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.