2/07/2011

Do Those Advertised Exercise Programs Work?

Miriam tells me that the men in her office have been doing that pre-packaged structured weight training program that you've seen marketed on television and heard about in the office, and now they've hurt their shoulders.  John suggested that I write about this same program.  My daughter Megan asked if I knew about the high intensity workout videos that they're doing in her dorm. 

There are many structured program packages sold today, they pretty much tell you what to do every, give you a log to track progress, and promise great results.  I can't name the programs, but these comments inspired this report.

STRUCTURED EXERCISE PROGRAMS WORK 
Research has shown that at every fitness level, following a structured exercise program and tracking progress works better than doing an unstructured workout.  XpressLine at NYSC is an example of a good structured program for beginners, and is actually proven by research to be effective.  You'll also get similar benefits from most exercise videos, books, classes or working with a trainer.  Why?

Following a structured program does a better job of keeping you consistent.  (It works the same way with diets too - food logs and weigh-ins work!) In most cases, the differences between programs can be less important than the degree to which you actually follow a program.  It helps if the program is interesting and fun, if you can get a friend involved, and if there is variety and progression of difficulty. 

BUT...The questions with these programs are whether the program is right for you.

A ONE SIZE FITS ALL APPROACH TO EXERCISE SELECTION
The pre-packaged structured programs generally don't do two things that can be very important to make them the right program for you: 
  1. they don't help decide which exercises are right or wrong for you based on assessment of your posture, movement patterns, and any muscle imbalances or injuries;
  2. they don't coach form, and help modify and progress or regress exercises so that they are right for you.
Megan's intense workout videos involve mostly calisthenics, some plyometrics, and constant movement.  There is some concern about proper exercise form, but college age kids can take a lot of physical punishment.  Since the exercises don't involve weights and are mainly familiar movements, they're not quite as risky as some of the other programs.  For people in their 30s, 40s, 50s and above...you need to be a lot more careful.
 
The program Miriam and John asked about uses weights, along with other exercises.  Miriam's co-workers probably have the typical "Wall Street roll," rounded and possibly elevated shoulders from working at a computer all day.  A program that is heavily into exercises like overhead presses, lateral raises and shrugs is probably not appropriate and could cause pain or injuries.  




Structured programs focus on a general fitness goal, but everyone does the same exercises. Videos and classes have the added benefit of someone leading and motivating you.  In classes, the group exercise instructor can also help with form and some group exercise instructors may be able to help with exercise selection (note: unlike physical therapy or most personal training certifications, the group exercise certification does not include assessment-based exercise prescription). 

MUSCLE CONFUSION = PERIODIZATION
Some pre-packaged programs make a big deal about muscle confusion.  They're right.  Research shows that your body adapts to an exercise program within about 4 weeks, and you hit a plateau.  (We call it the SAID principle, specific adaptation to imposed demand).  So most programs "periodize," meaning they change the program about every 4 weeks.  A good example would be going from two sets of 15 reps at a moderate weight to three sets of 10 at heavier weight.  There are different types of periodization, depending on goals and frequency of exercise.  Is muscle confusion a breakthrough?  Hardly.  They've done a good job of packaging a long-established technique called "undulating periodization."  That means you alternate between several different workouts and change as often as each exercise session.

Is it really better to do different exercises in each workout?  Arguably not.  The benefits are that it may keep the workout interesting and your body doesn't adapt to the training stimulus - however, research shows that the adaptation takes about four weeks.  The disadvantages of frequent changes:
  • an increase in  delayed onset muscle soreness and
  • difficulty in perfecting form and technique.  
In some ways, delayed onset muscle soreness is a marketer's dream.  Many people will think that because they feel sore for a few days they must have gotten a really good workout.  It just isn't so.  Delayed onset muscle soreness is experienced because of the change in routine, not because of more or less effectiveness.   Changing your routine too frequently is probably overkill.  You don't need to experience constant soreness to get results.

ASSESS AND PERSONALIZE
Very few of us buy a suit off the rack and have it fit us perfectly, shouldn't we make sure our exercise program is well tailored to us?  In some ways, you can think of the assessment at the start of your fitness program as getting measured for a bespoke suit.  However, a flight from India or a few long, tense days at work can also have a profound short term affect that you might want to address in your programming. 

Common postural and movement impairments seen among office workers are rounded and elevated shoulders, anterior pelvic tilt (tight hips/protruding buttocks), knock knees, and turned out feet.  Sometimes these can be noticed on sight, sometimes they require advanced movement screening to bring them out - in other words, they come out when you perform movements or exercises.  If your posture and movement patterns aren't right, you can experience injuries, ranging from tendonitis to sprains and tears to arthritis. In addition, you can't generate force properly so you won't be able to perform as well in working out or sports.  There are some exercises that you just cannot do with proper form - eliminate them from your program and try to improve your posture and movement patterns with corrective exercises.

Want to learn more about personalizing your program?  Visit the Mini-Assessment page at caryraffle.com for a brief overview of common postural and movement issues, exercises to avoid, and corrective exercises. 

PROGRESSION
Exercise progression refers to continually overloading the body's system by changing the exercise stimulus (see muscle confusion above). Increasing weight and/or repetitions is one way to progress, but shouldn't be the only way.  To truly overload the body and experience continued improvement in your fitness, also challenge your balance and stability.   Visit the Training Programs page at caryraffle.com for a progression of three mini programs for any fitness level. Additional progressions might include dynamic movement with weight and explosive power (Plyometrics) if appropriate.  Regression refers to reducing that overload; there is plenty of room for fine-tuning when it comes to exercise programming.

Progression and periodization can also help avoid repetitive motion injuries.  Exercises done over and over again in the same way with similar equipment become like working the assembly line in a factory.

People working on their own with structured programs, videos, or classes often either don't progress soon enough, or progress too quickly and don't workout with proper form.  I've been in the awkward position of group exercise instructor with that person - call them confident, cocky, or showoff - performing the most advanced version of the exercise I'm leading with horrible form.  Don't be that person. Monitor yourself strictly, make sure that the postural and movement problems noted above don't sneak into your workout as you progress.

9/08/2010

NON TRADITIONAL TRAINING WORKOUT

Target the Weak Links with this Simple Program

You've probably seen or heard of some of these workouts, kettlebells and sandbags are the rage now.  Other versions may use heavy ropes, beer kegs, sledge hammers, or balls filled with water. The idea is to challenge your body, brain and muscles to produce force under different and more challenging circumstances, to get you out of your workout rut.  This workout, which I developed for a few of my advanced clients, uses typical gym equipment.  It is appropriate for someone who has been working out for a few years, and wants some integrated exercises to target the core, stabilizer muscles and wrists and forearms - the often neglected weak links.  If you've had any recent problems with wrists or elbows (ie, tennis or golfers elbow), these exercises may not be appropriate for you. 

Each exercise will use either a body bar or barbell gripped in the center to increase the challenge.  Warm up first, select a much lower weight that you would ordinary work with, and make sure that you allow adequate space between other members and yourself.  Begin the program at a weight where you can do 12-15 repetitions, and if you experience any discomfort at the joints reduce the weight or discontinue the program,

Single Arm Chest Press Using Barbell (or Body Bar) - grip barbell in center and exercise each side in individually.  Progression:  Single Arm Chest Press on Stability Ball Using Barbell.

Single Arm Bent Over Row Using Barbell (or Body Bar) - grip barbell in center and exercise each side in individually.  Progression:  Single Arm Bent Over Row Standing on one Leg Using Barbell

Lateral Raise Using Body Bar - grip body bar in center and exercise both Sides.  Progression:  Lateral Raise Using Body Bar Standing on One Leg

Single Arm Biceps Curl Using Barbell (or Body Bar) - grip barbell in center and exercise each side in individually.  Progression:  Single Arm Biceps Curl Standing on one Leg Using Barbell

Triceps Kickback Using Body Bar - bend over and maintain a neutral spine, grip body bar in center and exercise both sides. Progression:  Triceps Kickback Using Body Bar Standing on One Leg

You may experience Delayed Muscle Soreness for 1-2 days after starting this workout, because you are using muscles in a different way and activating more muscle fibers.  Try it, let me know how it works or if you have any questions.



STEP IT UP MINI WORK OUT PROGRAM

If any of these points apply, then this is the workout for you..

- Stuck on the same machines or exercises for a while and aren't getting the results you want
- Advanced your program but need a few new moves to kick it up a notch
- Haven't been working out regularly and need to step it up

or maybe you're just looking for something different?

This workout is appropriate from the beginner/intermediate level and above, and is a total body exercise circuit.  That means you're using big muscles, a lot of muscles and you're working almost non stop to maximize results.  Warm up first, and select or set weights so that you can do two sets of 15-20 repetition of each exercise.  I've given you the basic exercises, and in some cases a progression to make it more challenging.

Single Leg Press - This is one of my favorite exercises for people who sit a lot.  Use about half the weight you normally would and pay extra attention to keeping the toe, knee and hip in alignment as you perform the leg press.  Push out through your heel and feel the fire in your glutes.

Scaption - This exercise is similar to a lateral raise but works muscles that help your posture in the shoulder area.  Use very light weights, hold them in front of your thighs in a thumbs up position and draw in the abdominal muscles.  Raise the arms in a V, maintaining a 45 degree angle, stop at shoulder height and slowly bring the weights down to starting position.  As you do scaption, you should feel the contraction between your shoulder blades.  Progression:  single leg scaption.

Pushups on a Bench - Face the bench so that the long side is in front of you, place your palms down on the bench spread wide, and spread your feet wide.  Pull the abdominal muscles tight and perform the push-up, and try to touch the chest to the bench.  It should be slightly easier to do a full push-up this way compared to on the floor.  Progressions:  Floor push-up; regular push-up with feet on a BOSU ball.

Squat with Cable Rope Row - Attach the rope handle to the cable machine at about waist level, grip the handle with the boots of each hand, and step back far enough to create a space between the plates.  Slowly squat down and as you rise back up pull the rope back into the row.  Progression:  Squat with Single Arm Cable Row.

Cable Triceps Pulldown - Attach the straight or easy bar to the cable machine at a high level, place palms up shoulder width apart and grip the bar.  Keep the elbows by your sides directly below the shoulder, and perform the exercise by pulling the bar down and resisting as it rises.  Progression:  Cable Triceps Pulldown on Balance Board.

Step Up Balance and Curl - Use a step or box and a pair of dumbells lighter than those you normally use for biceps curls.  Draw in your abdominals, step onto the box and balance on one leg.  The leg you're standing on should have a bent knee, the other knee should be raised, Perform one biceps curl in the position, step down and alternate.  Progression:  higher box; face sideways and work one side at a time.

This is the kind of workout that almost anybody can do, yet even the most advanced reader will find it quick, efficient and effective.

5/03/2010

Interval Training: Burn More Calories. Improve Performance. Reduce Exercise Time.

Yes this sounds almost too good to be true.

Interval Training involves alternating between higher and lower intensity in your cardio workout. It could be right for you if you have a good cardio base and want to improve performance or results. If you're just beginning to train, we start by getting your cardio base established first, and prepare your body for the demands of this training. A cardio base is usually established with moderate exercise, 60-70% of your maximum heart rate or a rate of perceived exertion of about 5-6 on a scale of 10*. (A simple estimate of your maximum heart rate is 220-your age, I can give you a better estimate if you give me your age and resting pulse).

Research shows that Interval Training burns more calories than training at a steady rate, partly because it raises your metabolism for 2-3 hours after you stop exercising. The scientific term for this phenomenon is EPOC for Excess Post Exercise Oxygen Consumption. It also seems to cause molecular changes in the muscle that increase fat burning. Interval Training may also improve your performance by increasing your body's ability to remove lactate from the bloodstream, so it can help well-trained people get to the next level. This point is often described as reaching your anaerobic threshold or "going anaerobic". Scientists now believe that "going anaerobic" is a myth, - along with "the myth of the Fat Burning Zone." Remember that you burn more TOTAL calories in the cardio zone than in the fat burning zone, and interval training can help you get there. Numerous studies have shown that for many people, interval training produces better results in less time than steady state aerobic training.

A typical starting interval training program might consist of a warmup followed by 60 seconds of high intensity exercise followed by 90 seconds of recovery at a lower intensity repeated about ten times. As you become more conditioned, decrease the recovery to 60 seconds. In more advanced programs, the high intensity intervals can be 2-3 minutes long, with rest periods equal to or less than the high intensity interval. High intensity exercise generally means that your heart rate is 75-85% of maximum, and the recovery rate is about 60%. To use rate of perceived exertion, you should feel that you're at about 8-9 on a difficulty scale of 1-10 in the high intensity period, and about 5-6 in the lower intensity period.

You can do interval training on any cardio equipment, or with other activities such as running or jumping rope. Beginners may get their heart rate up with walking on a treadmill and varying the incline, while very fit people will need to do something more challenging.

4/30/2010

Special Feature: Interview with NYSC Spin Master Rob Merluza

A snowstorm in February provided a long-awaited opportunity for me join one of Rob's spin classes at NYSC Wall Street --- his classes and my evening schedule are usually totally booked. We followed up with an interview:
Q: What's the Goal of Your Class? My classes are tailored to maximize effectiveness in 45 minutes. The focus is high intensity interval training, one of the best ways to maximize results.

Q: What Sets your Classes Apart? The thing I'm known for is that my classes simulate an outdoor ride, simulate real hill climbs. To round out the experience and make it enjoyable, I use tailor each song to the exercise, providing a nice rhythm and beat to accompany the ride.

Q: How do you keep it going? My classes focus on different areas such endurance, strength with increasing resistance, staying in the aerobic zone. I throw in a kicker - sprints - to get the class into a higher zone, increase heart rate and calorie expenditure, really tax the system. Throughout, I'm always cognizant of providing adequate recovery between sprints and intervals.

Q: What else can your students expect to learn? I touch on proper form and technique, improved pedal stroke, body alignment and positioning - so that the body works in synergy with the bike.

Q: Can you tell us some of the benefits of your class? Beginners can expect to burn about 400 calories in a class. They may not do all sprints or have endurance to maintain a high energy level throughout, but will feel a sense of accomplishment, get a good workout, and begin building their aerobic base. Moderate to Advanced students can burn 500-800 calories. I focus on challenging them to increase resistance, go harder on sprints, and maintain a high level of intensity.

Q: What about results? I've had members who've lost 30-100 pounds - including one of your clients who combined my spin classes with your strength training program and had great results. They also gain increased endurance, improved strength and leaner appearance. With advanced riders and triathletes, I focus on creating a "strong engine" for the ride - a combination of form, position, pedal stroke and aerobic base.

Rob's Spin classes are Thursday at 6PM and Friday at 530PM at NYSC Wall Street, advance reservations required call 212.482.4800.

1/21/2010

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

12/12/2009

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.

10/27/2009

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.

10/26/2009

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

10/25/2009

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.

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