Hospital Acquired Deconditioning in Older AdultsChris Hattersley
Evidence based information on hospital acquired deconditioning in older adults, links to any studies referenced are included in the notes section of the presentation slides.
Hospital Acquired Deconditioning in Older AdultsChris Hattersley
Evidence based information on hospital acquired deconditioning in older adults, links to any studies referenced are included in the notes section of the presentation slides.
Physical Activity Readiness QuestionnaireGreg in SD
This Par-Q (Physical Activity Readiness Questionnaire) form by I.D.E.A. is intended to be filled out by prospective clients so that I may identify what amount of physical activity might be appropriate for him/her.
PRE PARTICIPATION EXAMINATION I Dr.RAJAT JANGIR JAIPUR
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The below training fitness standards are different from the Applicant Physical Abilities Test (APAT) fitness standards.
This hand-out has been designed to educate the reader on the United States Secret Service Physical Fitness standards and the proper protocols necessary to accomplish those standards. Recruits who will be attending training at the James J. Rowley Training Center (JJRTC) are expected to arrive in good physical condition, ready to begin a functional fitness program.
The fitness evaluation measures strength, endurance, and aerobic capacity in four core elements. The core elements are Push-ups, Sit-ups, Chin-ups, and the 1.5 mile run. The fitness evaluation will be administered at the beginning, during, and end of training. Secret Service weapon carrying employees are additionally required to participate in the USSS Physical Fitness Evaluation quarterly.
The following point system will be applied to the fitness category level achieved by the student in accordance with their age and gender. The point system will be applied to the four (4) core elements of the U.S. Secret Service Individual Fitness Profile Evaluation.
Holistic concept in treatment of Cerebral Palsy jitendra jain
it is very difficult to manage cerebral palsy because we cant repair brain damage but we can give good quality of independent life by combination good rehabilitation tool which include advance therapeutic technique, botulinum toxin early age child and SEMLOSSS surgical concept in others. Our aim of management is to take these person to their highest capability and decrease their physical limitation as much as possible. This ppt have brief review about latest concept in mx of cerebral aplsy
Strength and Conditioning - Periodisation Jill Costley
Periodisation presentation from my 2016/17 Strength and Conditioning placement at the Sports Institute of Northern Ireland (SINI). Includes presentation overview, principles of training, homeostasis of stress, main types of periodisation, periodisation of sprinting and athlete case study. Any names of athletes have been replaced with ''Athlete 1'' etc. to maintain confidentiality. I had the presentation sitting on my desktop but it might be a useful starting point for someone. Feel free to comment.
This is John Grace's slidedeck for the 2016 North Carolina Coaches Clinic in Greensboro, North Carolina. This presentation covers the basics of weight room training design for the Track & Field athlete.
Slides will cover research on general training concepts, research on resistance training for Track & Field athletes, exercise selection, and basics of periodization.
“To enjoy the glow of good health, you must exercise”
Fitness is a big part of who I am !!!
“Your Health is Our Mission”. Fitness is a big part of who I am !! To keep the body in good health is a duty…..otherwise we shall not be able to keep our mind strong and clear.
This PPT share the principles used in exercise prescription and the parameters which should be kept in mind while prescribing and progressing the exercise regimen
Physical Activity Readiness QuestionnaireGreg in SD
This Par-Q (Physical Activity Readiness Questionnaire) form by I.D.E.A. is intended to be filled out by prospective clients so that I may identify what amount of physical activity might be appropriate for him/her.
PRE PARTICIPATION EXAMINATION I Dr.RAJAT JANGIR JAIPUR
knee injury, ligament injury knee, pcl injury, sports injury, Acl injury in football player surgery, Acl injury in football players, Acl injury in taekwondo, Acl reconstruction in jaipur, Acl reconstruction in taekwondo, Acl reconstruction surgery in football, Acl surgery in jaipur, Acl surgery ke baad physiotherapy, Best acl surgeon in india, Best acl surgeon in jaipur, Best knee surgeon in jaipur, Best ligament doctor in hindi, Meniscus repair surgery in jaipur, Sports injury doctor, acl surgery, acl surgery recovery, acl tear
The below training fitness standards are different from the Applicant Physical Abilities Test (APAT) fitness standards.
This hand-out has been designed to educate the reader on the United States Secret Service Physical Fitness standards and the proper protocols necessary to accomplish those standards. Recruits who will be attending training at the James J. Rowley Training Center (JJRTC) are expected to arrive in good physical condition, ready to begin a functional fitness program.
The fitness evaluation measures strength, endurance, and aerobic capacity in four core elements. The core elements are Push-ups, Sit-ups, Chin-ups, and the 1.5 mile run. The fitness evaluation will be administered at the beginning, during, and end of training. Secret Service weapon carrying employees are additionally required to participate in the USSS Physical Fitness Evaluation quarterly.
The following point system will be applied to the fitness category level achieved by the student in accordance with their age and gender. The point system will be applied to the four (4) core elements of the U.S. Secret Service Individual Fitness Profile Evaluation.
Holistic concept in treatment of Cerebral Palsy jitendra jain
it is very difficult to manage cerebral palsy because we cant repair brain damage but we can give good quality of independent life by combination good rehabilitation tool which include advance therapeutic technique, botulinum toxin early age child and SEMLOSSS surgical concept in others. Our aim of management is to take these person to their highest capability and decrease their physical limitation as much as possible. This ppt have brief review about latest concept in mx of cerebral aplsy
Strength and Conditioning - Periodisation Jill Costley
Periodisation presentation from my 2016/17 Strength and Conditioning placement at the Sports Institute of Northern Ireland (SINI). Includes presentation overview, principles of training, homeostasis of stress, main types of periodisation, periodisation of sprinting and athlete case study. Any names of athletes have been replaced with ''Athlete 1'' etc. to maintain confidentiality. I had the presentation sitting on my desktop but it might be a useful starting point for someone. Feel free to comment.
This is John Grace's slidedeck for the 2016 North Carolina Coaches Clinic in Greensboro, North Carolina. This presentation covers the basics of weight room training design for the Track & Field athlete.
Slides will cover research on general training concepts, research on resistance training for Track & Field athletes, exercise selection, and basics of periodization.
“To enjoy the glow of good health, you must exercise”
Fitness is a big part of who I am !!!
“Your Health is Our Mission”. Fitness is a big part of who I am !! To keep the body in good health is a duty…..otherwise we shall not be able to keep our mind strong and clear.
This PPT share the principles used in exercise prescription and the parameters which should be kept in mind while prescribing and progressing the exercise regimen
2. Special consideration in cardiac rehabilitation program for older adults.ShagufaAmber
An increasing number of cardiac patients are above the age of 65 years . They are susceptible to the adverse effect of bed rest . So early mobilization is especially important to return them to active and independent lifestyle.
- Most of the patients with heart failure, are elderly patients, shooting up to 80% in both incidence and prevalence.This is due to improved and better survival after cardiac insults, such as myocardial infarction, especially in developed countries.(AHA,2013).
-The safety and efficacy of cardiac rehabilitation have been demonstrated in the elderly (age >65 years) .(Pasquali ,et al.,2001)
-CR has a class IA recommendation by the AHA and ACSM for secondary prevention after any coronary heart disease
The COTSS - Older people Conference keynote presentation by Dr Dawn Skelton PhD Reader in Ageing and Health, HealthQWest, Glasgow Caledonian University coordinator of Prevention of Falls Network Europe Chair, Organising Committee, and World Congress on Active Ageing 2012. COT Annual Conference 2010 (22-25 June 2010)
Physical activity in people with disabilities and elderly peopleKarel Van Isacker
As presented at the International Workshop on “Qualitative Personal Caring in a European Perspective”, 07 May 2015, Antalya, Turkey
http://mcare-project.eu/
This project (M-Care - 539913-LLP-1-2013-1-TR-LEONARDO-LMP) has been funded with support from the European Commission. This website reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein.
The importance & facts about Physical Activity in Obesity Management on:
Weight loss &Weight loss maintenance
Physical activity & obesity prevention
Effects on general health risks
Mechanisms of Action
Recommendations for Physical Activity in Obesity
Physical Activity Recommendations in Patients
We want more people to be more physically active in later life.
Being more active has many benefits – it improves physical and mental health, and enables people to stay connected to their family, friends and communities. As well as being more active in general, we know that maintaining and improving muscle strength and balance can help people in later life live independently and reduce the risk of falls.
We want more people to be more physically active in later life.
Being more active has many benefits – it improves physical and mental health, and enables people to stay connected to their family, friends and communities. As well as being more active in general, we know that maintaining and improving muscle strength and balance can help people in later life live independently and reduce the risk of falls.
Similar to Strength training for older adults: What the public health messaging should be (20)
The presentation investigates the following characteristics of the meniscus;
Role of the Meniscus
Material Properties
Structural Limitations / Failure Limits
Mechanism & Treatment of Injuries
Presentation looking at the athletic development and physical training of youth football / soccer players.
The key areas the presentation covers are;
- Fitness testing: performance profiling, total score of athleticism (TSA), movement screening.
- Assessing physical maturity: Relative Age Effect (RAE), predicted height, bio-banding, peak height velocity (PHV)
- Monitoring training load: GPS analysis, heart rate analysis, small sided games (SSG).
- Youth training techniques: Multi sports, strength training, managing growth, resisted sprints.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Strength training for older adults: What the public health messaging should be
1. STRENGTH TRAINING FOR
OLDER ADULTS
CHRIS HATTERSLEY
MSc Physio, MCSP
MSc S & C, ASCC, CSCS
@hattersley4
DR TOM MADEN-WILKINSON
PhD, Neuromuscular Function & Ageing
Senior Research Fellow, Sheffield Hallam University
@TMadenWilkinson
What the public health messaging should be
2. Muscle weakness & the ageing population is a
major public health concern!
The Problem
‘The problem is not the problem, what we are doing
about the problem is the problem’
But…
3. Background Information
• Over 65’s are the most rapidly
expanding population demographic
• At substantial risk of the age related
muscular disease sarcopenia
• Lack of strength is highly correlated
with limitations in daily living,
disability and early mortality
• Decline is initially neurological and
then structural
• Increasing emphasis on the healthy
100 year life span
4. Strength levels through the lifespan
• Decline starts at 45 with major drops at
65 and 80, accelerates more rapidly with
disuse and increases chance of disability
(Bell et al, 2016).
• ‘50% of the physical decline associated
with ageing is actually disuse atrophy
resulting from inactivity’ (Jette et al,
1999).
• 100,000’s of hospital admissions per
year for sarcopenia, osteopenia,
osteoporosis for the elderly (Cruz-Jentoft
et al, 2010).
• Covert and happens over many years -
‘saving for retirement starts in early life’.
45y point of
‘accelerated aging’.
5. Health care needs of our ageing
population
Report by Age UK highlights substantial ADL difficulties & comorbidity risk in older adults,
Meta analysis of 100,000+ over 65’s shows increased strength improves ADL performance
6. The Cost of Muscle Weakness
Cost to the individual;
• Associated with increased risk of functional
impairment, poor health-related quality of
life, physical frailty, premature death.
Health care costs;
• An average cost increase of £2707 for a
sarcopenic patient
• Estimated annual total cost = £2.5 billion
7. ‘Muscle strengthening maintenance
activities’
• A large emphasis is placed on ‘muscle
strengthening activities’ despite very little
evidence supporting these methods
• Low intensities that do not improve strength,
physical function or physiological reserves
• At best should be categorized as ‘muscle
maintenance activities’ and categorized in a
group with any general physical activity /
exercise
• Detracts from the evidence based message
that progressive resistance training (and
making this more accessible) should be the
primary focus
8. (Falsified) Muscle strengthening
participation rates
Only 12% of > 65’s meet aerobic & strength guidelines, and…
‘Some pursuits such as cycling, swimming, squash and football were also included
as muscle-strengthening, possibly leading to some overestimate of the number of
participants meeting the muscle-strengthening guideline’
9. The Real Problem
- Lack of routine strength testing / sarcopenia screening in the health
care system and health / fitness sector
- A major emphasis placed on ‘muscle strengthening maintenance
activities’ that have poor evidence
- Strength training not emphasised as the primary countermeasure to
prevent and reduce muscle weakness
- S & C professionals not included in muscle strength guidelines
- Know – do gap identified between research and practical
implementation
- Skills and resources gap between healthcare / medical and health /
fitness sector
11. The case for strength testing
Identify Risk
- Sarcopenia screening (EWGSOP-2) to
identify those most at risk of adverse
outcomes
- ‘Red flag’ detection for those with
critically low scores
- Important in primary care and acute
setting, physio’s & GP’s
- Needs to be followed by intervention
Promote Strength
- Strength monitoring / norms to
promote high levels of strength
- The higher your score, the higher your
reserve of strength
- Examples provided with grip strength
and 1 min sit to stand scores
- Can use other measures 5RM etc
14. How do we find those most at risk ?
Strength
Assessment
Muscle Mass
Assessment
Functional
Assessment
Grip
Strength
5 Sit to
Stands
DXA BIA Gait
Speed
Timed
Up And
Go
SPPB
400m
Walk
M < 27kg
F < 16kg
> 15
seconds
M < 20kg
Muscle Mass
F < 15kg
Muscle mass
<0.8
m/s
Score
< 8
>20s
> 6
mins
Cruz- Jentoft et al., Age and Ageing, 2018.
SARC-F
Questionnaire
Population level focus is needed
on these assessments.
16. 1 Minute Sit to Stand Test
- This is a useful test because of the norms, but go for grip strength + 5 sit to
stands or 5 rep max squat depending on ability (more of a maximum strength
focus).
17. The case for strength training
- Confers unique health benefits which reduce risk of all
cause mortality (Stamatakis et al, 2018)
- Primary countermeasure to age related chronic disease
(McLeod et al, 2019)
- Increased performance in ADL’s (Unhjem et al, 2019)
- Reduces osteosarcopenia risk factors and falls /
fractures (Kirk et al, 2020)
- Reverses disability in older adults (Liu & Latham, 2011)
- Primary method to prevent & reverse hospital
acquired deconditioning (Falvey et al, 2015)
- Highlighted as the most effective and easiest to
implement intervention to combat sarcopenia and
physical frailty (Travers et al, 2019, Dent et al, 2019)
19. Strength training is for everyone
Key principle: Progressive training that targets specific adaptations
through increased loading and progression of exercises that are
appropriately modified for the individuals level of ability.
21. Preventative Approach
- The problem of muscle weakness in
older adults is widely known and has
devastating consequences in later
life.
- An increased emphasis on resistance
training from middle age is required
to alter the trajectory of ageing.
- Build the strength bank account!
The higher your level of strength
and muscle mass, the bigger your
physiological reserve is.
22. Key Participation Factors
-Flexible delivery options, including different
places of delivery, home or gym, mixture of 1-1
or group sessions etc
-Ongoing supervision and support by a
knowledgeable instructor (doesn’t need to be
every session)
-Using inclusive terminology and avoiding
negative age-related stereotypes
-Role models, peer advocates and social
interaction
- Encouragement from health care & medical
professionals is a motivating factor for older
adults to engage with RT
‘Resistance training causes strength gains in older individuals, provided the training duration is
sufficiently long, regardless of the combination of other training variables’ (Silva et al, 2014)
23. Key Programming Factors
- Consistency, education, enjoyment
- Progressive resistance training with a
particular emphasis on lower limb
musculature
- Multi-joint movements that transfer to
functional tasks
- Exercises that are scalable and can be
implemented in a range of settings
- High effort, minimal dose approach
- Benefits can be achieved with only 1
session per week but are optimised with
≥2
24. Key Exercises
Warm up: balance, multi-directional, multi-level transfers, co-ordination
Stand /
Squat
Lift / Carry Step / Lunge Upper body
push / pull
E.g. Squat, leg press, sit to
stand, jump
E.g. Medicine ball /
powerbag lift, dumbbell
deadlift, farmers walks,
yoke carry
E.g. Step up, split squat,
lunge, mini band side-
step, hop
E.g. Seated row, pulldown
Chest press, press up,
shoulder press, MB chest
throw
Modify: Range of motion, plane of movement, repetition velocity, load, effort, type of resistance.
25. The Solution
• Routine monitoring of strength diagnostics throughout
the health care system and the health / fitness sector.
• Greater emphasis on progressive resistance training as
the primary method to increase muscular strength in
middle aged and older adults (and less emphasis on
‘muscle strengthening maintenance activities’)
• Targeted approach to put the key participation and
programming factors into practice
• Greater integration between healthcare / medical and
health / fitness sector to support increased participation
in strength training (referral pathways etc.)
• Educate clinical and non clinical practitioners, S & C,
physio, nursing, GP’s, care home staff, personal trainers
etc.
• S & C for healthy ageing / older adults included on degree
programmes for Sport Science & Physio courses
Test
Train