Friday, March 13, 2015

MOVING MORE IS NOT ALWAYS THE RECIPE FOR BETTER FITNESS

We live in a culture that is obsessed with diet and exercise. Or at least in a culture that promotes quick-fix meal plans guaranteed to drop 50 pounds, and high intensity exercise programs with names like Insanity, Body Beast, and TurboFire. We live in a culture known for world-leading medical and scientific breakthroughs. Yet we live in a culture where more than two-thirds of the population are in a state of physical decline. We live in a culture where obesity, heart disease, joint pain and sedentary lifestyles are spiraling upwards at a rate equal to that of our federal deficit.
 
In  an attempt to combat the continuous decline in our society's health problem, physicians, clinicians, celebrity trainers and local politicians are tell people to start an exercise program. Or at least to simply "move more." Unfortunately, millions of people are unable to move, yet alone exercise, due to severe pain. Millions more have lesser degrees of pain, and so they push through an exercise program hoping the pain will go away. But pain is often a health issue, and trying to remedy this with a fitness solution will rarely work. For these people, we need to discover the movement equivalent of the chicken and the egg scenario: Do people move poorly because they're in pain, or are they in pain because they move poorly?
 
Enter the Functional Movement Screen (FMS). The FMS is a system. It is a standard operating procedure for appraising movement pattern proficiency. The FMS consists of 7 basic movement patterns that we knew how to do by the time we were 3 years old, with a simple ranking and grading system. It can be completed in about 12-15 minutes, and it tells the administrator if an individual has dysfunctional and/or asymmetrical movement patterns that can increase his/her risk for injury. The FMS is not intended to diagnose orthopedic issues--it simply lets us know if a person has physical limitations that need to be addressed for optimal movement.
 
Many people who are aware of the FMS believe that its' use is limited to athletes. And while this assessment tool is used by professional teams in the NFL, NBA, MLB, NHL, and MLS, as well as by PGA and LPGA players, it is not sport-specific. As FMS founder Gray Cook states, "The FMS is species-specific." These patterns show themselves in everyday movements because we are all human beings. Like an Equal Opportunity Employer, it does not discriminate due to age, sex, etc.
 
Testing movement patterns is crucial. The human brain understands movement relationships, not isolated muscle and joint activities. The interconnection between adequate mobility and stability creates balance, efficiency, and economy of movement. But if pain or dysfunction exists, these patterns result in compensations to maintain movement quantity at the expense of quality. Left unaddressed, altered movement patterns can lead to further complications, including debilitating, career-ending injuries.
 
But once movement deficiencies are uncovered, the certified health and fitness professional can then work with the client to correct those inadequacies. Oftentimes, the problem can be corrected in a few weeks. One of our clients, a male in his mid-50's, had knee pain attempting to perform the deep squat pattern, and low back pain in the press-up movement. In fewer than 6 weeks, he was able to satisfactorily complete both movements fully with NO PAIN. Additionally, after only 3 weeks on his program, he was sleeping through the night (as opposed to waking up 3-4 times), he significantly increased his energy levels, his blood pressure is lower than it has been in 3 years, and is performing exercises he never thought he could do.
 
FMS evaluations are also being used more frequently in business and industry due to the successes seen in the athletic world. Fire departments that have incorporated the FMS into their pre-employment process as well as into their wellness programs have seen costs per injury reduced by as much as 67% (from about $22,500 to around $7,500 for one Southern California department). A major utility company with approximately 1,500 employees in 3 Midwestern states saw their workers' compensation claim costs from strains, sprains, and body motion injuries fall from "more than $1,000,000 to under $300,000" in just 4 years.

To wrap it up, whether you are an athlete who wants to improve her performance on the court, a 47 year-old corporate executive looking to drop 30 pounds before that upcoming high school reunion, a grandmother who simply wants to play with her grandkids, or an athlete coming off of an ACL injury rehabilitation program, don't jump into an exercise routine without first finding out where you have movement limitations, and what you should do to correct them. We need to live in a culture of First move better, then move more.

Don Holly
www.successfitnessreno.com

Certified Lifestyle Fitness Coach (NESTA)
Certified Corrective Exercise Specialist (NASM)
Precision Nutrition Level 1 Specialist
FMS Level 1 certified


 

Wednesday, March 11, 2015

TAKE A STAND AGAINST SITTING!

Many of you may know that I worked at one of those big-box, just-sell-membership gyms for a few years when I first became a personal trainer. Like most new employees in any business, once hired I shadowed several "veteran" trainers to learn how they worked with their clients. Here's what I observed way too often: Warm up by riding the stationary bike for about 5 minutes. Then on to 2-3 sets of seated machine chest presses, seated back rows, seated leg extensions, seated leg presses, seated lat pull-downs, seated biceps curls and seated triceps extensions. And between those exercises it was 1-2 minutes on the bike to recover.
 
When I asked the most experienced trainer why he used machines so much, he replied that they're easier for his clients to understand (in other words they didn't have to think), and it was easier for him as the trainer. All he had to do was adjust the seat height and select the appropriate resistance by placing the pin in the weight stack. I remember thinking "Welcome to 1985". Problem was, it was 2008.
 
I almost immediately came to despise almost every exercise machine in the gym. On numerous occasions I was even chastised by the club manager for telling my clients that "machines suck and actually promote dysfunction in human movement". It made no sense to me then, and even less so now, to have a client who's been sitting at a desk or in a car for 10+ hours a day sit in a variety of machines and perform an "exercise" that doesn't even remotely resemble any movement we do in real life.
 
As Americans, we already sit far too long. Numerous studies have proven that people who watch TV and/or drive more than 23 hours a week (that's an average of only 3 hours and 20 minutes a day) are 64% more likely to die from heart disease than somebody who drives and watches television less than 11 hours a week. And for people over age 60, every hour of siting can inhibit your ability to perform everyday tasks by nearly 50%!
 
Other health hazards of chronic sitting include:
  • High blood pressure and increased LDL (bad) cholesterol levels (after only 2 weeks of sitting 6 hours a day)
  • A 30% increased risk of colon cancer and a 50% greater risk of lung cancer
  • Increased risk of insulin resistance and Type 2 Diabetes
  • Decreased core strength which can result in hyperlordosis (rounded back)
  • Tight hip flexors and weak glutes (butt muscles) that multiply your chances of sustaining a debilitating fall
  • Reduced blood circulation in the legs leading to varicose veins and blood clots
  • Osteoporosis from decreased bone density (of up to 1% a year in women)
  • A higher chance of lower thoracic and lumbar spine disc herniation
  • Declining cognitive function from a lack of blood flow and oxygen to the brain
  • A mortality rate similar to people who smoke
So what should you do to combat the negative effects of prolonged sitting? Most importantly--stand up! Simply standing for 10-15 minutes every hour activates your muscular and cellular systems that process blood sugars, triglycerides, and cholesterol which are mediated by insulin. Next, start walking more. While there is no scientific data to support the adage that we should walk at least 10,000 steps a day for improved fitness (it was a marketing concept developed by a pedometer manufacturer), walking is a good compliment to (not a replacement for) a regular exercise program. Companies such as FitBit and Jawbone, among dozens of others, sell fitness trackers that record numerous physical activities including the number of steps you walk daily. You can even join a community of "friends" on their websites and participate in weekly contests to see who tallies the most steps walked (but the first place finisher should not be rewarded with a DQ Blizzard).
 
Lastly, commit to and perform a regular strength training and cardio routine at least 3 times a week for 45-50 minutes a day. But do yourself a favor and stay off the machines. They suck!