Abstract
A mobility training program based on motor control and motor learning theories helps the older adult regain independence at the highest possible level regardless of disability. The concepts underlying this approach and the key elements for individuals with a variety of mobility and stability difficulties are described. The program is goal oriented and the therapist facilitates the patient to select and try various solutions to accomplish a stability or mobility task in a smooth and integrated manner. Prosthetic training exemplifies a mobility training program based on motor control and motor learning theories.
MOBILITY is the ability to solve movement problems while safely accomplishing desired activities. For the older adult, activities of daily living may be limited to going to the bathroom and dining room or may focus on shopping, playing golf, or even hiking across mountain peaks. Most older adults today are not satisfied with limited mobility even following recovery from a hip fracture, stroke, or amputation. Mobility training is an integral part of the function of physical therapists; we need to focus on activities that will help our clients relearn the most efficient method of solving their movement problems. As defined in movement science, the term problem refers to any task that has multiple possible solutions. For example, if I want to stand from sitting, I can push on the armrest with my hands or stand without using my arms.