Achieve Optimal Older Health: Management and Prevention with Elevate Physiotherapy
- Joseph Foster
- May 24, 2024
- 4 min read
Updated: Jul 2, 2024
As we age, maintaining physical health becomes increasingly important, and this is where physiotherapy plays a crucial role. Physiotherapy is a healthcare profession focused on diagnosing, managing, and preventing physical impairments, disabilities, and pain through supported movement, exercise, manual therapy, and education.
After the age of 55, several changes can affect our bodies and minds. Physically, muscle mass, strength, and bone density tend to decrease. Physiologically, cardiovascular and respiratory efficiency may decline, and our metabolism can slow down. Cognitively, we might experience slower information processing and memory lapses. These changes can lead to chronic health conditions such as arthritis, cardiovascular diseases, diabetes, and osteoporosis.

The Natural Ageing Process
Muscle Mass, Strength, and Power Loss:
As we age, sarcopenia, or the loss of muscle mass and strength, becomes a significant concern. This condition typically begins around age 50 and accelerates after 60, resulting in reduced muscle power and endurance. The decrease in muscle mass not only impairs physical function but also increases the risk of falls and fractures. The primary causes include hormonal changes, decreased physical activity, and nutritional deficiencies. Resistance and strength training, guided by a physiotherapist, can counteract these effects by stimulating muscle hypertrophy and improving neuromuscular function, helping maintain independence and powerful movements for everyday tasks.
Balance Deterioration:
Ageing affects several systems critical to maintaining balance, including the vestibular system, proprioception, and vision. The vestibular system, which helps control balance and spatial orientation, deteriorates with age, leading to issues like dizziness and vertigo. Proprioceptive decline reduces the ability to sense body position, contributing to unsteadiness. Visual acuity also decreases, making it harder to navigate environments safely. Physiotherapy can mitigate these effects through balance training exercises, vestibular rehabilitation, and dual tasking, enhancing stability and reducing fall risk. Techniques like tai chi and dynamic balance exercises are particularly effective in improving postural control.
Cognitive Changes:
Cognitive decline is another aspect of ageing, ranging from mild cognitive impairment to severe conditions like dementia. Common changes include slower processing speeds, reduced memory, and difficulty with complex tasks. These cognitive shifts can affect an individual's ability to perform daily activities and maintain independence. Physiotherapy can support cognitive health by incorporating physical exercises that improve blood flow to the brain, promote neuroplasticity, and enhance overall brain function. Cognitive exercises, coupled with physical activity, can also help delay the progression of cognitive decline and improve quality of life.

Chronic Health Conditions and How Physiotherapy Can Help You
Stroke
Stroke is a leading cause of disability in older adults, resulting in impairments in motor function, speech, and cognition. Physiotherapy is essential in stroke rehabilitation and reshaping neuroplasticity in the brain, focusing on restoring normal movement patterns, strength, and functional independence. Early intervention is critical, with evidence supporting the benefits of starting physiotherapy as soon as possible post-stroke. Techniques such as range of movement stretches, task-specific training, and neuromuscular re-education are used to enhance motor recovery. Physiotherapists also provide gait training, balance exercises, and aerobic conditioning to improve cardiovascular health and prevent recurrent strokes.
Parkinson’s Disease
Parkinson’s disease is a progressive neurological disorder characterised by tremors, rigidity, bradykinesia (slowness of movement), and postural instability. Physiotherapy helps manage Parkinson’s by improving mobility, balance, and functional independence. Research highlights the effectiveness of increasing physical activity and working at high intensity. Exercise programmes tailored to the individual’s needs, which focusing on large amplitude movements, balance, resistance training and high intensity workouts to slow down disease progression. Physiotherapists also employ techniques to enhance gait, reduce freezing episodes, and improve postural control. To which can slow disease progression and improve quality of life by maintaining physical function and reducing symptoms.
Frailty
Frailty is a common syndrome in older adults, marked by reduced strength, endurance, and physiological reserve, increasing vulnerability to adverse health outcomes. Physiotherapy addresses frailty through comprehensive exercise programmes that include strength training, aerobic exercises, and balance activities. These interventions aim to enhance muscle mass, improve cardiovascular health, and boost overall physical performance. Research supports the benefits of multi-pronged exercise programmes in reducing frailty and increasing physical reserves. Physiotherapists also educate patients on nutrition and lifestyle modifications to support overall health and prevent further decline.
Falls
Falls are a leading cause of injury and hospitalisation among older adults. Physiotherapy is integral to fall prevention, focusing on balance training, strength exercises, and environmental modifications. Evidence supports the effectiveness of multifactorial fall prevention programmes, which address various risk factors such as muscle weakness, balance deficits, and environmental hazards. Physiotherapists design personalised exercise programmes to improve stability and coordination, reducing the likelihood of falls. Additionally, they educate patients on safe movement strategies and home modifications to create a safer living environment.
Physiotherapy plays a vital role in managing the physical, physiological, and cognitive changes associated with ageing. From preventing and treating chronic conditions to enhancing overall quality of life, the benefits of physiotherapy are backed by robust evidence. Importantly, receiving physiotherapy at home can provide personalised care, convenience, and comfort, especially for older adults who may find getting outside a great challenge.
Contact Elevate Physiotherapy today to start your journey towards better health and independence.

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