Evidence-Based Resistance Training for Older Adults

Tony Mikla DPT, MSPT, CSCS

Evidence-Based Resistance Training for Older Adults

CE Information


Course Brochure

Contains CE information for additional professionals

Course Highlights

  • Safely establish a one-rep maximum (1RM) in every patient, every time
  • Effectively establish an objective baseline for functional improvement
  • Safe and effective duration and intensity of muscle resistance training to improve quality outcomes
  • Resistance training protocol for all types of patients, including those limited by cardiopulmonary limitations such as COPD and stroke as well as other co-morbidities
  • Exercise prescriptions that are simple and safe regardless of the practice setting

Additional Info

There has been a steady increase in resistance training in adults since the American College of Sports Medicine added it to their recommendations in 1990. However, due to perceived frailty, an increase in the number of co-morbidities including cardiovascular and pulmonary deficits and lack of specialized knowledge, the geriatric population has lagged behind the development of safe and truly effective resistance training programs. There is now overwhelming evidence that suggests that not only do older adults gain strength similarly toyounger adults, but that appropriate strength training in the aging adult results in maintenance of independence, increased functional mobility and improved quality of life. It isimperative that we embrace this evidence and improve the way that we challenge our frail and elderly patients in the skilled nursing, rehab and home health settings in order to improve quality of skilled care and optimize quality outcomes.

This workshop will review basic changes that occur with aging as they relate to muscle strength and muscle mass. Participants will learn to achieve significant improvements in strength, even in the frailest older adult patients, to attain muscle strength and hypertrophy and how this can be achieved in the frailest of the elderly will be reviewed. Participants will learn how to safely and simply establish one- rep maximum in all patients as a baseline for improvements, regardless of co-morbid limitations and then establish a resistance training program with the appropriate duration and intensity level to achieve quality outcomes. Participants will leave this workshop able to confidently prescribe effective and challenging resistance training exercises to every patient, regardless of conditions such as COPD, osteoporosis, diabetes or all of the above.

  1. Assess the pathophysiology of resistance strength training and how it applies to the aging adult.
  2. Determine one-rep maximum for all patients, regardless of setting or diagnosis.
  3. Establish intensity and duration resistance training guidelines for geriatric population based on diagnosis and co-morbidities.
  4. Explain the benefits of resistance training in the agingadult and the frail elderly.
  5. Implement resistance training program across settings.
  6. Reinforce positive patient outcomes, functional mobility, and quality of life.
  1. Trends in Geriatric Exercise Prescription
    1. Resistance strengthening vs. aerobic conditioning
    2. ACSM recommendations
    3. Evidence-based supportive data
  2. Muscle Strengthening and Aging
    1. Sarcopenia vs. muscle hypertrophy
    2. Neuronal adaptations with strengthening
    3. Metabolic changes
  3. Pathophysiology of Resistance Training and Chronic Disease
    1. Cardiovascular disease
    2. Metabolic disorder such as type 2 diabetes
    3. Pulmonary disorders such as COPD
    4. Osteoporosis
  4. Effective Assessment and Resistance Training Program Design
    1. 1-Rep maximum determination
    2. Use of Perceived Exertion Scale (PES)
    3. Method of resistance-based on treatment setting
    4. Determine intensity and duration
    5. Exercise Lab
  5. Customization of Resistance Training-Based on Diagnosis
    1. Safe parameters depending on disease process and co-morbidities
    2. Maximizing efficacy during treatment session
    3. Delayed onset muscle soreness (DOMS)
    4. Exercise Lab
  6. Functional Limitation Reporting and Justifying Medical Necessity
    1. Optimizing clinical outcomes
    2. Justification of skilled care

Tony Mikla DPT, MSPT, CSCS is a physical therapist and performance coach specializing in movement and functionalrestoration. Dr. Mikla currently resides in Phoenix, AZ and is the Manager of Physical Therapy for EXOS, a world-classtraining facility designed to deliver proactive health and performance game plans and is the Founder of Theraflix,LLC, a web-based resource for PT's and their patients. Dr. Mikla is a Certified Strength and Conditioning Specialist,USA Track and Field Certified Coach, and has been working with athletes and clients on movement dysfunction andpathology for the last 20 years. Dr. Mikla holds certifications in Dry Needling (American Dry Needling Institute), andKinesiology Taping.Dr. Mikla works with all levels of patients and has developed a specialty in shoulder treatment over the years,working closely with world renowned surgeons, Recreational Clients, Tactical Operators, and Elite Athletes. Dr. Miklahas published numerous articles on Shoulder Mechanics, Comparative studies on training the shoulder, and kineticlinking and shoulder performance. Over his career, Dr. Mikla has worked as a consultant for Professional Teams in theMLB and NBA, as well as individual athletes including, Olympic Champions, MMA Champions, PGA Tour Professionals,US Military Special Operators, and athletes from NBA, MLB, NFL, and NHL. Dr. Mikla has presented nationally forthe APTA, NATA, and NSCA conferences. Dr. Mikla has been an instructor for a long term sports medicine course inNorthern California, and guest instructor at Sacramento State University and University of the Pacific PT programs.Currently Dr. Mikla serves as adjunct clinical faculty for Northern Arizona University PT Program and is a finalist forthe 2014 NSCA Sports Medicine Rehabilitation Specialist of the Year.


FINANCIAL: Tony Mikla is compensated by Summit as an Instructor.

NONFINANCIAL: Tony Mikla has no non-financial relationships to disclose.

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Content Level: Intermediate

ASHA CE Information

ASHA Continuing Education

Summit Professional Education

Intermediate Level

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SATISFACTORY COMPLETION: Participants must register, pay tuition fee, sign in with a mobile device via scanning electronic QR code at workshop location, attend the entire workshop, complete an electronic evaluation, as well as any other required state-specific supplements (if applicable) and sign out with a mobile device via scanning electronic QR code in order to receive a certificate of completion. Participants not fulfilling these requirements will not receive a certificate. Failure to sign in or out and complete a course evaluation will result in forfeiture of credit for the entire workshop. No exceptions will be made. Partial credit is not available.

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Online Course Content FAQs

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Online Video Experience

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The video that you will be watching is a recorded version of a live workshop. The video captures Instructor answers to participant questions, but there is no opportunity for you to ask questions with the instructor, real time. If you do have questions for the instructor, most instructors have their email address at the end of their presentations.

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Test & Certificate

Will I need to take a post course test? Why?

Yes, you are required to successfully pass the post course test to obtain CE credits and certification. This is required by our licensing boards for online courses.

What is the post course test like, what is a passing score, and how many times can I take it?

Post course tests consist of True/False and/or multiple choice questions. You will be able to retake the post course test as many time as necessary to receive a passing grade. A passing "grade" is 75% or higher for general content, 80% or higher for certain state specific workshops, like ethics, jurisprudence, and laws and rules courses. You will be able to retake the post course test as many times as necessary to receive a passing grade.

When will I receive my credits and certificate?

Once you complete your course evaluation and online test, you will be able to immediately download your certificate and request CE Broker or ASHA Reporting (if applicable).

Technical FAQs

What browsers and Operating system do I need to run for this to work properly?

The following are the supported browsers and Operating Systems for the media player to work properly:

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Will the media player work on both a Mac and PC?

Yes, the online courses will play on both a Mac and PC. The following are the supported browsers and Operating Systems for the media player to work properly:

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Can the workshops be played on my phone?

Yes! You are able to watch the workshops on your phone. Here are the technical requirements to ensure it works properly:

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All of the videos stream from the media player.

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