There are many ways to exercise, as well as many reasons. It helps increase your strength and endurance, but can also help prevent other problems from developing. The best prescription is one that improves strength, anaerobic power, endurance, and flexibility; achieves musculoskeletal balance while sparing shoulder pain and upper extremity decline; improves everyday functioning; addresses heart disease and diabetes risk factors; and generates interest and continued participation.




Activity should be as intense and continuous as effort will allow, with only short breaks. This may rule out general game-play as an effective exercise stimulus for some. Scoring systems, if available, provide motivation and distraction from intense effort. Currently, one of the best “workouts” is with Wii boxing.