Strength and Endurance Training

What Is Strength and Endurance Training?

  • Strength Training
    The process of improving muscle force production through resistance-based activities.
    Targets specific muscle groups (e.g., core, lower extremities) to enhance joint stability, postural control, and functional mobility.
  • Endurance Training
    The ability of muscles or the cardiovascular system to sustain activity over time.
    Includes:
    • Muscular endurance – repeated contractions over time (e.g., walking, climbing stairs).
    • Cardiovascular endurance – the ability of the heart and lungs to support prolonged physical activity.

What Does Difficulty In This Area Look Like?

  • Muscle Weakness or Hypotonia
    Reduced ability to generate force; seen as slouching, difficulty maintaining posture, or collapsing during weight-bearing.
  • Fatigue with Minimal Activity
    Tires quickly during play, walking, or transitions; may need frequent breaks.
  • Poor Postural Control
    Difficulty maintaining upright sitting or standing; relies on external support or compensatory strategies.
  • Delayed Motor Milestones
    Trouble with tasks such as crawling, jumping, climbing stairs, or running due to insufficient strength or stamina.
  • Compensatory Movement Patterns
    Uses inefficient or asymmetrical movements to complete tasks, which may increase injury risk or delay motor learning.

How Can PT Help Build These Skills?

  • Progressive Resistance Training
    Use of body weight, resistance bands, or pediatric-appropriate equipment to improve muscle strength safely.
  • Core and Postural Stability Exercises
    Activities that enhance trunk control and proximal stability for functional movements like walking, reaching, or sitting.
  • Task-Specific Strengthening
    Incorporates functional play-based movements (e.g., squats, step-ups, wheelbarrow walking) to target multiple muscle groups.
  • Aerobic Conditioning
    Structured cardiovascular activities such as obstacle courses, bike riding, or walking programs to build endurance.
  • Motor Planning and Coordination Drills
    Improve neuromuscular control and energy efficiency through repetitive, structured movement tasks.
  • Use of Play-Based and Age-Appropriate Activities
    Engaging games and challenges designed to encourage sustained activity and increase participation.
  • Parent and Caregiver Training
    Home programs that promote consistency in strengthening and endurance-building activities outside of therapy.