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Functional Strength Training for the Aging Spine

Shari Kalkstein
5 Hours 53 Minutes
Jan 16, 2013
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Enhancing Strength, Flexibility and Function in the Adult with Spinal Conditions

According to the National Osteoporosis Foundation, 28 million Americans (80 percent of them are women) suffer from the debilitating effects of osteoporosis while millions more experience the same weakness, functional limitations and diminished quality of life associated with other degenerative conditions. The problem becomes more prevalent as the population of older adults increases. However, with appropriate nutrition, exercise and guidance from well-trained professionals, adults can live more productive, active and enjoyable lives.

This recording will provide you with hands-on, practical insight and understanding into some of the physical changes occurring in the spines and joints of older adults. Several degenerative conditions will be discussed along with how to address them through strength training and postural exercises. You will learn how to empower your clients so they can regain their strength, posture and confidence. New approaches and exercises will be discussed, demonstrated and practiced, allowing you to immediately adopt and adapt them to your clients.


* Credit Note - ****

Save time and money off other submission methods – purchase & take the CE test online for $29.99. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before completion.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  For Planning Committee disclosures, please statement above.  For speaker disclosures, please see the faculty biography.  For speaker disclosures, please see the faculty biography.

Occupational Therapists - Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 5.8 self-study continuing education credits.

CE Broker

Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 5.75 continuing competency hours.

Physical Therapists - Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 5.75 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 5.75 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 5.5 CE credit hours.

Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.0 contact hours.

Other Professions

This self-study activity qualifies for 5.75 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Shari Kalkstein's Profile

Shari Kalkstein Related seminars and products


Fortify Your Frame

Shari Kalkstein, BA, PTA, CSCS, EP-C, CPT, CMES, is a Licensed Physical Therapy Assistant, Certified Strength and Conditioning Specialist, and Certified Personal Trainer with over 20 years of experience. Ms. Kalkstein is the owner/president of Fortify Your Frame, Inc., a personal training business. Her practice consists of balance and fall prevention, fall recovery, and improving strength and endurance of aging adults. She received her Bachelor of Arts degree in Exercise and Sports Science from the University of Texas at Arlington, and an Associate of Applied Science in Physical Therapy Assisting from Broward Community College. Ms. Kalkstein offers SilverSneaker FLEX Indoor Balance and Strength classes.

As an experienced physical therapist assistant and personal trainer, Ms. Kalkstein offers a comprehensive and unique understanding of the aging adult and offers an effective exercise program that will strengthen and support the spine as well as the whole body to help increase and maintain functional abilities. Her wealth of knowledge and practical “field” experience make her an informative instructor. She brings passion, enthusiasm, and innovative ideas to her presentations and keeps the day moving with hands-on activities.


Speaker Disclosures:

Financial: Shari Kalkstein is owner of Fortify Your Frame, Inc. She receives a speaking honorarium from PESI, Inc.

Non-financial: Shari Kalkstein is an Allied member of the American College of Sports Medicine. She is a member of IDEA; and the National Osteoporosis Foundation.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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Target Audience

  • Certified Strength and Conditioning Specialists
  • Physical Therapists
  • Physical Therapist Assistants
  • Personal Trainers
  • Athletic Trainers
  • Occupational Therapists
  • Certified Occupational Therapy Assistants
  • Exercise Physiologists


Degenerative Conditions Associated with Aging

  • Spinal stenosis
  • Spondylosis
  • Spondylolisthesis
  • Osteoporosis

Risk Factors for Osteoporosis

  • Uncontrollable
  • Controllable
  • Dietary concerns

Guidelines for Exercise

  • Goals for the aging client
  • Strength vs. flexibility
  • Stretching
  • Active vs. passive
  • Active assist
  • Evaluating and prioritizing types of exercise for the individual client

Modifications to Exercises

  • Posture restrictions
  • Postural modifications
  • Postural re-education exercises

Abdominal and Back Exercises—Demonstration and Practice

  • Guidelines for safe exercises
  • Neutral spine
  • Core stability

Upper Body Exercises—Demonstration and Practice

  • Weight bearing exercises
  • Non-weight bearing strengthening exercises

Lower Body Exercises—Demonstration and Practice

  • Weight bearing
  • Fall prevention
  • Balance activities

Overview of Gym Machines

  • Do’s
  • Don’ts


  1. Examine common conditions affecting the aging spine, including degenerative spinal conditions and osteoporosis
  2. Develop more effective strength and conditioning programs for individuals with degenerative spinal conditions and other joints affected by arthritis
  3. Establish guidelines for exercise and stretching based on each client's abilities
  4. Demonstrate proper techniques for upper, lower and core body exercises that enhance posture and spinal health
  5. Evaluate the effects of degenerative spinal conditions associated with aging
  6. Identify controllable and uncontrollable risk factors for osteoporosis
  7. Explain the philosophy of a functional exercise program
  8. Discuss the goals of strength training for clients with spinal and postural degeneration
  9. Describe and demonstrate appropriate trunk, upper and lower body exercises
  10. Identify contraindicated exercises for clients with certain degenerative spinal conditions
  11. Develop safe and effective exercise and fitness programs that support the aging spine


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