5/31/2009

Posture and Movement Assessments

I have a confession to make. From the minute I first see you, I am watching your posture and the way that you move and looking for way to improve you. Are your feet turned out? Do your shoulders round? Or are they elevated? Is your head forward? Does your back arch? Do your knees move in our out? If you answer yes to one or more of these questions, you have muscular or structural imbalances that need to be addressed in your exercise program. In many cases, certain exercises should be avoided to minimize risk of injury, and other exercises should be included to help correct the imbalance. For example, someone with rounded shoulders should avoid overhead shoulder exercises and strengthen the muscles that pull the shoulders back.

Posture can be addressed statically, basically in a stationary position, and dynamically, while moving. In addition to casual observations of movement, several assessments allow us to do a more focused evaluation. Here are two of the most common:

Overhead Squat Assessment: This consists of a squat with arms held above the head. Here, I'm looking for whether the heels lift, feet turn out, knees move in/out, low back arches or rounds, or the body leans forward.

Single Leg Squat Assessment: In the single leg squat assessment, look for whether the feel flatten, knees move in or out, or the hip shifts. These observations indicate imbalances in the calves, thigh muscles, back, core and shoulders that should be addressed in training.

Core Training and Stablility

There are 29 core muscles that work together to keep the body stable as it generates force, absorbs force, changes direction and moves in multiple different planes of motion. An effective functional exercise program trains your core to do all of this. Rather than training in isolation, we integrate core training into many exercises for other body parts. Ultimately, a core that is stronger while performing movements can improve your overall performance and strength and reduce risk of injury.

If your core training program consists mainly of crunches, leg extensions and back extensions, you're working in only one plane and risk overtraining your rectus abdominus. That's the "6 pack muscle" and yes, you can overtrain it to the extent that it increases the risk of injury - and in a way that will surprise you: A tight rectus abdominus pulls the pectorals forward, tight pectorals pull on the shoulders causing them to rotate in, rotator cuff muscles cannot function effectively and are at risk of injury. Running? By pulling on the chest muscles and moving the shoulders and head forward, an overtrained rectus abdominus can reduce your oxygen intake. Exercises that strengthen the deep inner abdominals, and exercises that incorporate core stabilization with other movements, are an essential component.

Public enemy number 1 is the chair, followed closely by the bench. If you spend a large part of your day sitting, it's a good idea to not to sit or lie down through your entire workout every time you train. Chairs and benches do the work of stabilizing your core as you perform the exercises.

Flexibility

Muscles need to be in proper balance to work together optimally. Our posture and movement assessments will tell us which appear to be too active or short and which appear to be underactive or extended. We need to stretch the short muscles and strengthen or activate those that are long or extended. Stretching and strengthening go hand in hand to achieve flexibility; the genera rule is that when a muscle is tight the opposite muscle is extended.

Here's an easy way to think about this: those muscles that you sit on all day long, your glutes, are probably asleep; the opposite muscles, hip flexors, are flexed all day long and remain short. The hip flexors can get so tight that they inhibit the glute. So stretch the hip flexors, strengthen the glutes, try not to overdo it on exercises that flex your hips... and you are on your way.

Do the same type of assessment and programming for other area of your body.

Advanced Functional/Core Mini Workout

The following are some selected exercises that some of my advanced clients are doing...you might not be ready for them right now but with consistent effort can work towards them. Feel free to ask me to demonstrate them if you don't know what they are:

Tube Walking (Hip Abduction with Band)
Reverse fly with Chest on Stability Ball
Single Leg Deadlift into PNF Pattern (drawing sword)
Single Arm Cable Chest Press/Lunge/Step to balance on One Leg
Single Arm Cable Row/Reverse Lunge/Step to Balance on One Leg
Lateral Lunge/Balance on one Leg/Biceps Curl
Single Arm Cable Triceps Pushdown Kneeling on Bosu Ball
Single Leg Box Jumps (Plyometrics)

We're generally working in a range of 2 sets of 12-15 repetitions. At the beginner and intermediate level, you might start with a standing cable chest press, progress to one leg chest press, then lunging chest press and so on, until you are ready to do the more advanced version of the exercises. One of my most advanced clients had never exercised until about 2 years ago and can do all of these exercises.

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