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Rehabilitation

Advice From The Experts At Fenton Fitness

Tara Parker-Pope wrote a great article in the October 17, 2016 edition of The New York Times entitled “The 8 Health Habits Experts Say You Need in Your 20s.”  While I agree with some of these recommendations, we at Fenton Fitness and Fenton Physical Therapy have some suggestions of our own.

#5—Stay Mobile.

We’ve all heard the cliche “use it or lose it,” and when it comes to mobility, nothing applies more.  The human body is incredibly adaptable, and if you don’t regularly take your joints through their full range of motion, the ill begin to lose it.  Look at any infant or toddler and you will notice how mobile they are (though they lack lots of stability).  We all start off with this range of motion but many of us manage to lose it somewhere along the way.  Notice I said mobility and not flexibility.  Mobility requires that you can control your body through these full ranges of motion.  The best way to maintain mobility is to utilize as large a range of motion as possible when doing things like squats, lunges, push ups, pull ups, etc.  Also, try incorporating different rolls, crawls, and get ups to keep things moving and stabilizing properly.

To view a client performing a Turkish Get Up which is great for mobility, click here: https://youtu.be/bQl8P6YuGMw

-Jeff Tirrell, CSCS, Pn1

To read the article, click on the link below:

http://www.nytimes.com/interactive/2016/10/16/well/live/health-tips-for-your-20s.html?_r=0

 

 

The 2017 Australia Open Tennis tournament had an impressive finish.  At the age of 36, Roger Federer became the men’s champion, and 35 year old Serena Williams defeated her 36 year old sister, Venus Williams to become the women’s champion.  In the world of professional tennis, a mid-thirties champion is a rarity and to have it happen in both the men’s and women’s divisions is a sign of things to come.  Rehabilitation and conditioning science have improved the results athletes can achieve in the gym.  Athletes are staying healthier by eating better and training smarter.  Take a look at some other recent examples:

Oksana Chusotivina (photo by Zelda F. Scott)

Tom Brady, 39 years old. The quarterback for the New England Patriots will be leading his team in Superbowl LI.  He is confident he can continue to compete for another five years.

Drew Brees, 38 years old.  The starting quarterback for the New Orleans Saints feels he can play for several more years.

Kristin Armstrong, 43 years old.  Won a gold medal in cycling at the Rio Olympics at the age of 42.  This type of success is amazing in a competition that greatly favors youth.

Dara Torres, 49 years old.  This twelve-time Olympic swimmer medallist competed at 41 years of age and won a silver medal in three events at the 2008 Summer Olympics.

Oksana Chusotivina, 41 years oldOksana is gymnast from Uzbekistan that competed against teenage gymnasts at the Rio Olympics.

Meb Keflezighi, 40 years old.  Competed in the Marathon at the Summer Olympics in Rio.

These performances illustrate how proper training and nutrition can produce a high level of performance in athletes thought to be too old to compete.  We are all going to get older.  It does not mean we are going to get weaker, slower, and more sedentary.

Michael S. O’Hara, PT, OCS, CSCS

Advice From The Experts At Fenton Fitness

Tara Parker-Pope wrote a great article in the October 17, 2016 edition of The New York Times entitled “The 8 Health Habits Experts Say You Need in Your 20s.”  While I agree with some of these recommendations, we at Fenton Fitness and Fenton Physical Therapy have some suggestions of our own.

#4—If it hurts, stop.

 

The presence of pain neurologically alters how you move.  Pain will muck up your neuromuscular system and lead to even greater problems after the pain is gone.  We see this in physical therapy patients all of the time.  The limp persists after the knee pain is gone.  The lower back pain resolves, but the patient will be unable to engage the gluteal muscles or fire the hamstrings.  Exercising while experiencing pain can cause other orthopedic issues that are far worse than the original problem.  Be smart, listen to your body, resolve the pain, and then get back to training.

-Mike O’Hara, Physical Therapist for the last 32 years.  Fitness coach and board certified orthopedic specialist 

To read the article, click on the link below:

http://www.nytimes.com/interactive/2016/10/16/well/live/health-tips-for-your-20s.html?_r=0

 

 

Advice From The Experts At Fenton Fitness

Tara Parker-Pope wrote a great article in the October 17, 2016 edition of The New York Times entitled “The 8 Health Habits Experts Say You Need in Your 20s.”  While I agree with some of these recommendations, we at Fenton Fitness and Fenton Physical Therapy have some suggestions of our own.

#3—Stay consistent in your fitness routine.

consistencyAll the big benefits of exercise occur with long term, habitual performance of an exercise regimen.  Do not take three, four, or six months away from fitness.  These gaps frequently morph into three, four, or six years.  When I talk to older individuals who are in great physical condition, who move and look much younger than their years, they all say the habit of consistency was the big game changer.  Consistency is king- everything else is details.

-Mike O’Hara, Physical Therapist for the last 32 years.  Fitness coach and board certified orthopedic specialist 

To read the article, click on the link below:

http://www.nytimes.com/interactive/2016/10/16/well/live/health-tips-for-your-20s.html?_r=0

Hear what some of our Fenton Fitness members have to say about being consistent: https://youtu.be/RMyhNVOOZ7w

 

Advice from the Experts at Fenton Fitness

Tara Parker-Pope wrote a great article in the October 17, 2016 edition of The New York Times entitled “The 8 Health Habits Experts Say You Need in Your 20s.”  While I agree with some of these recommendations, we at Fenton Fitness and Fenton Physical Therapy have some suggestions of our own.

#2—Throw out your bathroom scale.

shutterstock_214236508Weighing yourself on a daily basis is a counter-productive, and possibly unhealthy, activity.  It does nothing to enhance health and tracking the number on the scale tells you very little about your ability to move, your overall health, or your level of fitness.  Body dysmorphia issues start early and can generate habits that are harmful to your health.

The numbers from the bathroom scale are often misleading.  A great program of exercise will add a few pounds of muscle and subtract a few pounds of fat, so the number on the scale will not move.  The client will be stronger, fitter, have a faster metabolism but still becomes discouraged because the scale numbers have not gone down.  A horrible program of exercise removes equal amounts of muscle and fat.  It produces a weaker body with a suppressed metabolism, but the client is pleased with lower scale numbers.  In many ways, the perseveration on bodyweight numbers sets you up for failure.

-Mike O’Hara, Physical Therapist for the last 32 years.  Fitness coach and board certified orthopedic specialist 

See what advice Fenton Fitness member Bruce Walker has to give here: https://youtu.be/pOH6XQva2wE

To read the article, click on the link below:

http://www.nytimes.com/interactive/2016/10/16/well/live/health-tips-for-your-20s.html?_r=0

Advice From The Experts At Fenton Fitness/Fenton Physical Therapy

Tara Parker-Pope wrote a great article in the October 17, 2016 edition of The New York Times entitled “The 8 Health Habits Experts Say You Need in Your 20s.”  While I agree with some of these recommendations, we at Fenton Fitness and Fenton Physical Therapy have some suggestions of our own.

#1—Don’t do dumb stuff

snapshot-1-1-11-2017-10-09-amThe cumulative injuries you suffer in your twenties echo through a lifetime.  My long and busy career as a physical therapist has taught me that this is true.  The 20 year old with a knee arthroscopy returns as a 32 year old with a ligament reconstruction and then again as a 50 year old knee replacement patient.  Surgery and rehab can only do so much.  Resist participation in the “hold my beer” events that inevitably present themselves in the social lives of 20 year olds.  Think twice before you enter that Gladiator Challenge Race, swing from that rope suspended over a river, or text and drive.  Your sixty-year old self will thank you.

-Mike O’Hara, Physical Therapist for the last 32 years.  Fitness coach and board certified orthopedic specialist 

To read the article, click on the link below:

http://www.nytimes.com/interactive/2016/10/16/well/live/health-tips-for-your-20s.html?

Listen to Mike’s advice: https://youtu.be/8JCtFzj539M

hippocampusWhile performing Kettlebell swings or some medicine ball throws, I get the question, “What does that exercise work?”  The answer is “My brain.”  I quickly explain how optimal training activates your nervous system and builds the neurons and synapses necessary for brain health.  A research query of great interest is the impact exercise has on the aging brain.  The New York Times, December 31, 2016 article by Dr. Lisa Felman Barrett, *How to Become a ‘Superager’, presents some interesting research.

The article discusses the research results that studied functional MRI scans of the brains of superagers.  Superagers are elderly individuals that score well on tests of memory, task attentiveness, and planning.  These MRI evaluations looked at both the anatomical and activity differences in various locations of the brains of these cognitively adept older adults.  The researchers and Dr. Feldman Barret give us some recommendations on lifestyle challenges that produce a superager brain.   It involves some consistent involvement in strenuous exercise activity and ongoing intellectually challenging tasks.

*New York Times, December 31, 2016, Dr. Lisa Felman Barrett, How to Become a ‘Superager’.  See the article here: http://www.nytimes.com/2016/12/31/opinion/sunday/how-to-become-a-superager.html?_r=0

Michael S. O’Hara, PT, OCS, CSCS

 

 

That Office Chair Can Be Keeping You From Your Fat Loss Goal

the-new-york-timesFor many years, I have been preaching about the negative impact prolonged sitting has on our metabolic health and musculoskeletal system.  All the research has demonstrated that adaptive shortening of connective tissues and weakening of muscles occurs with as little as two days of prolonged sitting.  New studies of daily movement patterns demonstrate that sitting has an even more severe impact on our ability to metabolize body fat.  Take the time to read the article “Keep It Moving” by Gretchen Reynolds in the December 9, 2016 issue of the New York Times.

Once again, the answer is to get up off the Aeron, Barcalounger, La-Z-Boy, or setee and move around.  Every twenty minutes, stand upright and defy gravity with some good old fashioned ambulation.  Do not exercise in a seated position–train in a standing position.  More and more we are learning that consistent daily movement is an essential element of human health.

Read the NY Times article here: http://www.nytimes.com/2016/12/09/well/move/keep-it-moving.html

Michael S. O’Hara, PT, OCS, CSCS

 

Kettlebell Swings and Push Ups

When designing programs for rehabilitation patients and fitness clients, I often pair up exercises.  This practice is commonly called super-setting and it has multiple benefits:
Train efficiently—You get much more work done during your training time.  
Abolish performance deficits—Most physical therapy and fitness clients need to work on glaring right vs. left movement asymmetries, postural restrictions, and stability limitations.  
Lose weight—Fat loss is a primary goal of most fitness clients.  Pairing exercises ramps up exercise intensity and creates the hormonal response that improves body composition.  
Move better—Training neurologically related movement patterns improves motor control.   

Swings and Push Ups

Strength coach Dan John got me started on kettlebell swings/push up sessions.   This pairing challenges core stability as the swings create an anti-flexion core stabilization demand and the push ups an anti-extension demand.  If your goal is fat loss, this exercise pairing produces a total body metabolic boost.  A hidden benefit is getting up and down off the floor during the training session.  It is a basic mobility skill we need to practice in order to maintain our independence.

Kettlebell Swings
kb_swingA swing is not a squat and a squat is not a swing.  A kettlebell swing is a hip dominant motion; the hips move a lot and the knees just a little.  The handle of the kettlebell should stay above the knees.  At the bottom of the swing, the forearms should contact the upper thighs.  You swing the kettlebell forward with an explosive contraction of the gluteal and hamstring muscles.  Do not lift the kettlebell with the arms.  Project, or throw, the kettlebell to shoulder level and no higher.  The swing is an exercise that is worthy of some coaching.  Find an instructor that can help you with proper performance.

Push Ups
Keep the shoulder blades down the back and tight against the rib cage.  Hold the head in a retracted position and relax the neck.  The shoulders should not ride up into a shrugged position. Start at the bottom of the push up (flat on the floor).  Place the hands under the shoulders and keep the elbows tucked in to the side of the body.  Grip the floor with the hands and activate the muscles in the back of the shoulder blades.  Brace the abdominal muscles, tighten the glutes, and maintain tension between the legs by drawing them together.  Push up while maintaining spinal and shoulder position.   Hold at the top for two counts and repeat the push up.

Swing/Push Up Sessions
The great thing about these sessions is that you need minimal equipment—just a single kettlebell and a willingness to work hard.

This is a good place to start.  You will need a kettlebell and a stopwatch.
Swings x 20 seconds
Push ups x 6 repetitions
Rest 30 seconds
Repeat for fifteen minutes
As you get stronger, increase the push up repetitions.

This is one of my favorite swing/push up training sessions.
20 swings
20 push ups
20 swings
15 push ups
20 swings
10 push ups
20 swings
5 push ups
20 swings
You will finish with 100 swings and 50 push ups.

Try a push up “countdown” session.  Follow this pattern:
10 swings
10 push ups
10 swings
9 push ups
10 swings
8 push ups
Work your way down to 7-6-5-4-3-2-1 push up.  You will complete 100 swings and 55 push ups and transfer up and down off the floor 10 times.  If that is too much, modify the program and start at five push ups.  You will complete 50 swings and 15 push ups.

View video of Mike performing these exercises here: https://youtu.be/Vq3VYg847Xs

-Michael S. O’Hara, P.T., OCS, CSCS

Turkish Get Ups and Waiters Walks

When designing programs for rehabilitation patients and fitness clients, I often pair up exercises.  This practice is commonly called super-setting and it has multiple benefits:
Train efficiently—You get much more work done during your training time.  
Abolish performance deficits—Most physical therapy and fitness clients need to work on glaring right vs. left movement asymmetries, postural restrictions, and stability limitations.  
Lose weight—Fat loss is a primary goal of most fitness clients.  Pairing exercises ramps up exercise intensity and creates the hormonal response that improves body composition.  
Move better—Training neurologically related movement patterns improves motor control.   

Turkish Get Up and Waiter Walk Complex

How you move says more about your fitness than how you look.  The pairing of the Turkish Get Up (TGU) and Waiter Walk is an exercise complex that improves gait mechanics and the survival skill of getting up and down off the ground.  You will be performing a TGU and immediately move into a Waiter Walk so you need twenty yards of open space.  As you get stronger at this complex and use a heavier implement, some interesting things start to happen.  You get better at controlling respiration and have an intense focus on how your body moves during the TGU and Waiter Walk.  My yoga friends tell me this is the focus of their practice sessions: better respiration, improved motor control, and increased strength.

Turkish Get Up

t_get_upsThe Turkish Get Up (TGU) is generally performed with a kettlebell, but you can use a dumbbell.  A medicine ball can help teach body alignment to beginners.

Exercise activities that produce the greatest rewards are the ones that take the most time to master.  You can learn a barbell curl in five seconds but a TGU can take weeks to master.  Developing proficiency with the Turkish Get Up will require some patience and instruction, but for the time spent, the pay off is tremendous.  Complete instruction on the TGU is not possible in this short article.  Watch the accompanying video and work with a qualified trainer on this exercise.  Steve Cotter and Gray Cook both have excellent YouTube tutorials on the TGU.

Waiter Walk

You must have adequate shoulder range of motion and good balance to perform this exercise safely.  Hold the kettlebell overhead like a waiter carrying a tray.  Keep the chest proud and the neck relaxed.  The upper arm should be adjacent to the head and your walk should be smooth and free of any lean or limp.

Complex
I like to train TGU rookies with a soft Dynamax ball.  If they drop the ball it will not damage any aspect of their anatomy.  Balancing the ball on the hand tends to teach proper alignment.  Progress to a kettlebell as you become more proficient.  Start on the floor and perform the TGU ascent.  Once at the top of the TGU, perform a Waiter Walk for twenty yards and then lower back down to the floor with a TGU descent.  Switch the implement to the other side and repeat.  Perform two trips on each side.

When you perform this complex, strive to move more gracefully before adding more resistance.   Get up and down off the floor and walk in a coordinated and efficient manner.  Only then increase the load of the ‘bell.

View video of Mike performing these exercises herehttps://www.youtube.com/watch?v=s0U9GWMI4bU&t=8s

-Michael S. O’Hara, P.T., OCS, CSCS

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