Bed-rest has long been prescribed (inaccurately) as a method for recovering from injury, but for older adults, this approach has detrimental downsides. After just a few days of immobility, muscle mass begins to decrease, especially in the legs, where muscles atrophy rapidly. For seniors, this loss of muscle strength can be dangerous, leading to reduced mobility, balance issues, and an increased risk of falls/mortality.
In fact, studies show that older adults can lose up to 5% of muscle mass PER DAY within the first week of bedrest. This loss is particularly concerning because it often takes much longer to rebuild the muscle than to lose it, and with age, muscle recovery becomes more challenging. Prolonged bedrest can also contribute to joint stiffness, bone loss, and even cardiovascular decline, further complicating recovery.
Instead of complete rest, a more active recovery approach—such as light physical therapy or controlled movement—is often recommended. This helps maintain muscle strength and flexibility, which can help limit the severe atrophy that can occur. Even small, regular movements can help counteract the negative effects of immobility.
Older adults, who may already be dealing with age-related muscle loss (sarcopenia), are especially vulnerable to the consequences of extended bedrest. Therefore, it’s essential to evaluate whether bedrest is truly necessary and explore other strategies that promote movement and gradual strength building during the recovery process. By staying active, older adults can avoid the pitfalls of muscle atrophy and work toward a healthier, more independent recovery.