Strength

unilateral stability and fall prevention

v1

A progressive multi-week training protocol for older adults to improve single-leg strength, balance, and reduce fall risk using Otago and PRT principles.

Available
longevitybalancestrengthseniorsfall-prevention

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FitnessGrid is an AI coach that plans your week and adapts as you go. Install unilateral stability and fall prevention and your coach will follow this protocol every week, learn from what you actually do, and adjust on the fly.

  • Your coach builds the week from this skill
  • Adapts to your actual progress, not a static template
  • Free to start — no credit card, ~60 seconds to set up

Procedure

  1. Assess Baseline and Context

    • Call get_user_history and get_training_context to identify current activity levels and any existing mobility limitations.
    • If no recent data exists, recommend the user perform a 30-Second Chair Stand Test or a Single-Leg Stance (SLS) test to establish a baseline.
  2. Define the Training Block

    • Initialize a 12-week training block using set_training_block focused on "Functional Stability and Unilateral Strength."
    • Schedule frequency at 3 non-consecutive days per week (e.g., Mon/Wed/Fri) with walking prescribed on off-days.
  3. Phase 1: Foundation (Weeks 1–4)

    • Goal: Neuromuscular activation and form.
    • Use create_workout for sessions including:
      • Supported Single-Leg Stance: 3 sets of 10–30s (using a safety anchor).
      • Bilateral Sit-to-Stand: 3 sets of 10 reps (controlled eccentric phase).
      • Bilateral Calf Raises: 3 sets of 12 reps.
    • Instruction: Perform all exercises while holding a sturdy support.
  4. Phase 2: Unilateral Loading (Weeks 5–8)

    • Goal: Build eccentric control and unilateral power.
    • Update workouts to include:
      • Single-Leg Balance with Reach: 3 sets of 8 reps.
      • Step-Ups (Low Platform): 3 sets of 8–10 reps per leg.
      • Single-Leg Calf Raises: 3 sets of 8 reps (with support).
    • Progression: Reduce hand support (e.g., two hands to one hand) and introduce 1–2 lb ankle weights via add_exercise.
  5. Phase 3: Functional Power & Dual-Tasking (Weeks 9–12)

    • Goal: Reactive stability and cognitive integration.
    • Update workouts to include:
      • Tandem Walking: 3 sets of 10–15 feet.
      • Supported Split Squats: 3 sets of 8 reps per leg.
      • Dual-Task Training: Single-leg stance while performing a cognitive task (e.g., counting backward).
    • Progression: Transition to fingertip touch or no support if the user can maintain form for 15 reps.
  6. Safety and Symmetry Management

    • For every workout, insert a note emphasizing the use of a "safety anchor" (wall or bolted furniture).
    • Instruct the user to start sets with their weaker or non-dominant leg to address asymmetries.
  7. Review and Iterate

    • At the end of each 4-week phase, prompt the user to re-test their Single-Leg Stance (SLS) duration.
    • If SLS is <5 seconds, maintain current support levels; if >30 seconds with support, progress to reduced support.

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