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diaphragm-lungs

Diaphragmatic Breathing and Cardiovascular Exercise Performance 

Diaphragmatic breathing is a technique that involves engaging the diaphragm muscle while breathing, allowing for more efficient oxygen exchange in the body. This type of breathing can be beneficial for cardiovascular exercise performance, as it helps to increase the amount of oxygen that that is taken in with each breath. By doing so, diaphragmatic breathing can improve aerobic capacity, endurance, energy levels during exercise, as well as reduced feelings of fatigue and improve lung function.

One study conducted in 2016 found that diaphragmatic breathing improved exercise performance in trained male cyclists. The study participants perform a maximal cycling test, during which they practiced diaphragmatic breathing. The results show that the cyclists who used diaphragmatic breathing had a significant improvement in their VO2 Max (the maximum amount of oxygen used during exercise), and power output compared to those who did not use diaphragmatic breathing. Another study conducted in 2015 found that diaphragmatic breathing improved respiratory muscle function and reduce breathing effort during exercise in both trained and untrained individuals. Diaphragmatic breathing can also help to reduce stress and anxiety, which can have a positive impact on exercise performance. Stress and anxiety can lead to increased heart rate, shallow breathing, and decreased oxygen uptake, which can negatively impact exercise performance. By practicing diaphragmatic breathing, individuals can reduce stress, anxiety levels and improve their ability to handle the psychological demands of exercise.

In addition to its benefits for exercise performance, diaphragmatic breathing can also have other health benefits. It has been shown to reduce blood pressure, improve lung function, and enhance overall relaxation and well-being. For individuals with respiratory conditions such as asthma, COPD, or bronchitis, diaphragmatic breathing can be a helpful technique for managing symptoms and improving respiratory function.

It is important to note that diaphragmatic breathing should not be relied upon as a sole method for improving cardiovascular exercise performance. It is best used in combination with other techniques, such as proper warm up and cool down, a balanced intense exercise program, adequate nutrition, rest, and recovery. In addition, it is important to consult with a healthcare professional before incorporating diaphragmatic breathing into any exercise routine, especially if an individual has any pre-existing health conditions.

In conclusion, diaphragmatic breathing can be a useful technique for improving cardiovascular exercise performance. By increasing oxygen uptake, reducing stress, anxiety, and improving lung function, diaphragmatic breathing can help individuals to perform better during exercise and enhance overall health and well-being. However, it should be used in combination with other techniques and under the guidance of a health care professional for maximum benefit.


Reprinted with permission from author.

Mike Rickett MS, CSCS*D, CSPS*D, RCPT*E is a nationally recognized health and fitness trainer of the trainers, fitness motivator, author, certifier, educator, and the 2017 NSCA Personal Trainer of the Year.  He has been a fitness trainer for more than 35 years. With Cheri Lamperes, he co-directs BetterHealthBreathing.com, a conscious breathing educational program focusing on the diaphragmatic technique to enhance overall wellness.  In addition, he also directs the personal training site ApplicationInMotion.com.  

trainer-senior-client-stretch

Understanding the Causes of Recurring Musculoskeletal Pain and Injuries

Musculoskeletal injuries from trauma, repeated activities, or overused joints or muscles are very common — in fact, almost every one of us will get injured at some point in our lives. Most of the time, it will reoccur and become more serious when left unattended or untreated. When repeated injuries happen, it is very likely not due to a one-off fluke.

So why do we constantly get hurt at a specific joint or muscle? And why does the pain seem to travel elsewhere after?

The human body is complex and designed to move in countless movement patterns. When we move, kinetic energy travels from our feet to our neck and head. This concept is called the Human Body Kinetic Chain Movement. Our skeletal system consists of various joints linked in a chain, each with specific purpose and function.

Stability and Mobility at the Joints

When our joint is not functioning as it is intended to, our body will adopt a dysfunctional movement, which can lead to acute pain in our joints or muscles. If not corrected, chronic pain can happen. A sedentary lifestyle, past injuries, poor posture and misalignment, stress, health conditions, diseases, and other factors can lead to the development of dysfunctional movement.

Here’s an example of a common dysfunctional movement at the lower proximity. If your ankle (which is supposed to be mobile) is stiff, your body will seek mobility at the knee which is supposed to act as a stable hinge. A painful knee typically develops as a result. In another scenario, if you spend extended periods of time sitting and experience restricted mobility at your hips, your body may compensate by seeking mobility at your knee or lumbar spine. This reversal of joint roles can lead to injury or pain in the affected joint or muscle.

Continuing to compensate for the long term can cause a cascading effect such as muscle imbalances, poor neuromuscular function and muscle atrophy or hypertonicity.

One of the common mistakes we make is to only address the symptom (pain) with the use of NSAIDs, massage, chiropractic therapy and other non-invasive or invasive treatments, rather than addressing the underlying cause of the problem.

Another widespread misunderstanding is the idea that simply strengthening the muscle at a joint can solve the problem, without considering its kinetic chain relationship. For example, strengthening the quadriceps to alleviate knee pain, without taking into account the mobility of the ankles and hips or the stability of the lumbopelvic area.

That’s why it’s crucial to have a comprehensive understanding of how our bodies are designed to move, and to identify any weak links in our body’s kinetic chain to ensure optimal recovery through appropriate rehabilitation measures, and not view the problem in isolation.

Typically, it is advisable to conduct an assessment initially to pinpoint the root of the problem. However, when a patient presents to my clinic in pain, they often exhibit compensatory movement patterns that can yield false positives/negatives results. For this reason, my approach is to first identify the type of pain or injury they are experiencing and address their pain as a priority. To reduce their pain levels, I utilize methods such as soft tissue manipulation and other therapies that are appropriate for their condition.

Soft tissue manipulation and manual therapy, such as massage has been proven to:

  • alter pain signal at the central nervous system,
  • manage inflammation,
  • inhibit muscle spasm and reduce muscle tonicity,
  • improve blood circulation and oxygenation to the injured tissue,
  • and improve mobility and flexibility at the joint.

It is best to engage a practitioner who is trained or skilled in this field, or perform self myofascial massage by using a foam roller or trigger point massage ball under guidance.

Once the pain has been adequately managed, I will proceed with a thorough assessment to identify any potential weak links in the person’s kinetic chain. After that, they will begin an active treatment program that includes targeted stretches, mobility drills, and muscle reactivation exercises through a set of neuromuscular exercises. The rehabilitation program also emphasizes teaching the person to disassociate their movements and joints through specific exercise drills, which re-trains their brain to use their muscles and joints as it is supposed to. As soon as they are able to correct their dysfunctional movement, it is highly recommended to strengthen the entire structure based on function, rather than relying solely on brute strength.

Understanding the concept of our body’s biomechanics and how kinetic chain work can help you better manage or even resolve musculoskeletal injuries holistically, and not just detaching the problem to a specific joint or muscle.

Do take note that different types of musculoskeletal injuries may require different forms of therapy or approach. It is extremely important to seek a professional’s help to determine the appropriate care for your musculoskeletal pain or injury.


Ke Wynn Lee is an author and an international award-winning corrective exercise specialist currently owns and operates a private Medical Fitness Center in Penang. Apart from coaching, he also conducts workshops and actively contributes articles related to corrective exercise, fitness & health to online media and local magazines.

References

Field, T. (2014). Massage therapy research review. Complementary Therapies in Clinical Practice.

Moyer, C. A., Rounds, J., & Hannum, J. W. (2004). A meta-analysis of massage therapy research. Psychological Bulletin.

Crane, J. D., Ogborn, D. I., Cupido, C., Melov, S., Hubbard, A., Bourgeois, J. M., & Tarnopolsky, M. A. (2012). Massage therapy attenuates inflammatory signaling after exercise-induced muscle damage. Science Translational Medicine.

American Council of Exercise (ACE)

National Academy of Sports Medicine (NASM)

walking shoes

Gait Speed… Chase It!

Walking is our freedom to GO anywhere, anytime, automatically, to get somewhere ‘on our own’ without fear or assistance.

It is the antithesis to the slipper shuffle and a key player in fall resistance, that is, staying UP. A shorter, wider stride, stiffer ankles and feet, and a hunched posture are not a function of aging per se. We CAN be spry, walk tall, with spring in our step, well into our 80’s and 90’s.

foam-rolling

Foam Rolling: The What, Why & How

We are not as active as we once were. Our lifestyles today do not require as much movement as it once did. A perfect example of this is Giant’s Peapod (need I say anymore).  Not being active takes a toil on our bodies and sitting tends to take over our bodies main position in space. For those that are active, injuries may still occur. When a person is not active and does a lot of sitting (or sleeping in awkward positions) or when a person is active and gets injured, our bodies respond by putting our muscle tissues into overdrive. In other words, they end up working harder than they should which leads to adhesions or knots in the fascia (connective tissue found throughout our entire body). This is where foam rolling can be very helpful.

What is Foam Rolling?

Foam rolling is the concept of applying pressure to a sore or tender muscle that will send a signal to your brain to tell it to relax. If you are familiar with a massage, then, you can think of foam rolling as a self-massage.

Why Foam Rolling?

According to the National Academy of Sports Medicine (NASM), foam rolling is beneficial to help alleviate and correct discomfort.  For example, if a person does a lot of sitting, then most likely their hip muscles will be working overtime. Foam rolling will help the hip muscles to return to a normal state of work.  Also, since overworking muscles cause your body to compensate and have poor posture, foam rolling can help to correct bad posture too.

How Do You Foam Roll?

In order to determine what muscles on your body are working overtime, you want to consult with a corrective exercise specialist. This could be a physical therapist, personal trainer or massage therapist (to name a few). They can watch your posture and how you move to determine which muscles need foam rolling. Typical muscles that need foam rolling include one’s: calves, hips, lateral to mid-back, thighs and chest. For example, if one determines their calf muscle is working overtime, the protocol would be to sit down on their butt with the foam roller placed directly underneath their calf muscles.  The person would apply pressure by pushing their calf muscle only into the foam roller. If they feel any discomfort, they would hold that spot of discomfort for at least 30 seconds to allow the calf to relax.  If a person does foam rolling on a regular basis (I recommend 3-5 times/week for four weeks), they could accomplish significant improvement to their posture, which means less discomfort to their body.

Conclusion

Foam rolling is a proven technique that allows overactive muscles throughout our bodies to return to a state of normalcy. If you have muscles on your body that do not feel normal, foam rolling may be the solution to your problem.


Maurice D. Williams is an Assistant Professor of Health & Human Performance at Freed-Hardeman University, an the owner of Move Well Fitness. With almost two decades in the industry, he’s worked with a wide range of clients, including those with health challenges like diabetes, osteoporosis, multiple sclerosis, hypertension, coronary artery disease, lower back pain, pulmonary issues, and pregnancy.

Older couple at the gym

Fitness: Establishing Your Program – Setting Your Course

I think of training, not working out. Working out is simply doing something without any identifiable purpose in mind. I believe training must be accompanied by commitment and a deep desire to accomplish something specific that is meaningful to you and worthy of sacrifice. In establishing a fitness program that will work for you and ultimately be successful you need to carefully consider many variables and understand their importance to your eventual outcome. This article will highlight some of my thoughts on this process/subject and hopefully illuminate for you the path forward so that you might enjoy a long and happy – and fit life.

Setting your course – effective goal setting

Setting goals is probably the most important aspect of designing a program since it gives focus and direction to the reasons behind the activities that you ultimately select – and that will work for you. First remember a key idea: If what you choose to do is not fun you will not find your time well spent or get the results you desire. The way to think about setting proper goals is to not to think of “cosmetic fixes” but instead to try to imagine yourself doing the things in your life that would bring you joy, pleasure, a sense of accomplishment, and the happy memories that we carry into our future.

An example in my own life is the wonderful time I had in Japan on four different occasions visiting my daughter Lisa. I took many journeys while there and enjoyed all of them immensely because I was free to explore and spend time among the temples of Kyoto and other historic and wonderful places. I walked for hours without ever getting tired because I am so fit from years of running.  Every trip while there was an incredible experience, filled with wonder and beauty. Going forward I hope to have many more adventures and create many wonderful memories I can share with my grandson and Lisa too.

Take your time when evaluating what it is you want to achieve and consider carefully what you want to do to accomplish your goals – and make them performance based. Losing weight is never a sustainable goal because there is no real payoff at the end and one never reaches a happy outcome simply from losing weight. I was taught a simple yet effective method for setting goals and it is called the RAMS method: Reasonable, achievable, measurable, and specific. My goal of running a 6 minute mile on my 80th birthday is already an accomplished fact since I can do it now. If I am alive and well on that birthday I plan on doing that mile!

Programming

Consider this a four step process:

  1. Evaluate and investigate your options
  2. Make your choices – cardio, resistance, stretching, nutrition etc.
  3. Implement your choices on a schedule
  4. Evaluate and measure your progress (record keeping)

Cardiovascular conditioning

Consider this your “core activity” since it is the one that will consume more of your time. Options include running (my love), walking (the most common option), cycling (indoors and outdoors), swimming, cross country skiing (high calories burning among the options – includes running), and many endurance activities tied to sports related training. There are many ways to train your heart but the most important fact is that to train it effectively you must do something to it over time, at higher intensities that allow your heart to work at higher levels than normal. Establishing those levels will take professional input so do ask for the proper assistance from a qualified professional.

 There are target heart rates, stroke volumes, cardiac output, breathing, monitoring fatigue, getting proper rest and recovery and much more to consider. I will cover this and other subjects more directly in later articles. Suffice it to say that if you don’t enjoy your chosen activity you won’t keep doing it. Quitting is quite common in the world and I don’t believe quitting ever solved anything! The most common question fitness professionals get is: Which exercise is the best one? My answer is always the same: The one that you will do! Approximately two thirds of your time should be dedicated to training your heart – it is the organ that will ultimately carry you to your future!

Resistance Training

Resistance training builds lean muscle mass and creates a higher resting metabolic rate (the rate at which the body burns calories at rest). As we age we lose muscle mass at the rate of 2-5 pounds per decade after 20. If you want a body that works efficiently, feels strong, helps you accomplish the tasks of life, and supports your skeletal system and organs without getting injured or sick getting strong is a must. Lean muscle mass is directly tied to burning sugar and eliminating the threat posed by diabetes.

Resistance training strengthens the connective tissue (ligaments, tendons), protects the joints and creates symmetry between the inner and outer processes of the body. If you want to become lean – create a resistance training program (again professional help is recommended) that supports what you want to do in life. For me – weight training is primarily designed to keep me running for years to come. I focus all my energy twice a week building all my major muscle groups and monitor my results in writing (I do this for my running sessions as well). After the age of forty I recommend an increased volume of resistance training because loss of lean muscle mass accelerates as a result of the aging process.

Flexibility

Flexibility protects the joints from damage by balancing the loads place upon them and is a key to aging well. Older people tend to get stiff and bent as they age and weakness in the legs is a constant reminder that falling is a major cause of death among the elderly. Breaking a hip in a fall can be something the older individual does not recover from and could have been avoided with a proper stretching and balance program.

With my older clients I always dedicated at least 20-30 percent of their sessions to balance and flexibility work to insure that they were comfortable just moving. I monitored their gait, posture, balance and other variables for possible negative outcomes. Changing behaviors and attitudes as we age is challenging. I find this true in my own case as I face my own challenges going forward but as one of my favorite teachers said years ago: “Change is the only constant in the natural order” and its corollary: “The mind of man is unlimited in its potential and responds to the specific demands made upon it”. I try to remember that there is always a way to change – we just have to be flexible in our thinking and our behavior to make the necessary changes that could ultimately save our lives.

I always try to remember that the gift I have been given to train for all these decades can be taken away in an instant so I always approach my own training each day with an attitude of deep gratitude and never forget to say thank each day for these gifts. I am grateful every day and never try to forget that an open mind and open heart will get me through almost anything in life. Everything that happens to me is an opportunity for me to learn something new about myself. I will always be a student – I will never know everything and this thought frees me to explore my potential every time I set my sights on new goals and dreams – like this one writing for you.

The FITT Formula

Remember Rome wasn’t built in a day and neither will your body. Changing variables one at a time will allow you the chance to see how your body – and mind – responds to the stimuli you are providing it by your training activities. The FITT formula is something to keep in mind. The letters stand for frequency – how often you do something, intensity – how hard you do something, time – the amount of time you schedule for training activity, and type – the mode or vehicle you select to train. I believe change comes most effectively in “baby steps”. Never ask your body to do more than it can for it will grow as fast as it can, plateau, and then grow some more.

 Rest and recovery are crucial to this process – allow time for your body to heal and rest. Overtraining is just as bad – or worse – than undertraining. Go slowly toward goals as your patience will be rewarded with renewed energy, stamina, and happiness in the results you are seeing from your efforts. Reward yourself as you reach new levels and never forget to be grateful for everything and anything that you accomplish. This “consciousness” will serve you well over the years to come!

Nutrition and Weight Management

I won’t speak here on this subject in detail since it is way too complicated for our purposes at this time. Suffice it to say “you are what you eat, you are what you think, you are what you believe, you are what you do and you are your expectations.” What you think about, comes about (Walt Disney – one of my favorite creative geniuses), what you see is what you get and so much more. Eating well yields a truly flexible, strong and happy body. I will say this: Eat a salad, drink water and take a walk”.  Eat more fruits and vegetables, whole grains, nuts and seeds and beans and healthy protein – and drink lots of water. More on this later. Please remember that everything you eat creates – or destroys – your future health.

Conclusion and Tips

Be aware of your life as it is today. DO see your doctor for an evaluation for your readiness to train and engage in prolonged physical activity. Ask yourself the tough questions that only you can answer. Be considerate and forgiving of yourself so that you can move forward without guilt or recrimination. Become flexible in mind and body. Start now – don’t wait – because tomorrow is never guaranteed and life is very fragile. Take each step and listen attentively – both inside and outside – to those who want to assist you along the way. Take everything with a “grain of salt” because there are no absolutes when it comes to your own needs, wants, and dreams. Change is constantly influencing the events and circumstances of our lives so no one truly “knows” what is best for you – only you can determine this. Be smart and critical in your thinking and question what you don’t understand. I learn something new every day and I am certainly not ashamed to share with you that I consider myself a “student of running” even though I have been running for 52 years! Travel well!


Nicholas Prukop is an ACE Certified Personal Trainer & a Health Coach, a fitness professional with over 25 years of experience whose passion for health and fitness comes from his boyhood in Hawaii where he grew up a swimmer on Maui. He found his calling in writing his first book “Healthy Aging & You: Your Journey to Becoming Happy, Healthy & Fit” and since then he has dedicated himself to empowering, inspiring and enabling people of all ages to reach for the best that is within them and become who they are meant to be – happy, healthy and fit – and be a part of a world where each person can contribute their own unique gifts to life.

new year

Fitness New Year’s Resolution Tips

The holidays were here and there was plenty of running around and parties to attend. As we said goodbye to this year, we are ready to take on the new year. Many individuals have decided to make fitness a resolution and made the commitment with themselves to get into better shape.

Many individuals do not plan for this transition and end up stopping within three months. There are some things you can do to be successful if fitness is on your list of resolutions.

The first thing you want to do is to choose a fitness facility where you feel comfortable. By comfortable I mean, do you like the atmosphere? Is the gym to big or small for you? When you look into fitness facilities, make sure they’re not too far from your home. If the gym is too far, you’re less likely to go consistently. Try to plan for when the best time would be to go. Decide if morning, afternoon or evening works better for you and your schedule.

When you find your gym and figure out a time, make an appointment for an assessment and consultation. There are some people who decide to do this after a couple months of joining. Try to see a fitness professional within the first two weeks. We are able to help you figure out a plan for your workout and keep you on track. Some fitness centers call new members after the first week to see how everything is going.

It’s also important to not have an “all or nothing” mentality. If you decide to go to the gym three days a week, but sometimes fall short, it’s OK! Just get back to your schedule the following week. It will take about three months to adapt to your new transition.

Another tip is to have fun! Look at class schedules and try new classes. If you are new to classes, don’t worry about keeping up with everyone else. I always suggest that clients show up to class ten minutes early. This enables you to speak with the instructor about any injuries or concerns you may have. You can also leave class early if you need to. Some new students may only be able to do a warm up and have to leave. Remember that everyone in the class was in the same boat as you at some point.

It may seem tough to add fitness to your life at first, but it will get easier. You will start to feel better overall. Many people are able to sleep much better, bring down their blood pressure and cholesterol, reduce stress, and prevent osteoporosis. The benefits are really endless! The best thing is that you are setting the stage for a healthy lifestyle as you get older. You will be able to do more and live independently longer.

Good luck to everyone this year who has fitness as one of their resolutions. You will be able succeed if you keep positive and plan for success. Have a happy and healthy new year!


Robyn Kade is the Founder of The Stress Management Institute for Health and Fitness Professionals. She has 20 years of experience in medical-based fitness.