Also, it stands to reason that if something is done that is very intense, it can't be done for very long, or very often. Therefore, we could walk on a treadmill for an hour, and do that daily, without much problem – or gain. But an activity that is very intense, by necessity, can be done only briefly, and infrequently (to give the body time to recover, and then to compensate, which means growth). The Superslow protocol is only a means to an end; and that end is to provide exercise to the body that is intense enough to stimulate the body to make its own internal improvements.
Not near our studio? That’s okay, The Bloom Method can be implemented into the fitness method or gym workout of your choice. While we offer our studio concept + cutting-edge classes through our online platform, Studio Bloom, we can also help customize our methodology into any way you choose to move your body. Reach out to use and we’ll connect you directly to one of our Bloom coaches for an optimal learning experience.
10.  Work the whole body during one session. Exercising different muscle groups on different days is counterproductive. Your whole workout should take no longer than 45 minutes, and this includes time spent on a treadmill to move lymph fluid to prevent lactic acid pooling in muscles. (Forty-five minutes, once a week for a high level of fitness... who can't find time for that!)
The best 7-minute workouts on the planet are the ones you’ll actually do. This is what I know for sure after testing out more than 30 of them over the past few months. That and yes, they really do work. Adding in short blasts of high intensity interval (HIIT) training consisting of various strength, cardio, core, and flexibility exercises whenever I have a spare seven minutes in my day, have helped me get stronger, leaner, faster, and to feel better overall.
Greg Brookes is the founder of GB Personal Training Ltd and KettlebellsWorkouts.com. He has been featured in Men's Health, Women's Fitness, Men's Fitness, and Health & Fitness Magazine, where he wrote a monthly column. He has also been featured in the majority of UK national newspapers. Labelled as "the trainer to the trainers" he delivers seminars and a regular newsletter to help Personal Trainers improve their skills and achieve better results for their clients. Continue reading
It takes the gastrointestinal tract about 3 to 4 hours to completely digest a full meal. Note too that the digestion phase varies between what you are eating -- for example if you ate a banana, you can exercise after 30 minutes or 1 hour after eating it but if you ate a steak, it would take you about 3 hours before it would be good to begin exercise. That said, most people find that eating trail mix mid-hike doesn't prevent them from continuing to walk, as human beings were built to eat and move.
In his homeland of Denmark, Müller was a controversial figure. Some conceived his liberal philosophy and promotion of exposing the entire body to the sun to be anti-Lutheran and even pornography. During the last few years of his life, Müller returned to Denmark and vigorously promoted a natural ‘healing spring’, causing further resentment for being perceived as over-spiritual. After Müller’s death in 1938, a memorial bronze statue was erected by the Danish Government, however, he is since mostly forgotten by the general public (Figures 2–4).18 Larsen J. [Internet]. J.P. Muller, a Danish sportsman, world famous – and forgotten. 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://www.learntomuller.com/j-p-muller-a-danish-sportsman-world-famous-and-forgotten/. [Google Scholar]

Yet some of the best physical activities for your body don't require the gym or ask you to get fit enough to run a marathon. These "workouts" can do wonders for your health. They'll help keep your weight under control, improve your balance and range of motion, strengthen your bones, protect your joints, prevent bladder control problems, and even ward off memory loss.
If the phrase "exercise videos" calls to mind Buns of Steel, purple spandex, and leg warmers, you'll be pleasantly surprised. The fitness video industry has come a long way. These days you can find anything from and dance programs to Pilates and yoga on DVD. In fact, there are so many out there that finding the best exercise videos can be a daunting proposition.

The snatch is one of the two current olympic weightlifting events (the other being the clean and jerk). The essence of the event is to lift a barbell from the platform to locked arms overhead in a smooth continuous movement. The barbell is pulled as high as the lifter can manage (typically to mid [ chest] height) (the pull) at which point the barbell is flipped overhead. With relatively light weights (as in the "power snatch") locking of the arms may not require rebending the knees. However, as performed in contests, the weight is always heavy enough to demand that the lifter receive the bar in a squatting position, while at the same time flipping the weight so it moves in an arc directly overhead to locked arms. When the lifter is secure in this position, he rises (overhead squat), completing the lift.
Tracy Anderson: The Method For Beginners. Choose from a handful of workout DVDs from this celebrity trainer. She’ll have you working up a sweat doing cardio or more targeted moves for the arms, legs, and core. Anderson’s queue of videos range from about $2.99 to $9.99. Considering that Anderson has her own collection of studios across the globe that run about $45 per class, this is a steal!

Developing research has demonstrated that many of the benefits of exercise are mediated through the role of skeletal muscle as an endocrine organ. That is, contracting muscles release multiple substances known as myokines which promote the growth of new tissue, tissue repair, and multiple anti-inflammatory functions, which in turn reduce the risk of developing various inflammatory diseases.[114] Exercise reduces levels of cortisol, which causes many health problems, both physical and mental.[115] Endurance exercise before meals lowers blood glucose more than the same exercise after meals.[116] There is evidence that vigorous exercise (90–95% of VO2 max) induces a greater degree of physiological cardiac hypertrophy than moderate exercise (40 to 70% of VO2 max), but it is unknown whether this has any effects on overall morbidity and/or mortality.[117] Both aerobic and anaerobic exercise work to increase the mechanical efficiency of the heart by increasing cardiac volume (aerobic exercise), or myocardial thickness (strength training). Ventricular hypertrophy, the thickening of the ventricular walls, is generally beneficial and healthy if it occurs in response to exercise.
To determine the acute action of cigarette smoking on cardiorespiratory function under stress, the immediate effects of cigarette smoking on the ventilatory, gas exchange, and cardiovascular responses to exercise were studied in nine healthy male subjects. Each subject performed an incremental exercise test to exhaustion on two separate days, one without smoking (control) and one after smoking 3 ... [Show full abstract]Read more

The Internet may be your favorite way to waste time, but it also offers a wealth of resources for home and/or traveling exercisers. Not all content is created equal on the World Wide Web but, if you know where to look, you can find almost everything you need to know about exercise: How to set up a home gym, create your own exercise program, and learn the basics of cardio, strength training and how to get in shape with exercise.

Stand on right foot with left foot elevated and core tight. Hop 3 times then bend down and quickly walk hands out so you are in a high plank position with left foot still off ground. Do 3 push-ups, never putting left foot down. Walk hands back and stand up to return to starting position. Repeat for half the time on one side only, then switch sides.


Major variants: reverse ~ (curling the pelvis towards the shoulders), twisting ~ or side ~ (lifting one shoulder at a time; emphasis is on the obliques), cable ~ (pulling down on a cable machine while kneeling), sit-up ~ (have [chest] touch your knees), vertical crunch (propping up to dangle legs and pulling knees to the [ chest] or keeping legs straight and pulling up legs to a 90 degree position). Reverse hanging crunch (using gravity boots or slings to hang head down and pulling to a 90 or 180 degree form)

Most people instinctively move weights very quickly - they jerk upwards, lower the weight without much control, and tense up and use momentum to "bounce" the weight at both ends of the repetition. The instinct serves a purpose - the speed and bounce at the ends do allow heavier weight to be moved. In competitive weightlifting both explosive speed and momentum are essential.
16.  Make sure you stay hydrated! Even mild dehydration hampers recovery. The drink of choice? Water! And for mineral replacement, especially sodium, I make sure my diet includes various amounts of celery, romaine lettuce, and a nutritional adjunct to the diet, a powdered barley grass juice called Daily Green Boost (if the foods I eat are grown in soils that are sodium insufficient, I won't get enough sodium, and if those foods that are supposed to be good sources of sodium don't taste savory, they are grown in sub-par soils).
Keep that resistance band handy for this waist-toning move. Sit with your legs a little more than hip-distance apart. Hold the band between your hands and raise your arms overhead. Exhale as you turn to one side, using the muscles in your waist. Inhale as you reach the arms out and back, keeping the hips in place. Exhale and return to starting position. Alternate for a total of four sets on each side.
Training to Failure. During most lifts with a moderately heavy weight, the set is completed before failure is reached. Muscles feels taxed, the sweating has begun, a few more sets are rocked, and we move on to the next exercise. This is a great way to get stronger, but is taking a set to failure an even better way? Yes and no Muscle Activation strategies during strength training with heavy loading vs. repetitions to failure. Sundstrup, E., et al. 1 National Research Center for the Working Environment, Copenhagen, Denmark 2, Institute of Sport Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark 3Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark. Journal of Strength and Conditioning Research. 2012 Jul;26(7):1897-903.. While training to failure — lifting until the body can't do a single more rep — recruits more muscle and triggers the body to release more strength-building hormones, it’s most effective if a very high percentage of a one rep max can be performed The application of training to failure in periodized multiple-set resistance exercise programs. Willardson, J.M. Physical Education Department, Eastern Illinois University, Charleston, Illinois 61920, USA. Journal of Strength and Conditioning Research; 2007 May;21(2):628-31. The mechanisms of muscle hypertrophy and their application to resistance training. Schoenfeld BJ. Global Fitness Services, Scarsdale, New York, USA. Journal of Strength and Conditioning Research; 2010 Oct;24(10):2857-72.. Also, sets to failure increase the opportunity for overtraining and injury, so it’s best to use this technique only occasionally and with a spotter.
Spark People shares short videos for all different types of workouts. There are several categories -- Abs, Cardio, Yoga and Pilates, as well as others that diver into healthy cooking and eating ideas. These workouts are great when you are pinched for time. Choose a 10-12 minute routine and squeeze in some activity where you normally would have skipped it altogether.
Frequency, intensity, type, location and social setting (alone vs. together with others) of exercise were assessed using exercise logs from 618 older adults (aged 70–77 years) randomized to MCT or HIIT. All participants completed exercise logs after each exercise session they performed during one year. Pearson Chi-square tests were run to assess the association between intensity, type, location and social setting of exercise with training group.

"With CrossFit growing exponentially, you do get boxes that more closely resemble boutique studios -- think Brick or Solace in New York -- with amenities like fancy shower products, towel service, and coffee and/or smoothie bars," Ages says. "But you're just as likely to encounter one that has a single Trainspotting-style bathroom and a crumbling concrete floor."
Bottom line. Strength training with heavy weights is a better way to target your glutes, but that’s not something most people will do. The program includes low- and high-impact routines, so you don’t need to be extremely fit to start. If you don’t mind doing lots of squats and lunges and you like the idea of dancing your way to fitness, this may be good for you. The Brazil Butt Lift eating plan includes basic recipes with easy variations.
Seven minutes of exercise per day a few times a week though isn’t a magical elixir that will give you a bikini-ready body in a few weeks. Michelle Golla, of Denver-based Boost 180 Fitness, says, “it's important not to set unrealistic expectations for a 7-minute workout. It will not completely transform your body, but it is a great way to get your heart pumping and burn calories all day long when you're pressed for time.”  

No matter where you are, you have time for 30 seconds of what Haley calls “Anywhere Push-Ups.” “This will target chest and triceps. Find a hard surface like kitchen counter or office desk. With both hands on the surface, walk away so that you’re in an elevated push-up position—the further you walk the more challenging the exercise,” she says. “Lower your body down so elbows and shoulders are at a 90-degree angle, push back up and repeat for ten reps.”
Pilates is great for individuals of all fitness levels. People who are just beginning a fitness program will find it’s a great way to ease into more intense methods of exercise. It’s also beneficial for pregnant and postpartum women and people wishing to strengthen their muscles after an injury. A physician’s approval should be sought before beginning any exercise program.
Summary of long-term adaptations to regular aerobic and anaerobic exercise. Aerobic exercise can cause several central cardiovascular adaptations, including an increase in stroke volume (SV)[102] and maximal aerobic capacity (VO2 max),[102][103] as well as a decrease in resting heart rate (RHR).[104][105][106] Long-term adaptations to resistance training, the most common form of anaerobic exercise, include muscular hypertrophy,[107][108] an increase in the physiological cross-sectional area (PCSA) of muscle(s), and an increase in neural drive,[109][110] both of which lead to increased muscular strength.[111] Neural adaptations begin more quickly and plateau prior to the hypertrophic response.[112][113]
Most of the literature agrees that FO, NFO and OTS must be viewed on a continuum with a disturbance, an adaptation and finally a maladaptation of the hypothalamic–pituitary–adrenal axis (HPA), resulting in an altered hormonal response to intense training and competition.3,–,12 When investigating hormonal markers of training adaptation, it is important to target specific hormones for their information potential and to synchronise their sampling in accordance with their response patterns.
Jumping and throwing moves, punches, kicks, and swinging a club or a racket all require power, which comes from your core—and, yes, causes those ab muscles to cinch. "The core is the crossroads of your system, helping transfer force between your upper and lower body," says Rick Richey, a faculty member for the National Academy of Sports Medicine in New York City. Add medicine ball throws to your sets: A study in the Journal of Strength & Conditioning Research found they are ideal core strengtheners. (Don't just stop at tossing, medicine balls can be used for a full body workout.)

Sometimes the terms 'dynamic' and 'static' are used.[citation needed] 'Dynamic' exercises such as steady running, tend to produce a lowering of the diastolic blood pressure during exercise, due to the improved blood flow. Conversely, static exercise (such as weight-lifting) can cause the systolic pressure to rise significantly, albeit transiently, during the performance of the exercise.[8]


* Respect the body's design when exercising. We are capable of doing many things the body was not designed to do. And this is also true when it comes to physical activity. We're designed to walk, climb, and sprint. We walked a lot back in the good old days when we foraged in paradise, we climbed to get the sweetest fruit, and we occasionally sprinted to escape danger. Take a cue from little kids: they love to climb, when they run they sprint (try to get them to do distance running), and they can walk just fine. When we do the activities we're designed to do, that's when we'll be in great shape... we won't be under-active, and we won't be over-active, and both are bad for the body, for different sets of reasons.
This study was supported by grants from the Liaison Committee for education, research and innovation in Central Norway, The K.G Jebsen Foundation for medical research and the Research Council of Norway. The funding organizations had no role in the design and execution of the study, in the collection, analysis, and interpretation of the data, or in the preparation, review or approval of the submitted manuscript.
The main aim of this study was to test the reliability of a novel OLDE protocol performed at high intensity (workload fixed at 85% peak power output [22]). Isokinetic muscle fatigue and its recovery up to 40 s post exercise were also measured. Subjects visited the laboratory on four different days. During the first visit, subjects were familiarized with the OLDE protocol (see One Leg Dynamic Exercise for more details), and performed after 30 min recovery an incremental test to measure peak power output. After 30 min recovery following the incremental test, subjects were familiarized with neuromuscular testing (see Neuromuscular Function Tests for more details) and the time to exhaustion test. As suggested by Andersen et al. [10], torque and electromyographic (EMG) feedback were used to ensure a quick and reliable familiarization to the novel OLDE protocol. Each of the following three visits (reliability sessions) consisted of completion of the time to exhaustion test with neuromuscular testing pre and post-exercise. An overview of these three sessions can be seen in Fig 1.
The only measures that accurately distinguished NFO from OTS were increases in ACTH and PRL concentrations after a second maximal exercise bout. The OTS athletes showed a very small or no increase in ACTH and PRL concentrations after the second exercise bout; the NFO athletes showed very large increases. This is a confirmation of our previous studies with this protocol.10 22 The use of two bouts of maximal exercise to study neuroendocrine variations showed an adapted exercise-induced increase of ACTH, PRL and GH to a twoexercise bout.10

I enjoyed your functional training exercises, but I’m not sure about some of them as I was recently diagnosed with a small tear in my rotator cuff. I’m not planning on having surgery. My doctor said that I could work out, but other than saying not to do straight bar bench presses, he said if it hurts, don’t do it. I would love a little more direction than that. Do you have anything more to offer? Thank you.


One of the difficulties in diagnosing OTS is that this should be based on “exclusion criteria”.1 18 Although, in recent years, the knowledge of central pathomechanisms of the OTS has significantly increased, there is still a strong demand for relevant tools for the early diagnosis of OTS. By calculating sensitivity for detection of NFO and OTS, a good indication of the value of the different measures for the diagnosis of unexplainable underperformance is obtained (table 2).
Here's how to do it with good form. Stand with feet shoulder-width apart, then bend knees and flex forward at the hips. (If you have trouble doing this exercise standing up, support your weight by sitting on an incline bench, facing backward.) Tilt your pelvis slightly forward, engage the abdominals, and extend your upper spine to add support. Hold dumbbells or barbell beneath the shoulders with hands about shoulder-width apart. Flex your elbows, and lift both hands toward the sides of your body. Pause, then slowly lower hands to the starting position. (Beginners should perform the move without weights.)

Most of the literature agrees that FO, NFO and OTS must be viewed on a continuum with a disturbance, an adaptation and finally a maladaptation of the hypothalamic–pituitary–adrenal axis (HPA), resulting in an altered hormonal response to intense training and competition.3,–,12 When investigating hormonal markers of training adaptation, it is important to target specific hormones for their information potential and to synchronise their sampling in accordance with their response patterns.

Jump up ^ Petersen RC, Lopez O, Armstrong MJ, Getchius T, Ganguli M, Gloss D, Gronseth GS, Marson D, Pringsheim T, Day GS, Sager M, Stevens J, Rae-Grant A (January 2018). "Practice guideline update summary: Mild cognitive impairment – Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology". Neurology. Special article. 90 (3): 1–10. doi:10.1212/WNL.0000000000004826. PMID 29282327. Lay summary – Exercise may improve thinking ability and memory (27 December 2017). In patients with MCI, exercise training (6 months) is likely to improve cognitive measures and cognitive training may improve cognitive measures. ... Clinicians should recommend regular exercise (Level B). ... Recommendation


Static Hold. Static holds are familiar to some as a great strengthening technique used in yoga. They can be performed with bodyweight movements — get in the top of a plank or a deep squat position and hold — or they can be done by holding weights (in a slightly contracted position or with full lock out). Our tip? Time how long you can hold a plank to see improvement from week to week.
Ever notice how dancers have killer abs, despite never hitting the floor for crunches? There’s a reason for that — every move a dancer makes engages their abs. This quick workout with Heather Graham of BeFit walks you through the moves you need to shake your body like a dancer while getting an effective core workout, not to mention your fair share of cardio. This is a low-impact routine perfect for those just getting back into exercise.
Investigations were identified by PubMed, Ovid, the Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, American College of Physicians Journal Club, and Database of Abstracts of Reviews of Effects. The search terms included shoulder, impingement, rotator cuff, rehabilitation, physical therapy, physiotherapy, and exercise. Additional searches were performed with bibliographies of retrieved studies.
Pharmacologic beta-adrenergic blockade reduces maximal heart rate (HR) during exercise but variable results have been reported for minute ventilation (VE), CO2 output (VCO2), and O2 uptake (VO2). A total group of 19 subjects with mild asthma was studied. We studied 16 subjects from the group who received placebo or pindolol, a beta-adrenergic antagonist, during 1-min incremental exercise on a ... [Show full abstract]Read more
Lisa Avellino, Fitness Director at NY Health and Wellness, says to grab a kitchen towel and engage in just 30 seconds of isometric motion with it. “Thirty seconds of opposing pull—like a human tug-a-war—will take any muscle to its maximum potential because you use your own bodyweight as resistance,” she explains. “The best part is that the stronger you are the more challenging the workout is, so you can never surpass maximum potential.” Speaking of the kitchen, check out these 25 Ways to Organize Your Kitchen for Weight Loss!

What Does the Workout Focus on? – This goes along with matching the exercise video to what you want to work on in your fitness goals. Make sure the exercise video you choose will help you reach the fitness goals you have. For example, if one of your goals is to work on getting flatter abs and there is not an abs exercise on the whole video, this is a major fitness goal that goes untouched. With the variety of exercise videos on the market today, you will be able to find an exercise video that helps you reach your goals.
I created The Bloom Method with a desire to empower women before, during and after pregnancy. As a Pre & Postnatal Exercise Specialist, Core Rehabilitation Specialist and Pre and Postnatal Holistic Health Coach, I strive to provide women with empowering tools to help support your pregnancy, empower you during birth, prevent common pregnancy-related issues such as Diastasis Recti, Pelvic Floor Incontinence, and Prolapse. My clients that have experienced my methods experience a quicker healing phase post-baby.
Video Abstract for the ESSR 44.3 article Peripheral Blood Flow Regulation in Human Obesity and Metabolic Syndrome from author Jacqueline K. Limberg. Both obesity and metabolic syndrome are important cardiovascular disease risk factors. In this review, we explore the hypothesis that young obese adults and adults with metabolic syndrome exhibit alterations in blood flow regulation that occur before the onset of overt cardiovascular dysfunction.
Now that the holidays are creeping around the corner, you may have to break up with your regularly scheduled sweat sessions, at least temporarily. And though the most wonderful time of the year may interfere with your fave spin class or butt-kicking bootcamp routine, it’s completely possible to stay fit—all you need is an Internet connection and a little living room space. (OK, and maybe a few props here and there.) And it’s all thanks to these seriously excellent, totally free workout videos. We’ve rounded up the best YouTube workouts—we’re talking everything from traditional aerobics to ballet to high-intensity interval training routines—so you can keep your physique in tip-top shape this season and beyond.
This is what you should be doing before exercise to raise your heart rate and body temperature in preparation for the workout. During this type of warm-up, you moving through stretches and light exercises without stopping (as opposed to a passive stretches, which are held in place, like you do in a cool-down). This helps increase mobility and range of motion so you can get deeper into exercises. Here are five great dynamic warm-up stretches to try.

Dietary nitrate supplementation increases circulating nitrite concentration, and the subsequent reduction of nitrite to nitric oxide is promoted in hypoxic environments. Given that PO2 is lower in Type II compared with Type I muscle, this article examines the hypothesis that the ergogenicity of nitrate supplementation is linked to specific effects on vascular, metabolic, and contractile function in Type II muscle.
Sensitivity of ACTH and PRL for the detection of OTS was four out of four and five out of five, respectively (table 2; cutoff, 200% at the second exercise test) and for the detection of NFO was four out of five and three out of three, respectively. Sensitivity of cortisol (cutoff, 200% at the second test) and GH (cutoff, 1000%) for the detection of OTS was four out of five and two out of five, and for the detection of NFO, one out of five and two out of four, respectively (table 2).

LSR, SBS, HV, NPA, JEI, UW and DS contributed to the conception and design of the study. LSR, SBS, HV and DS were responsible for the collection of the Generation 100 data in cooperation with colleagues at the Cardiac Exercise Research Group at the Norwegian University of Science and Technology, Norway. LSR, SBS and XT provided the data for analysis. LSR undertook the data analysis and drafted the manuscript. All authors provided critical insight and revisions to the manuscript. All authors read and approved the final version of the manuscript submitted for publication.
Conclusions: Rediscovering the Western mind–body exercise movement is hoped to facilitate official healthcare establishment recognition of this kind of training as an integral entity. This may widen research opportunities and consolidate approaches toward: optimal musculoskeletal rehabilitation and injury prevention, promotion of a healthy active lifestyle environment in the modern world, and enhancement of the natural pain-free human athletic look, feel, and performance.
Tracy Anderson: The Method For Beginners. Choose from a handful of workout DVDs from this celebrity trainer. She’ll have you working up a sweat doing cardio or more targeted moves for the arms, legs, and core. Anderson’s queue of videos range from about $2.99 to $9.99. Considering that Anderson has her own collection of studios across the globe that run about $45 per class, this is a steal!

Gentle stretching and progressive loading of the Achilles' tendon is necessary to successfully treat Achilles tendinopathy.  Some studies indicate that eccentric loading of the tendon is favorable to other types of exercise.  The Alfredson protocol is a method that is used to progressively load your injured Achilles' tendon to treat the tendinopathy.

Typical balance exercises include standing on one foot or walking heel to toe, with your eyes open or closed. The physical therapist may also have you focus on joint flexibility, walking on uneven surfaces, and strengthening leg muscles with exercises such as squats and leg lifts. Get the proper training before attempting any of these exercises at home.
It is well known that exercise in the older population may prevent several diseases [1–4]. Reduced physical activity impairs the quality of life in elderly people with Alzheimer's Disease [4], Parkinson's Disease [5], and Depressive Disorders [6]. Moreover, musculoskeletal, cardiopulmonary, and cerebrovascular decline are associated with poor physical fitness because of the cumulative effects of illness, multiple drug intake, fatigue, and bed rest [7, 8]. The effects of physical activity and exercise programs on fitness and health-related quality of life (HRQOL) in elderly adults have been widely studied by several authors [9–11]. De Vries et al. [11] conducted a meta-analysis focusing on elderly patients with mobility problems and/or multimorbidity. Eighteen articles describing a wide variety of actions were analyzed. Most used a multicomponent training program focusing on the combination of strength, balance, and endurance training. In 9 of the 18 studies included, interventions were supervised by a physical therapist. Intensity of the intervention was not reported and the duration of the intervention varied from 5 weeks to 18 months. This meta-analysis concluded that, considering quality of life, the exercise versus no-exercise studies found no significant effects. High-intensity exercise appears to be somewhat more effective in improving physical functioning than low-intensity exercise. These positive effects are of great value in the patient population but the most effective type of intervention remains unclear. Brovold et al. [7] recently examined the effects of high-intensity training versus home-based exercise programs using the Norwegian Ullevaal Model [12] on a group of over-65-year-olds after discharge from hospital. These authors based their study on the Swedish Friskis-Svettis model [13] which was designed by Johan Holmsater for patients with coronaropathy to promote their return to work and everyday activities and improve their prognoses. This model includes three intervals of high intensity and two intervals of moderate intensity, each one lasting for 5 to 10 minutes. Included in each is coordination. Exercises consist of simple aerobic dance movements and involve the use of both upper and lower extremities to challenge postural control [13]. Exercise intensity was adjusted using the Borg Rating of Perceived Exertion (RPE) Scale. Moderate intensity was set between 11 and 13, and high intensity was set between 15 and 17 on the Borg Scale.
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