This question came up recently on JP Fitness and I wanted to expand on it a little:
Q: I went to a a PT this summer for my shoulder. Their was little to no isolated exercises and very little static stretching...The program consisted of a warmup with dynamic stretches (lunge variations : front, side, reverse), single leg squat touchdowns, jumping jacks or 3 dimensional jumps, shoulder activation exercises (shoulder dump, internal/external rotator cuff movements with movement in the hips, punches thrown at different levels with some hip movement, similar exercises to the above link), this was followed by a strengthing circuit section...There is no exercises like pushup pluses, face pulls, Y's, T's, etc. that we see in many rehab programs....I enjoyed this program, but I don't know if I need to include traditional exercises like Y's T's to get better. The PR [I'm assuming he meant PT here] actually advises against these type exercises I think becauuse it isn't using more of the kinetic chain. Any opinions?
There are many components to an effective shoulder rehab program. I question whether a PT would actually advise against upper extremity weight bearing exericses (push-up plus, closed chain weight shifting, tripod exercises), isolated strengthening of the rotator cuff and scapular muscles, or range of motion and stretching. Each serves an important ingredient at specific stages of the rehab program.
The programming that you refer to involving the whole body exercises is primarily designed to restore normal intengration of shoulder function with the rest of the body. Certainly, this is important to recovery and general shoulder health.
When Mike Robertson and I put together Inside-Out, we designed it as such to emphasize the principles of how the body produces upper extremity movements from proximal (trunk and hips) to distal (scapula, shoulder, and arm) much like the exercises you describe. Just to show you how other parts of the body influence shoulder function, in almost half of all rotator cuff tears, you'll find a mobility issue in the opposite hip. In 100% of all cases of acquired shoulder instability, the scapula is also found to be unstable (cause and effect?).
Keep in mind that in most cases, you'll still need to address range of motion and strength in isolation on some level as the body is still able to compensate around movement restrictions or substitute for weakened muscle.
In other words, isolate to activate and integrate. That being said, all these processes can take place at the same time. Even in some situations where the shoulder may be immobilized, you can work on hip mobility, thoracic spine mobility, scapular mobility, and their integration.
Wednesday, February 28, 2007
This question came up recently on JP Fitness and I wanted to expand on it a little:
Posted by Bill Hartman at 10:19 AM
Tuesday, February 20, 2007
A series of events occurred over the last couple of days that prompted me to blog today’s topic.
Event #1: My wife returned from a business trip to Las Vegas (hey, it REALLY WAS a business trip). For her flight home, she bought a couple of magazines that included fitness magazines marketed to women. Unfortunately, during some down time, I picked them up and scanned through them. I tore out all the pages with quality information on them, but I seemed to have misplaced it. ("it" meaning one page…actually is was part of one page, but you get my point).
Event #2: A new female client expressed her frustration with her lack of progress with her previous exercise program as she stated, “Even though I was doing my Pilates and yoga classes three times a week and following a diet that I read about in the magazines.”
Event #3: A friend mentioned that she’s not seeing the results that she’d hoped from her exercise program. She mentioned that she’s doing as much as an hour of aerobic exercise and another hour of strength training. After inquiring what she’s actually doing, she mentioned that she’s using the exact same program that she started 2 years ago and is using the exact same weights as when she started her program that she got from a fitness magazine.
Does anyone see the common connection here?
The media that is supposedly designed to help women achieve their fitness goals, improve their health, and help them feel better about themselves is actually sabotaging their efforts.
Women are being misguided, mislead, and misinformed.
Too much pink.
Let me explain.
When I was in high school there was a study in which a police station painted their holding cells a color called Baker-Miller Pink. What they found was that this color of pink (about the color of bubble gum) had an aggression reducing effect on violent or aggressive arrestees.
I actually attempted to duplicate this study myself as part of my science fair project (hey, I took woodshop too!) where I had guys randomly stare at a Baker-Miller Pink card or another colored card for several minutes and then tested their strength. The subjects had no idea what was supposed to happen but in a majority of cases, when staring at a pink card, strength was reduced even if the pink card was chosen first which ruled out fatigue as a factor (Got an “A” in science that year too).
Does it work in the real world?
Well, there are actually football teams that paint their visiting lockerrooms pink in an effort to suck the aggression out of their opponents, so maybe it does.
But my point is that women are failing because there’s too much pink in the magazines.
Not literally but figuratively.
Here’s what I mean.
If you take all the components that make up a successful fitness program designed to promote fat loss and lean muscle gain but softened it up to make it seem kinder, gentler, and less threatening, that’s what the women’s fitness magazines are doing.
I do know why they do it that way.
It sells more magazines than teaching women the reality of changing their bodies and becoming more physically fit.
However, in doing so it perpetuates myths and misinformation that prevents successful fitness programming for women leading to countless frustrated female fitness fanatics.
I would hazard to guess that if the women’s magazines changed their ways and told the truth, they’d sell fewer magazines, but there success stories would increase 100-fold.
What the women’s magazines need are some BALLS! (yeah, well write your own blog)
If I were made editor for a day for The Ladies Day Shape Health Self Fitness Home Journal, here’s how I’d change it.
1. Raise the intensity of the strength training
One of the reasons women fail at achieving their goals is that they don’t know how hard they’re supposed to work. NO MORE PINK 3-POUND DUMBBELLS ALLOWED!
When it comes to strength training, if the training program says to do 12 reps, it means to use a weight that will allow you to perform 12 reps with good technique. If you can do 13, you need to use more weight.
Before you even think it, don’t give me any crap about not wanting to get muscle bound. You gals lack the hormones to gain huge amounts of muscle. Besides gaining large amounts of muscle is far from easy. Most guys have trouble gaining large amounts of muscle over a period of years with the intention to do so.
2. Teach the reader the importance of progression
You must strive to be stronger this month than you were last month. You must make the effort to do more work in the same amount of time. If you aren’t progressing, you are regressing. If you aren’t progressing, you aren’t changing.
3. Drop the word “Aerobic” from the women’s fitness vocabulary
You’ve been brainwashed to think that aerobic exercise = fat loss. It doesn’t. It simply means that your energy needs are being met by the aerobic energy system. This type of exercise is rarely effective in fat loss programs even though you’ve been told that ad nauseum.
4. No more Touchy Feely, Mind-Body Exercise programs
Yes, you may enjoy that type of program. Rarely does anyone make significant impact in their ability to lose fat with this type of exercise. See #1 above. If you must do it for fun, go ahead and then do something productive.
5. Forget about programs to slim body parts, firm something, or lift something
Exercises claiming to slim your hips, firm your butt, lift your breasts, and tighten up the lose skin on the back of your arms rarely if ever do so. Focus on exercises that emphasize total body movements like squats, deadlifts, lunges, step-ups, presses, and chin-ups (you can learn to do them if you want it bad enough). These stimulate your body to build metabolically active muscle and burn more fat AFTER you exercise. If you want proof, one research study that used 3 full body exercises increased metabolism and fat burning for over 39 hours after the workout was over.
6. Teach women that eating fat doesn't mean that it turns to fat
This is really misguided thinking left over from the 80’s and 90’s. It results in eating sugar-filled “fat free” foods, large portions of carbohydrate that raise insulin and increase fat storage or even insufficient calories. Metabolism is the rate at which you burn food. If you don’t eat enough, and that includes healthy fats, you essentially slow your metabolism and that means no fat loss.
I could go on but this is a blog, not a book. (See below for that)
Think LESS Pink.
P.S. If you’re looking for a program that works in the real world, my friend Rachel Cosgrove has a great book called So You Want to Be In the Best Shape of Your Life.
Posted by Bill Hartman at 6:29 PM
Monday, February 19, 2007
Excusitis – psychological disorder resulting from the need to defer responsibility to anyone or anything other than one’s self. This disorder is usually accompanied by rationalization disorder.
I'm not a regular newspaper reader (and I don't watch the news either).
I figure that if something important happens, someone will tell me about it…and they do.
I did read an article in USA Today today (that wasn't a stutter) because someone showed it to me (see it works). It was about how CEO's of large corporations were fat and out of shape and how they are spending huge sums of money to try to drop some weight and improve their health.
Good for them.
The thing that caught my eye was the overwhelming excusitis that these guys and gals were using as their reason for being rather fat in some cases.
"My mother taught me if I didn't eat everything on my plate, a child in China would be dying."
"I'm Italian. You ate what your mother told you to eat, not just when you were hungry."
Wow, even CEO's still live at home and are forced to clean their plate by their mothers?
No. Just excusitis.
These people are in very powerful positions in the corporate world (and getting paid in the $5-10 million range annually), and I'm certain that they wouldn't stand for such drivel from any of their underlings, yet they blame their mommies for their current levels of obesity.
At least there was one voice of reason from the CEO camp.
He now weighs 185 pounds at 9% body fat. He trains every morning and does so at 4 a.m. in cases where he has a 6 a.m. flight to somewhere (I bet he doesn't fly commercial).
His opinion of other CEO’s who try fat farms and hire personal chef's? They're WEAK!
It's all about self-discipline. No excuses.
Wanna Get Jacked?
Posted by Bill Hartman at 9:08 AM