Promotion of Physical Activity for Older People with Musculoskeletal Conditions
Many older adults have musculoskeletal conditions that can act as a substantial barrier to physical activity. Older people, and some health professionals, may be concerned that participating in exercise programmes or completing other physical activities may cause or exacerbate symptoms associated with existing musculoskeletal conditions. However, in most cases, there are safe exercise-based interventions that have potential to improve function and general health without undue risk. This chapter discusses several groups of musculoskeletal conditions that are prevalent among older adults and provides a practical case study as well as some points for broader consideration.
- Bartels, E. M., Juhl, C. B., Christensen, R., Hagen, K. B., Danneskiold-Samsøe, B., Dagfinrud, H., & Lund, H. (2016). Aquatic exercise for the treatment of knee and hip osteoarthritis. Cochrane Database of Systematic Reviews, 3. https://doi.org/10.1002/14651858.CD005523.pub3.
- Briggs, A. M., Sun, W., Miller, L. J., Geelhoed, E., Huska, A., & Inderjeeth, C. A. (2015). Hospitalisations, admission costs and re-fracture risk related to osteoporosis in Western Australia are substantial: A 10-year review. Australian and New Zealand Journal of Public Health, 39(6), 557–562. https://doi.org/10.1111/1753-6405.12381.CrossRefGoogle Scholar
- DeGrauw, X., Annest, J. L., Stevens, J. A., Xu, L., & Coronado, V. (2016). Unintentional injuries treated in hospital emergency departments among persons aged 65 years and older, United States, 2006–2011. Journal of Safety Research, 56, 105–109. https://doi.org/10.1016/j.jsr.2015.11.002.CrossRefGoogle Scholar
- Dumitrescu, B., van Helden, S., ten Broeke, R., Nieuwenhuijzen-Kruseman, A., Wyers, C., Udrea, G., et al. (2008). Evaluation of patients with a recent clinical fracture and osteoporosis, a multidisciplinary approach. BMC Musculoskeletal Disorders, 9(1), 109. https://doi.org/10.1186/1471-2474-9-109.CrossRefGoogle Scholar
- El-Khoury, F., Cassou, B., Charles, M. A., & Dargent-Molina, P. (2013). The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults: Systematic review and meta-analysis of randomised controlled trials. BMJ, 347, f6234. https://doi.org/10.1136/bmj.f6234.CrossRefGoogle Scholar
- Felson, D. T., Lawrence, R. C., Dieppe, P. A., et al. (2000). Osteoarthritis: New insights. Part 1: The disease and its risk factors. Annals of Internal Medicine, 133(8), 635–646. https://doi.org/10.7326/0003-4819-133-8-200010170-00016.CrossRefGoogle Scholar
- Fransen, M., McConnell, S., Hernandez-Molina, G., & Reichenbach, S. (2014). Exercise for osteoarthritis of the hip. Cochrane Database of Systematic Reviews, 4. https://doi.org/10.1002/14651858.CD007912.pub2.
- Fransen, M., McConnell, S., Harmer, A. R., Van der Esch, M., Simic, M., & Bennell, K. L. (2015). Exercise for osteoarthritis of the knee. Cochrane Database of Systematic Reviews, 1. https://doi.org/10.1002/14651858.CD004376.pub3.
- Garber, C. E., Blissmer, B., Deschenes, M. R., Franklin, B. A., Lamonte, M. J., Lee, I.-M., et al. (2011). American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: Guidance for prescribing exercise. Medicine and Science in Sports and Exercise, 43(7), 1334–1359.CrossRefGoogle Scholar
- Gillespie, L. D., Robertson, M. C., Gillespie, W. J., Sherrington, C., Gates, S., Clemson, L. M., & Lamb, S. E. (2012). Interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews, 9, Cd007146. https://doi.org/10.1002/14651858.CD007146.pub3.CrossRefGoogle Scholar
- Howe, T. E., Shea, B., Dawson, L. J., Downie, F., Murray, A., Ross, C., et al. (2011). Exercise for preventing and treating osteoporosis in postmenopausal women. Cochrane Database of Systematic Reviews, 7. https://doi.org/10.1002/14651858.CD000333.pub2.
- Hurkmans, E., van der Giesen, F. J., Vliet Vlieland, T. P. M., Schoones, J., & Van den Ende, E. C. (2009). Dynamic exercise programs (aerobic capacity and/or muscle strength training) in patients with rheumatoid arthritis. Cochrane Database of Systematic Reviews, 4. https://doi.org/10.1002/14651858.CD006853.pub2.
- Kanis, J. A., Burlet, N., Cooper, C., Delmas, P. D., Reginster, J.-Y., Borgstrom, F., & Rizzoli, R. (2008). European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporosis International, 19(4), 399–428. https://doi.org/10.1007/s00198-008-0560-z.CrossRefGoogle Scholar
- McLernon, D. J., Powell, J. J., Jugdaohsingh, R., & Macdonald, H. M. (2012). Do lifestyle choices explain the effect of alcohol on bone mineral density in women around menopause? The American Journal of Clinical Nutrition, 95(5), 1261–1269. https://doi.org/10.3945/ajcn.111.021600.CrossRefGoogle Scholar
- McPhail, S., Schippers, M., & Marshall, A. L. (2014a). Age, physical inactivity, obesity, health conditions, and health-related quality of life among patients receiving conservative management for musculoskeletal disorders. Clinical Interventions in Aging, 9, 1096–1080.Google Scholar
- McPhail, S. M., Schippers, M., Marshall, A. L., Waite, M., & Kuipers, P. (2014b). Perceived barriers and facilitators to increasing physical activity among people with musculoskeletal disorders: A qualitative investigation to inform intervention development. Clinical Interventions in Aging, 9, 2113–2122. https://doi.org/10.2147/CIA.S72731.CrossRefGoogle Scholar
- McPhail, S. M., Schippers, M., Maher, C. A., & Marshall, A. L. (2015). Patient preferences for receiving remote communication support for lifestyle physical activity behaviour change: The perspective of patients with musculoskeletal disorders from three hospital services. BioMed Research International, 2015. http://dx.doi.org/10.1155/2015/390352.
- Michael, Y. L., Whitlock, E. P., Lin, J. S., Fu, R., O’Connor, E. A., & Gold, R. (2010). Primary care-relevant interventions to prevent falling in older adults: A systematic evidence review for the U.S. preventive services task force. Annals of Internal Medicine, 153(12), 815–825. https://doi.org/10.7326/0003-4819-153-12-201012210-00008.CrossRefGoogle Scholar
- Morris, A. C., Singh, J. A., Bickel, C. S., & Ponce, B. A. (2015). Exercise therapy following surgical rotator cuff repair. Cochrane Database of Systematic Reviews, 2. https://doi.org/10.1002/14651858.CD011531.
- Page, M. J., Green, S., McBain, B., Surace, S. J., Deitch, J., Lyttle, N., et al. (2016). Manual therapy and exercise for rotator cuff disease. Cochrane Database of Systematic Reviews, 6. https://doi.org/10.1002/14651858.CD012224.
- Rotstein, A., Harush, M., & Vaisman, N. (2008). The effect of a water exercise program on bone density of postmenopausal women. The Journal of Sports Medicine and Physical Fitness, 48(3), 352–359.Google Scholar
- Ruchan, I. (2011). The effect of physical activity on bone mineral density. International Journal of Physical Sciences, 6(16), 4097–4101.Google Scholar
- Sabatier, J.-P., Guaydier-Souqui’eres, G., Laroche, D., Benmalek, A., Fournier, L., Guillon-Metz, F., et al. (1996). Bone mineral acquisition during adolescence and early adulthood: A study in 574 healthy females 10–24 years of age. Osteoporosis International, 6(2), 141–148. https://doi.org/10.1007/bf01623938.CrossRefGoogle Scholar
- Simunovic, N., Devereaux, P. J., Sprague, S., Guyatt, G. H., Schemitsch, E., DeBeer, J., & Bhandari, M. (2010). Effect of early surgery after hip fracture on mortality and complications: Systematic review and meta-analysis. Canadian Medical Association Journal, 182(15), 1609–1616. https://doi.org/10.1503/cmaj.092220.CrossRefGoogle Scholar
- Singh, N. A., Quine, S., Clemson, L. M., Williams, E. J., Williamson, D. A., Stavrinos, T. M., et al. (2012). Effects of high-intensity progressive resistance training and targeted multidisciplinary treatment of frailty on mortality and nursing home admissions after hip fracture: A randomized controlled trial. Journal of the American Medical Directors Association, 13(1), 24–30. https://doi.org/10.1016/j.jamda.2011.08.005.CrossRefGoogle Scholar
- Stenvall, M., Olofsson, B., Lundström, M., Englund, U., Borssén, B., Svensson, O., et al. (2007). A multidisciplinary, multifactorial intervention program reduces postoperative falls and injuries after femoral neck fracture. Osteoporosis International, 18(2), 167–175. https://doi.org/10.1007/s00198-006-0226-7.CrossRefGoogle Scholar
- Talmage, R., Stinnett, S., Landwehr, J., Vincent, L., & Mccartney, W. H. (1986). Age-related loss of bone mineral density in non-athletic and athletic women. Bone and Mineral, 1(2), 115–125.Google Scholar
- US Department of Health Human Services. (2004). Bone health and osteoporosis: A report of the surgeon general (p. 87). Rockville: US Department of Health and Human Services, Office of the Surgeon General.Google Scholar