General guidelines for strength training individuals with Down syndrome include: (a) constant supervision; (b) labeling machines with pictures and providing verbal encouragement; (c) providing more visual instruction than verbal instruction (Le Clair and Elliott, 1995); and (d) teaching clients to record their own information to improve long-term adherence and empowerment. The goal should be to maximize strength in the large muscle groups. Training intensity should be 70-80% 1-RM for 3 sets of 8-12 repetitions. A training effect is typically seen 10-12 weeks into the program. Circuit training is appropriate for individuals with Down syndrome. A sample program can include 2-minute stations with 30-60 second rest intervals between each station.