Table 2.
Levels and progression of each exercise station
| Exercise station | Level | Safety modifications | Sensory level | Speed level (metronome) | Dual-task level |
|---|---|---|---|---|---|
|
Tai Chi (10 min): prayer wheel, cat walk, cloud hands |
1 | UEs on counter/chair | None | None | None |
| 2 | Hands hovering or near the wall | None | None | None | |
| 3 | No UE support | None | None | None | |
|
Kayaking (5 min): basic stroke |
1 | Seated | Eyes open | Slow: 25 bpm | None |
| 2 | Standing leaning against the counter | Eyes closed | Medium: 35 bpm | Easy level (cognitivea, motorc) | |
| 3 | Standing without support | Foam pad | Fast: 45 bpm | Hard level (cognitiveb, motord) | |
|
Agility (15 min): footwork drill, speed skater, toe taps |
1 | UE support on chair or counter | None | None | None |
| 2 | No UE support | Sunglasses | None | Easy level (cognitivea, motore) | |
| 3 | No UE support + movement | Foam pad | None | Hard level (cognitiveb, motorf) | |
|
Boxing (5 min): jab/cross/upper cut combo |
1 | Standing leaning against counter | Eyes open | metronome can be used | None |
| 2 | Standing without support | Eyes closed | metronome can be used | Easy level (cognitivea) | |
| 3 | Standing without support + stepping | Foam pad | metronome can be used | Hard level (cognitiveb) | |
|
Lunges (5 min): clock stepping |
1 | UE support on chair or counter | Eyes open | metronome can be used | None |
| 2 | No UE support | Sunglasses | metronome can be used | Easy level (cognitivea, motorg) | |
| 3 | No UE support + head rotation R/L with each step | Foam pad | metronome can be used | Hard level (cognitiveb, motorh) | |
|
Strength and Flexibility (15 min): sit to stand, bridge, shoulder release, cobra, trunk extension, cat camel |
1 | Bed | None | None | None |
| 2 | Floor transfer with UE | None | None | None | |
| 3 | Floor transfer without UE support | None | None | None |
Abbreviations: UE Upper extremities, R Right, L Left
acognitive task: verbal fluency (e.g., naming animals, countries, fruits, girl/boy name) and serial subtraction (3 or 7 starting at 100)
bcognitive task: serial subtraction (3 or 7 starting at 5000), counting backwards, spelling backwards, saying alphabet backward, naming a girl/boy name for every letter of the alphabet, repeating back each name each time (e.g., A Annabel, A Annabel B Becky, A Annabel B Becky C Catthy, etc.)
cmotor task: march in place
dmotor task: march in place with knee kick
emotor task: ball toss/catch
fmotor task: balance ball on the cone with movement
gmotor task: reach in the direction of the step
hmotor task: ball catch