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Mobility

  • Reviewed by Robert H. Shmerling, MD, Senior Faculty Editor, Harvard Health Publishing; Editorial Advisory Board Member, Harvard Health Publishing

From doing daily errands to taking the trip of a lifetime, much of living happily and well depends on mobility. But many factors can affect your mobility and ability to keep your independence. Exercise, diet, preventive care, and lifestyle choices can keep you stronger and steadier with fewer aches and more stamina. "Use it or lose it" is the mantra for maintaining your mobility.

What is mobility?

Mobility is defined as your ability to move purposefully as you go through your day. It is the foundation for living a healthy and independent life. Mobility comprises all the skills required for everyday living: physical stamina, strength, balance, coordination, and range of motion. The importance of mobility becomes clear when you rise out of bed, shower, manage a flight of stairs, walk down the block, get in and out of a car, or carry groceries. Mobility also helps us avoid falls and prevent injuries, and allows older adults to live longer on their own. In short, mobility helps you stay "in the game."

Most people spend their lives doing daily tasks without marveling at how much their bodies can actually do. But when we start to lose these basic skills - because of a health problem or the physical decline associated with aging - we begin to understand the importance of mobility, especially for seniors.

Loss of mobility affects a third to half of those ages 65 and older. And statistics from the CDC indicate that approximately 12% of American adults have some kind of mobility issue that impacts their ability to safely walk and climb stairs.

How can I improve my mobility?

Regular mobility exercises are among the best ways to prevent further loss of movement, no matter your age or health.

Mobility workouts help improve strength, stamina, flexibility, and balance, all the necessary features to keep you moving. Exercise also strengthens the muscles and ligaments that support the joints most involved with mobility. Your doctor or a trainer can help you find hip mobility exercises, shoulder mobility exercises, and knee mobility exercises to preserve and improve your freedom of movement.

For healthy adults, guidelines recommend at least 150 minutes of moderate-intensity aerobic exercise per week along with twice-weekly strength training and balance exercises. Adults who cannot meet this minimum requirement because of existing mobility issues should try to be as physically active as their abilities and health allow. Some exercise is almost always better than none.

Which exercises are best for mobility? Anything that gets the body moving and the heart pumping is beneficial. These include power walking, running, cycling, and swimming, as well as activities like water aerobics, dance classes, golf, kayaking, and pickleball.

Building your muscle strength can improve mobility at all ages and fitness levels. The best way to increase strength is through weight training using dumbbells, barbells, kettlebells, medicine balls, weight machines, and even your own body weight. If you have any concerns about your ability to tolerate weight training, check with your doctor and consider getting help from a professional trainer. Once you learn the exercises, you can do workouts at home. Resistance training that uses straps or bands may be better suited for people with physical strength limitations.

People often wonder about the difference between mobility and flexibility. To be clear, flexibility is a key part of maintaining mobility, and is the ability of joints to move freely through a range of motion and without pain. The gentle stretching and flowing movements of yoga, tai chi, and qi gong can help with mobility by improving flexibility, balance, and core strength. You can also perform home stretching workouts that focus on trouble spots like shoulders, hips, and knees.

What aids help mobility?

Many mobility aids allow you to stay active by improving stability and taking a load off painful hips or knees. The most common aids are canes and mobility walkers. Your doctor or physical therapist can tell you which one is appropriate for your needs, help you select the right type and size, and teach you how to use it.

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