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Objective:

To determine the effect of exercise training on muscle strength and tendon function in healthy older adults and in those older athletes who have had total joint replacement (TJR). Recommendations for exercise prescription are addressed in these populations.

Data Sources:

PubMed was searched for articles published during the past 15 years identifying exercise training effects on muscle and tendon in older adults, including those after TJR. Identified studies were cross-referenced, and experts were consulted for additional articles.

Data Selection:

Thirteen articles described training effects on muscle and tendon in older adults. None described the effect on the post-TJR older adult. In healthy older adults, 6 studies were randomized controlled trials (RCTs); 7 were quasi-experimental designs. Three of the RCTs and 3 of the quasi-experimental studies were short-term (shorter than 12 weeks); the remaining …