Posts Tagged ‘fitness education’

3 Pieces of Advice for Fitness Professionals and Chronic Pain Clients

Thursday, March 30th, 2023

It’s always an honor to be invited to speak on a podcast, and even more so when that podcast is for IDEA Health and Fitness Association. The interviewer, Sandy Todd Webster (Editor in Chief at IDEA) and I have known each other for years and Sandy was a client of mine at one time. Sandy truly knows the fitness industry inside and out and had some great questions that led to a fun exchange.

This is a short clip of our conversation where she asks me for any word of advice I would offer to fitness pros working with or wanting to work with clients dealing with chronic pain.

Corrective Exercise-Half Kneeling Hula for Hip Flexors

Wednesday, March 23rd, 2022

Following the PFMS A-D Levels of Designation, the Half Kneeling “Hula” is a Level “C” exercise. Besides the points of contact and relationship to gravity, this corrective exercise requires some kinesthetic awareness and movement coordination and is an excellent progression to the standard, static kneeling hip flexor.

Adding variability not only provides superior outcomes, but it also often exposes restrictions we didn’t know were more prevalent.

Corrective Exercise Creates a Positive Cascade for Change with Chronic Pain

Thursday, October 28th, 2021

The pain itself is almost always the primary focus. But their are multiple inputs that can lead to a downward cascade in the quality of life of those challenged with chronic pain. And equally, the sum of many inputs can also lead to a positive cascade and opportunity for improvement.

This clip taken from a live webinar I did with the American Council on Exercise, sheds some light on how the right exercises, for the right person, at the right time can be a catalyst for positive change.

If we can appreciate and impact through exercise, more of the dynamic systems involved in the pain experience , we provide our clients with a path to positive change.

Corrective Exercise Full Body Functional Considerations

Monday, September 13th, 2021

Looking beyond the primary movement in a corrective exercise offers tremendous opportunities and insight into ways that we can influence our clients’ global movement needs. Here, I use an example of a familiar corrective exercise for the shoulder girdle and apply our Levels A-D strategy to demonstrate the different considerations when selecting a working posture/position.

It is common to focus on a joint or body segment only, when choosing corrective exercises for your client. Disregarding the implications (positive and negative) of the posture or position from where the exercise is initiated, means that we are not recognizing the integrated, functional biomechanics involved.

Don’t be an Abercrombie & Fitch Trainer

Thursday, January 7th, 2021

Back in the day, I considered myself a pretty “with it” kind of guy. I was up to date on music, fashion trends, etc. Keep in mind this was pre social media days and dial up internet, so you got your style through TV, magazines, clothing stores and social interactions. Living in Southern California and single at the time, there seemed to be an ever-present pressure to dress the part.

In those days I spent exponentially more time shopping for clothes then I do now. We would walk the malls or the trendy stores in Pacific Beach or downtown. One of those mall stores that is still around today is Abercrombie and Fitch. A store with the latest styles, hip décor and sales people as beautiful as the models in their ads.
Abercromie & Fitch models
Do you know how much money I have spent at Abercrombie & Fitch throughout my life? Zero. Zilch. Nada.

Is it because I didn’t like their clothes? Or because their clothes are too expensive? The answer is “no” to both. I did like some of their clothes and I did spend time in their stores until I didn’t.

After a few visits to more than one branch of their stores, I could not get past the genetically gifted salesperson in their early 20’s, still living with their parents, barely making above minimum wage, treating me like one of the Beverly Hillbillies walking into Tiffany’s.

Their arrogance, air of superiority and lack of interest in serving was palpable. This was their show, and I was fortunate to be granted an audience.

If you are a trainer, coach, therapist, chiropractor, etc., you may be communicating what those salespeople did, and you do not even know you are doing it. Especially if you yourself are fit, or attractive, or without pain or limitations, have a graduate degree, etc., you may be communicating signals of arrogance or superiority or even doubt when they describe why they have not achieved their health goals.

Especially at this time of the year, people are motivated for positive change. And although the numbers related to those that drop off are consistent every year, there may be a need for us to take a look in the mirror and ask if we are doing all that we can do. It is abundantly clear in the literature, that success of our clients or patients goes well beyond the mechanics of exercise or therapy.

I have learned a lot about this side of human interaction in our industry from Bobby Cappuccio. Some of you know Bobby from his sections in the PFMS curriculum. I encourage you to follow Bobby and/or check his website because he regularly provides excellent content.

Whether your interactions with clients are virtual or in person, my advice is the same:
1. Be empathetic.
2. Choose your words wisely.
3. Make your desire to serve your client’s needs your priority.
4. Don’t be a d*ck.

Corrective Exercise Floor Glides with Leg Extension

Thursday, November 14th, 2019

In this video we are bringing you a very influential exercise that does a surprisingly effective job at lower back stabilization as it challenges the mobility of the shoulders and efficiency of the the thoracic spine in extension.
As you are probably acutely aware, when working with corrective exercises and the client in pain, it is more than just the exercise, it is a thorough understanding of:

“For Whom?”

“For What?

And “When”

Insight into the biomechanics, psychological mindset of the client and social setting/implications of the movement all come into play and are critical to the client’s success.

Corrective Exercise Wall Glute Bridge

Thursday, August 8th, 2019

This version of the glute bridge is a great corrective exercise for teaching the body the sequencing and synchronization from the ankle to the lumbar spine that is associated with triple flexion and squatting.

It will certainly challenge dorsi flexion in a pseudo closed chain environment as the knee moves over the toes. There is feedback from the wall and load placed into the wall, but no vertical forces acting on the joint.

The body gets comfortable with relative lumbar flexion in an unload position because it has to go through that motion to get the buttocks of the floor. The beauty is both the novelty and very limited load placed on the spine. So even those with lower back pain will find this a helpful exercise as it reduces the threat.

Additionally, it helps create some separation and distraction of the tissue at the thoraco-lumbar junction. The upper part of the body is fixed on the floor as the lower part moves away, creating the distraction.

Put it to good use and tell us how you did!

Corrective Exercise-Half Frog

Thursday, July 11th, 2019

This simple exercise can be quite challenging for those with a history of lower back pain, as well as the deconditioned client. The ability to disassociate the hip motion from the movement of the lower back and pelvis can be very helpful in removing stress from the lower back.

This “Level B” exercise from the PFMS is both a corrective and assessment opportunity. You will be able to see, and the client will be able to feel any control and/or range of motion differences between the two sides.

The Half Frog is also an exercise, that as a Level B allows for more intrinsic focus of attention for motor learning purposes. The client is able to concentrate on what muscles are engaging and the sensory feedback of those contractions.

Corrective Exercise-Prone Single Arm Lifts

Friday, June 14th, 2019

This corrective exercise for the shoulder and thoracic spine is significantly more challenging then it appears. A great exercise to cue the thoracic spine and scapula to better “set” their anchor points for more controlled and stable motion of the shoulder.

Three different lift angles suggested to vary the position of the gleno-humeral joint and rotation of the scapula.

Myofascial Mobility with Rhythm, Timing and Amplitude

Friday, May 10th, 2019

This video is one of the most effective underlying principles that we use to help people improve their mobility, especially when over-protective or hyper vigilant due to pain.

Using strategic movement focused on rhythm and timing with a controlled amplitude can have a profound influence on myofascial mobility.

This is not a substitute for or superior to other forms of addressing ROM and/or mobility. It is an approach to call upon, early in your intervention that may open some other opportunities for you.

This is a classic example of our “ask don’t tell” approach within the PFMS.

If nothing else, enjoy the struggle I have multiple times in this video with getting the word “expiration” to come out of my mouth 🙂