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Power & Strength

Back Clinic Power & Strength Training. These types of conditioning programs are for both athletes and the general population. They can reach higher levels of personal power and strength, making them capable of achieving their personal fitness goals. Power is defined as the ability to generate as much force as fast as possible. It’s needed for athletic movements such as workouts (clean & jerk), swinging a bat, golf club, tennis racket, and running through a tackle.

Power requires strength and speed to develop force. Strength is the amount of force muscle/s can exert against an external load. One rep maximum test is performed where individuals assess the greatest weight they can lift while maintaining proper form. The movement’s speed is not important in a strength test. Dr. Alex Jimenez offers insight into various stretches and exercises and explains the possible risks of injury on strength training through his numerous article archives.


The Clean and Press: A Powerful Exercise for Strength and Speed

The Clean and Press: A Powerful Exercise for Strength and Speed

Is the clean and press recommended for intermediate-level weightlifters looking to increase strength and power?

Clean and Press

The clean and press is a power exercise that builds cardiovascular and muscular endurance, stamina, and strength. It focuses on strength and speed. (Soriano M. A., Suchomel T. J., & Comfort P. 2019) Individuals new to the clean and press should start light to learn the proper form. Once they master the technique, they should add weight until they reach the point where six to eight repetitions cause breathlessness. It is a great exercise to include in a circuit as part of a regular strength training program.

The Benefits

The clean and press work out several muscle groups.

  • The lower half of the movement strengthens the hips, glutes, and hamstrings.
  • The upper half targets the shoulders, chest, back, and arms.
  • Engages the core. (Calatayud J. et al., 2015)

Power training is important for athletes who need quick bursts in their sport, like sprinters or jumpers. (Sarabia J. M. et al., 2017) However, anyone at an intermediate lifting level can use power exercises to increase their heart rate to anaerobic levels, generating an increased calorie burn in their overall workout. Individuals must regularly pick up objects off the floor and place them in cabinets or shelves. The clean press can train the body to use the correct form.

The Clean and Press: A Powerful Exercise for Strength and Speed

Step-by-Step

  1. Start with feet shoulder-width apart and hold the barbell around 2 inches from the shins.
  2. Push the hips back and grab the barbell so the palms face the body and hands are shoulder-width apart.
  3. Keep the hips down, chest lifted, eyes forward, and arms long.
  4. Maintain core engagement and drive through the heels to pull the bar quickly up to the chest, just in front of the collarbone.
  5. Keep the spine tall.
  6. Be explosive and fast in the movement when pulling the bar, keeping it as close to the body as possible.
  7. To pull the bar underneath the shoulders, shrug the shoulders up and point the elbows forward.
  8. As soon as the bar reaches the chest, drive through the heels, press overhead, and straighten the arms and legs.
  9. Keep the core tight.
  10. Return to the starting position in a controlled manner.

Common Errors

Avoid the following errors to get the most from the exercise and prevent strain and injury.

Shifting Weight Forward

  • The weight should always remain on the heels during the cleaning and press.

Rounding the Back

  • The upper back should be straight and not rounded when lifting.

Grip Position

  • The grip should be no more than 2 inches wider than the shoulders.
  • If it is too wide, there is an increased risk of wrist pain, and if it is too narrow, shoulder joint strain.

Modifications and Variations

The clean and press can be practiced differently to meet an individual’s fitness level, which will also determine how much weight to lift.

Modification

  • Beginners can practice with an empty bar.
  • If possible, exercise in a room with a mirror to ensure the body is in the correct form.

Variation

The exercise can be performed with dumbbells or a barbell.

  • The barbell allows going a little heavier and provides stability.
  • The dumbbells encourage each side to work individually rather than the stronger side taking over for the weaker side.
  • A single-arm clean and press can be done with a dumbbell, adding a stability and balance challenge.
  • A clean press can be combined with leg exercises, such as squats or lunges, to superset the lower body.
  • A clean and press can also be used in upper body workouts to increase the heart rate.

For example, it can be used in a circuit-style workout:

  • Four minutes on the treadmill or elliptical.
  • Eight repetitions of clean and presses.
  • Four minutes on the treadmill or elliptical.
  • Eight repetitions of clean and press.
  • Perform for 15 to 20 minutes for a solid, complete workout.

Safety

It is recommended that individuals consult a doctor or physical therapist if they have issues with their ankles, knees, hips, wrists, shoulders, neck, or back, as the exercise involves multiple joints. It is not recommended during pregnancy.

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.


Exercise Prescription


References

Soriano, M. A., Suchomel, T. J., & Comfort, P. (2019). Weightlifting Overhead Pressing Derivatives: A Review of the Literature. Sports medicine (Auckland, N.Z.), 49(6), 867–885. doi.org/10.1007/s40279-019-01096-8

Calatayud, J., Colado, J. C., Martin, F., Casaña, J., Jakobsen, M. D., & Andersen, L. L. (2015). CORE MUSCLE ACTIVITY DURING THE CLEAN AND JERK LIFT WITH BARBELL VERSUS SANDBAGS AND WATER BAGS. International journal of sports physical therapy, 10(6), 803–810.

Sarabia, J. M., Moya-Ramón, M., Hernández-Davó, J. L., Fernandez-Fernandez, J., & Sabido, R. (2017). The effects of training with loads that maximise power output and individualised repetitions vs. traditional power training. PloS one, 12(10), e0186601. doi.org/10.1371/journal.pone.0186601

Improve Posture and Flexibility with Chair Abdominal Exercises

Improve Posture and Flexibility with Chair Abdominal Exercises

For many individuals, getting on the floor to do crunches or other exercises can be difficult due to medical conditions, age, and injuries. Can engaging in chair abdominal exercises at home, work, or anywhere a chair is available help strengthen the upper, lower, and oblique abdominal muscles?

Improve Posture and Flexibility with Chair Abdominal Exercises

Chair Abdominal Exercises

Chair abdominal exercises are essential for strengthening the core, maintaining healthy flexibility, mobility, posture, and injury prevention. Incorporating abdominal exercise into one’s day can be easy, regardless of schedule or fitness level.  Various exercises are designed to be performed while seated, making them accessible to everyone, including those with mobility issues or new to exercise.

Benefits

Building and maintaining a solid core is essential for overall health, posture, and daily activities, especially as the body ages. A strong core maintains body balance and stability, prevents falls, protects individuals from back pain, and makes lifting, bending, and walking easier. It allows individuals to stay independent and active. The abdominal muscles are one part of the core, which includes muscles in the back, glutes, pelvic floor, and diaphragm. These are important for keeping the body upright and stable, protecting the spine and organs, and assisting with movements between the ribcage and pelvis. Adding abdominal exercise workouts to a fitness routine is one way to improve overall core strength and stability. Chair-based exercises are convenient and accessible as individuals don’t need specialized machines or equipment, just a sturdy chair and some space. (Frizziero A. et al., 2021)

Chair Workout

Chair abdominal exercises are ideal gentle exercises for older individuals who need to increase their strength and mobility. Because chairs provide stability and safety, these exercises focus on seated movements and are intended for those with limited mobility. Chair abdominal exercises can be adapted and modified to individual preferences and needs, preparing the body for more advanced standing exercises. They improve the ability to perform daily tasks and increase joint mobility, muscle strength, and coordination. To prevent injuries, each exercise session should begin with a warm-up and end with a cool-down.

  • A warm-up could be gentle seated marches, shoulder rolls, and deep breathing exercises.
  • A cool-down can include seated stretches, focusing on the back, neck, and legs to help the body recover and prevent stiffness.

It is recommended that patients talk to a healthcare provider first if they have limited mobility or chronic health issues. Here are some sample exercises.

Sitting Knee Lifts

  • Sit on the edge of the chair with your back straight.
  • Lift your knees toward your chest, engaging the upper abs.
  • Lower them slowly back down.
  • Repeat for 10 to 15 reps.
  • Beginners lift one knee at a time.
  • Lower it and repeat with the other leg.

Sitting Crunches

  • Sit on the edge of the chair.
  • Lean back slightly.
  • Place hands behind your head.
  • Crunch forward, bringing the chest toward your knees.
  • Return to the starting position.
  • Repeat for 10 to 15 reps.
  • Beginners can sit more on the chair and hold the seat for stability.
  • Reduce the range of motion when crunching the chest toward the knees.

Sitting Leg Lifts

  • Sit on the edge of the chair with the back straight.
  • Extend your legs in front of you and lift them together, engaging the lower abdominals.
  • Lower them back down slowly.
  • Repeat for 10 to 15 repetitions.
  • Beginners sit back on the chair and grip the sides.
  • Lift one leg and hold for a count before lowering.
  • Switch legs.

Sitting Scissor Kicks

  • Sit on the edge of the chair and lean back slightly.
  • Extend your legs in front.
  • Alternate lifting each leg up and down in a scissor motion.
  • Perform for 30 seconds to one minute.
  • Beginners tap one heel on the floor between lifts to reduce abdominal tension.

Sitting Side Crunches

  • Sit on the edge of the chair with the back straight.
  • Lift one knee toward the chest while bringing the opposite elbow toward the knee, engaging the obliques.
  • Alternate for 10 to 15 reps per side.
  • Beginners, keep your feet flat on the floor with your hands behind your head.
  • Gently bend to the side, return to the center, and bend to the other side.

Sitting Bicycle Crunches

  • Sit on the edge of the chair and lean back slightly.
  • Lift the feet off the ground.
  • Alternate bringing each knee toward the opposite elbow in a pedaling motion.
  • Perform for 30 seconds to one minute.
  • For beginners, keep the heel gently on the ground while you crunch on the opposite side.
  • For a challenge, slow the motion and hold each twist a few seconds longer to create more tension. (Krzysztofik M. et al., 2019)

Progress

For beginners, start with the easier versions and perform fewer repetitions and shorter durations if needed. Focus on maintaining proper posture and form. As the body gets stronger, increase the number of repetitions or extend the duration of each exercise. Once comfortable, try more challenging chair exercises. Chair abdominal exercises are a simple, effective way to strengthen the core, improve posture, and support overall health. Regularly doing these exercises as part of a well-rounded routine can build a solid core without special equipment. Remember to listen to the body and progress at your own pace to more challenging variations over time to keep building strength.

Injury Medical Chiropractic and Functional Medicine Clinic

Achieving and maintaining fitness requires consistent work and development. Retraining the body and maintaining its optimal health requires daily efforts through exercise. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.


Core Exercises and Back Pain


References

Frizziero, A., Pellizzon, G., Vittadini, F., Bigliardi, D., & Costantino, C. (2021). Efficacy of Core Stability in Non-Specific Chronic Low Back Pain. Journal of functional morphology and kinesiology, 6(2), 37. doi.org/10.3390/jfmk6020037

Krzysztofik, M., Wilk, M., Wojdała, G., & Gołaś, A. (2019). Maximizing Muscle Hypertrophy: A Systematic Review of Advanced Resistance Training Techniques and Methods. International journal of environmental research and public health, 16(24), 4897. doi.org/10.3390/ijerph16244897

Activate Your Core Muscles with an Ab Roller

Activate Your Core Muscles with an Ab Roller

Can incorporating an ab roller help individuals achieve their fitness goal of building stronger core muscles?

Activate Your Core Muscles with an Ab Roller

Ab Roller

An ab roller is exercise equipment that helps build core strength and stability by engaging the core, including the abs, obliques, and lower back. It’s a small, robust wheel with handles on each side that glides along surfaces. An ab roller makes an excellent addition to any workout routine and benefits those who do not have an established workout routine. Strengthening the core muscles will help in other areas, whether achieving further exercise goals or reducing injuries. It works by holding on to the handles and rolling the entire body forward over the wheel, improving abdominal strength and endurance while activating the shoulders, arms, and upper back muscles. These movements target different areas, including the obliques, rectus abdominis, and serrated anterior muscles.

Benefits

Enhanced Core Muscle Strength

The primary benefit of using an ab roller is improved core strength, which can help build a solid foundation for various other exercises and physical activities that might be done daily. The body uses its core when moving other muscle groups. Strengthening core muscles increases sports performance, speed, and consistency.

Decrease Injury Risks

Building a strong abdominal core will help stabilize other body areas, such as hip flexors and hamstrings, ultimately reducing the likelihood of injuries. (Huxel Bliven, K. C. and Anderson B. E. 2013) This improved strength and stability is especially beneficial as a strong core can help reduce the chance of an exercise, sports, or work-related injury.

Posture Improvement

Most of us know posture is important but may not realize it (Wilkes C. et al., 2017). A healthy posture can help reduce back pain and even boost energy levels. Performing regular abdominal workouts using an ab roller helps to reinforce proper posture. Healthy posture is more than just standing up straight—it involves incorporating core abdominal activity to help strengthen the muscle endurance of the hips and trunk regions, enabling individuals to stand up straight without much effort.

Tips and Advice

It is important to introduce an ab roller gradually into a workout regimen. Here are a few tips for incorporating one.

Duration

As a beginner, start by trying to do one to two sets with six to 10 repetitions. Individuals may notice that their muscles are sore after doing this for the first time. If the soreness is too much, cut back for the next workout and ease into it more gradually. After a few weeks, the body will start getting used to the movement and may be ready to level up to two to four sets. Speed and performing the exercise as fast as possible is not the goal. Individuals should focus on slow but steady motions, core stability, and proper form. Rushing through a workout could increase the chance of an injury.

Frequency

When starting an ab roller workout, the recommendation is to do it once or twice a week, ideally combined with other workouts like walking, running, swimming, or cycling. This will allow the body to get used to the motion. Because this exercise is difficult and requires balance, some may need to adjust to the training, which is perfectly normal.

Intensity

How intense individuals go with the ab roller depends on current activity and fitness level. It takes time to adapt to this particular exercise. For a beginner, start at a mild intensity by kneeling on the ground. As the core gets used to the motion, individuals can progress to putting their legs straight and omit kneeling. This advanced motion will incorporate posture, strength, endurance, and proprioception.

Injury Medical Chiropractic and Functional Medicine Clinic

Ask a qualified fitness coach or personal trainer if you are unsure where to begin.  As with any exercise or fitness program, always talk with your healthcare provider. At Injury Medical Chiropractic and Functional Medicine Clinic, we focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other associated medical professionals to integrate into a treatment plan to improve the body’s flexibility and mobility and resolve musculoskeletal issues.


Core Exercises and Back Pain


References

Huxel Bliven, K. C., & Anderson, B. E. (2013). Core stability training for injury prevention. Sports health, 5(6), 514–522. doi.org/10.1177/1941738113481200

Wilkes, C., Kydd, R., Sagar, M., & Broadbent, E. (2017). Upright posture improves affect and fatigue in people with depressive symptoms. Journal of behavior therapy and experimental psychiatry, 54, 143–149. doi.org/10.1016/j.jbtep.2016.07.015

Unleash Your Athletic Potential with Explosive Strength Training

Unleash Your Athletic Potential with Explosive Strength Training

Can incorporating explosive strength training help develop power for athletes and sports enthusiasts who need to generate maximum energy quickly?

Unleash Your Athletic Potential with Explosive Strength Training

Explosive Training

Explosive strength training exercises help develop power and athletic abilities by challenging the nervous and muscular systems. The focus is on the number of sets, repetitions, and rest periods to maximize gains. Explosive exercises typically use fewer repetitions 3–6 and more sets 3–5 to allow for maximum power output. Adequate rest periods, 2–3 minutes, are allotted between sets to prevent fatigue and reduce the risk of injury. Explosive training combines strength and speed to increase an individual’s power output and can be helpful for various sports, including track and field, court sports, cycling, and football.

Exercises

Explosive strength training uses large muscle movements that can include:

  • Squats
  • Power cleans
  • Weighted or unweighted vertical jumps
  • Heavy ball throws
  • Hill sprinting

Smaller muscle exercises can also build power, but results may be limited. These can include:

  • Bench presses
  • Pushups

Sample Exercises

Training exercises to develop power include:

  • Sprints
  • Agility drills
  • Weighted step ups
  • Overhead walking lunges
  • Plyometrics
  • Squats

Explosive training exercises should be selected to match individual fitness and sports goals. Exercise choices should simulate the movement patterns specific to the sport. Explosive training is unlikely to lead to injury if you train slowly, listen to your body for signs and symptoms of injury, and work with a qualified professional. Some evidence suggests that regularly engaging in explosive strength training can decrease the risk of injury.

  • Explosive strength exercises are movements that require an athlete to produce maximum or near-maximum output in a short time.
  • Explosive training aims to build enough power to ultimately move heavy weights quickly.
  • It is recommended to start with light weights and use slow, controlled movements.
  • The amount of weight used during a workout and the speed at which they are lifted should be increased over several weeks and training sessions.

Benefits

Research supports that explosive speed and strength exercise builds power but is more effective when combined with other training. For example, in a study, researchers showed that a mixed maximal and explosive strength training program was more effective than traditional approaches like circuit training in increasing overall fitness and adaptive processes that are helpful when increasing training loads, such as runners training for a marathon. (Taipale, R. S. et al., 2014) Other reports suggest that to maximize strength, power, and speed, a combination of heavy and light explosive exercise provides optimal results compared to training only in one style. (Baker D. 2003) The first training phase should focus on increasing maximum strength and building a solid foundation to maximize power output or movement speed. The second phase is devoted to power and speed training. (DeWeese B. H. et al., 2015)

Programs

The first five weeks of a 12-week training program to increase power and speed may consist primarily of heavy strength training. The next six weeks would consist of heavy and high-power explosive exercise training, and the final week would be high-power movements. Individuals are recommended to work with a coach or personal trainer specializing in this type of training when developing a program. A qualified professional can choose sport-specific exercises that will help improve performance. Correct form is essential for safety. A professional trainer can observe alignment throughout each exercise and provide adjustments and tips for safety and efficiency.

Injury Medical Chiropractic

At Injury Medical Chiropractic and Functional Medicine Clinic, we focus on what works for you and strive to create fitness and better the body through research methods and total wellness programs. These programs use the body’s ability to achieve improvement goals, and athletes can condition themselves to excel in their sport through proper fitness and nutrition. Our providers use an integrated approach to create personalized programs, often including Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine principles.


Chiropractic Sport Rehabilitation


References

Taipale, R. S., Mikkola, J., Salo, T., Hokka, L., Vesterinen, V., Kraemer, W. J., Nummela, A., & Häkkinen, K. (2014). Mixed maximal and explosive strength training in recreational endurance runners. Journal of strength and conditioning research, 28(3), 689–699. doi.org/10.1519/JSC.0b013e3182a16d73

Baker D. (2003). Acute effect of alternating heavy and light resistances on power output during upper-body complex power training. Journal of strength and conditioning research, 17(3), 493–497. doi.org/10.1519/1533-4287(2003)017<0493:aeoaha>2.0.co;2

DeWeese, B. H., Hornsby, G., Stone, M., & Stone, M. H. (2015). The training process: Planning for strength–power training in track and field. Part 2: Practical and applied aspects. Journal of Sport and Health Science, 4(4), 318–324. doi:10.1016/j.jshs.2015.07.002

Improve Joint Health with Knee Strengthening Exercises

Improve Joint Health with Knee Strengthening Exercises

Can incorporating stretches and exercises help relieve pain and provide more support for individuals with knee pain?

Improve Joint Health with Knee Strengthening Exercises

Knee Strengthening

The knee is the largest joint connecting the shin and thigh bones. Its cartilage, muscles, ligaments, and nerves all play a role in maintaining the joint’s health and movement. Individuals of all ages can experience knee pain, but it is more common in those with labor-intensive jobs, arthritis, and athletes. A healthcare provider will prescribe targeted stretches and exercises for individuals with pain, inflammation, or a health disorder that affects the strength of their knees to relieve knee pain while strengthening the muscles around the joint. Knee stretches and exercises are great for those with sore knees and knee pain or stiffness, but they can also be used as preventative medicine.

Exercise Benefits

Doing knee-strengthening exercises can significantly improve joint health. The benefits associated with exercises include (Zeng C. Y. et al., 2021)

  • Reduced pain, stiffness, and joint dysfunction.
  • Reduced inflammation.
  • Improved mobility.
  • Improved strength.
  • Cartilage degeneration prevention.
  • Bone loss prevention.

Leg Lifts

Leg lifts are done by lying on the back with one leg bent and the other fully extended. To perform the exercise: (American Academy of Orthopaedic Surgeons, 2009)

  1. Raise the extended leg, keeping it straight.
  2. Hold for three to five seconds once the leg is elevated roughly one foot off the floor.
  3. Lay it back down to rest.
  4. Repeat the exercise 20 times for each leg.

What To Avoid

When performing the single-leg lift, there are certain things to avoid as they can lead to other issues or injuries. This includes: (American Academy of Orthopaedic Surgeons, 2009)

  • Arching the back
  • Flexing the neck
  • Moving too quickly through the motion.
  • Using momentum instead of the muscles.

To know the exercise is being performed correctly, individuals should feel it in the front of their thighs.

Hamstring Stretch on a Bench

If a weight bench is available, doing hamstring stretches can help strengthen the knee. To perform this stretch:

  1. Sit straight on the bench, with one leg straight out and the other planted on the floor.
  2. With the knee straight, hinge over from the hips, keeping a straight, neutral spine.
  3. Slowly push the chest towards the leg straight out on the bench. Hold for 15 to 30 seconds.

This exercise helps with overall strength, stamina, and balance. (Kothawale S. Rao K. 2018) (Wang H. et al., 2016)

What To Avoid

Avoid curving the spine to get closer to the thigh during the stretch. The key is not how far you can bend down but getting a deep stretch. Individuals not yet flexible enough to go all the way down should bend until comfortable but can still feel the stretch in their hamstrings. With practice and time, flexibility will improve. This stretch should be felt in the hamstrings.

Step Exercises

Step exercises, or step-ups, involve using a platform at least 6 inches high. To perform the exercise:

  1. Put one foot onto the platform and use that leg to lift the other foot off the floor.
  2. Hold the position with the foot hanging loosely for 3 to 5 seconds, then place the foot back on the floor.
  3. Repeat each motion 20 times on each leg. (American Academy of Orthopaedic Surgeons, 2009)

What To Avoid

Avoid locking the knees when stepping up on the platform. Locking the knees switches off the muscles that need strengthening (American Academy of Orthopaedic Surgeons, 2009). Step exercises work out various areas of the leg. Individuals should feel this exercise in the thigh, hip, and buttocks.

Post-Exercise Stretching

Post-exercise stretching is vital in physical rehabilitation and strengthening. Stretching after exercise, individuals can (Afonso J. Clemente. et al., 2021)

  • Relieve and reduce soreness.
  • Expedite recovery times.
  • Increase range of motion.
  • Strengthen the knees more quickly and effectively.

Post-exercise stretches for knee pain and weakness can include:

Quadricep Stretch

This stretch targets the quad muscles located in the thighs. To perform this stretch:

  1. Stand with the feet planted flat on the floor, spaced the same width as the shoulders.
  2. Bending the left knee, grab the foot with the left hand and pull the heel toward the buttocks.
  3. Hold for 5 to 10 seconds.
  4. Repeat on both sides.

What to Avoid

There is no need to pull the heel too far into the buttocks. The goal is to feel a deep stretch. Pushing it too far can lead to injury. (Lee J. H. et al., 2021)

Toe Touches

Toe touches will help stretch calve muscles and hamstrings. To perform this stretch:

  1. Sit on the floor with the legs straight out in front.
  2. Bend the body over the legs at the hips, reaching for the toes in front while maintaining a straight back.
  3. Relax the shoulders and keep them away from the ears.
  4. Once touching the toes, hold the stretch for 15 seconds.

What To Avoid

Individuals who cannot yet touch their toes should perform the same steps and reach only as far as is comfortably possible. Over time, flexibility will improve. (Lee J. H. et al., 2021)

Injury Medical Chiropractic Clinic

These are examples of exercises and stretches that a physical therapy and chiropractic team may prescribe. Each case is different and requires reviewing individual medical history and physical examination to determine the proper treatment program. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop a personalized treatment program through an integrated approach to treating injuries and chronic pain syndromes, improving flexibility, mobility, and agility to relieve pain and help individuals return to normal activities. If other treatments are needed, Dr. Jimenez has teamed up with top surgeons, clinical specialists, medical researchers, and rehabilitation providers to provide the most effective treatments.


Knee Pain Rehabilitation


References

Zeng, C. Y., Zhang, Z. R., Tang, Z. M., & Hua, F. Z. (2021). Benefits and Mechanisms of Exercise Training for Knee Osteoarthritis. Frontiers in physiology, 12, 794062. doi.org/10.3389/fphys.2021.794062

American Academy of Orthopaedic Surgeons. OrthoInfo. (2009). Knee exercises. orthoinfo.aaos.org/en/staying-healthy/knee-exercises/

Kothawale S. and Rao K. (2018). Effectiveness of positional release technique versus active release technique on hamstrings tightness. Int J Physiother Res., 6(1), 2619-2622. doi.org/https://dx.doi.org/10.16965/ijpr.2017.265

Wang, H., Ji, Z., Jiang, G., Liu, W., & Jiao, X. (2016). Correlation among proprioception, muscle strength, and balance. Journal of physical therapy science, 28(12), 3468–3472. doi.org/10.1589/jpts.28.3468

Afonso, J., Clemente, F. M., Nakamura, F. Y., Morouço, P., Sarmento, H., Inman, R. A., & Ramirez-Campillo, R. (2021). The Effectiveness of Post-exercise Stretching in Short-Term and Delayed Recovery of Strength, Range of Motion and Delayed Onset Muscle Soreness: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Frontiers in physiology, 12, 677581. doi.org/10.3389/fphys.2021.677581

Lee, J. H., Jang, K. M., Kim, E., Rhim, H. C., & Kim, H. D. (2021). Effects of Static and Dynamic Stretching With Strengthening Exercises in Patients With Patellofemoral Pain Who Have Inflexible Hamstrings: A Randomized Controlled Trial. Sports health, 13(1), 49–56. doi.org/10.1177/1941738120932911

Sprint Exercise Training: Achieve Your Fitness Goals Faster

Sprint Exercise Training: Achieve Your Fitness Goals Faster

For individuals who don’t have time for a full workout, could incorporating sprint exercise training be an option to improve their cardiovascular and overall health?

Sprint Exercise Training: Achieve Your Fitness Goals Faster

Sprint Exercise Training

Most think of running when they hear the word sprinting. However, sprinting can be performed in any aerobic activity, whether swimming, cycling, rollerblading, or exercising on an elliptical machine. Sprint exercise training means varying the intensity levels of the activity. It is also known as sprint interval training or speed drills. It targets cardiovascular endurance and is suitable for all fitness levels, from beginners to advanced. This type of training is demanding and requires high motivation, but it can lead to significant improvements and help achieve fitness goals faster.

Sprint workouts are a time saver. Many exercise guidelines recommend up to 60 minutes of moderate exercise 3 times a week; however, many people don’t have the time. Studies have shown that short, high-intensity sprint exercise training improves aerobic capacity and endurance in half the time of traditional endurance exercise. Sprint exercise training burns calories, improves cardiovascular health, builds muscle, and increases speed and power. Sprint workouts are great for individuals who lack time for traditional steady endurance exercise but want to improve cardiovascular health. (Vollaard, N. B. J., and Metcalfe, R. S. 2017) Adding them to a workout routine can take training to a new level.

Training

The key to sprint training is performing an activity at a certain percentage of all-out effort to increase heart rate. Sprint exercise training is recommended three times a week, with at least one to two days of rest or other easy exercises between sprint workouts. How to do.

Warm-up

  • Warm up with easy exercise for five to 10 minutes.
  • Slowly perform the exercise that will be done for the sprints to prepare the body for the intense sprint.

Do the First Sprint

  • Perform the first sprint at around 60% intensity.
  • Slow down and continue warming up if there is muscle tightness or joint pain.

Rest

  • Recover for four minutes by slowing to a comfortable pace, but continue moving.

Do the Second Sprint

  • Perform the next sprint at 80% max intensity.

Rest

  • Rest for four minutes.

Do the Third Sprint

  • Perform the remainder of the sprints at 100% intensity or all-out efforts for 30 seconds.
  • Push to the maximum for each exercise.

Rest

  • Recover for four minutes after each sprint to slow down breathing and heart rate, and can hold a conversation without gasping.

Repeat

  • Repeat the sprint/recovery routine four to eight times, depending on fitness level and ability.
  • For the first workout, stop at four sprints.
  • Gradually build up to eight.

Benefits

Sprint exercise training enhances endurance performance and can be effectively used by athletes, fitness enthusiasts, and individuals who want to improve their fitness and health. (Litleskare, S. et al., 2020) In one study, participants who completed eight weeks of sprint training saw improvements in maximal oxygen uptake or VO2 max. The test is one way to measure cardiovascular fitness. (Litleskare, S. et al., 2020) These short bursts of intense exercise improve muscle health and performance comparable to several weeks of traditional training. (Gunnarsson, T. P. et al., 2013) Other studies have found that short, high-intensity exercise burns more calories than the same amount of moderate-level cardiovascular exercise. (Vollaard, N. B. J., and Metcalfe, R. S. 2017)

Variations

There are different ways to structure a sprinting routine, and different fitness goals will determine the intensity, duration, and number of sprints that should be performed.

Beginners

Those new to sprinting should start slow, as overdoing it can lead to injury. Work on building up a base level of fitness before introducing sprinting into an exercise routine. Start with one set of four sprint/rest cycles when trying sprints. As fitness goals are achieved, add more sprints to each set or different sprints.

Intermediate

Once a sprinting exercise routine is begun, it may only be a few weeks before one is ready to advance to an intermediate level. Try increasing the number of sprints at different intensity levels. However, avoid sprint exercises too often weekly as the body needs adequate rest.

Advanced

Advanced athletes can intensify the routine by increasing intensity and adding reps. One way is by adding resistance. For example, for those running or cycling, try sprinting hills, or if rollerblading, try wearing wrist and ankle weights to increase the load. Swimmers can use strength-building techniques to focus on specific body areas or add resistance. The intensity of any sprinting activity can be intensified by wearing a weighted vest.

Beginner Errors

A few common starting mistakes include going too hard, advancing too quickly, and doing too many for too long. Sprints are not meant to replace moderate-intensity exercise. The goal is to modulate the intensity of aerobic activities. A study showed that not getting enough rest between sprints led to an inability to perform as well during sprinting. (Selmi, M. A. et al., 2016)

Safety

Sprint workouts can be done with running, swimming, cycling, or other aerobic cardiovascular exercises. The following precautions should be considered before adding sprint training to a workout schedule:

Safety

  • Because sprinting is a high-intensity exercise, it is recommended that individuals consult with a healthcare professional and review the physical activity readiness questionnaire (PAR-Q) before beginning a sprint training workout.

Base Fitness

  • A strong fitness base in the sprint activity is also important.
  • To build a fitness base, follow the 10% rule and gradually increase training volume.

Frequency

  • Because of the intensity, sprint workouts should not be done more than three times a week.

Muscle Soreness

  • Launching into a sprint program can cause delayed-onset muscle soreness.
  • Experts recommend having about three to four weeks of base fitness before beginning.
  • Injuries are more likely if the body isn’t properly prepared.

The goal is to do a sprint workout six times in two weeks, then only perform 2 times a week for maintenance for six to eight weeks before changing the workout. On the days following a sprint workout, aim for 20–30 minutes of the same aerobic activity at an easier pace to help recover but maintain results. If pleased with the results, continue with the routine longer, but it is recommended to vary the workouts every few months and throughout the year. Modify the routine to find what works best.


Military Training and Chiropractic Care: Maximizing Performance


References

Vollaard, N. B. J., & Metcalfe, R. S. (2017). Research into the Health Benefits of Sprint Interval Training Should Focus on Protocols with Fewer and Shorter Sprints. Sports medicine (Auckland, N.Z.), 47(12), 2443–2451. doi.org/10.1007/s40279-017-0727-x

Litleskare, S., Enoksen, E., Sandvei, M., Støen, L., Stensrud, T., Johansen, E., & Jensen, J. (2020). Sprint Interval Running and Continuous Running Produce Training Specific Adaptations, Despite a Similar Improvement of Aerobic Endurance Capacity-A Randomized Trial of Healthy Adults. International journal of environmental research and public health, 17(11), 3865. doi.org/10.3390/ijerph17113865

Gunnarsson, T. P., Christensen, P. M., Thomassen, M., Nielsen, L. R., & Bangsbo, J. (2013). Effect of intensified training on muscle ion kinetics, fatigue development, and repeated short-term performance in endurance-trained cyclists. American journal of physiology. Regulatory, integrative and comparative physiology, 305(7), R811–R821. doi.org/10.1152/ajpregu.00467.2012

Selmi, M. A., Haj, S. R., Haj, Y. M., Moalla, W., & Elloumi, M. (2016). Effect of between-set recovery durations on repeated sprint ability in young soccer players. Biology of sport, 33(2), 165–172. doi.org/10.5604/20831862.1198636

Rowing Machine: The Low-Impact Total-Body Workout

Rowing Machine: The Low-Impact Total-Body Workout

Can a rowing machine provide a full-body workout for individuals looking to improve fitness?

Rowing Machine: The Low-Impact Total-Body Workout

A group of people exercise in the gym using a rowing machine together. A side view of a sportswoman exercising on a rowing machine in a CrossFit center. A muscular girl and a sporty man are working out on a training simulator at a CrossFit gym.

Rowing Machine

Today, rowing machines are widely recognized as effective fitness tools. They can be found in gyms, fitness centers, physical therapy, and sports rehabilitation clinics. Rowing is low-impact, allowing control of movement and pace, and is recommended for active recovery. It’s sometimes recommended as an exercise for individuals with early stages of osteoarthritis.

Benefits

The benefits include:

  • Rowing is a total-body workout that strengthens major muscle groups in the arms, legs, and core and increases cardiovascular endurance.
  • The upper and lower body are used on every stroke.
  • Strengthens and tones the muscles.
  • Rowing burns significant calories without placing added stress on the joints.
  • Improves endurance and heart and lung health.

Cardiovascular Fitness

Rowing is a rare exercise that involves power and endurance. It is an aerobic exercise that increases the body’s heart rate and oxygen, improving cardiovascular fitness. (Hansen RK, et al. 2023) Through continuous, rhythmic movement, which increases oxygen utilization, rowing enhances the heart and lungs’ ability to supply oxygen to the body and works on muscular endurance.

Full-Body Workout

A rowing workout is a comprehensive full-body workout that simultaneously works multiple body areas and muscle groups, specifically the arms, back, core, and legs. The motion moves major muscle groups through the full range of motion, promoting flexibility and muscle tone improvements that are great for individuals with trouble with weight-bearing exercises like running. Rowing can also improve physiological markers, depending on the intensity of the workout and the heart rate zone maintained.

Joint-Friendly

Rowing is a low-impact exercise, making it easier on joints and suitable for individuals with joint concerns or those looking for a joint-friendly workout. The workout engages the largest muscles in a low-impact way with no pounding on the joints or excessive rotation.

Burns Calories

Rowing can be an efficient way to burn calories. Its cardiovascular and resistance training combination makes it an effective tool for weight management and weight loss. Alternating between higher and lower intensities can enhance calorie burning during and after the exercise session from excess post-exercise oxygen consumption (EPOC), also known as the afterburn effect. (Sindorf, M. A. G. et al., 2021)

Improves Posture

Maintaining a healthy posture offers numerous benefits, such as improving breathing ability, aiding in digestion, and preventing injuries. (Kim D, 2015) Rowing can be an effective workout that enhances postural strength and awareness and reduces back pain risks. Proper spine activation is necessary for efficient rowing, which also helps to pull the shoulders back. The hip flexors help to lengthen during the drive phase while the shoulders open. Proper rowing technique involves:

  • Dorsiflexion of the foot.
  • Stretching of the Achilles tendon.
  • Engaging the tibialis.

Getting Started

Rowing is not too difficult to get started. Following techniques shared by experts will help improve the experience and reduce the risk of injury.

Maintaining Upright Posture

  • The back should be straight throughout the movement.
  • Brace the core muscles to keep the back from rounding while bending at the knees and hips during the movement.
  • This keeps the body aligned, prevents injuries, and makes the exercise more effective.

Maintain Stroke Sequences

There are four parts to the sequence:

  1. The catch – is when you sit at the front of the machine with your knees bent and arms reaching out to hold the handle.
  2. The drive – is the next step, which involves pushing into the platform with your heels and driving through your legs while engaging your legs, glutes, and core. During the drive, you want to lean back slightly as you push with your legs while pulling the handle to the bottom of the rib cage.
  3. The finish – lean back a little more while pulling the handle to the lower chest level.
  4. The recovery – extend your arms forward while bending the hips to bring the torso forward, using your legs to pull back to the starting position.

Adjust Resistance Accordingly

Most rowing machines have adjustable resistance settings. Beginners should start with a lower resistance level to focus on proper technique and gradually increase as they become more comfortable so that the resistance provides a challenge without compromising form. On a rowing machine, the individual should feel like they are gliding efficiently over water with strong, powerful strokes repeated for however many reps depending on the workout.

Breathing

Aerobic workouts require proper breathing. It is recommended to inhale during the recovery phase as you slide the seat forward and exhale during the drive phase when pushing through the legs. Breathing in sync with the rowing motion keeps the oxygen flow going, so the body maintains energy and smooth strokes.

Injury Medical Chiropractic and Functional Medicine Clinic

As with any fitness program, individuals should consult a healthcare professional or fitness expert, especially if pre-existing health conditions or concerns exist. At Injury Medical Chiropractic and Functional Medicine Clinic, we focus on what works for you and strive to better the body through researched methods and total wellness programs. We focus on treating patients’ injuries and chronic pain syndromes to create personalized care plans that improve ability through flexibility, mobility, and agility programs personalized to the individual. Using an integrated approach, our goal is to relieve pain naturally by restoring health and function to the body through Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine protocols. If other treatment is needed, Dr. Jimenez has teamed up with the top surgeons, clinical specialists, medical researchers, and premier rehabilitation providers to provide the most effective treatments available.


Core Exercises and Back Pain


References

Hansen, R. K., Samani, A., Laessoe, U., Handberg, A., Mellergaard, M., Figlewski, K., Thijssen, D. H. J., Gliemann, L., & Larsen, R. G. (2023). Rowing exercise increases cardiorespiratory fitness and brachial artery diameter but not traditional cardiometabolic risk factors in spinal cord-injured humans. European journal of applied physiology, 123(6), 1241–1255. doi.org/10.1007/s00421-023-05146-y

Sindorf, M. A. G., Germano, M. D., Dias, W. G., Batista, D. R., Braz, T. V., Moreno, M. A., & Lopes, C. R. (2021). Excess Post-Exercise Oxygen Consumption and Substrate Oxidation Following High-Intensity Interval Training: Effects of Recovery Manipulation. International journal of exercise science, 14(2), 1151–1165.

Kim, D., Cho, M., Park, Y., & Yang, Y. (2015). Effect of an exercise program for posture correction on musculoskeletal pain. Journal of physical therapy science, 27(6), 1791–1794. doi.org/10.1589/jpts.27.1791