Aging with a physical disability. Is it safe to exercise?

Exercise programs for elderly persons require modifications in comparison with programs designed for younger individuals. In the aging person with a physical disability, additional factors need to be considered, including medical conditions of the disability, higher energy expenditures, temperature regulation, overload stress on small muscle groups and upper extremity joints, and accessibility of equipment and facilities. Research data are sparse in terms of exercise performance, tolerance, and response of the aging person with physical disability. It is hoped that future studies will present more concrete information.