Below you will find a chart that explains the differences/benefits of exercises offered in Assisted Living and/or Nursing Homes vs. Tandem Strength & Balance practices.
Sitting Class
Standing Class
TandemSB
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Positives |
Disadvantages |
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Sitting |
Everyone can do- less limits of diagnosis |
Main emphasis is on arms- use of weights on arms is typical |
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Easy to do in small group setting |
Limited leg exercises. Easy to complete in sitting position. Leg weights are rarely used, therefore more range of motion than strengthening |
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Strength benefits if weights used on legs |
Need to be over 10lbs. to get functional improvements with legs |
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More strength gains with 5 second holds applied versus just motion |
Movement of legs is less due to position allowed while seated |
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People with arthritis may experience pain due to stress placed on joints in seated position |
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No individualized assistance if in a group |
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Standing |
Can be done in group setting |
Participants need to be able to stand independently to participate |
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Increased confidence in movement |
More range of motion vs. balance because of typical requirement to hold onto the chair with exercises |
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To work on balance, individual need to progress to no-hand support to improve balance. Progression to holding position without hand support challenges the balance more! |
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Not individualized if in group |
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Tandem Strength & Balance |
Everyone can do regardless of age or diagnosis |
If exercises are done lying down, typically weights are not used, and the client is not able to adapt or adjust as needed without seeing a PT again. |
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Can be completed in recliner, on couch, bed or floor |
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Full-body – legs, arms, & core |
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Changes in mobility and balance occur once 4lbs. achieved with legs |
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1:1 with physical therapist |
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Customizable/individualized |
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Adaptable session to session |