{"id":33455,"date":"2023-09-05T09:34:52","date_gmt":"2023-09-05T16:34:52","guid":{"rendered":"https:\/\/medfitnetwork.org\/public\/?p=33455"},"modified":"2023-09-19T10:52:24","modified_gmt":"2023-09-19T17:52:24","slug":"back-to-basics","status":"publish","type":"post","link":"https:\/\/medfitnetwork.org\/public\/all-mfn\/back-to-basics\/","title":{"rendered":"Back to Basics"},"content":{"rendered":"\r\n<p>As health and fitness professionals we like to think of ourselves invincible.\u00a0 After all, we help people feel better, and accordingly, we should never do anything to appear less than indomitable.\u00a0 We also all know this is simply not true.\u00a0\u00a0<\/p>\r\n\r\n\r\n\r\n<p>Recently, I was going through a movement phase of training; lots of kettlebells, medicine balls, battle ropes, and calisthenics, etc.\u00a0 During one particular movement, I felt a little twinge in my low back, so being invincible I kept working out.\u00a0 The next day it was a little worse, but being invincible, I kept on plan.\u00a0 It took a few days before I actually took the advice that I would have given to any of my clients; back to basics.\u00a0<\/p>\r\n\r\n\r\n<div class=\"wp-block-image\">\r\n<figure class=\"aligncenter size-large is-resized\"><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-27998\" src=\"https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2020\/11\/back-pain-at-gym-1024x684.jpg\" alt=\"\" width=\"768\" height=\"513\" srcset=\"https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2020\/11\/back-pain-at-gym-1024x684.jpg 1024w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2020\/11\/back-pain-at-gym-300x200.jpg 300w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2020\/11\/back-pain-at-gym-768x513.jpg 768w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2020\/11\/back-pain-at-gym-600x400.jpg 600w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2020\/11\/back-pain-at-gym-400x266.jpg 400w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2020\/11\/back-pain-at-gym.jpg 1200w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/><\/figure><\/div>\r\n\r\n\r\n<div class=\"wp-block-spacer\" style=\"height: 15px;\" aria-hidden=\"true\">\u00a0<\/div>\r\n\r\n\r\n\r\n<p>Low back pain (LBP) is defined as localized pain or ache below the costal margin (lower edge of the chest) and above the gluteal folds (below the buttocks but above the thigh).\u00a0 Acute LBP is pain experienced between 6 and 12 weeks, and chronic LBP is pain experienced for greater than 12 weeks.\u00a0 Low back pain is the leading cause of disability worldwide and costs the United States over a $100 billion annually in health care costs and lost productivity.\u00a0 Although diagnosing the cause of LBP is outside the scope of practice for a Medical Fitness professional, once a client is cleared for exercise, basic movements that correct faulty motor patterns and increase muscular endurance should be suggested.\u00a0\u00a0<\/p>\r\n\r\n\r\n\r\n<p><strong>1. Corrective, therapeutic, and perfect-motion motor-patterns exercise as determined by the initial assessment<\/strong><\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Identify and remove movements that cause pain<\/li>\r\n\r\n\r\n\r\n<li>Ensure proper posture and gluteal activation during activities of daily living (ADLs)<\/li>\r\n\r\n\r\n\r\n<li>Form, form, form<\/li>\r\n\r\n\r\n\r\n<li>Perform abdominal bracing to encourage co-contraction (not to be confused with abdominal hollowing which may be counterproductive as it engages only one or two core muscles)<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p><strong>2. Build whole-body and joint stability (mobility at some joints such as the hips and stability through the lumbar\/core region)<\/strong><\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>These exercises increase stability without exacerbating the original injury<\/li>\r\n\r\n\r\n\r\n<li>These movements should challenge endurance and increase motor control<\/li>\r\n\r\n\r\n\r\n<li>Bracing and co-contraction of the core should be performed during these movements<\/li>\r\n\r\n\r\n\r\n<li>Unilateral movements that encourage core activation without aggravating the injury.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p><strong>3. Increase endurance<\/strong><\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Isometrics should be held for less than10 seconds; to increase endurance, increase repetitions<\/li>\r\n\r\n\r\n\r\n<li>A pyramid pattern (5 reps on each side, 4 reps, 3 reps, 2 reps, 1 rep) allows the most repositions to be performed with the least amount of fatigue.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p>Although this is a plan to alleviate LBP, the simple concept of back to basics is something we all know, but often neglect. Regardless of the injury, disease, or dysfunction, getting back to basic mobility and stability exercises is the only way to start progressing again. Additionally, basic movements should be revisited often to avoid future lifting injuries. The table below provides some examples of exercises that can help increase core strength, as well as alleviate and reduce to risk of LBP.<\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-table\">\r\n<table>\r\n<tbody>\r\n<tr>\r\n<td class=\"has-text-align-center\" colspan=\"6\" data-align=\"center\"><strong><em>EXAMPLE EXERCISES FOR LOW BACK PAIN<\/em><\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"has-text-align-center\" data-align=\"center\">Corrective and Therapeutic<\/td>\r\n<td class=\"has-text-align-center\" data-align=\"center\">Whole body \u2013 joint stability<\/td>\r\n<td class=\"has-text-align-center\" data-align=\"center\">Endurance<\/td>\r\n<td>Strength<\/td>\r\n<td class=\"has-text-align-center\" data-align=\"center\">Power<\/td>\r\n<td class=\"has-text-align-center\" data-align=\"center\">Avoid (until appropriately progressed)<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"has-text-align-center\" data-align=\"center\">-Abdominal bracing<br \/>-Wall roll<br \/>-Floor roll<br \/>-Glute bridges<br \/>-Clamshell<br \/>-Single leg squat matrix<br \/>-Low-load cardiovascular exercise such as walking<\/td>\r\n<td class=\"has-text-align-center\" data-align=\"center\">-Cat-camel stretch <br \/>-Modified curl up<br \/>-Opposite arm\/leg raise and Dead bug<br \/>-Quadruped bird-dog<br \/>-Side bridge\/ modified<br \/>plank<br \/>-Rolling bridge<br \/>-Push-ups\u00a0(Modified,<br \/>Staggered hands,<br \/>Unstable surface)<br \/>-Body rows<\/td>\r\n<td class=\"has-text-align-center\" data-align=\"center\">-Start with 0-10 second isometrics.<br \/>-Increase the number of reps not the length of the isometric hold.<br \/>-A pyramid pattern can provide ample repetitions as well as ample rest.<\/td>\r\n<td>-Focus on ADLs<br \/>-Unilateral farmers walk<br \/>-Lateral cable hold-press<\/td>\r\n<td class=\"has-text-align-center\" data-align=\"center\">-Plyometrics\u00a0<br \/>-Medicine ball slams<br \/>-Whirling m\/b to slams<br \/>-Medicine ball catch<\/td>\r\n<td class=\"has-text-align-center\" data-align=\"center\">-Heavy lifting<br \/>-Prolonged sitting<br \/>-Twisting movements\u00a0<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"has-text-align-center\" colspan=\"6\" data-align=\"center\"><em>McGill, 2010, Solomon, 2015<\/em><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/figure>\r\n\r\n\r\n\r\n\r\n\r\n<h4 class=\"wp-block-heading\"><strong>Education for Fit Pros<\/strong><\/h4>\r\n\r\n\r\n\r\n<p>Information from this article was pulled from the <a href=\"https:\/\/www.medfitclassroom.org\/specialist-courses\/\" target=\"_blank\" rel=\"noreferrer noopener\">Foundations of Medical Fitness<\/a> 20-hour online course. Enroll now to expand your skills and reach a market that needs you! You&#8217;ll receive a certificate of specialization as a<em> Medical Fitness Specialist<\/em> upon completion.<\/p>\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n\r\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\r\n\r\n\r\n<p><em>Dan Mikeska has a doctorate degree in Health Science and a master\u2019s degree in Human Movement, as well as certifications from NASM, ACE, the Cancer Exercise Training Institute and the Exercise Is Medicine credential from ACSM. He currently owns\u00a0<a href=\"http:\/\/www.medex.fit\/\" target=\"_blank\" rel=\"noreferrer noopener\">NOVA Medical Exercise<\/a>\u00a0and is adjunct faculty for A.T. Still University\u2019s Master of Kinesiology program.\u00a0<\/em><\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>As health and fitness professionals we like to think of ourselves invincible.\u00a0 After all, we help people feel better, and accordingly, we should never do anything to appear less than indomitable.\u00a0 We also all know this is simply not true.\u00a0\u00a0<\/p>\n","protected":false},"author":337,"featured_media":27998,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[54,198,305,291],"class_list":["post-33455","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-all-mfn","tag-exercise","tag-fitness-professionals","tag-functional-medicine","tag-pain-management"],"jetpack_publicize_connections":[],"_links":{"self":[{"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/posts\/33455","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/users\/337"}],"replies":[{"embeddable":true,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/comments?post=33455"}],"version-history":[{"count":7,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/posts\/33455\/revisions"}],"predecessor-version":[{"id":33501,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/posts\/33455\/revisions\/33501"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/media\/27998"}],"wp:attachment":[{"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/media?parent=33455"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/categories?post=33455"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/tags?post=33455"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}