Introducing You (And Your Novice/Older Clients) to the TRX
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1 Itroducig You (Ad Your Novice/Older Cliets) to the TRX ACSM Health & Fitess Summit 2012 Christia Thompso, Ph.D. Uiversity of Sa Fracisco Thompso Fitess Solutios, LLC Leigh Crews Seior Master Traier TRX Traiig
2 Updates!!!!! Updated outlie is posted as PDF o Hadouts with pictures also will be posted at ad/or TRX text message at w/ code TRX20 & ame ad address Videos will be uploaded to TRX Traiigʼs website ad to Let TRX kow that you WANT MORE NOVICE/OLDER ADULT EXERCISE GUIDANCE!!!! A olie CEC traiig course is IN THE WORKS!
3 Objectives Most Importatly: LEARN/PRACTICE INTRODUCTORY TRX EXERCISES FOR OLDER/NOVICE CLIENTS! Ad we will also... Itroduce the TRX Exercise Leadership Guidace NAPSMR Protocol Provide guidace regardig valuable cueig strategies Discuss how ad whe to progress/regress cliets Detail the importat compoets to a falls prevetio program for older adults & exercises for falls prevetio usig the TRX Preset results of a older adult TRX research study
4 But First...A Little Explaatio is Necessary!!!!
5 But First...A Little Explaatio is Necessary!!!!
6 But First...A Little Explaatio is Necessary!!!!
7 But First...A Little Explaatio is Necessary!!!!
8 But I Have No Explaatio For This!!!!!
9 WHY Use the TRX With Older/ Novice Cliets?? Provides built-i SAFETY mechaism (i.e., balace/falls prevetio) Provides UNLOADING of the lower extremity (good for weak ad/or arthritic cliets) Exercises ca easily be progressed/regressed to idividually suit each cliet If INTRODUCED PROPERLY, traiig with the TRX ca be a fu ad effective additio to ay clietʼs traiig program!
10 The N.A.P.S.M.R. Protocol N: Name of exercise A: Adjustmet of TRX system P: Positio of body for exercise S: Startig positio for exercise M: Movemet patter for exercise R: Retur to startig positio
11 Joit Mobility Exercises Joit mobility exercises are excellet as warm-up, cooldow, ad/or focus of a exercise sessio TRX provides a exteral balace check to safely perform a ope-chai &/or a closed-chai mobility exercise while also developig sigle-leg balace, muscle edurace, ad core stability
12 Joit Mobility: Hip Series
13 Joit Mobility: Akle Circles
14 Joit Mobility: Akle Poit/Flex
15 Joit Mobility: Shoulder Circles
16 Joit Mobility: Tada s
17 Joit Mobility: Rotatig Puch
18 Falls: How Big is the Problem? Over 1/3 of people aged of 65+ fall each year I 2007, over 1.8 millio seiors were treated for fall-related ijuries at emergecy rooms Approx. 400,000 fractures per year due to falls Over 20% of hip fractures result i death i 1 yr Problem will oly cotiue to icrease with the Grayig of America ad its chagig demographics Sources: CDC, 2010; Kaus et al., 2005; Ngyue et al., 2007
19 Factors Affectig Falls Extrisic Factors Exteral Issues Weather or outdoor coditios House clutter ad obstacles Poor lightig Lack of adaptive devices i the home Iappropriate footwear/clothig Itrisic Factors Iteral Issues History of Fallig Chroic Diseases & Medical Coditios Sesory/Vestibular Impairmets Medicatio Effects Fuctioal Level (Stregth, Posture, Gait) Risk liearly with umber of risk factors preset Sources: (Rose, 2003; Tietti et al., 1988; Carter, 2001; Lehtola et al., 2006)
20 Our Falls Defese Mechaisms... That Begi To Malfuctio With Age!!!! Source: Carter, Kaus & Kha, 2001
21 Stregth/Stability: Assisted Squat (most regressed)
22 Stregth/Stability: Modified Assisted Squat
23 Stregth/Stability: Sigle Leg Assisted Squat
24 Stregth/Stability: Assisted Chest Press
25 Stregth/Stability: Assisted Row Series
26 Stregth/Stability: Agled Plak
27 Stregth/Stability: Side Plak Series
28 Stregth/Stability: Proe Walk-Uder
29 TRX Research USF USF Lab outfitted with TRX Wall Mouts 3 males/3 females Average age: 73.1 years Siged physicia coset form Recruited from physical therapists ad medical offices
30 TRX Itervetio Descriptio 8-week Progressive Program Three Phases (2 wks, 3 wks x 2) Dyamic warm-up Sesory itegratio exercises Stregth traiig Balace traiig Gait ehacemet traiig Dyamic cool-dow 60 Miutes, 2 days per week Led by CT, CPT & USF Studets
31 Outcome Measures Physiological Assessmets Fuctioal Reach Test (Limits of Stability) 30 sec Chair Stad (Lower Body Stregth) Timed Up-Ad-Go (Agility & Dy. Balace) Questioaires Activity Specific Balace Cofidece Scale SF-12 Quality of Life Questioaire
32 Physiological Measures ANOVA Assessig Mea Differeces 60.0 p =.0001 % Chage p =.008, NS p =.04,.001 FP Program Cotrol TRX FR CS TUG
33 Dy. Balace/Gait Ehacemet: Side Steps
34 Dy. Balace/Gait Ehacemet: Step/Luge Retur Patter
35 Dy. Balace/Gait Ehacemet: Frotal Step/Luge Retur Patter
36 Recommedatios for the Fitess or Activity Professioal Start with widest base of support & progress from there (4 step progressio) Provide positive reiforcemet ALL THE TIME! Follow NAPSMR protocol to have a reliable & cosistet exercise delivery strategy Remember, the TRX ca help EVERYONE!!!
37 Dr. Christia Thompso Uiversity of Sa Fracisco & Thompso Fitess Solutios, LLC YouTube: ThompsoFitessSolut Blog: Leigh Crews:
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