Of all the fitness activities available, stretching produces an almost instant effect. Moreover, substantial improvements in flexibility are seen after a few sessions. Because these activities are sub-maximal, there is virtually no risk of injury. People with specific contraindications are still able to stretch other working joint systems. Movements that involve the range of motion required of various joints in functioning daily, ie, stepping, reaching, bending, and turning, can be repeated until a routine is developed that will maintain flexibility and strength for that series of movements.
Many older people can handle sub-maximal walking as another exercise.
It is important to understand that this is walking at the primary locomotion level. If patients can walk into and out of your office without stress, they have the basic skill to start their own exercise routine. The important point to make is that immediate action is absolutely necessary. Physicians need to work in partnership with their patients and community-based health providers to achieve healthier lifestyles. This 22-page colourfully illustrated booklet is printed in clear, large type.