The final installment Bob's technique. Bob Peoples had no competition in those days for the. The Training Methods of Bob Peoples. My first lifting instruction was obtained from an early article in Physical. Developing the principles of chair based exercise for older people: a modified Delphi study . Consensus was reached on forty- six statements relating to seven domains of chair based exercise: defining, intended users, potential benefits, structure, format, risk management and evaluation. This work has clinical value in offering the first efforts at defining CBE and for providing greater clarity and understanding on the role and scope of CBE for older people. The complexities of CBE as an intervention have been highlighted with a clear agreed definition of CBE proving challenging. Several rounds of consultation were required to reach any level of agreement regarding the scope and purpose of CBE for older people. It is clear that many experts do not want CBE to be regarded as the default exercise programme for all older people without appropriate justification and progression. These concerns are reflected by the expert discussions with a reluctance to commit to predefined and prescriptive amount of seated activity within a programme. Instead comments centred on the need to consider appropriate progression to more challenging and dynamic standing programmes to maximise health benefits. The definition established in this process does however offer a framework for CBE outlining that it is primarily a seated programme that uses a chair to provide stability. This framework allows CBE to be adapted to meet the changing needs of older people in the appropriate setting and perhaps a more prescriptive model would have limited applicability in health and social care settings. CBE has been used as a control in research studies testing exercise interventions often described as low level exercise . This consensus process however suggests that CBE is appropriate for older people who are unable to take part in other forms of exercise due to activity limitation which may be acute or longer term. Experts predominantly working in the healthcare sector stressed the importance of progression for all users of CBE . Progressively challenging programmes are supported by evidence of effective exercise for frail older people . The predominant reason for participants to attend needed to be acknowledged and would influence the programme content and outcome. Bob Peoples Developing Physical Strength Pdf FreeDownload Developing Physical Strength PDF. Bob Peoples: Deadlift Champion, Strength Theorist. The primary focus of these efforts has been on developing new applications of. And as Bob Buckman, Chairman. In Developing Physical Strength, Bob Peoples discusses a number of training topics that you should definitely know more about if your goal is to build maximum strength. The Development of Physical Strength by Anthony Ditillo Famous Writer for Peary Rader’s “Iron Man Magazine. Formally measuring improvements and facilitating progression may not be justified for those users who choose to attend CBE group for primarily social reasons. It could be argued that the distinction needs to be made between when CBE is being undertaken for specific health gains and when it is the exercise of choice for an older person. It is however essential that older people are fully informed about CBE to reduce any misconceptions over the potential benefits and reasons for taking part. Exercise has been shown to have wide ranging health benefits for older people and the potential benefits offered by CBE are in line with this evidence . It is however important to recognise for some intended users of CBE for example those with a chronic long term condition the likely outcomes may be different. From a physiological perspective CBE may offer a way of protecting against the progression of musculoskeletal frailty rather than having a restorative role. Comments relating to maintaining functions were identified by experts however the agreed principles do not reflect this role of CBE. The outputs from the Delphi suggest that the duration of exercise sessions should be of 1. This is broadly in line with the UK national exercise guidance for older people . The consensus achieved here differs from the national guidance by stating that a minimum programme should be one session per week, lasting up to an hour, whilst national recommendations require programmes to achieve 1. However, these national guidelines are generic, covering all types of exercise in a variety of patients, whilst CBE, as defined through this study, is useful for those who cannot participate in other forms of exercise and therefore a less intensive approach in this context may be reasonable. Other advice, such as from the BHF National Centre for Physical Activity and Health . Thus, although the consensus statements have defined a programme that might be expected to achieve worthwhile health benefits, doubt remains as to whether these will be demonstrable in practice, or without additional measures to increase physical activity between exercise sessions. Managing the potential risks of CBE programmes was considered important by the expert panel and ensuring appropriate training and regulation was commented on throughout, often being raised in domains outside risk management. Consensus was however not reached on a minimum qualification required for instructors as this impacted on the volunteers and support workers that are currently trained to deliver programmes. Instead agreement was reached on having regulated CBE training programmes that follow an agreed curriculum to improve standardisation and quality. It is acknowledged that health professionals and instructors influence the attitudes and beliefs of older people to exercise . A greater focus on the training for instructors which encourages positive attitudes towards seated programmes is essential to ensure that older people are able to take part in programmes that are delivered by well- trained and motivated instructors and who have the appropriate skills to deliver programmes in line with the established principles. Elderly care emphasizes the social and personal requirements of senior citizens who need. The SCJ is the professional journal for strength coaches, personal trainers, physical therapists. Click here to download the PDF. Main loomed the legendary Bob Peoples. In his introduction to Bob’s book Developing Physical Strength. The findings of this study are of value as a guide to practitioners involved in the delivery of exercise for older people and for those who purchase these services. They provide a benchmark against which current practice can be evaluated. The outputs of this study also provide evidence of clear hypothesis driving chair- based exercise, in terms of its objectives and likely benefits. Evaluative research is now possible to evaluate the effectiveness and cost effectiveness of CBE against these stated goals. The broad consensus achieved here provides much needed clarity for both practitioners and researchers. Strengths and limitations. The consensus threshold of 7. Agreement for most statements exceeded 7. However, at this threshold, our findings must be taken as the best achievable consensus given the current lack of robust evidence in the field, rather than as evidence of absolute unanimity. The focus and findings of this study were influenced by the perspectives of both the research team and consulted experts, who were clinicians and experts in the delivery of chair based exercise. The framework for round one was developed by the research team in consultation with experts which will have influenced the scope of the process. This modified Delphi technique may have introduced bias from experts when rating the structured statements in round one. Experts may have responded more favourably to the predefined statement rather than to iterate a statement of their own. Nevertheless only 5. In addition experts in exercise for older people may not be entirely impartial in their appraisal of chair based exercise as they have already invested and engaged with the concept which may have led to more favourable responses. However, despite these limitations we consider that our use of the Delphi process provided a fair representation of the expert practitioner view of chair based exercise, as we consulted a mixed group of experts spanning health and social care, voluntary and private sector groups as well as academia. The established principles offer a framework for CBE programmes that requires further evaluation in terms of its acceptability, feasibility and effectiveness.
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