dosage and prescription

• strength training leads to functional improvements • failure should occur after 8th rep or patients should succeed < 80% of the time with neuromuscular tasks

• tempo - slow movements focused on prolonged eccentric or return phase • ROM - greater ROM • resistance - farther from joint, increased resistance • environment (cognitive load) - patient holds conversation or performs cognitive task • environment (surface) - stand on softer surface, narrower BOS • support - decrease use of UE support

• TB not ideal because not consistent load through ROM, difficult to standardize • ankle weights, DBs, weighted vests preferred - for lack of ability to hold weights, adds balance with new COM, vests enhance neuromuscular function of proximal muscles to improve stability and balance

• at 7th-9th rep - still high intensity • lower boundary is 5 reps • for strength gains, need > 5 reps

• original 6-20 • modified 1-10 • designed to monitor aerobic intensity • accurate in multiple populations

• can be less accurate when attempting to monitor intensity for strength training • can be more accurate for experienced lifters but varies widely among patients and novice lifters • can ask “how many more reps do you think you could have done”