Discover the difference between muscle soreness following exercise activity and pain you should be concerned about in “Do I Have A Problem?”. Jeff Tirrell gives advice for women on optimizing performance and Mike O’Hara discusses training priorities for those over forty.
In this issue, Mike O’Hara, PT discusses the importance of strong, well-functioning upper back muscles. Exercises, including video, are presented. Jeff Tirrell gives us ways to keep all those New Year’s fitness resolutions, and Mike gives fitness tips to make your program more successful.
Rob had been working out at a local gym for the last three years. Three times a week, he rode a stationary bike and used six or seven resistance machines. In those three years, he lost twelve pounds and felt much better. In an effort to improve his results, Rob started a DVD program of interval-type exercise training. After six weeks, he dropped eight more pounds off his scale weight but his right knee and foot had become painful. Rob tried anti-inflammatory medication and modifications of the exercises but the pain persisted. Eight weeks after the pain began Rob was referred to our clinic for physical therapy.
As part of his physical therapy evaluation, Rob went through the Functional Movement Screen (FMS), developed by athletic trainer Dr. Lee Burton and physical therapist Gray Cook. The screening consists of seven tests of dynamic movement. You score a 3—flawless, 2—some movement deficits, but you are cleared to exercise, 1—you have issues that need to be addressed before you train that pattern, or a zero—pain is present and you need treatment.
Rob did well on all but two of the seven FMS tests. He scored a one on the squat test and a zero on the in-line lunge test. Further evaluation revealed restrictions in the mobility of both hips and a lack of pelvic girdle stability. Rob was instructed on a progressive program of corrective exercises, and after three weeks, the scores on both tests improved to a two. Pain in the right knee and foot resolved, and Rob returned to fitness training with a new plan.
Rob’s new fitness goal was to improve his FMS test scores and work on a program of mobility and strength training. Six months after starting on the new program, he lost twelve more pounds, and more importantly, he had increased his overall strength levels. He achieved an FMS score of 3 on both the squat and the in-line lunge. Rob stated that he had made more progress with six months of his new training than he had over the previous three years.
Rob’s story is not uncommon. It is difficult to map out the most efficient and beneficial path on your fitness journey if you have no idea where your starting point is located. Goals, the fitness destination, are easy to locate– lose twenty pounds, run a marathon, lift my grandchild… The crucial component is finding out where you are presently located on the fitness map. Only then are you able to choose the optimal training methods to progress along in the journey.
To make the fitness journey as efficient and productive as possible, you must begin with an evaluation. Since 1999, the trainers and physical therapists at Fenton Fitness and Fenton Physical Therapy have been utilizing the Functional Movement Screen assessment system. I advise everyone to participate in this evaluation. Find out where you excel and where you struggle. Let the FMS help guide your fitness decisions, and your road will be smoother and more direct.
-Michael O’Hara, P.T., OCS, CSCS