Figure 7 Saw. Randell, reproduced with kind permission of Wellcome Library26 Wellcome Library [Internet]. Rodway H. Training for childbirth - and after (1940). 2015 Sep 24 [cited 2015 Oct 3]. Available from: http://wellcomelibrary.org/player/b16729006#?asi=0&ai=0. [Google Scholar] and Morris, reproduced with kind permission of Elsevier.33 Morris M. Basic physical training. London: Heinemann; 1937. [Google Scholar]


In line with the previous literature, our study showed that walking was the most common exercise type among older adults [24, 25]. This result is not surprising as walking is among the most cost effective and accessible means of exercise [26]. In addition, walking has been identified as a relatively safe exercise alternative to older adults [25]. We found that walking was the most common exercise type in both training groups. However, the MCT group had a higher proportion of walking sessions than the HIIT group, while the HIIT group had a higher proportion of sessions with for instance jogging and cycling. This might indicate that some older adults in the HIIT group feel that it is easier to achieve a high-intensity level when performing jogging and cycling compared to walking. Absolute workload at a given intensity varies greatly among individuals with different levels of cardiorespiratory fitness (CRF) [27], so that e.g. walking at 5 km/h corresponds to moderate intensity for an individual with relatively high CRF level, while the same speed exhibits near-maximal intensity for an individual with low CRF. Therefore, the type of exercise an individual need to perform in order to achieve a feeling of high intensity varies from one individual to another [27]. Since ageing often results in CRF decline [28], it is likely that many older adults will reach a feeling of high-intensity when walking. However, those with a high CRF level might need to perform other exercise types, for instance jogging and cycling, to reach the same intensity level during their workout session.
Chase Squires is the first to admit that he's no fitness expert. But he is a guy who used to weigh 205 pounds, more than was healthy for his 5'4" frame. "In my vacation pictures in 2002, I looked like the Stay Puft Marshmallow Man at the beach," says the 42-year-old Colorado resident. Squires decided enough was enough, cut out fatty food, and started walking on a treadmill. The pounds came off and soon he was running marathons -- not fast, but in the race. He ran his first 50-mile race in October 2003 and completed his first 100-miler a year later. Since then, he's completed several 100-mile, 50-mile, and 50k races.
In the present study, we measured muscle endurance by completion of time to exhaustion tests where the subject has to maintain a fix workload for as long as possible. All time to exhaustion tests lasted less than ten minutes, confirming that OLDE was performed at high intensity. The duration of the time to exhaustion tests in the present study is in accordance with previous studies using the same exercise on a different ergometer [11, 17, 18]. Relative reliability refers to the degree to which individuals maintain their position in a sample with repeated measurements [30]. The ICC value of 0.795 can be interpreted as a questionable reliability (ICC < 0.8), close to the threshold for good reliability (0.8 < ICC < 0.9) [19]. However, as no consensus really exists on threshold to interpret ICC results [31], the practical significance of its value has to be determined with caution by the readers according to their future use of the present protocol. Absolute reliability refers to the degree to which repeated measurements vary for individuals [30]. Traditionally, time to exhaustion tests are known to present a greater CV (CV > 10%) than time trials (i.e. subjects has to perform the greater amount of work possible in a fixed time/distance; CV < 5%) [20]. Interestingly, in our study the CV is below 10%, confirming the great reliability of our novel high intensity OLDE protocol to measure muscle endurance, this despite the small sample size, chosen to be in accordance with previously published studies using the same protocol [8, 11, 17]. This great reliability is confirmed by the typical error of measurement value of 0.30 min, corresponding to 5% of the averaged performance value. Finally, as the typical error of measurement value was slightly above the smallest worthwhile change calculated (0.28 min), it is unlikely that our novel high intensity OLDE protocol can be used to detect small differences in performance.
You may commit to crunches and planks, Pilates and yoga, all in an effort to target your abs, which they do, but don't stop there. Broaden your "rep"ertoire to include some of these other types of moves and methods (some of which you can do at your desk), and suddenly your core is being challenged with every motion—even though your mind is never on your middle. (Just don't forget abs are made in the kitchen too. Steer clear of these foods to prevent bloating.)
This video is proof positive that you don’t need to hit the gym—or have a ton of time or space—for a truly killer workout. Speed through this routine when your schedule is packed, and don’t worry: With exercises like one-legged squats and moving planks (and only 10 seconds of rest between each), you won’t be missing out on any muscle-building benefits.
HIIT stands for high-intensity interval training. “This refers to tough quick, intense bursts of exercise, followed by short recovery periods. This type of training gets and keeps your heart rate up,” explains Laferrara, while also (typically) decreasing the overall amount of time you spend training. This workout is great for burning fat because the intense intervals help kick-start the process known as excess post-exercise oxygen consumption (AKA the “afterburn effect”), which helps you burn more calories even after you stop working out as your body has to work harder and take in more oxygen to return to its resting state.

It’s no secret that Beyoncé is a crazy-good performer, and while we could never mimic her vocals, with some coaching, we thought we could pick up her dance moves. That’s why we were so excited to discover this video series featuring choreographer Frank Gatson, Jr., who breaks down every portion of Beyoncé’s Let’s Move! campaign, which features a remix of “Get Me Bodied.” Watch the first instructional portion and then the second one to learn the entire routine.
LSR, SBS, HV, NPA, JEI, UW and DS contributed to the conception and design of the study. LSR, SBS, HV and DS were responsible for the collection of the Generation 100 data in cooperation with colleagues at the Cardiac Exercise Research Group at the Norwegian University of Science and Technology, Norway. LSR, SBS and XT provided the data for analysis. LSR undertook the data analysis and drafted the manuscript. All authors provided critical insight and revisions to the manuscript. All authors read and approved the final version of the manuscript submitted for publication.
This classic move helps flatten the tummy by using your abs efficiently. Hold on behind the knees, scoop the belly in, and curl down to the floor to get into position. Now curl the head and shoulders up slightly, lower back still pressed to the floor. Pump the arms up and down in small motions at your sides. Breathe in for five and out for five until you hit 50 pumps. Sit up and repeat for a total of 100 pumps.
But…. I am not sure why, but I am finding lunges virtually impossible!! I am practicing but even static lunges with just my body weight are so hard to do, I am also only feeling them in the front of my leg. I know to keep 90 degree angles, not to bend forward at the waist and not to extend my knee forward of my foot, so I am wondering if maybe my hamstrings are just pathetically weak or something?!?

What is your current fitness level? – knowing where you are fitness wise may be a hard thing for some to admit, but answering yourself honestly will ensure that you don’t start off with videos you may not even be able to keep up with not to mention finish. There is nothing more discouraging than getting an exercise video and then finding out that you can’t even handle their warm up. The most important thing to keep in mind is that just because you may be starting off at the very beginner’s level, you certainly don’t have to stay there. The more you exercise the stronger you will get and the more your fitness level will increase. It didn’t take over night to end up where you’re starting from so you shouldn’t expect yourself to fix it over night as well.
Bonds H. The politics of the male body in global sport - the Danish involvement. Oxon: Routledge; 2010.  Müller, like Checkley, took a firm stand against exercise machinery, stating they were unnecessary and harmful with advocates described as having ‘biceps or triceps … as their chief credentials.’15 Müller JP. My system. London: Link House; 1904. [Google Scholar] After ‘My System’ was published, Müller traveled throughout Europe with lectures and exercise demonstrations and settled in London in 1912, to establish the ‘Müller Institute’ in which he offered group and individual classes to the public.15,16 Müller JP. My system. London: Link House; 1904.
Many exercise protocols are in use in clinical cardiology, but no single test is applicable to the wide range of patients' exercise capacity. A new protocol was devised that starts at a low workload and increases by 15% of the previous workload every minute. This is the first protocol to be based on exponential rather than linear increments in workload. The new protocol (standardised exponential exercise protocol, STEEP) is suitable for use on either a treadmill or a bicycle ergometer. This… CONTINUE READING
Insanity: The Asylum is the "sequel" to Insanity, and it pushes you hard, further, deeper in ways that the original Insanity workout wasn't meant to do. I'm going to discuss what to expect in this DVD series, then tell you a little about my results. To give you some perspective, I'm almost 40, and only 2.5 months ago, weighed more than I ever had before (222 pounds). I'm pretty short, so I looked like a man-dumpling. I did insanity (all 63 days, never missed a workout), lost 22 pounds, and then was looking for the next thing to help me keep losing. Fortune struck, and this set came out at just the right time. I segued directly into this series. Here's the story.

Clean & Jerk: The other Olympic lift, the clean & jerk actually encompasses two separate movements. Athletes start by explosively lifting a weighted barbell from the ground to the shoulders, often squatting under and then standing to recover. After a brief pause, athletes take a shallow dip and then drive upward to propel the bar overhead, often landing in a split position and then bringing their feet back in line.


Along with prenatal vitamins and regular doctor’s appointment,The Bloom Method should be an essential part of your prenatal experience. Brooke’s knowledge and passion for pre-and-postnatal health and wellness is unmatched. Thanks to the regular workouts and the prenatal exercises that Brooke taught me, I feel amazing, and my belly is tight (no one can believe that I’m almost 7 months along!) The Bloom Method is a fundamental investment in baby and mommy’s health.
Greg Brookes is the founder of GB Personal Training Ltd and KettlebellsWorkouts.com. He has been featured in Men's Health, Women's Fitness, Men's Fitness, and Health & Fitness Magazine, where he wrote a monthly column. He has also been featured in the majority of UK national newspapers. Labelled as "the trainer to the trainers" he delivers seminars and a regular newsletter to help Personal Trainers improve their skills and achieve better results for their clients. Continue reading
Isokinetic KE MVCs were performed at 60 (panel, A), 100 (panel B) and 140 (panel C) deg/s. Isokinetic KE MVCs were measured pre-exercise (pre, average of all three sessions pre-exercise values), shortly after exhaustion (13 ± 4 s after exhaustion), 20 s following exhaustion test (P20) and 40 s following exhaustion test (P40). Data are presented as mean (SE). * significantly different from pre, $ significantly different from exhaustion and # significantly different from P20, 1 item for P < 0.05 and 3 items for P < 0.001.
Bottom line. Strength training with heavy weights is a better way to target your glutes, but that’s not something most people will do. The program includes low- and high-impact routines, so you don’t need to be extremely fit to start. If you don’t mind doing lots of squats and lunges and you like the idea of dancing your way to fitness, this may be good for you. The Brazil Butt Lift eating plan includes basic recipes with easy variations.
Remember when the only thing your cell phone did was make phone calls? Now, you can waste all kinds of time with smartphone apps that allow you to do everything from playing Scrabble to exercising. Smartphones, iPads and MP3 players are excellent resources for home exercisers, particularly if you find yourself getting bored from doing the same old thing, day after day. With the right apps, you can find guided workouts, paced music, timers and more, all of which can add variety and fun to your home workouts.
If sit-ups give you a sore neck, try this alternative. Lie flat with the end of a resistance band or towel tucked under the center of your back. Bend your knees and grab the other end of the band above your head. Inhale and use your ab muscles to slowly peel your body up, letting your head rest against the band. Exhale and return to the starting position. Do five reps, making sure your abs do all the work.
Given that "Superslow" is long out-of-print and much more research and refinement has occurred since the early 1990's I am hesitant to recommend it to anyone other than hardcore collectors of bodybuilding or exercise related ephemera. Ken Hutchins recently updated the entire Superslow manual and further elaborated on many more topics by publishing "The Renaissance of Exercise: A Vitruvian Adventure Volume I" (2011) which is only available via mail-order and not in retail stores. It doesn't even have an ISBN number inside. But "The Renaissance of Exercise" will give you the majority of chapters from the original SuperSlow technical manual in a much more durable hardcover textbook format. It is 320 pages of no-holds-barred Ken Hutchins simply telling the truth about what he has learned after 35 years spent rigorously studying exercise. Considering current prices of some used copies of "Superslow" for sale here on Amazon you might as well spend the $150 with the folks at RenEx and you'll get _WAY_ more for your money. You can also read some of those chapters/articles for free on the RenEx website or at Hutchins' website called SuperSlow Research Zone.
Given that "Superslow" is long out-of-print and much more research and refinement has occurred since the early 1990's I am hesitant to recommend it to anyone other than hardcore collectors of bodybuilding or exercise related ephemera. Ken Hutchins recently updated the entire Superslow manual and further elaborated on many more topics by publishing "The Renaissance of Exercise: A Vitruvian Adventure Volume I" (2011) which is only available via mail-order and not in retail stores. It doesn't even have an ISBN number inside. But "The Renaissance of Exercise" will give you the majority of chapters from the original SuperSlow technical manual in a much more durable hardcover textbook format. It is 320 pages of no-holds-barred Ken Hutchins simply telling the truth about what he has learned after 35 years spent rigorously studying exercise. Considering current prices of some used copies of "Superslow" for sale here on Amazon you might as well spend the $150 with the folks at RenEx and you'll get _WAY_ more for your money. You can also read some of those chapters/articles for free on the RenEx website or at Hutchins' website called SuperSlow Research Zone.

I've been climbing for about a year. This book provides a lot of fundamental techniques for things such as warmup and antagonist training. It's easy to get overzealous when it comes to training but the book gives you keys to build a strong foundation and helps you identify what your already doing right. I will be applying the information to my training.
Major variants: incline ~ (more emphasis on the upper pectorals), decline ~ (more emphasis on the lower pectorals), narrow grip ~ (more emphasis on the triceps), push-up (face down using the body weight), neck press (with the bar over the neck, to isolate the pectorals), vertical dips (using parallel dip bars) or horizontal dips (using two benches with arms on the near bench and feet on the far bench, and dropping the buttocks to the floor and pushing back up.)

In his homeland of Denmark, Müller was a controversial figure. Some conceived his liberal philosophy and promotion of exposing the entire body to the sun to be anti-Lutheran and even pornography. During the last few years of his life, Müller returned to Denmark and vigorously promoted a natural ‘healing spring’, causing further resentment for being perceived as over-spiritual. After Müller’s death in 1938, a memorial bronze statue was erected by the Danish Government, however, he is since mostly forgotten by the general public (Figures 2–4).18 Larsen J. [Internet]. J.P. Muller, a Danish sportsman, world famous – and forgotten. 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://www.learntomuller.com/j-p-muller-a-danish-sportsman-world-famous-and-forgotten/. [Google Scholar]
Individual and group time to exhaustion duration are presented Table 2. Time to exhaustion duration ranged from 3.94 to 9.44 min (S1: 6.07 ± 1.71 min, S2: 5.59 ± 0.99 min, S3: 6.23 ± 1.68 min) and did not differ between sessions (P = 0.156). Individual and group CV are presented in Table 2. The ICC was 0.795 (0.493, 0.950). The typical error of measurement was 0.30 min and the smallest worthwhile change was 0.28 min. Bland-Altman plots for raw and log transformed data are presented in Fig 3. LOA was equal to 15.59.
A typical yoga class involves different types of breathing and stretching exercises. You will need a yoga mat on which you will spend the majority of your workout. A series of warm up exercises involving breathing and stretching usually begins the class. From there, you will engage in a variety of yoga positions designed to stretch and work your muscles. This involves holding your body in challenging poses designed to work a variety of muscle groups at the same time. A cool-down period with breathing exercises will end your session.
While the focus of Pilates is strength training, you'll get some cardio in with moves like this. Stand with your belly pulled in and your arms overhead. Inhale and lower your head, bending the knees and swinging the arms back. Exhale and jump up with straight legs, reaching the arms overhead. Land with the knees slightly bent and return quickly to starting position. Do 8-10 reps at a rapid pace. You should be out of breath when you finish.
Or should I say Chalene JAMS! This is a really fun program. I admit I felt kind of foolish and uncoordinated at first, but now that I know the moves I get in there and sweat up a storm! I like that there are low impact modifications for those of us with back or knee issues that preclude a whole lotta jumping around. I haven't lost any weight doing the program (probably more hormonal and metabolic roadblocks than lack of trying) but I feel better when I do it, so I am not disappointed one bit.
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Your muscles perform several functions during isotonic exercise. They push, pull, bend and straighten. For instance, when you bend your arm at the elbow to perform a bicep curl, you flex your bicep. When you unbend your arm at the elbow to perform a triceps kickback, you extend your triceps. When you lie on your back and push a weight up from your chest, you extend your pectoral muscles. When you perform a pull up, you flex your back muscles. Muscles that perform opposite functions of the same region (such as biceps and triceps flexing and extending the arm) are called complimentary muscle groups. When performing isotonic exercises, it is important to balance exercises between complimentary muscle groups in order to prevent injury and develop balanced strength throughout your body.
Park further away. I know a lot of us have developed the (bad) habit of trying to get the parking spot absolutely closest to our destination—I know this because I have both cut-off and been cut-off by some aggressive drivers who really wanted to park 50 feet closer—but this is dumb. Spare yourself the road rage and do your body a favor by parking further away and getting in some extra walking.
Jumping is the purest form of explosiveness. In this move, the athlete starts from the ground and jumps onto a box of a certain height – start with a lower height box and build your way up. HOW TO DO IT: Start with your feet shoulder-width apart, and drop down to a quarter squat. Then, drive your arms up as they explode out of the quarter squat and onto the box. Once your feet land on the top of the box, you open your hips and stand up. To repeat, you can “plyo” the jump by rebounding immediately off of the ground. An alternate way of completing repeated box jumps is to step down off of the box before jumping back up. MUSCLES USED: Glutes, quads, hamstrings and calves.
The bent-over row is performed while leaning over, holding a weight hanging down in one hand or both hands, by pulling it up towards the abdomen. This is a compound exercise that also involves the biceps, forearms, traps, and the rear deltoids. The torso is unsupported in some variants of this exercise, in which case lifting belts are often used to help support the lower back.
A typical yoga class involves different types of breathing and stretching exercises. You will need a yoga mat on which you will spend the majority of your workout. A series of warm up exercises involving breathing and stretching usually begins the class. From there, you will engage in a variety of yoga positions designed to stretch and work your muscles. This involves holding your body in challenging poses designed to work a variety of muscle groups at the same time. A cool-down period with breathing exercises will end your session.
Preliminary evidence from a 2012 review indicated that physical training for up to four months may increase sleep quality in adults over 40 years of age.[78] A 2010 review suggested that exercise generally improved sleep for most people, and may help with insomnia, but there is insufficient evidence to draw detailed conclusions about the relationship between exercise and sleep.[79]
Exercising in early adulthood is your first step toward staving off osteoporosis, a major risk factor for fractures and frailty. “Your bone density at 30 determines your bone density later in life,” explains Balachandran, whose research focuses on improving physical function in older adults. Sprinting, dancing, and strength training in your teens and 20s stimulate bone growth so you have a larger store to draw from as you age.
KE MVCs were performed at 60, 100 and 140 deg/s. Testing was performed pre-exercise (pre, average of all three sessions pre-exercise values), shortly after exhaustion (13 ± 4 s after exhaustion), 20 s following exhaustion test (P20) and 40 s following exhaustion test (P40). As pre-exercise values for the EMG RMS RF at 60 deg/s differ between sessions (P = 0.038), its time course was not analyzed. Planned comparisons failed to demonstrate significant difference between means for EMG RMS RF at 140 deg/s. VL, Vastus Lateralis muscle; RF, Rectus Femoris muscle; VM, Vastus Medialis muscle, KE, knee extensor muscles (sum VL, RF and VM). Data are presented as mean (SD).
Did you know that there are actually four types of exercise, all of which serve varied purposes? Everyone knows that routine exercise is very important for healthy adults for varied functions, including bone and muscle strength, weight-loss or weight maintenance, heart health and even cognitive health. But there are four different types of exercise: Aerobic (or endurance), strength, flexibility and balance.

Several exercises from Week 1 are carried over to Week 2, but one move is added to each bodypart routine—with the exception of abs—so you can train all muscle groups more completely from multiple angles. Chest, for example, includes two exercises: One is a compound movement (dumbbell bench press) that involves multiple joints (both the shoulder and elbow) to work the largest amount of muscle possible, and the other is an isolation exercise (dumbbell flye) that involves only one joint (shoulder) and targets the pecs to a greater extent. (When doing presses for chest, the deltoids and triceps are involved to a degree, meaning presses don’t isolate the pecs as much as flyes do.)
Natalie Jill is a very popular fitness trainer who you will see guest starring on some of the other sites and channels found in this list. Her best videos can be found on her personal fitness blog which shares workouts for weight loss, exercise ball routines, jump rope workouts, booty belt workouts, body weight exercises and more. Natalie also shares great healthy recipes and useful nutrition tips on her site.
One new exercise is added to each bodypart routine to provide even more angles from which to train your target muscles to promote complete development. You’ll hit each muscle group with two exercises of 3­–4 sets each: four sets for large bodyparts (chest, back, shoulders, quads, hamstrings) and three sets for smaller bodyparts (biceps, triceps, abs, calves). The result is 16 total sets for the week for large bodyparts and 12 sets total for smaller ones—again, working in the 8–15-rep range—which is a substantial increase in volume from Week 1.
Ready to begin rehabbing your core before you’re cleared to exercise? We can help with this too! Have a talk with your care provider and we’ll take care of the rest. During this early rehabilitation stage, we keep it simple, helping you integrate our techniques into your new life, progressing you when you and your body are ready for the next steps. The way we connect to our body in the first several weeks postpartum can really set the stage for the months ahead.
One of the difficulties in diagnosing OTS is that this should be based on “exclusion criteria”.1 18 Although, in recent years, the knowledge of central pathomechanisms of the OTS has significantly increased, there is still a strong demand for relevant tools for the early diagnosis of OTS. By calculating sensitivity for detection of NFO and OTS, a good indication of the value of the different measures for the diagnosis of unexplainable underperformance is obtained (table 2).
All three workout methods provide physical and mental benefits. In fact, the Centers for Disease Control and Prevention (CDC), reports that engaging in aerobic and/or muscle-strengthening activities 3 to 5 times a week for 30 to 60 minutes improves your physical health, mental health and mood. It serves to improve sleep, reduce stress and improve your overall sense of well-being. Exercising regularly can help you live a healthier, happier life.
Pharmacologic beta-adrenergic blockade reduces maximal heart rate (HR) during exercise but variable results have been reported for minute ventilation (VE), CO2 output (VCO2), and O2 uptake (VO2). A total group of 19 subjects with mild asthma was studied. We studied 16 subjects from the group who received placebo or pindolol, a beta-adrenergic antagonist, during 1-min incremental exercise on a ... [Show full abstract]Read more

Endurance exercise refers to one’s ability to do a prolonged exercise of moderate intensity. Strength endurance specifically, refers one’s ability to exert a low to moderate level of force for lengthy periods of time. “Aerobic” means the presence of oxygen and includes activities that increase your breathing and heart rate like walking, jogging, swimming, and biking. Aerobic exercise, such as running can be done anywhere, however, doesn’t build muscle, which is an essential aspect of fitness.


Squat between putting away dishes. During repetitive physical activities such as putting away dishes or loading the dishwasher, throw in squat, lunge, or other repetitive exercise between each repetition. This way, you'll naturally end up doing repetitions of exercises that need to be performed in repetition. putting each dish away or in the dishwasher.
^ Jump up to: a b c d Ranjbar E, Memari AH, Hafizi S, Shayestehfar M, Mirfazeli FS, Eshghi MA (June 2015). "Depression and Exercise: A Clinical Review and Management Guideline". Asian J. Sports Med. 6 (2): e24055. doi:10.5812/asjsm.6(2)2015.24055. PMC 4592762. PMID 26448838. Keeping in mind that exercise shows no medication side effects such as withdrawal symptoms (20), weight gain, dry mouth or insomnia (21), but shows potential health benefits such as weight reduction, it is highly recommended to use exercise as an adjunctive treatment for depression (22). New findings confirm that exercise can be recommended as a first-line treatment for mild to moderate depression; as an adjunct to medications (23); as an alternative to cognitive behavioral therapy (11); and in preventing depression in clinical as well as healthy populations (24–26). ... Although recent findings have shown that exercise can decrease depressive symptoms, there are still many questions and limitations to wider application of exercise in depression. For instance, there are deficiencies in methodological planning such as uncontrolled nonrandomized trials, small sample sizes, inadequate allocation concealment, lack of intention-to-treat analyses, non-blinded outcome assessments, and inclusion of subjects without clinical diagnosis that limit the interpretability of research outcomes (53).
You’ll begin the program with a full-body training split, meaning you’ll train all major bodyparts in each workout (as opposed to “splitting up” your training). Train three days this first week, performing just one exercise per bodypart in each session. It’s important that you have a day of rest between each workout to allow your body to recover; this makes training Monday, Wednesday and Friday—with Saturday and Sunday being rest days—a good approach.
The searches identified 80 studies, of which 11 met the inclusion criteria. In 5 studies, the diagnosis of RCIS was confirmed using an impingement test consisting of lidocaine injected into the subacromial space and elimination of pain with the impingement sign. Randomization methods were used in 6 studies, and blinded, independent examiners were involved in follow-up data collection in only 3 studies. Validated outcome measures were used in all studies. Follow-up was very good in 10 studies and was less than 90% in only 1 study. The specific exercise programs varied among studies. However, general treatment principles were identified among the different studies and included frequency, ROM, stretching or flexibility, strengthening, manual therapy (joint and/or soft tissue mobilizations), modalities, and others.
I have used the standard protocol (10 seconds plus or minus two for both concentric and eccentric contractions) of this method, although sometimes I prefer going a bit faster such as 4/4, 6/6 or 8/8 seconds respectively. It is not easy and even a bit painful to do a single set of each exercise and "inroad" the muscles. Moving from machine to machine between exercises with no rest, one experiences tremendous cardio-respiratory workload (experiences counterpulsation due to very large venous return to the heart) and some feel extreme fatigue when finished. A workout can last as little as 10-12 minutes, based on 5 basic compound exercises (ie: ankle raise, trunk extension, squat, shoulder or chest press, pulldowns), and personally, I found I needed 2 workouts/week in order to achieve the strength gains I desired. Some think only one session per week is needed and I believe this is a personal and time management choice.
The 1980s also brought the grueling workouts from Buns of Steel with Greg Smithey. In Buns of Steel, Smithey guided viewers in a series of rigorous exercises aimed to tone their rears and thighs. Despite the rigor and intensity of the workout, or perhaps because of it, over one million copies of the VHS tape were sold. That said, I can't help but wonder how much of Smithey's—also called the Bunmaster— success is due to his uncomfortably vivid and surreal line: "Don't forget to squeeze those cheeseburgers out of those thighs!" Wait, what? Smithey comes off as pretty sleazy throughout his tapes, but don't let that stop you. The workout is, after all, titled Buns of Steel.
P corresponds to the power expressed in watt (W), T the torque in newton meter (N·m) and the angular velocity in rad/s. Typical recordings of torque, position and EMG signals from the Vastus Lateralis (knee extensor) and Biceps Femoris (knee flexor) could be found in Fig 2. Fig 2 presents all signals previously mentioned for an isotonic resistance of 9 N·m (~ 16.7 W, panel A) and 37 N·m (~ 68.5 W, panel B). The inactivity of the Biceps Femoris during the flexion phase confirms that we were successful in creating a protocol on the dynamometer that isolates the knee extensor muscles during dynamic exercise, as in the exercise model originally proposed by Andersen et al. [10].
Data were analysed using three different methods: visual inspection, parametric statistics and calculation of sensitivity for both OTS and NFO detection. Because the sample size was rather small (ie, maximal 5 for each group), data were first inspected visually. Parametric statistics and sensitivity calculation were used to support conclusions from visual inspection of the data. For the purpose of visual inspection, we created graphs with averages and SE for both the OTS and the NFO groups.
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