When performed at high intensity until exhaustion, OLDE has been shown to induce both peripheral and central fatigue [11, 17, 18]. However, as the exercise performed in these studies did not take place on the same ergometer where neuromuscular function was tested, the extent of peripheral and central fatigue remained unclear. To avoid the need to transfer the participant from the exercising ergometer to the dynamometer (to assess muscle fatigue), we recently developed in our laboratory a OLDE protocol on a dynamometer, reducing the time delay between cessation of the exercise and start of neuromuscular testing [8]. In this study, we demonstrated that both peripheral and central fatigue significantly recovered between exhaustion and after three minutes, but also that high intensity OLDE alters cortical and spinal excitability. Previous studies [8, 11, 17, 18] describing muscle fatigue induced by high intensity OLDE focused only on isometric muscle fatigue (i.e. muscle fatigue measured during isometric contractions) and did not describe the extent of isokinetic muscle fatigue (i.e. muscle fatigue measured during isokinetic contractions) and its recovery. Consequently, an additional aim of this study was to describe the isokinetic muscle fatigue and its recovery induced by high intensity OLDE.


Cardiovascular activity. Start by doing an aerobic activity, like walking or running, for a sustained 20-30 minutes, four to five times a week, says Bryant. To ensure you're working at an optimum level, try the "talk test": Make sure you can carry on a basic level of conversation without being too winded. But if you can easily sing a song, you're not working hard enough.
Several exercises from Week 1 are carried over to Week 2, but one move is added to each bodypart routine—with the exception of abs—so you can train all muscle groups more completely from multiple angles. Chest, for example, includes two exercises: One is a compound movement (dumbbell bench press) that involves multiple joints (both the shoulder and elbow) to work the largest amount of muscle possible, and the other is an isolation exercise (dumbbell flye) that involves only one joint (shoulder) and targets the pecs to a greater extent. (When doing presses for chest, the deltoids and triceps are involved to a degree, meaning presses don’t isolate the pecs as much as flyes do.)
Super Set. Instead of tweeting about how sweaty you are after each set, push muscle groups by coupling exercise with another set that focuses on a different body part, for example: back and chest, bi's and tri's, Tom and Jerry. Research suggests lifting in supersets can be just as effective as normal sets at building strength while adding an additional cardio component The metabolic costs of reciprocal supersets vs. traditional resistance exercise in young recreationally active adults. Kelleher, A.R. Musculoskeletal and Human Performance Laboratories, Department of Exercise Science, Syracuse University, Syracuse, New York, USA; Journal of Strength and Conditioning Research. 2010 Apr;24(4):1043-51.. Or for added punch, do similar body parts — shoulders and shoulders, legs and legs — for a serious burn.

In 1904, Danish prize-winning athlete and gymnastics educator JP Müller followed Checkley’s exercise philosophy with the publication of ‘My System’. This book described how the relatively healthy, average person could keep fit, fortify health and stamina, and increase physical and mental efficiency with 15 min of daily exercise. He claimed: ‘If people only knew how much more, how much better and how much longer they can enjoy life, instead of being controlled by a weakly body, they have a strong and healthy one at their command!’15 Müller JP. My system. London: Link House; 1904. [Google Scholar] Müller was born a weak child and developed an exercise routine to re-build his own body, inspired by the harmony of ancient Greek statues. His routine included exercising natural functional movements, self-massage of skin in fascial lines, exposure to the sun, and bathing in cold water in addition to running on the balls of the feet as an aerobic activity.15,16 Müller JP. My system. London: Link House; 1904.

By the 1930s, the method was flourishing and the St Thomas faculty was reinforced with two of Randell’s distinguished physiotherapy graduates: Australian hockey star and medical student Barbara Mortimer Thomas (1910–1940), who served as main instructor,29 Sydney Morning Herald [Internet]. Thomas BM: Obituary (1940). 2014 Oct 23 [cited 2015 Aug 30]. Available from: http://www.tiveyfamilytree.com/Barbara-Mortimer-Thomas-Death-Article-SMH-11-9-1940.htm. [Google Scholar] and English dancer and choreographer Margaret Morris (1891–1980), who already used remedial exercises in her dance teaching.30 Margaret Morris Movement (MMM) [Internet]. Margaret Morris - Biography. 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://www.margaretmorrismovement.com/MargaretMorris. [Google Scholar] Exercising to the beat of classical music, the dance moves and grace typical of the St Thomas Method exercises are attributed to Morris.


I believe we are coming around to the conclusion that what was recommended for years by the medical community (30 minutes of "aerobic exercise" 3-5 times a week, getting the heart rate up to 80% max. for age, etc.) has been inadequate, and of too low an intensity level. When an activity is of sufficient intensity, and not of a certain duration or repeated a certain number of times, the body will initiate a total-body response (metabolic, HDL, glucose tolerance, blood pressure, bone mineral density, immune competency, etc.) It appears that if this level of intensity is never reached, regardless of the amount of time spent or the frequency it is repeated, the beneficial response by the body never occurs, or is at least blunted.


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.”  
KE MVCs were performed at 60, 100 and 140 deg/s. Testing was performed pre-exercise (pre, average of all three sessions pre-exercise values), shortly after exhaustion (13 ± 4 s after exhaustion), 20 s following exhaustion test (P20) and 40 s following exhaustion test (P40). As pre-exercise values for the EMG RMS RF at 60 deg/s differ between sessions (P = 0.038), its time course was not analyzed. Planned comparisons failed to demonstrate significant difference between means for EMG RMS RF at 140 deg/s. VL, Vastus Lateralis muscle; RF, Rectus Femoris muscle; VM, Vastus Medialis muscle, KE, knee extensor muscles (sum VL, RF and VM). Data are presented as mean (SD).
In her hilarious, naked, and explicitly honest anecdote, she described her aversion to most fitness regimens ("I can't run because I piss myself . . . and fart at the same time"), her DVD workout — "Charlotte's 3-Minute Belly Blitz" — and her complete surprise at the intensity of the routine ("THAT'S the f*cking WARMUP?"). To be honest, most of us have been there, so this is pretty damn relatable.
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

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.
Brovold et al. [7] supposed the importance of an exercise is based on a high-intensity and continuous monitoring model because in their research a nonmonitored home-based group did not improve their physical fitness as much as the monitored group that accomplished a high-intensity aerobic exercise adjusted by means of the Borg Scale and a musical pace [25]. However, Brovold et al. [7], despite an exercise protocol with a high-intensity aerobic interval (HIA), found a small effect on SFT. This may be due to the fact that the exercise protocol used by Brovold et al. [7] did not interact favorably with the skills tested by SFT. Thus, a positive relationship among vigorous physical exercise [17] or HIA exercise [7] and the functional abilities tested by the SFT is not fully evident. On the contrary, the vigorous exercise protocol used here enhanced 5 out of 6 of the SFT and seems to be more focused than the aforementioned one. The small effect of vigorous physical exercise through the 8-foot up and go test is not fully clear and may depend on several factors: (i) a large standard deviation at T0 due to the presence of two subjects who showed a very low functional capacity; (ii) inadequacy of the exercises to improve this ability; and/or (iii) inadequate sensitivity of an 8-foot up and go test. In a recent study by Furtado et al. [15] conducted on a large number of elderly females, even though the SFT was used at baseline and after 8 months from an intervention program of multimodal exercise training (3 days per week), not all skills tested were found improved. However, according to a meta-analysis [11] that included 18 different exercise studies, even a small positive effect can be considered to be of great value in this group of individuals who are at risk of further functional decline. In conclusion, the present study shows that vigorous physical exercise in healthy elderly people provides significant improvements in the majority of the different skills assessed by the SFT.
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