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Your Hard To Kill Score
One number out of 100. Every test is scored against people your age and sex and weighted by how strongly it predicts survival. Vulnerable, Holding, Strong or Hard To Kill.
One hour. Ten tests. You walk out with your Hard To Kill Score, your physical age, and a written plan, graded against adults your age and sex.
Your doctor checks your blood work every year. Nobody checks whether you can still carry your bags, catch a stumble or get up off the floor. We do.
The same depth of reporting our Sports Med Combine athletes get, rebuilt for adults who intend to stay capable for decades. Four pages. Every number explained.
One number out of 100. Every test is scored against people your age and sex and weighted by how strongly it predicts survival. Vulnerable, Holding, Strong or Hard To Kill.
The age your body actually tests like, test by test. It is the number people remember, and the one we work to bring down.
Where you land against your peers, the research behind the test in plain English, and exactly what to do next: train it with WELL or treat it with CARE.
Your grip plotted against the population curve, and the age you reach the muscle-loss zone if nothing changes. Then what changes if you train.
Cholesterol, A1C and blood pressure get tracked for decades. Leg strength, balance and grip predict how long you stay independent, and almost nobody measures them.
Strength and balance fade after 50 so gradually you don't feel it. Then a curb, a ladder or a grandchild tests you, and it shows up as a fall instead of a number.
Plenty of places will hand you a number. We tell you what it means for someone your age and exactly what to train next.
You run a practice, a company, a household. You don't need another app or a crowded gym. You need someone who knows exactly what to measure, tells you the truth about the results, and gets you in this week.
A Doctor of Physical Therapy who has led SPARK's direct-access practice in Alexandria since 2009, specializing in pain, movement science and long-term performance. He built the Centenarian Decathlon and personally trains the clinicians who run it.
Every result is graded against adults your age and sex using published research. You see where you stand today and what it predicts for the next twenty years.
One hour, one-on-one, booked around your schedule. Members keep a standing slot with the same clinician every time, and priority access when something flares up.
Strength, balance, power, core, engine and composition. Skip anything that doesn't feel right; someone from our Hard To Kill team is with you the whole hour.
Squeeze a dynamometer, best effort with each hand.
In a study of nearly 140,000 adults across 17 countries, every 5 kg drop in grip went with a 16% higher risk of death.
Leong et al., The Lancet, 2015Hands on hips, one foot up, eyes open.
Adults 51 to 75 who couldn't hold it for 10 seconds had nearly twice the risk of dying over the next seven years.
Araujo et al., British Journal of Sports Medicine, 2022Arms crossed, full stands from a standard chair, as many as you can in 30 seconds.
The CDC uses this test to flag fall risk. A below-average count for your age is a warning light.
CDC STEADI; Jones et al., 1999Both feet behind the line, swing, jump, measured to the heels.
Power fades faster than strength with age, and power is what catches a stumble.
Heavy weight in each hand, walk tall until we say stop.
Groceries, luggage, a grandchild. Total-body strength and grip endurance in one test.
Hang from a bar with arms long for as long as you can.
Grip, shoulder health and upper-body resilience.
Forearm plank, body in a straight line, as long as you can hold it.
Core endurance protects your back and your posture.
Side plank on each side without letting the hips drop.
Side-to-side core strength supports your spine and your balance.
Hold the scanner for a few seconds.
Muscle you carry versus fat you store. Muscle is what keeps you independent.
Arms and legs, all out, until you burn 15 calories. We time it.
Cardio fitness is one of the strongest predictors of survival. In 122,007 adults, low fitness carried a risk of death as high as or higher than smoking, diabetes or heart disease.
Mandsager et al., JAMA Network Open, 2018Enough already. Get better or stay the same.
Book your decathlonEvery decathlon comes with your full Hard To Kill Report.
CARE keeps you out of pain. WELL keeps you strong. Both run on a standing schedule with the same clinician or coach every time.
Concierge physical therapy with Dr. Carlos. 30 minutes, one-on-one, with a Doctor of Physical Therapy.
Every visit: dry needling when it helps, your HEPmax home program, and a superbill for out-of-network reimbursement. New patients start with a PT evaluation.
One-on-one strength coaching. 60 minutes with a SPARK strength coach and a periodized program.
Every session: a program built around your scorecard, with Dr. Carlos down the hall if something hurts.
Today's rates, locked in for as long as you stay a member. 12-month term, billed monthly through secure checkout. All memberships start with your Centenarian Decathlon and Hard To Kill Report, free ($300 value). Pro and Perform include a re-test once a year; Premier and Elite, twice. Plus member pricing on everything else, one unused visit rolls into the next month, and a family member can use a visit you can't. 24-hour notice to reschedule.
We don't age because of time. We age because we stop playing.
Tennis ladder, golf league, running club, church group, neighborhood association. If you've got a group of adults who want to stay capable, we'll bring the testing to your place, the same way we bring the Sports Med Combine to McLean High School baseball.
Any one-on-one session can become a buddy session for your spouse, your doubles partner or your foursome. One hour is $200, split by however many of you show up.
One hour, one-on-one, with your Hard To Kill Report included. Included with every CARE and WELL membership. Not a member yet? A private hour with our team and your personal report is $300. Send us a note with what you're after, the decathlon, CARE, WELL or a group visit, and we'll text you times the same business day.
Adults 40 and up who want to know where they actually stand. Fit, out of shape, or coming back from an injury, you're welcome.
No. Skip anything that doesn't feel right. Someone from our Hard To Kill team is with you the whole hour and will scale or swap any test.
Free for CARE and WELL members; every membership starts with it. Not a member? A private one-hour decathlon with your own Hard To Kill Report is $300. Pro and Perform members get a re-test every year, Premier and Elite every six months. Any other test, for anyone, is $300.
Clothes you can move in and athletic shoes.
You leave with your scorecard. If something needs attention, we'll tell you what to do about it, whether you train with us or not.
No. Virginia allows direct access to physical therapy. CARE visits include a superbill you can submit for out-of-network reimbursement.