Training by the Numbers: Exercise Guidelines to Reach Your Goals

How much do I have to exercise? A minimum of 20-30 minutes a day or 150 per week, double that to see real change

How quickly can I lose weight? Figure on 1-2 pounds per week for safe, effective weight loss

How often can I do cardio? Every day, as often as you like - as long as you're not in pain

How often can I strength train? Give your muscles a day off to recover and grow; you can do a total body workout every other day or split the routine and alternate the muscles that work and rest

How long does it take to see muscle growth? It takes about 16 strength training sessions over several weeks to see an increase in size

How do I increase muscle size? 3-5 sets with weighs that you can lift in a range of 8-12 repetitions

What if I just want to tone? Try 1-3 sets with weights that you can lift in a range of 12-20 repetitions

How about getting really strong, like increasing my bench press? Usually you'll want to be doing 3-6 sets with a weight that you can lift in a range of 1-8 repetitions, with long rests in between

How often should I change my routine? At least every 4-6 weeks, because your body adapts and you'll hit a plateau

Which is the best form of cardio? For most people, the one you enjoy most

What should my heart rate be while exercising? The simple answer for most pregnant, healthy people is this formula: (220-age)x70-75%. Higher or lower levels may not produce optimal results

More Results with Less Time: Your Holiday Survival Exercise Programs

Total Body Exercises are the key to this month's programs. By using muscles in both the upper and lower parts of the body simultaneously, you'll burn more calories in a shorter amount of time.

Work your abs as you do these exercises. Draw your belly button towards your back to stabilize, strengthening as toning your core as you build muscle.

Emphasize the big muscle groups: legs, back and chest. Arm and shoulder exercises are optional and will also incorporate some leg movement such as lunges, squats or stepping up to balance.

Do strength training every other day and cardio every day. Don't skip when time is short, even 15-20 minutes of exercise can make a difference and you'll feel much better for it.

Holiday Survival Workout for the Gym - Click here.

Travel Workout - Click here. It is shown with 2 people using resistance tubes, but you can easily attach the tubes to a door or post. I've included a link to my Amazon.com fitness store, where you can find the resistance tubes you'll need for this program (less than $15) and other goodies.

Pre-Hab/PostRehab

Are you or someone you know in treatment for an injury? Have you completed treatment and entered the post-rehab phase? Are you headed towards your next injury?

Nagging pains, problems, and injuries involving muscles and joints are an inevitable fact of life. Joint replacement surgeries are increasingly common. The good news is that a carefully designed fitness program can actually reduce the risk of injury, speed recovery, and prevent re-injury. Choose the wrong exercises, however, and you could be setting your self up for future problems.

These postings discuss pre-hab and post-rehab - specialized areas of training that require close work between client, trainer, and often physical therapists and doctors. However, once the issues are identified, your problems can be fairly easy to address.

Feel free to let me know if you have any questions, and to suggest future topics.

COMMON PROBLEMS: What To Do, What to Avoid

The following are some brief summary case histories of common problems that you can address in your fitness program, including key things to add and avoid:

CASE HISTORY #1: ROUNDED SHOULDERS
Likely Injury: Rotator Cuff, Impingement, Biceps Tendonitis
Add to program: Chest stretch, reverse fly, scaption, close grip row, external rotation/rotator cuff strengthening
Avoid: Overhead shoulder exercise, incline chest press, front row, behind neck exercises

CASE HISTORY #2: KNOCK KNEES
Likely Injury: ACL/MCL Tear, possibly knee or hip pain, frequent ankle sprains
Add to program: Side Lying Leg Lift, Single Leg Press/Squat, Hip stretch, IT Band Stretch
Avoid: Adductor

CASE HISTORY #3: EXTERNALLY ROTATED FEET
Likely Injury: Plantar Fascitis, Achilles Tendinitis, calf cramps, frequent ankle sprains
Add to program: Foam Roll and stretch calves, toe raises, side lying leg lift, single leg press/squat
Avoid: Calf raises

CASE HISTORY #4: ARCHED BACK
Likely Injury:
Low Back Pain, Disk injuries
Add to program: Planks, lower body and back stretching, unstable exercises
Avoid: Excessive hip flexion and abdominal flexion (sitting, leg raises, crunches)

CASE HISTORY #5: POOR BALANCE
Likely Injury: Slips and Falls, Hip Fracture
Add to program: Single leg exercises, core strengthening
Avoid: Extended periods of sitting

The Right Exercise Programs Can Prevent Injuries Before They Happen

"Pre-Hab" Train to prevent injuries before they happen. It may not be possible to reduce the risk of accidents, but you can train to reduce injuries from other sources such as falling, poor posture, and muscle imbalances. Start with a self-assessment or assessment by a qualified trainer who can help you develop a corrective fitness program.

The case histories below present a few common problems that can be observed and addressed in a fitness program, and some suggestions for each. You may have to make some changes to adapt your program to these phases, but you can still have a program that is effective and fun.

"Post-Rehab" If you've already had an injury or surgery, you're at a risk of recurrence. Follow a program designed to carefully get your body back into a regular training routine, while preventing a recurrence. The National Strength and Conditioning Association recommends that athletes continue with exercises they did in physical therapy - for many people, this can last a lifetime. Try to identify and correct the underlying causes of the injury, often muscle imbalances and postural distortions.

If you need help, I can show you how to incorporate physical therapy exercises into your workout routing, keep the routine interesting, and progress the exercises from the more controlled and "clinical" physical therapy environment to the gym.

CORRECTIVE FITNESS PROGRAMS

Over the past few years, I've shared several corrective programs with blog readers, you can access some of these programs by clicking below. The programs are general and appropriate for most people, however, if you have been treated for an injury you should talk to your physical therapist or doctor and get clearance before proceeding. You can also feel free to contact me for an appointment to develop a more customized program or program for other issues, and for personal instruction.

Low Back Pain Program

Plantar Fascitis/Shin Splints

Rounded Shoulders/Forward Head

Deep Core Training

PUBLIC ENEMY #1 - THE CHAIR

The problem with most People's Cores? Sit all day and the inner abdominal muscles and glutes get stretched out and weak, hip flexors and low back get short and tight...leading to low back pain, poor balance and other potential problems. Then you try to get active and things can really fall apart.

The problem with most people's core training programs?
1) too much emphasis on external abdominal exercises (crunches) and hip flexion (knee and leg raises);
2) not enough work on inner abdominals and glutes and stabilization while performing movement;
3) too many seated or lying exercise and machines, especially after sitting all day at work;
4 )inadequate or poorly targeted stretching;
5) lack of progression beyond a few basic exercises and failure to integrate movements with core stabilization.

Poor exercise selection can actually cause or exacerbate low back pain. However, an effectively designed fitness program can help protect you from injury and may speed your recovery. Some of the principles of these programs come from yoga and pilates, but you can actually incorporate them into a more traditional strength and conditioning program and progress them to provide continued improvement.

Here is a four step program that you can start to take to improve and train your innermost core:

Step 1- Flexibility: You can't properly work a muscle when the opposing muscles or synergists are tight and overactive, because your joints are in poor alignment. You're also more susceptible to injury. Most readers will benefit from a program like the one presented in the Ultimate Flexibility post, click here for a downloadable copy.

Step 2-Static Core Activation & Strengthening: Wake up the muscles that have been asleep all day long! These exercises focus on activating and strengthening the core in a stationary position, good examples include the 'plank' and quadruped with raised arm and leg. Static strengthening is a good start, but you'll also want to include exercises that train your core to stabilize your body as you perform movements.

Step 3-Integrated Core Training: Activate your core as you perform strength exercises for chest, back, arms, legs, shoulders - any muscle at all. Examples include single leg versions of standing chest press, rows, biceps curls, triceps extensions, as well as lunges and exercises performed on balance boards and stability balls. It is more challenging to stabilize as your perform the exercises, and these exercises train your core to stabilize in different ways that static core training. Once you've mastered this phase with good form throughout, you are ready to add more complex, dynamic movements that require core stabilization throughout.

Step 4-Dynamic Core Training: Here, we stabilize as we move multiple muscle groups together or move in multiple planes of motion, requiring constant effort to stabilize. A few examples include walking lunges with rotation and a step to balance, or a single arm row with a reverse lunge and step to balance, or multi-planar step ups onto a bench with balance and a biceps curl. These may sound over complicated, but they can be graceful to watch and help you stay balanced and on your feet when - for example - you have a near miss on the football field, track or crossing the street.

Deep CORE Exercise Progression

Here is a list of sample core strengthening exercises at each step. I'll be demonstrating them on the gym floor during Cary's Core Clinic and can help find the right level for you, and I incorporate many of them into the workouts at my Total Body Conditioning Class at NYSC Cobble Hill, Thursdays at 630AM

Static Core Activation & Strengthening	Integrated Core Training	Dynamic Core Training
Standing on 1 leg Stand/Balance on Wobble Board Drawing in Maneuver Plank Quadruped with arm and leg raise Side Lying Leg Lift Stability Ball Squat	Stand on 1 leg and bicep curl, shouder press/raise, tricep pressdown, row, chest press Balance on Board or Stability Ball and Curl, Skull Crusher, shoulder press/raise, row, check press Quadruped with row or triceps kickback Stability Ball Squat with biceps curls, shoulder press/raise Single Leg bent over row or triceps kickback	Step up onto bench, balance and curl or shoulder press/raise Walking lunge with rotation and step to balance on 1 leg Row or chest press with lunges and a step to balance on 1 leg Lunge, step to balance and curl or shoulder press; lateral lunge step to balance and curl or shoulder press

UltimateFlexibility(almost/so far)

I have two questions for you

• Are you happy with your current level of flexibility?
• What are you doing about it?

Most people I meet are not happy with their flexibility. Even people who are really flexible seem to want more. Yet, its the last thing most people spend time on. I have even been guilty of this myself. This issue is meant to slightly change the way that you think about flexibility, and give you a step by step approach and some specific tools that can lead you to results - if you take the time and do the work that is needed. You'll probably have questions so feel free to ask.

THE PROBLEM WITH MOST PEOPLE'S FLEXIBILITY PROGRAMS The top 5: not doing the stretches that are right for YOU; doing the same few stretches over and over again; not stretching for long enough; using brute force instead of your brain to stretch the muscles; and, neglecting the strengthening component of a flexibility program. So many people try to improve, don't see much progress and every day, leave the gym and go back to the same desk or lifestyle and the problems start over.

ARE YOUR MUSCLES TIGHT? OR IMBALANCED?
Probably both. If a muscle is tight, think of it as being short --- therefore, the opposite muscle compensates by being long. Or does one muscle get too long, and the opposite compensate by shortening? Maybe both at the same time. Some of us are born this way, but often our lifestyles are important factors. If you sit all day, the muscles that you sit on (glutes and hamstrings) tend to get all stretched out and the hip flexors and quadriceps get all tight. If you work on a computer all day, the muscles in front of your chest and shoulders get tight as the muscles behind get stretched out. The same think can happen from driving and biking. I've written about this before...we call these opposing muscle agonists and antagonists. You'll improve your flexibility if you can identify the tight muscles and stretch them, and identify the weak muscles and strengthen them.

STRETCHING IS IN YOUR HEAD You know that stretching is done to make a muscle longer.. but exactly how do you do that? By pulling it to the maximum possible length? Or by getting your brain to do the work? Actually, its the brain and nervous system that controls the length of your muscles, you can do some damage by pulling to much or in the wrong way. There are numerous effective stretching techniques, all of them rely on stimulate sensors in the muscles to send a signal to the brain, and electrical impulse that says "relax me." Those impulses travel through the nerves and spinal cord, then the brain sends messages back to the muscle fibers telling them to relax. It takes at least 7-10 seconds for this process to initiate, so that guy who you see grabbing the front of his shoe and pulling his knee back for 3 seconds and then running off...he's not stretching. Nor is that person who pulls so hard that they overstretch the ligaments while the muscle doesn't increase in length.




STRENGTH TRAINING CAN IMPROVE FLEXIBILITY Sometimes a movement is difficult because a muscle is tight, but often it is because the opposing muscle is actually too weak and extended. I see this a lot with the inner thigh, biceps, and hips/glutes. In some cases, the opposing muscle is literally asleep, and when you try to perform a movement it barely wakes up and you get that stiff feeling like rigor mortis setting in. You can stretch the tight muscles as much as you want but only see limited improvement, so fight back by strengthening the muscle opposite the one that is tight. Which brings us to another issue...

YOU REALLY DON'T NEED TO STRETCH EVERY MUSCLE The are all kinds of group stretching classes, yoga, etc, which are really nice and have helped many people improve their flexibility. Keep in mind that these classes offer a generic one size fits all set of stretches which may not be ideal for your specific needs. You may actually be stretching muscles that are already all stretched out. This goes for the programs that I've included in the sidebar on the left, they're good programs but generic because I haven't assessed you yet. A physical therapist, massage therapist and some personal trainers can assess you and identify which muscles need stretching and which need strengthening. This is an ongoing process: I often do on the fly stretches during a training session when a client has difficulty performing certain movements.

HERE'S AN EXAMPLE OF A FLEXIBILITY PROGRAM THAT IS WELL TARGETED TO PEOPLE WHO SIT A LOT AND MAY EXPERIENCE FOOT PAIN (PLANTAR FASCITIS) OR KNEE PAIN, POSSIBLY ACL INJURY. It aims to correct postural disortions such as feet that turn out, knock knees, tight hips.

STRETCHING BEFORE EXERCISING...AND AFTER TOO
Depending on your posture, fitness level and goals, some stretching before working out can be beneficial. The goal of this stretching is to relax those tight muscles so that the joints are in proper alignment before working out...because if the joints are in proper alignment you can work the muscles better and reduce risk of injury. Some forms of stretching may cause a short term reduction in the amount of force a muscle can generate, so you should avoid them before your powerlifting competitions or choose other forms of stretching. Other forms of stretching?

THERE'S MORE THAN ONE WAY TO LENGTHEN A MUSCLE Most people are familiar with two types of stretching: static stretching, which involves stretching in a stationery position and holding the stretch for about 30 seconds; and, assisted stretching, which is basically the same except your trainer or someone else helps you do it. There are many other techniques that may work for you, depending on your fitness level, exercise program and goals. I've summarized a few in the sidebar. Periodization, changing your stretch routine at regular intervals, can also be helpful in many cases.

LIKE GIVING YOURSELF A DEEP TISSUE MASSAGE
Myofascial release is a technique for working out knots and adhesions that limit the extensibility of your muscle tissue. Pressure is applied to the knotted area, and after about 30 seconds, the brain sends a signal to the muscle to relax. If you have some persistent tight spots, you can do this yourself using a foam roller. They're available in the gyms, and if you'd like one for home you can order one online for about 20 bucks. The most common areas that benefit from the attention with the foam roller are the calves, IT Band and quads, but you can actually use them in almost any part of your body. I've got a program that illustrates how to use the foam roller for many different body parts. Click here to view/download the program and choose those stretches that target your own personal tight areas. Do the foam rolling before your regular stretching routine for maximum benefit. Feel free to let me know if you need some help in learning this technique.

STRETCHING TECHNIQUES AND PROGRAMS

STATIC STRETCHING The most popular form of stretching, where you hold a muscle in a stretched position and gradually allow time for it to extend. Hold for 20-30 seconds, shorter is not effective, longer is not much more effective. ACTIVE ISOLATED STRETCHING is a progression from static stretching, appropriate if you have no postural distortions. These stretches typically are performed in 1-2 sets of 5-10 repetitions, each repetition is held for 2-4 seconds. Some require assistance, be very careful with these, I dont recommend having someone who is not trained assist you with them. SAMPLE AI STRETCHES

DYNAMIC STRETCHING is for the fit, and is actually more like exercise than a stretch, and includes lunges, pushups with rotation, walking sideways with a resistance band. PNF (AKA Neuromuscular or Contract Relax) STRETCHING PNF means Proprioceptive Neuromuscular Facilitation, and it basically tricks the brain into lengthening a muscle. A trained professional will alternate between stretching your muscle and having you resist against the stretch. Again, many require assistance and I do not recommend having someone who is not trained assist you. SAMPLE PNF STRETCHES

MYOFASCIAL RELEASE is a technique for working out knots and adhesions that limit ability of your muscles to fully extend. Pressure is applied to the knotted area, and after about 30 seconds, the brain sends a signal to the muscle to relax. SAMPLE SMR STRETCHES