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The mobility myth: why "use it or lose it" is only half the story

Written by Cherilyn Charlton

In this article:

Why "use it or lose it" is true but not the whole picture

The phrase is correct as far as it goes. Every physical capacity in the body follows this principle, including, interestingly, cognitive function. If you want to keep a capacity, you need to keep using it.

But here is what that framing misses: the goal should not just be maintenance. It should be to increase capacity, so that what you are maintaining is a standard worth having.

There is also a specific sequence to understand as we age. We tend to lose power first, then strength. Endurance holds up relatively well. Flexibility is often lost not because of age itself, but because we simply stop using those ranges of motion. Our lives as adults, and particularly as older adults, do not demand the same movement variety that childhood did. The loss is a consequence of disuse, not inevitability.

That distinction matters. It means the trajectory is, to a significant degree, within your control.

The counterintuitive case for doing less, more often

When it comes to mobility work, most people think about duration: "I should do ten minutes a day." Dr. Lipman's perspective reframes that entirely.

Ten minutes of mobility work is actually quite a lot. And for most people, how often you access a range of motion matters more than how long you spend on it in one go. Breaking ten minutes into three shorter sessions across the day is likely more effective than a single ten-minute block, because much of what you are training is the nervous system, not just the muscles and joints.

Frequency signals to the body that these ranges of motion are relevant. That they should be maintained.

The floor test: a better measure of functional health

Forget BMI for a moment. Here is a more honest question: when did you last sit on the floor?

For most adults, the honest answer is: not recently. And not being able to get up and down from the floor easily is one of the earliest signs that functional mobility is declining in ways that will matter later. Getting down to play with grandchildren. Getting up after a fall. Moving confidently in space.

Dr. Lipman points to these kinds of outcome goals as a more useful measure than abstract flexibility metrics. Can you squat down? Can you get up from the ground unassisted? Can you reach behind you? These are the questions worth asking.