Resisted exercise training of institutionalized older adults for improved strength and functional mobility: A review

A number of studies have investigated strength training interventions for t he institutionalized older adult. These interventions have ranged from flex ibility/active range of motion exercises, progressive walking programs, low to high intensity strength training, repetition of functional tasks, low t o high equipment technology, isometric and dynamic muscle contractions, to general calisthenics. Intervention durations ranged from 4 weeks tu 3 years . Frequency ranged from twice per week to several short sessions per day, w ith the majority of programs meeting three times per week. High intensity, individualized strength training using machines has been shown to produce d ramatic strength gains. Group-based strength training programs using inexpe nsive equipment have also produced significant improvement in muscle streng th and functional mobility. Safety of the strength training protocols used has been demonstrated, and the effects of immobility for this population of older adults have been suggested to pose greater health dangers than the e xercise intervention.