EFFICACY OF PHYSICAL RESTORATION IN THE ELDERLY

Studies of the effects of physical exercise programs have shown that s uch programs can improve older persons' functional capacity. Research was conducted to determine the efficacy of two different types of phys ical restoration regimens-active and passive-in improving the performa nce of elderly persons with chronic pain conditions. Data from elderly persons admitted for back and pain rehabilitation to the Comprehensiv e Pain and Rehabilitation Center (CPRC) at the University of Miami are presented. The active approach consisted of the aggressive rehabilita tion program at the CPRC, a 4-week program of daily physical therapy, occupational therapy, behavioral modification, and counseling. Treatme nt goals were improved strength, flexibility, posture, balance, gait, and overall well-being. The passive approach was based on the use of f unctional electric stimulation (FES) as an adjunct treatment to streng then lower extremity muscles weakened by disuse. To evaluate the effec tiveness of these approaches to physical restoration, we performed erg onomic assessment of subjects' functional abilities, including static strength and range of motion. Findings indicated that both methods wer e valuable in physical restoration in the elderly. Specifically FES pr oved effective in strengthening weak muscles in the lower extremities and shows great potential for neuromuscular conditioning in older coho rts.