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NASM-SFS: Program Components for the Older Adult

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Program Components for the Older Adult

Program Components for the Older Adult

This domain tests whether you can build a complete session, not just a set of exercises. Components include warm-up, flexibility, core, balance, speed/agility/quickness (SAQ), resistance, cardiorespiratory work, and cool-down.

Core rules

  • Warm up 5–10 minutes with low-intensity movement and rehearsal.
  • Resistance train 2+ days/week, 1–3 sets of 8–15 reps at RPE 4–6/10; use controlled tempo and full comfortable ROM.
  • Cardio: build toward 150 minutes/week of moderate activity, spread across days; use RPE 3–5/10 or talk test.
  • Flexibility: static stretches 30–60 seconds, 2–3 days/week, after warm-up or session.
  • Balance: progress from stable to unstable surfaces, eyes open to closed, single-task to dual-task, with support nearby.
  • Core: emphasize bracing and anti-extension/anti-rotation; modify flexion/rotation with osteoporosis.

Worked example

A 68-year-old with knee osteoarthritis is deconditioned. Session: 8-minute recumbent bike warm-up; chair sit-to-stand 2×8; wall push-up 2×10; band row 2×12; standing heel raises 2×10; single-leg stance with counter support 2×20 seconds; seated hamstring stretch. Cardio progresses by 5 minutes weekly.

Traps

Skipping balance because the client “just wants strength,” using only machines, progressing load before technique, and including deep spinal flexion with osteoporosis. Avoid long, exhausting sessions early.