Although there is research concluding the effectiveness of the Alfredson protocol, some individuals find the completion of 180 repetitions of exercise daily to be difficult to achieve.  A study in the February 2014 issue of the Journal of Orthopaedic and Sports Physical Therapy indicated that a modified version of the Alfredson protocol with a "do as much as tolerated" approach achieved similar positive results as the full 180 repetition protocol.

Both groups performed an equal proportion of exercise sessions alone (MCT: 50%, HIIT: 49.6%) and together with others (MCT: 50%, HIIT: 50.4%). In both groups, women had a significantly higher proportion of sessions together with others compared to men (56% vs. 44%, p < 0.01). The HIIT group had a significantly higher proportion of sessions organized by Generation 100 compared to the MCT group (8.1% vs. 5.9%, p < 0.01).
Toning the upper back is the fast track to better posture. This move uses the reformer with an accessory called a long box. Lie on your stomach with your chest just past the edge of the long box. Grab the straps in front of you with straight arms. Lift the head and chest as you pull the straps down toward your hips. The long box will slide forward, with you on top. Release the arms back to the starting position. Do five reps.
Interestingly, one of our subjects presented both a CV and a time to exhaustion greater than the other subjects. As both CV and time to exhaustion are known to increase when the intensity of the exercise decreases [20], it is likely that this subject did not reach its true peak power output during the incremental test, and then performed the three time to exhaustion tests at an intensity below 85% of peak power output. This result is of particular importance for future research aiming to manipulate endurance performance using this protocol. Indeed, when the true peak power output is not reached during the incremental test, due to an increase in variability, it might be harder to detect significant changes in muscle endurance. Therefore, in order to better understand the variability in reaching the true peak power output of subjects, further studies should investigate the reliability of the incremental test used in the present study.
Include strength training at least 2 days per week. Also known as resistance training, strength training involves using free weights, resistance bands, or your own body weight to strengthen your muscles. If you’re just starting out, try doing upper and lower body workouts 1 day a week each. In time, gradually work your way up to including 3 to 4 strength training days in your weekly routine.[4]
Add tai chi to your exercise routine. Tai chi is a Chinese martial art that involves sequences of slow movements. It can help improve your balance, flexibility, and concentration, and it’s a good way to manage stress. Since it’s a low impact form of exercise, it’s a good option if you’re elderly, have a history of medical issues, or have recently suffered an injury.[28]
... Consequently, it was suggested that when determining LT in trained subjects, at least 8-min stages should be used ( Foxdal et al., 1996;Weltman et al., 1990). However, using such a stage duration would not allow maximal tasks to be assessed, since the duration of the whole procedure could result in an excess of fatigue or motivation ( Buchfuhrer et al., 1983). This was shown to compromise the V Á O 2max and maximum work-rate achievements (Bentley et al., 2007). ...
Leslie Sansone: Walk Off Fat Fast. This is just one of Leslie Sansone’s walking videos available on Amazon Prime that will give you the skills, form, and tips to take your walking outside to the trail. Walking is a low-impact, but effective way to lose weight and stay active, and it’s great for all ages. The video literally walks you through a few fat-burning walking programs set to beats per minute in workout music. Available for $2.99 to rent; $9.99 to purchase.
Resistance bands serve as another space and equipment saver. These elastic bands typically have handles on the end, and you can perform a variety of exercises with them. If you'd like to increase the intensity and resistance, you can use two bands at once. Surgical tubing makes and extremely inexpensive resistance band, provided you create a safe way to hold onto the ends so that you don't accidentally let go.

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.
The St Thomas method, however, did not survive World War II, besides the mentioned indications of use in Australia a decade later, and Randell’s work has since been forgotten. Various factors might attribute to this, including the tragic loss in 1940 when two bombs hit St Thomas hospital killing four physiotherapists including Thomas;29 Sydney Morning Herald [Internet]. Thomas BM: Obituary (1940). 2014 Oct 23 [cited 2015 Aug 30]. Available from: [Google Scholar] and the promotion of rival London obstetric group, led by Grantly Dick-Read and Physiotherapist Helen Heardman, with the concept of natural childbirth. This movement gained favor with the healthcare establishments, chartered physiotherapists and the general public at the ultimate expense of the St Thomas Project.23 Raphael AJ. Natural childbirth in twentieth century England; PhD thesis. London: Queen Mary University of London; 2010. [Google Scholar] Randell left St Thomas physiotherapy school in 1945, just before the Chartered Society of Physiotherapy imposed a new syllabus.37 The National Archives [Internet]. Saint Thomas’ hospital: physiotherapy school. 2009 Aug 12 [cited 2015 Sep 23]. Available from: [Google Scholar] She received the royal title of OBE and extended her career interest with a focus on gynecological cases; in 1948, she co-founded the Obstetric Association of Chartered Physiotherapists, was awarded an honorary fellowship of the Chartered Society of Physiotherapists and was later remembered as the pioneer of modern women’s health physiotherapy (Figures 1, 5–7).38 Pelvic Obstetric and Gynaecological Physiotherapy [Internet]. A brief history. 2015 Aug 30 [cited 2015 Aug 30]. Available from: [Google Scholar]
The aim of this study was to assess the effects of vigorous exercise on functional abilities by means of a Senior Fitness Test (SFT) in a group of elderly adults. Twenty healthy and inactive people performed vigorous exercise (VE: 12 men and 8 women, aged 69.6 ± 3.9 years). At the beginning of the study (T0) and after 3 months (T1), each subject's functional ability was tested for muscular strength, agility, cardiovascular fitness, flexibility, and balance. The VE was designed with continuous and interval exercise involving large muscle activities. Functional exercises were performed between 60% and 84% of heart rate reserve (HRR) for a duration of 65 minutes. Five out of the 6 SFTs performed were found significantly improved: Chair Stand (T0 12.4 ± 2.4, T1 13.5 ± 2.6, p < 0.01), Arm Curl (T0 14.2 ± 3.6, T1 16.6 ± 3.6, p < 0.01), 2 min step (T0 98.2 ± 15.7, T1 108.9 ± 16.2, p < 0.01), Chair Sit-and-Reach (T0 −9.9 ± 7.7 cm, T1 1.7 ± 6.3 cm, p < 0.01), and Back Scratch (T0 −15.8 ± 10.9 cm, T1 −8.4 ± 13.1 cm, p < 0.01). Our results suggest that a high intensity protocol and functional exercises can improve functional mobility and muscle endurance in those over 65 years of age. SFTs are an effective method for assessing improvements in the functional capacity of elderly adults.