Heavy and Very Heavy work (as described here) is the kind of work done by people who handle suitcases in airports, bring those coveted Amazon deliveries and install refrigerators. Strength training at higher levels is very important for health and can, in fact improve the physical and mental health of all people, not just people with disabilities. But we know that for people with disabilities, barriers are magnified and often difficult to overcome. Once youth have moved through Levels 1-3, they should continue power strength training programs at more intensity. The evidence based protocol below was developed by students at the George Washington University in the summer of 2020 to develop power strength. This evidence based protocol may be useful for families and individuals in community facilities to promote health and well being.