Older athletes are reluctant to take it easy even though their bodies have aged

“The changes in medical technology since the 1980s have been huge and made things possible that were impossible before,” notes Branche, who specializes in knee and shoulder surgery. Yet many orthopedic surgeons resist repairing some joints on athletes over age 60, urging them to accept joint replacement or reduced activity.

Many athletes complain that some medical professionals still dispense outdated advice, such as total rest to heal an injury rather than continuing to condition other muscles that can safely be exercised. Sports medicine experts such as Marje Albohm, president of the National Athletic Trainers’ Association, contend that continued exercise of healthy areas is a sound principle of conditioning. Part of the problem, says Vonda Wright, is that most research on what middle-aged and older people can do physically is based on relatively sedentary populations, which calls into question its relevance for actively athletic adults.

  • ( ADAM CAIRA / BROOKS INSTITUTE ) - Trent Lane, 101 years old, throws the discus at the Summer National Senior Games.
  • ( DORIANE RAIMAN / BROOKS INSTITUTE ) - Linda Lowery, age 59, competes in the long jump at the Summer National Senior Games in June.
  • ( DORIANE RAIMAN / BROOKS INSTITUTE ) - Philippa “Phil” Raschker, age 64, competes in the Summer National Senior Games, which drew 10,000 athletes.

( ADAM CAIRA / BROOKS INSTITUTE ) - Trent Lane, 101 years old, throws the discus at the Summer National Senior Games.

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Branche understands the disconnect between senior athletes who want to be repaired and the reluctance of some doctors to perform certain surgeries on them. “On one hand, an older competitor must acknowledge that just because a fellow athlete was able to have surgery to repair an injury does not mean that he or she will be able to do so,” Branche says. “On the other hand, surgeons need to recognize that continuous improvements in medical technology and the greater fitness of some of today’s older athletes may mean they should consider surgery they might not have 15, 20 years ago.”

Of course, the best advice is to reduce the risk of injury in the first place. The key is being mindful — and respectful — of the changes that occur as one ages.

Getting to first base

A plethora of factors influence the maintenance of conditioning and the rate of decline — factors such as the ability to train intensely, skeleton size, body fat composition, joint mobility, strength, endurance and coordination. For example, age-related decline in strength can be partially offset by resistance training, so a softball player with strong legs and hips can still sprint fast enough to beat the throw to first base. However, if that player has poor joint mobility in the hips or knees, acceleration may diminish despite his or her strength, according to Martinelli.

Vigorous conditioning can mitigate declines in strength and aerobic capacity, according to Wright. Senior athletes can also lessen the chances of injury through such steps as cross-training and taking sufficient rest time between intense workouts.

Still, having expert knowledge and keeping yourself in shape doesn’t insure one against injury. Even Branche, 55, who does fitness training twice a week and plays tennis three times a week (often with men two decades younger) found himself sprawled on the court at the McLean Racquet Club last fall, victim of a burst quadriceps tendon. After surgery and six months of therapy, Branche, once a nationally competitive amateur tennis player, is back on the court. He fully expects to continue at least as long as his father did — well into his 70s.

“Tennis is in my blood,” he says. “Playing the sport gives me an extra good feeling of competition as opposed to having my exercise centered solely on fitness and conditioning. As I have gotten older, the fitness and conditioning aspect becomes more important in continuing to play tennis.”

Leet is an Arlington-based communications and management consultant who recently started the blog More Fit After 40.

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