Training Specificity and Ecological Validity: Challenging Reductionist Exercise Paradigms for Older Adults

Robert T Morrison

Abstract


This article challenges the prevalent approach in exercise science for improving functional performance in older adults. It argues that contemporary exercise research and practice adheres to an outdated paradigm based on the motor schema theory. This approach diminishes the principle of specificity in training and assessments. The author supports this central critique through fundamental principles, including conceptual imprecision, paradigmatic limitations, and the tenets of motor learning. Additional evidence from exercise science literature demonstrates that these issues undermine the specificity principle. To address these shortcomings, the author proposes a preliminary framework called ‘The Emergence of Skilled Mobility in Ageing (ESMA)’, which aligns training and evaluation with individual-task-environment constraints. This framework recognises the critical role of adaptive variability and representative practice design for optimising coordination, skills, and mobility. The proposed framework has significant implications for interdisciplinary collaboration and knowledge translation, through focused and ecologically valid assessments and interventions. Overall, this article identifies key gaps in the current exercise science paradigm and offers an integrated solution that focuses on specificity and real-world functioning.


Keywords


Exercise, Older adults, Functional performance, Exercise specificity, Ecological dynamics

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References


Collard RM, Boter H, Schoevers RA, Oude Voshaar RC. Prevalence of frailty in community-dwelling older persons: a systematic review. J Am Geriatr Soc. 2012;60:1487–92.

Anton SD, Woods AJ, Ashizawa T, Barb D, Buford TW, Carter CS, et al. Successful aging: advancing the science of physical independence in older adults. Ageing Res Rev. 2015;24:304–27.

Ferreira OGL, Maciel SC, Costa SMG, Silva AO, Moreira MASP. Active aging and its relationship to functional independence. Texto Contexto-Enferm. 2012;21:513–8.

Forti P, Rietti E, Pisacane N, Olivelli V, Maltoni B, Ravaglia G. A comparison of frailty indexes for prediction of adverse health outcomes in an elderly cohort. Arch Gerontol Geriatr. 2012;54:16–20.

Hoogendijk EO, Afilalo J, Ensrud KE, Kowal P, Onder G, Fried LP. Frailty: implications for clinical practice and public health. The Lancet. 2019;394:1365–75.

Topinková E. Aging, disability and frailty. Ann Nutr Metab. 2008;52:6–11.

Sternberg SA, Schwartz AW, Karunananthan S, Bergman H, Mark Clarfield A. The identification of frailty: a systematic literature review. J Am Geriatr Soc. 2011;59:2129–38.

Pilotto A, Custodero C, Maggi S, Polidori MC, Veronese N, Ferrucci L. A multidimensional approach to frailty in older people. Ageing Res Rev. 2020;60:101047.

O’Caoimh R, Sezgin D, O’Donovan MR, Molloy DW, Clegg A, Rockwood K, et al. Prevalence of frailty in 62 countries across the world: a systematic review and meta-analysis of population-level studies. Age Ageing [Internet]. 2020;50:96–104. Available from: https://doi.org/10.1093/ageing/afaa219

Arnadottir SA, Bruce J, Lall R, Withers EJ, Underwood M, Shaw F, et al. The importance of different frailty domains in a population based sample in England. BMC Geriatr. 2020;20:1–10.

Verver D, Merten H, de Blok C, Wagner C. A cross sectional study on the different domains of frailty for independent living older adults. BMC Geriatr. 2019;19:1–12.

Rothman MD, Leo-Summers L, Gill TM. Prognostic significance of potential frailty criteria. J Am Geriatr Soc. 2008;56:2211–6.

Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56:M146–57.

Izquierdo M, Merchant R, Morley J, Anker S, Aprahamian I, Arai H, et al. International exercise recommendations in older adults (ICFSR): expert consensus guidelines. J Nutr Health Aging. 2021;25:824–53.

Beckwée D, Delaere A, Aelbrecht S, Baert V, Beaudart C, Bruyere O, et al. Exercise interventions for the prevention and treatment of sarcopenia. A systematic umbrella review. J Nutr Health Aging. 2019;23:494–502.

Amaral Gomes ES, Ramsey KA, Rojer AG, Reijnierse EM, Maier AB. The association of objectively measured physical activity and sedentary behavior with (instrumental) activities of daily living in community-dwelling older adults: a systematic review. Clin Interv Aging. 2021;1877–915.

Tak E, Kuiper R, Chorus A, Hopman-Rock M. Prevention of onset and progression of basic ADL disability by physical activity in community dwelling older adults: a meta-analysis. Ageing Res Rev. 2013;12:329–38.

Wang DX, Yao J, Zirek Y, Reijnierse EM, Maier AB. Muscle mass, strength, and physical performance predicting activities of daily living: a meta-analysis. J Cachexia Sarcopenia Muscle. 2020;11:3–25.

Brahms CM, Hortobágyi T, Kressig RW, Granacher U. The interaction between mobility status and exercise specificity in older adults. Exerc Sport Sci Rev. 2021;49:15–22.

McCrum C. Falls among older people: are intervention duration and specificity the keys to making a difference? BMJ E. 2018;361:k2213.

Morrison RT, Taylor S, Buckley J, Twist C, Kite C. High-velocity power training has similar effects to traditional resistance training for functional performance in older adults: a systematic review. J Physiother [Internet]. 2023;69:148–59. Available from: https://www.sciencedirect.com/science/article/pii/S183695532300053X

McFee G. Paradigms and possibilities: or, some concerns for the study of sport from the philosophy of science. Sport Ethics Philos. 2007;1:58–77.

Kent JA, Hayes KL. Exercise physiology from 1980 to 2020: Application of the natural sciences. Kinesiol Rev. 2021;10:238–47.

Estabrooks PA. Physical activity promotion and translational research. Transl Behav Med. 2017;7:1–2.

Verhagen E, Voogt N, Bruinsma A, Finch CF. A knowledge transfer scheme to bridge the gap between science and practice: an integration of existing research frameworks into a tool for practice. Br J Sports Med. 2014;48:698–701.

Freccia GW, de Carvalho T. A Reproducibility or an identity crisis in sports and exercise? A viewpoint on current challenges and solutions.

Caldwell AR, Vigotsky AD, Tenan MS, Radel R, Mellor DT, Kreutzer A, et al. Moving sport and exercise science forward: a call for the adoption of more transparent research practices. Sports Med. 2020;50:449–59.

Swann C, Piggott D, Schweickle M, Vella SA. A Review of Scientific Progress in Flow in Sport and Exercise: Normal Science, Crisis, and a Progressive Shift. J Appl Sport Psychol [Internet]. 2018;30:249–71. Available from: https://doi.org/10.1080/10413200.2018.1443525

Kuhn TS. The structure of scientific revolutions. University of Chicago press; 2012.

Anand G, Larson EC, Mahoney JT. Thomas Kuhn on paradigms. Prod Oper Manag. 2020;29:1650–7.

Noakes T. How does a foundational myth become sacred scientific dogma? Philos Sci Exerc Health Sport. 2004;52.

Mann T. Sporting myths: the REAL role of lactate during exercise. South Afr J Sports Med. 2007;19:114–6.

Beneke R. Training at lactate threshold: science based concept or irrational myth. J Sports Med Doping Stud. 2012;2:2.

Robergs RA, Landwehr R. The surprising history of the" HRmax= 220-age" equation. J Exerc Physiol Online. 2002;5:1–10.

Kilgore JL, Baker J, Davies B. A consideration of the paradigm of exercise physiology. Res Sports Med. 2014;22:314–22.

Mood DP. Measurement in Exercise Science. Introd Exerc Sci. Routledge; 2017. p. 35–58.

Tesio L. Quality of life measurement: one size fits all. Rehabilitation medicine makes no exception. J Med Pers. 2009;7:5–9.

Faude O, Kindermann W, Meyer T. Lactate threshold concepts: how valid are they? Sports Med. 2009;39:469–90.

Sartori G, others. Guidelines for concept analysis. Soc Sci Concepts Syst Anal. 1984;15:85.

Goertz G. Social science concepts: A user’s guide. Princeton University Press; 2006.

Popper K. The logic of scientific discovery. Routledge; 2005.

Barnes B, Bloor D, Henry J. Scientific knowledge: A sociological analysis. A&C Black; 1996.

Sparkes AC. The paradigms debate: An extended review and a celebration of difference. Res Phys Educ Sp. 2012;9–60.

Chamari K, Padulo J. ‘Aerobic’and ‘Anaerobic’terms used in exercise physiology: a critical terminology reflection. Sports Med-Open. 2015;1:1–4.

Winter EM, Knudson DV. Turning the Corner on the Correct Use of Terms and Nomenclature to Describe Performance in Sport and Exercise? 2016;

Winter EM, Abt G, Brookes FC, Challis JH, Fowler NE, Knudson DV, et al. Misuse of “power” and other mechanical terms in sport and exercise science research. J Strength Cond Res. 2016;30:292–300.

Rodgers MM, Cavanagh PR. Glossary of biomechanical terms, concepts, and units. Phys Ther. 1984;64:1886–902.

Utesch T, Bardid F, Büsch D, Strauss B. The relationship between motor competence and physical fitness from early childhood to early adulthood: a meta-analysis. Sports Med. 2019;49:541–51.

Osness WH, others. Functional Fitness Assessment for Adults Over 60 Years (A Field Based Assessment). ERIC; 1990.

Üstün TB, Chatterji S, Bickenbach J, Kostanjsek N, Schneider M. The International Classification of Functioning, Disability and Health: a new tool for understanding disability and health. Disabil Rehabil. 2003;25:565–71.

Van Holle V, Van Cauwenberg J, Gheysen F, Van Dyck D, Deforche B, Van de Weghe N, et al. The association between Belgian older adults’ physical functioning and physical activity: what is the moderating role of the physical environment? PLoS One. 2016;11:e0148398.

Thompson WR. Worldwide survey of fitness trends for 2018: the CREP edition. ACSMs Health Fit J. 2017;21:10–9.

Campbell E, Petermann-Rocha F, Welsh P, Celis-Morales C, Pell JP, Ho FK, et al. The effect of exercise on quality of life and activities of daily life in frail older adults: A systematic review of randomised control trials. Exp Gerontol. 2021;147:111287.

Paterson DH, Jones GR, Rice CL. Ageing and physical activity: evidence to develop exercise recommendations for older adults. Appl Physiol Nutr Metab. 2007;32:S69–108.

Kirch W, editor. Functional AbilityFunctional ability. Encycl Public Health [Internet]. Dordrecht: Springer Netherlands; 2008 [cited 2023 Aug 2]. p. 466–466. Available from: https://doi.org/10.1007/978-1-4020-5614-7_1209

Sebastiano MDK. Functional Capacity, Disability, and Status. In: Gellman MD, editor. Encycl Behav Med [Internet]. Cham: Springer International Publishing; 2020 [cited 2023 Aug 2]. p. 903–5. Available from: https://doi.org/10.1007/978-3-030-39903-0_1133

Kalpakjian CZ, Forchheimer M, Tate DG. CHAPTER TWENTY-THREE - Quality of Life After Spinal Cord Injury. In: Sisto SA, Druin E, Sliwinski MM, editors. Spinal Cord Inj [Internet]. Saint Louis: Mosby; 2009. p. 537–52. Available from: https://www.sciencedirect.com/science/article/pii/B9780323006996100231

PROMIS. Dynamic tools to measure health outcomes from the patient perspective. [Internet]. [cited 2023 Aug 2]. Available from: http://www.nihpromis.org.

Wang T-J. Concept analysis of functional status. Int J Nurs Stud. 2004;41:457–62.

Beaudart C, Rolland Y, Cruz-Jentoft AJ, Bauer JM, Sieber C, Cooper C, et al. Assessment of muscle function and physical performance in daily clinical practice: a position paper endorsed by the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO). Calcif Tissue Int. 2019;105:1–14.

Pearson D, Faigenbaum A, Conley M, Kraemer WJ. The National Strength and Conditioning Association’s Basic Guidelines for the Resistance Training of Athletes. Strength Cond J. 2000;22:14.

McCafferty WB, Horvath SM. Specificity of exercise and specificity of training: a subcellular review. Res Q Am Alliance Health Phys Educ Recreat. 1977;48:358–71.

Hong S-G, Shin J, Aldokhayyil M, Brown MD, Park J-Y. Mitochondrial and metabolic adaptations to exercise-induced fluid shear stress in endothelial cells. Exerc Sport Sci Rev. 2022;50:145–55.

Hortobágyi T, Granacher U, Fernandez-del-Olmo M, Howatson G, Manca A, Deriu F, et al. Functional relevance of resistance training-induced neuroplasticity in health and disease. Neurosci Biobehav Rev. 2021;122:79–91.

Blazevich AJ, Gill ND, Bronks R, Newton RU. Training-specific muscle architecture adaptation after 5-wk training in athletes. Med Sci Sports Exerc. 2003;35:2013–22.

Plotkin DL, Roberts MD, Haun CT, Schoenfeld BJ. Muscle fiber type transitions with exercise training: Shifting perspectives. Sports. 2021;9:127.

Behm D, Sale D. Velocity specificity of resistance training. Sports Med. 1993;15:374–88.

Hubbard IJ, Parsons MW, Neilson C, Carey LM. Task-specific training: evidence for and translation to clinical practice. Occup Ther Int. 2009;16:175–89.

Toigo M, Boutellier U. New fundamental resistance exercise determinants of molecular and cellular muscle adaptations. Eur J Appl Physiol. 2006;97:643–63.

Stone MH, Hornsby WG, Suarez DG, Duca M, Pierce KC. Training Specificity for Athletes: Emphasis on Strength-Power Training: A Narrative Review. J Funct Morphol Kinesiol. 2022;7:102.

Liu C, Shiroy DM, Jones LY, Clark DO. Systematic review of functional training on muscle strength, physical functioning, and activities of daily living in older adults. Eur Rev Aging Phys Act. 2014;11:95–106.

Healy AF, Wohldmann EL. Specificity and transfer of learning. Psychol Learn Motiv. Elsevier; 2012. p. 227–53.

Brearley S, Bishop C. Transfer of training: how specific should we be? Strength Cond J. 2019;41:97–109.

specificity [Internet]. dictionary.cambridge.org. Cambridge University Press; [cited 2023 Jan 1]. Available from: https://dictionary.cambridge.org/dictionary/english/specificity

Chalmers AF. What is this thing called science? Hackett Publishing; 2013.

Magill RA, Anderson DI. Motor learning and control: Concepts and applications (Eleventh). McGraw-Hill Education; 2017.

Lashley KS. In search of the engram. Physiol Mech Anim Behav Soc Symp IV. Oxford, England: Academic Press; 1950. p. 454–82.

Bernstein N. The co-ordination and regulation of movements. Pergamon, NY: Pergamon Press; 1966.

Fitts PM, Posner MI. Human performance. Oxford, England: Brooks/Cole; 1967.

Keele SW. Movement control in skilled motor performance. Psychol Bull. 1968;70:387.

Adams JA. A closed-loop theory of motor learning. J Mot Behav. 1971;3:111–50.

Schmidt RA. A schema theory of discrete motor skill learning. Psychol Rev. 1975;82:225.

Gibson JJ. The ecological approach to visual perception: classic edition. Psychology press; 2014.

Newell KM. Constraints on the development of coordination. Mot Dev Child Asp Coord Control. 1986;

Kelso J, Schöner G. Toward a physical (synergetic) theory of biological coordination. Lasers Synerg Colloq Coherence Self-Organ Nat. Springer; 1987. p. 224–37.

Warren Jr WH. The perception-action coupling. Sens-Mot Organ Dev Infancy Early Child Proc NATO Adv Res Workshop Sens-Mot Organ Dev Infancy Early Child Chateu Rosey Fr. Springer; 1990. p. 23–37.

Reed ES. Encountering the world: Toward an ecological psychology. Oxford University Press; 1996.

Davids K, Button C, Bennett S. Dynamics of skill acquisition: A constraints-led approach. Human kinetics; 2008.

Chemero A. Radical embodied cognitive science. Cambridge/MA: Bradford. MIT; 2009.

Schmidt RA. Motor schema theory after 27 years: Reflections and implications for a new theory. Res Q Exerc Sport. 2003;74:366–75.

Shea CH, Kohl RM. Composition of practice: Influence on the retention of motor skills. Res Q Exerc Sport. 1991;62:187–95.

Shumway-Cook A, Woollacott MH, Rachwani J, Santamaria V. Motor control: translating research into clinical practice. Lippincott Williams & Wilkins; 2023.

Kamm K, Thelen E, Jensen JL. A dynamical systems approach to motor development. Phys Ther. 1990;70:763–75.

Latash ML, Scholz JP, Schöner G. Motor control strategies revealed in the structure of motor variability. Exerc Sport Sci Rev. 2002;30:26–31.

Porter JM, Magill RA. Systematically increasing contextual interference is beneficial for learning sport skills. J Sports Sci. 2010;28:1277–85.

Van Rossum JH. Schmidt’s schema theory: The empirical base of the variability of practice hypothesis: A critical analysis. Hum Mov Sci. 1990;9:387–435.

Shea CH, Kohl RM. Specificity and variability of practice. Res Q Exerc Sport. 1990;61:169–77.

Brady F. Contextual interference and teaching golf skills. Percept Mot Skills. 1997;84:347–50.

Scholz JP, Schöner G. Use of the uncontrolled manifold (UCM) approach to understand motor variability, motor equivalence, and self-motion. Prog Mot Control Ski Learn Perform Health Inj. 2014;91–100.

Araújo D, Davids K, Hristovski R. The ecological dynamics of decision making in sport. Psychol Sport Exerc. 2006;7:653–76.

Rudd JR, Pesce C, Strafford BW, Davids K. Physical literacy-A journey of individual enrichment: An ecological dynamics rationale for enhancing performance and physical activity in all. Front Psychol. 2020;11:1904.

Chaudhury H, Oswald F. Advancing understanding of person-environment interaction in later life: One step further. J Aging Stud. 2019;51:100821.

Fleck SJ, Kraemer W. Designing resistance training programs, 4E. Human Kinetics; 2014.

Howley E, Franks B. Health Fitness Instructor’s Handbook. Champagne, IL: Human Kinetics; 2003.

Liguori G, Medicine AC of S, others. ACSM’s guidelines for exercise testing and prescription. Lippincott Williams & Wilkins; 2020.

Araújo D, Davids K. What exactly is acquired during skill acquisition? J Conscious Stud. 2011;18:7–23.

Fleishman EA. Toward a taxonomy of human performance. Am Psychol. 1975;30:1127.

Fleishman EA, Quaintance MK, Broedling LA. Taxonomies of human performance: The description of human tasks. Academic Press; 1984.

Stodden D, Langendorfer S, Roberton MA. The association between motor skill competence and physical fitness in young adults. Res Q Exerc Sport. 2009;80:223–9.

Schmidt R, Lee T. Motor learning and performance 6th edition with web study guide-loose-leaf edition: From principles to application. Human Kinetics Publishers; 2019.

Latham NK, Bennett DA, Stretton CM, Anderson CS. Systematic review of progressive resistance strength training in older adults. J Gerontol A Biol Sci Med Sci. 2004;59:M48–61.

Latham N, Liu C. Strength training in older adults: the benefits for osteoarthritis. Clin Geriatr Med. 2010;26:445–59.

Gordon B, Medicine AC of S, others. ACSM’s Resources for the Exercise Physiologist. Lippincott Williams & Wilkins; 2021.

Anderson K, Behm DG. The impact of instability resistance training on balance and stability. Sports Med. 2005;35:43–53.

Da Silva-Grigoletto ME, Mesquita MM, Aragão-Santos JC, Santos MS, Resende-Neto AG, de Santana JM, et al. Functional training induces greater variety and magnitude of training improvements than traditional resistance training in elderly women. J Sports Sci Med. 2019;18:789.

Byrne C, Faure C, Keene DJ, Lamb SE. Ageing, muscle power and physical function: a systematic review and implications for pragmatic training interventions. Sports Med. 2016;46:1311–32.

Foldvari M, Clark M, Laviolette LC, Bernstein MA, Kaliton D, Castaneda C, et al. Association of muscle power with functional status in community-dwelling elderly women. J Gerontol A Biol Sci Med Sci. 2000;55:M192–9.

Mijnarends DM, Schols JM, Meijers JM, Tan FE, Verlaan S, Luiking YC, et al. Instruments to assess sarcopenia and physical frailty in older people living in a community (care) setting: similarities and discrepancies. J Am Med Dir Assoc. 2015;16:301–8.

Freiberger E, De Vreede P, Schoene D, Rydwik E, Mueller V, Frändin K, et al. Performance-based physical function in older community-dwelling persons: a systematic review of instruments. Age Ageing. 2012;41:712–21.

Rikli RE, Jones CJ. Functional fitness normative scores for community-residing older adults, ages 60-94. J Aging Phys Act. 1999;7:162–81.

Mijnarends DM, Meijers JM, Halfens RJ, ter Borg S, Luiking YC, Verlaan S, et al. Validity and reliability of tools to measure muscle mass, strength, and physical performance in community-dwelling older people: a systematic review. J Am Med Dir Assoc. 2013;14:170–8.

Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39:142–8.

Rockwood K, Awalt E, Carver D, MacKnight C. Feasibility and measurement properties of the functional reach and the timed up and go tests in the Canadian study of health and aging. J Gerontol A Biol Sci Med Sci. 2000;55:M70-3.

O’Grady HK, Edbrooke L, Farley C, Berney S, Denehy L, Puthucheary Z, et al. The sit-to-stand test as a patient-centered functional outcome for critical care research: a pooled analysis of five international rehabilitation studies. Crit Care. 2022;26:1–11.

Volpato S, Cavalieri M, Guerra G, Sioulis F, Ranzini M, Maraldi C, et al. Performance-based functional assessment in older hospitalized patients: feasibility and clinical correlates. J Gerontol A Biol Sci Med Sci. 2008;63:1393–8.

Labata-Lezaun N, González-Rueda V, Rodríguez-Sanz J, López-de-Celis C, Llurda-Almuzara L, Rodríguez-Rubio PR, et al. Correlation between physical performance and stabilometric parameters in older adults. Medicina (Mex). 2022;58:1211.

Judge JO, Schechtman K, Cress E, Group F. The relationship between physical performance measures and independence in instrumental activities of daily living. J Am Geriatr Soc. 1996;44:1332–41.

Graham JE, Ostir GV, Fisher SR, Ottenbacher KJ. Assessing walking speed in clinical research: a systematic review. J Eval Clin Pract. 2008;14:552–62.

Rikli RE, Jones CJ. Development and validation of criterion-referenced clinically relevant fitness standards for maintaining physical independence in later years. The Gerontologist. 2013;53:255–67.

Jones CJ, Rikli RE, Beam WC. A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. Res Q Exerc Sport. 1999;70:113–9.

Newman AB, Simonsick EM, Naydeck BL, Boudreau RM, Kritchevsky SB, Nevitt MC, et al. Association of long-distance corridor walk performance with mortality, cardiovascular disease, mobility limitation, and disability. Jama. 2006;295:2018–26.

Rossiter-Fornoff JE, Wolf SL, Wolfson LI, Buchner DM, Group F. A cross-sectional validation study of the FICSIT common data base static balance measures. J Gerontol A Biol Sci Med Sci. 1995;50:M291–7.

Bohannon RW. Reference values for the five-repetition sit-to-stand test: a descriptive meta-analysis of data from elders. Percept Mot Skills. 2006;103:215–22.

Brooks D, Davis AM, Naglie G. The feasibility of six-minute and two-minute walk tests in in-patient geriatric rehabilitation. Can J Aging Rev Can Vieil. 2007;26:159–62.

Rikli RE, Jones CJ. Development and validation of a functional fitness test for community-residing older adults. J Aging Phys Act. 1999;7:129–61.

Tiedemann A, Shimada H, Sherrington C, Murray S, Lord S. The comparative ability of eight functional mobility tests for predicting falls in community-dwelling older people. Age Ageing. 2008;37:430–5.

Berg K. Measuring balance in the elderly: Validation of an instrument (Dissertation). Montr Can McGill Univ. 1993;

Desrosiers J, Bravo G, Hébert R, Dutil É, Mercier L. Validation of the Box and Block Test as a measure of dexterity of elderly people: reliability, validity, and norms studies. Arch Phys Med Rehabil. 1994;75:751–5.

Jones CJ, Rikli RE, Max J, Noffal G. The reliability and validity of a chair sit-and-reach test as a measure of hamstring flexibility in older adults. Res Q Exerc Sport. 1998;69:338–43.

Hess RJ, Brach JS, Piva SR, VanSwearingen JM. Walking skill can be assessed in older adults: validity of the Figure-of-8 Walk Test. Phys Ther. 2010;90:89–99.

Dite W, Temple VA. A clinical test of stepping and change of direction to identify multiple falling older adults. Arch Phys Med Rehabil. 2002;83:1566–71.

Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: a new clinical measure of balance. J Gerontol. 1990;45:M192–7.

Bohannon RW, Peolsson A, Massy-Westropp N, Desrosiers J, Bear-Lehman J. Reference values for adult grip strength measured with a Jamar dynamometer: a descriptive meta-analysis. Physiotherapy. 2006;92:11–5.

Ashendorf L, Vanderslice-Barr JL, McCaffrey RJ. Motor tests and cognition in healthy older adults. Appl Neuropsychol. 2009;16:171–6.

Newton RA. Validity of the multi-directional reach test: a practical measure for limits of stability in older adults. J Gerontol A Biol Sci Med Sci. 2001;56:M248–52.

Miller J, Comfort P, McMahon J. Laboratory Manual for Strength and Conditioning. Taylor & Francis; 2023.

Vereeck L, Wuyts F, Truijen S, Van de Heyning P. Clinical assessment of balance: normative data, and gender and age effects. Int J Audiol. 2008;47:67–75.

Bohannon RW, Crouch R. 1-Minute sit-to-stand test: systematic review of procedures, performance, and clinimetric properties. J Cardiopulm Rehabil Prev. 2019;39:2–8.

Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49:M85–94.

Lemmink KA, Kemper HC, Greef MH, Rispens P, Stevens M. The validity of the sit-and-reach test and the modified sit-and-reach test in middle-aged to older men and women. Res Q Exerc Sport. 2003;74:331–6.

van Kan GA, Rolland Y, Houles M, Gillette-Guyonnet S, Soto M, Vellas B. The assessment of frailty in older adults. Clin Geriatr Med. 2010;26:275–86.

Bean JF, Kiely DK, LaRose S, O’Neill E, Goldstein R, Frontera WR. Increased velocity exercise specific to task training versus the National Institute on Aging’s strength training program: changes in limb power and mobility. J Gerontol Ser Biomed Sci Med Sci. 2009;64:983–91.

Runge M, Rittweger J, Russo CR, Schiessl H, Felsenberg D. Is muscle power output a key factor in the age-related decline in physical performance? A comparison of muscle cross section, chair-rising test and jumping power. Clin Physiol Funct Imaging. 2004;24:335–40.

Steffen TM, Hacker TA, Mollinger L. Age-and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Phys Ther. 2002;82:128–37.

Abe T, Patterson KM, Stover CD, Geddam DA, Tribby AC, Lajza DG, et al. Site-specific thigh muscle loss as an independent phenomenon for age-related muscle loss in middle-aged and older men and women. Age. 2014;36:1353–8.

Baum CM, Connor LT, Morrison T, Hahn M, Dromerick AW, Edwards DF. Reliability, validity, and clinical utility of the Executive Function Performance Test: A measure of executive function in a sample of people with stroke. Am J Occup Ther. 2008;62:446–55.

Gary KW. Assessment of Motor Process Skills. In: Kreutzer JS, DeLuca J, Caplan B, editors. Encycl Clin Neuropsychol [Internet]. New York, NY: Springer New York; 2011. p. 263–4. Available from: https://doi.org/10.1007/978-0-387-79948-3_1794

Doble SE, Lewis N, Fisk JD, Rockwood K. Test-retest reliability of the assessment of motor and process skills in elderly adults. Occup Ther J Res. 1999;19:203–15.

Doble SE. Test-retest and inter-rater reliability of a process skills assessment. Occup Ther J Res. 1991;11:8–23.

Norberg E-B, Boman K, Löfgren B. Activities of daily living for old persons in primary health care with chronic heart failure. Scand J Caring Sci. 2008;22:203–10.

Goverover Y. Cognition and activities of daily living in multiple sclerosis. Cogn Behav Mult Scler. Washington, DC, US: American Psychological Association; 2018. p. 171–90.

Buchain PC, Harder J, Oliveira AM, Vizzotto A dias, Homem de Mello PC, Ferraz Alves TC. P1-511: FUNCIONALITY AND EXECUTIVE FUNCTION IN HEALTHY AND CARRIERS OF DEMENTIA IN ALZHEIMER’S DISEASE ELDERLIES: VALIDATION STUDY OF THE EXECUTIVE FUNCTION PERFORMANCE TEST-BR. Alzheimers Dement. 2019;15:P464–5.

Arieli M, Agmon M, Gil E, Kizony R. The contribution of functional cognition screening during acute illness hospitalization of older adults in predicting participation in daily life after discharge. BMC Geriatr. 2022;22:1–11.

Katz S. The index of ADL: a standardized measure of biological and psychosocial function. J Am Med Assoc. 1963;185:914–9.

Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index: a simple index of independence useful in scoring improvement in the rehabilitation of the chronically ill. Md State Med J. 1965;

Graf C. The Lawton instrumental activities of daily living scale. AJN Am J Nurs. 2008;108:52–62.

RA K. The functional independence measure; a new tool for rehabilitation. Adv Clin Rehabil. 1987;1:6–18.

Fisher AG, Jones KB. Assessment of motor and process skills. Three Star Press Fort Collins, CO; 2003.

Holm MB, Rogers J, Hemphill-Pearson B. The performance assessment of self-care skills (PASS). Assess Occup Ther Ment Health. 2008;2:101–10.

Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol. 1989;42:703–9.

Hall KM, Hamilton BB, Gordon WA, Zasler ND. Characteristics and comparisons of functional assessment indices: disability rating scale, functional independence measure, and functional assessment measure. J Head Trauma Rehabil. 1993;8:60–74.

Loewenstein DA, Amigo E, Duara R, Guterman A, Hurwitz D, Berkowitz N, et al. A new scale for the assessment of functional status in Alzheimer’s disease and related disorders. J Gerontol. 1989;44:P114–21.

Carswell A, McColl MA, Baptiste S, Law M, Polatajko H, Pollock N. The Canadian Occupational Performance Measure: a research and clinical literature review. Can J Occup Ther. 2004;71:210–22.

Kuriansky JB, Gurland BJ, Fleiss JL, Cowan D. The assessment of self-care capacity in geriatric psychiatric patients by objective and subjective methods. J Clin Psychol. 1976;32:95–102.

Nouri F, Lincoln N. An extended activities of daily living scale for stroke patients. Clin Rehabil. 1987;1:301–5.

Heimann N, Allen C, Yerxa E. Reliability and validity of the Routine Task Inventory (RTI). Occup Ther Pract. 1989;1:67–74.

Kempen GI, Miedema I, Ormel J, Molenaar W. The assessment of disability with the Groningen Activity Restriction Scale. Conceptual framework and psychometric properties. Soc Sci Med. 1996;43:1601–10.

Schmitter-Edgecombe M, Parsey CM. Cognitive correlates of functional abilities in individuals with mild cognitive impairment: Comparison of questionnaire, direct observation, and performance-based measures. Clin Neuropsychol. 2014;28:726–46.

Loturco I, Contreras B, Kobal R, Fernandes V, Moura N, Siqueira F, et al. Vertically and horizontally directed muscle power exercises: Relationships with top-level sprint performance. PloS One. 2018;13:e0201475.

Kulmala J-P. The effects of locomotor pattern diversity and ageing on the lower limb joint mechanics and loading during human walking and running. Stud Sport Phys Educ Health. 2015;

Earles DR, Judge JO, Gunnarsson OT. Velocity training induces power-specific adaptations in highly functioning older adults. Arch Phys Med Rehabil. 2001;82:872–8.

Alexander N. Postural control in older adults. J Am Geriatr Soc. 1994;42:93–108.

Lesinski M, Hortobágyi T, Muehlbauer T, Gollhofer A, Granacher U. Effects of balance training on balance performance in healthy older adults: a systematic review and meta-analysis. Sports Med. 2015;45:1721–38.

Raymond MJ, Bramley-Tzerefos R

E, Jeffs KJ, Winter A, Holland AE. Systematic review of high-intensity progressive resistance strength training of the lower limb compared with other intensities of strength training in older adults. Arch Phys Med Rehabil. 2013;94:1458–72.

Talar K, Hernandez-Belmonte A, Vetrovsky T, Steffl M, Kalamacka E, Courel-Ibáñez J. Benefits of resistance training in early and late stages of frailty and sarcopenia: a systematic review and meta-analysis of randomized controlled studies. J Clin Med. 2021;10:1630.

Davids K, Glazier P, Araújo D, Bartlett R. Movement systems as dynamical systems: the functional role of variability and its implications for sports medicine. Sports Med. 2003;33:245–60.

Schoene D, Valenzuela T, Lord SR, de Bruin ED. The effect of interactive cognitive-motor training in reducing fall risk in older people: a systematic review. BMC Geriatr. 2014;14:1–22.

Annett J, Kay H. Knowledge of results and’skilled performance’. Ergon Major Writ. 2004;31:91.

Lauber B, Keller M. Improving motor performance: Selected aspects of augmented feedback in exercise and health. Eur J Sport Sci. 2014;14:36–43.

Wulf G, Shea C, Lewthwaite R. Motor skill learning and performance: a review of influential factors. Med Educ. 2010;44:75–84.

Morrissey MC, Harman EA, JOHNSON MJ. Resistance training modes: specificity and effectiveness. Med Sci Sports Exerc. 1995;27:648–60.

Bean JF, Herman S, Kiely DK, Frey IC, Leveille SG, Fielding RA, et al. Increased Velocity Exercise Specific to Task (InVEST) training: a pilot study exploring effects on leg power, balance, and mobility in community-dwelling older women. J Am Geriatr Soc. 2004;52:799–804.

Faria AL, Andrade A, Soares L, others. Benefits of virtual reality based cognitive rehabilitation through simulated activities of daily living: a randomized controlled trial with stroke patients. J Neuroengineering Rehabil. 2016;13:1–12.

Dobek JC, White KN, Gunter KB. The effect of a novel ADL-based training program on performance of activities of daily living and physical fitness. J Aging Phys Act. 2007;15:13–25.

Granacher U, Muehlbaue T, Zahner L, Gollhofer A, Kressig RW. Comparison of traditional and recent approaches in the promotion of balance and strength in older adults. Sports Med. 2011;41:377–400.

Kümmel J, Kramer A, Giboin L-S, Gruber M. Specificity of balance training in healthy individuals: a systematic review and meta-analysis. Sports Med. 2016;46:1261–71.

Heinrich KM, Crawford DA, Langford CR, Kehler A, Andrews V. High-intensity functional training shows promise for improving physical functioning and activity in community-dwelling older adults: a pilot study. J Geriatr Phys Ther. 2021;44:9–17.

Giné-Garriga M, Guerra M, Pagès E, Manini TM, Jiménez R, Unnithan VB. The effect of functional circuit training on physical frailty in frail older adults: a randomized controlled trial. J Aging Phys Act. 2010;18:401–24.

Trombetti A, Hars M, Herrmann FR, Kressig RW, Ferrari S, Rizzoli R. Effect of music-based multitask training on gait, balance, and fall risk in elderly people: a randomized controlled trial. Arch Intern Med. 2011;171:525–33.

Okubo Y, Schoene D, Lord SR. Step training improves reaction time, gait and balance and reduces falls in older people: a systematic review and meta-analysis. Br J Sports Med. 2017;51:586–93.

Mian OS, Thom JM, Narici MV, Baltzopoulos V. Kinematics of stair descent in young and older adults and the impact of exercise training. Gait Posture. 2007;25:9–17.

Donath L, Kurz E, Roth R, Zahner L, Faude O. Leg and trunk muscle coordination and postural sway during increasingly difficult standing balance tasks in young and older adults. Maturitas. 2016;91:60–8.

Saeterbakken AH, Andersen V, Kolnes MK, Fimland MS. Effects of replacing free weights with elastic band resistance in squats on trunk muscle activation. J Strength Cond Res. 2014;28:3056–62.

Lee TD, Magill RA. Can forgetting facilitate skill acquisition? Adv Psychol. Elsevier; 1985. p. 3–22.

Lee TD, Swinnen SP, Serrien DJ. Cognitive effort and motor learning. Quest. 1994;46:328–44.

Guadagnoli MA, Lee TD. Challenge point: a framework for conceptualizing the effects of various practice conditions in motor learning. J Mot Behav. 2004;36:212–24.

Liu C, Latham NK. Progressive resistance strength training for improving physical function in older adults. Cochrane Database Syst Rev. 2009;

Sherrington C, Tiedemann A. Physiotherapy in the prevention of falls in older people. J Physiother. 2015;61:54–60.

Cadore EL, Rodríguez-Mañas L, Sinclair A, Izquierdo M. Effects of different exercise interventions on risk of falls, gait ability, and balance in physically frail older adults: a systematic review. Rejuvenation Res. 2013;16:105–14.

Brady F. The contextual interference effect and sport skills. Percept Mot Skills. 2008;106:461–72.

Hall KG, Magill RA. Variability of practice and contextual interference in motor skill learning. J Mot Behav. 1995;27:299–309.

Graser JV, Bastiaenen C, van Hedel H. THE ROLE OF THE PRACTICE ORDER: A SYSTEMATIC REVIEW ABOUT CONTEXTUAL INTERFERENCE. Context Interf. 2021;14:35.

Barreiros J, Figueiredo T, Godinho M. The contextual interference effect in applied settings. Eur Phys Educ Rev. 2007;13:195–208.

Kelso JS. Dynamic patterns: The self-organization of brain and behavior. MIT press; 1995.

Shea CH, Wulf G. Schema theory: A critical appraisal and reevaluation. J Mot Behav. 2005;37:85–102.

Leizerowitz GM, Gabai R, Plotnik M, Keren O, Karni A. Improving old tricks as new: Young adults learn from repeating everyday activities. Plos One. 2023;18:e0285469.

Bohannon RW, Schaubert K. Long-term reliability of the timed up-and-go test among community-dwelling elders. J Phys Ther Sci. 2005;17:93–6.

Koedijker JM, Poolton JM, Maxwell JP, Oudejans RR, Beek PJ, Masters RS. Attention and time constraints in perceptual-motor learning and performance: Instruction, analogy, and skill level. Conscious Cogn. 2011;20:245–56.

I Schollhorn W, Hegen P, Davids K. The nonlinear nature of learning-A differential learning approach. Open Sports Sci J. 2012;5.

Laidlaw DH, Bilodeau M, Enoka RM. Steadiness is reduced and motor unit discharge is more variable in old adults. Muscle Nerve Off J Am Assoc Electrodiagn Med. 2000;23:600–12.

Ketcham CJ, Dounskaia NV, Stelmach GE. Age-related differences in the control of multijoint movements. Motor Control. 2004;8:422–36.

Hsu W-L, Lin K-H, Yang R-S, Cheng C-H. Use of motor abundance in old adults in the regulation of a narrow-based stance. Eur J Appl Physiol. 2014;114:261–71.

Newell KM, Vaillancourt DE, Sosnoff JJ. Aging, complexity, and motor performance. Handb Psychol Aging. Elsevier; 2006. p. 163–82.

Magill RA, Hall KG. A review of the contextual interference effect in motor skill acquisition. Hum Mov Sci. 1990;9:241–89.

Wilson C, Simpson SE, Van Emmerik RE, Hamill J. Coordination variability and skill development in expert triple jumpers. Sports Biomech. 2008;7:2–9.

Stergiou N, Harbourne RT, Cavanaugh JT. Optimal movement variability: a new theoretical perspective for neurologic physical therapy. J Neurol Phys Ther. 2006;30:120–9.

Hamill J, van Emmerik RE, Heiderscheit BC, Li L. A dynamical systems approach to lower extremity running injuries. Clin Biomech. 1999;14:297–308.

Sparrow WA, Newell KM. Metabolic energy expenditure and the regulation of movement economy. Psychon Bull Rev. 1998;5:173–96.

Pinder RA, Davids K, Renshaw I, Araújo D. Representative learning design and functionality of research and practice in sport. J Sport Exerc Psychol. 2011;33:146–55.

Brymer E, Renshaw I. An introduction to the constraints-led approach to learning in outdoor education. J Outdoor Environ Educ. 2010;14:33–41.

Davids K, Araújo D, Vilar L, Renshaw I, Pinder R. An ecological dynamics approach to skill acquisition: Implications for development of talent in sport. Talent Dev Excell. 2013;5:21–34.

Renshaw I, Davids K, Savelsbergh GJ. Motor learning in practice: A constraints-led approach. Routledge; 2010.

Rudd J, Woods C, Correia V, Seifert L, Davids K. An ecological dynamics conceptualisation of physical ‘education’: Where we have been and where we could go next. Phys Educ Sport Pedagogy. 2021;26:293–306.

Davids K, Araújo D, Brymer E. Designing affordances for health-enhancing physical activity and exercise in sedentary individuals. Sports Med. 2016;46:933–8.

Renshaw I, Chow JY, Davids K, Hammond J. A constraints-led perspective to understanding skill acquisition and game play: a basis for integration of motor learning theory and physical education praxis? Phys Educ Sport Pedagogy. 2010;15:117–37.

Fajen BR. The scaling of information to action in visually guided braking. J Exp Psychol Hum Percept Perform. 2005;31:1107.

Schmidt RA. The acquisition of skill: Some modifications to the perception-action relationship through practice. Perspect Percept Action. Routledge; 2016. p. 77–103.

Savelsbergh GJ, Wormhoudt R. The athletic skills model: Enhancing physical literacy across the lifespan. Nonlinear Pedagogy Athl Ski Model. Routledge; 2021. p. 102–10.

Ehrman JK, Gordon PM, Visich PS, Keteyian SJ. Clinical Exercise Physiology: Exercise Management for Chronic Diseases and Special Populations. Human Kinetics; 2022.

Fragala MS, Cadore EL, Dorgo S, Izquierdo M, Kraemer WJ, Peterson MD, et al. Resistance training for older adults: position statement from the national strength and conditioning association. J Strength Cond Res. 2019;33.

Immink MA, Verwey WB, Wright DL. The neural basis of cognitive efficiency in motor skill performance from early learning to automatic stages. Neuroergonomics Princ Pract. Springer; 2020. p. 221–49.

Jacobs DM, Michaels CF. Direct learning. Ecol Psychol. 2007;19:321–49.

Vereijken B, Emmerik RE van, Whiting H, Newell KM. Free (z) ing degrees of freedom in skill acquisition. J Mot Behav. 1992;24:133–42.

Ferlinc A, Fabiani E, Velnar T, Gradisnik L. The importance and role of proprioception in the elderly: a short review. Mater Socio-Medica. 2019;31:219.

Button C, Seifert L, Chow JY, Davids K, Araujo D. Dynamics of skill acquisition: An ecological dynamics approach. Human Kinetics Publishers; 2020.

Peterson MD, Gordon PM. Resistance exercise for the aging adult: clinical implications and prescription guidelines. Am J Med. 2011;124:194–8.

Chodzko-Zajko WJ, Proctor DN, Singh MAF, Minson CT, Nigg CR, Salem GJ, et al. Exercise and physical activity for older adults. Med Sci Sports Exerc. 2009;41:1510–30.

Lee PG, Jackson EA, Richardson CR. Exercise prescriptions in older adults. Am Fam Physician. 2017;95:425–32.

Buckley JP. Exercise physiology in special populations: Advances in sport and exercise science. Elsevier Health Sciences; 2008.

Mjøsund HL, Uhrenfeldt L, Burton E, Moe CF. Promotion of physical activity in older adults: facilitators and barriers experienced by healthcare personnel in the context of reablement. BMC Health Serv Res. 2022;22:956.

Hunter EG, Kearney PJ. Occupational therapy interventions to improve performance of instrumental activities of daily living for community-dwelling older adults: A systematic review. Am J Occup Ther. 2018;72:7204190050p1–9.

Falvey JR, Burke RE, Malone D, Ridgeway KJ, McManus BM, Stevens-Lapsley JE. Role of physical therapists in reducing hospital readmissions: optimizing outcomes for older adults during care transitions from hospital to community. Phys Ther. 2016;96:1125–34.




DOI: https://doi.org/10.23954/osj.v9i2.3462

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