Senior Strength
 
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The following guidelines are for safe resistance training programs for seniors in strength fitness. The NIHS recommends Keiser selectorized exercise equipment because of their ease of use, safety and advanced design features, or FreeMotion exercise equipment becuase of its ability to promote funcational activities and transfer maximally to real life.

 

 

NIHS

Guidelines for Safe Resistance Training

Programs for Seniors

 

  1. Always perform a complete health history, risk analysis and, if necessary obtain a physician release before beginning any resistance training program.
  2. Always allow an adequate warm-up period for your client. Older clients or those with known conditions require slower and longer warm-ups. A warm-up should last a minimum of 5-10 minutes and employ the large muscle groups in a rhythmic non-impact activity of not greater than 50% maximum heart rate.
  3. Always test a seniors functional range of motion before placing resistance on a machine. Use pain, tolerance or functionality as your guideline. Begin all clients in a functional pain free range of motion. Never attempt to increase the range of motion by more than 3 degrees per session, and only after an adequate warm-up has been employed. Never attempt to increase the motion beyond the functional capacity of that client.
  4. All resistance training programs must be performed with proper posture and alignment. Strengthening a client with poor posture promotes a stronger poor posture. Never allow a client to lift a resistance outside of their correct form.
  5. Instruct clients to exhale when lifting the weight (concentric) and to breath normally while lowering the weight (eccentric). Ensure that the client does not hold their breath or grip too tightly (note: blood pressure can increase more on leg work because of the resistance to the larger muscle group).
  6. Resistance arm (weight) must be kept in constant motion during a lifting segment. Avoid holding the resistance arm in a static position for prolonged periods of time.
  7. Use a controlled speed of motion, avoiding momentum. The concentric phase should last approximately two seconds and the eccentric phase approximately four seconds.
  8. Beginners should begin with a resistance no greater than 50% of the 1RM. this is approximately equivalent to a weight that can be lifted for 20 repetitions whereby volitional failure (form break) occurs at or about 20 repetitions. Once 20 repetitions has been achieved, an increase of 2.5-5% per session in resistance is appropriate. The goal should be to reach a 10-12 repetition set (75% of 1RM) in about 90 days.
  9. keep all overhead movements to a minimum, especially when working with beginner exercisers or hypertensive clients.
  10. Perform no more than 1 set for each major muscle group and no more than 14 total resistance training activities per session.
  11. Exercise the larger muscle groups to the smaller. Design programs to run from isolated to compound activities. For example: Leg extension followed by leg press, or chest fly followed by chest press.
  12. Allow 72 hours of rest between full body workouts. While sources do advocate a three time per week workout, it appears unnecessary to do more than two times week.
  13. Very the frequency, intensity, duration, progression and type of activity allowing for constant progression and variation. Emphasize functional strength development versus linear strength development.
  14. Be aware of limitations, especially inadequate rib cage flexibility. Do not under modify movements that cause excessive rib cage expansion.
  15. Observe the client and document their progress as well as their statements, pain scales, personal observations, and plans for future exercise sessions. Discontinue activity if client has excessive fatigue, abnormal behavior, dizziness, abnormal heart rhythm, unusual shortness of breath or chest discomfort.
  16. Allow adequate cool-down time. Never allow a client to leave the session without appropriate cool-down and rest. 

 

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