.

    These drinks have chemicals and carbonation in them that disolve bone

    structures and joints and contribute to arthritis and obesity, even the

    so-called Diet drinks contribute to obesity and bone disintegration.

    Its back to the old advice... diet and exercise.

    Enough sleep is important as well.

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