Chapter 6 - Peripheral Nervous System and Vascular Disorders Affecting Mobility in Older Adults

Abstract

Peripheral nervous system disorders (PNSDs) and peripheral vascular disorders (PVDs) are underrecognized etiologies of impaired mobility despite the increasing prevalence among older adults. PNSDs and PVDs are clinical diagnoses and based on history and physical examination to localize and characterize the pathologies. Diagnostic tests include electromyography, serologic tests, and imaging studies for PNSDs, and vascular studies including the ankle-brachial index and ultrasonography for PVDs. Management of PNSDs requires a multidisciplinary approach including patient education, therapeutic exercises, orthotics, and pharmacologic management for neuropathic pain. Management of PVDs includes the modification of risk factors, antiplatelet agents, pharmacologic management, and exercise training.