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HI Karin, and thanks for the question. Actually, I do the workout I showed on the Ladder Barrel myself, to keep my back flexible and strong from extension into hyper-extension. For an older client, I have the client stand on the standing platform or on the floor, rather than balancing on the rung of the ladder to do the back extensions, so that they are not horizontal to the floor. Changing the foot position to the floor makes is less difficult. I also love Lolita San Miguel's prone version of Breathing 100's for older populations.