Mrs Browning is otherwise very well and the problems she is experiencing are likely to be due to normal age related changes in neuromuscular condition.  

Mrs Browning is counselled about these changes, and encouraged to maintain her physical and social activity.   

She has been prescribed specific mobility exercises (including stretches in prone lying) and specific strengthening exercises for hands and her leg extensors (which can be performed as a home program).  It was also recommended that she commence a class activity such as Tai Chi or Physio Chi (a modified version of Tai Chi especially designed for older adults).

Mrs Browning feels more confident after starting the strengthening exercises and has decided to take up Tai Chi to help with muscle strength, flexibility and balance.

There is one more thing to consider…