The aging person is faced with the possibility of gradual physical and mental deterioration. On the physical side, changes occur in the elastic tissues of the body, such as those found in the blood vessels, as well as in the synovial membranes of joints and the skin. These changes produce physiologic alterations associated with a decrease in the rate of tissue exchange and in the nutrition of the affected part. Many of the mental conditions result from vascular changes in the cerebral vessels which affect the circulation of the brain. Diminishing acuity of vision and hearing also are common findings in the aged.
In discussing the subject of physical medicine in these persons one has the valued presentations of both Dr. Krusen1 in Geriatrics and Dr. Kovacs2 in his chapter in Stieglitz's book, "Geriatric Medicine"; they have presented a careful outline of the physical medicine procedures available, with