Spark People shares short videos for all different types of workouts. There are several categories -- Abs, Cardio, Yoga and Pilates, as well as others that diver into healthy cooking and eating ideas. These workouts are great when you are pinched for time. Choose a 10-12 minute routine and squeeze in some activity where you normally would have skipped it altogether.
Altogether, our findings showed that older adults engage in a variety of exercise types, especially when instructed to perform HIIT, suggesting that future exercise interventions might profit of giving older adults the choice of different exercise types instead of offering only one. Our findings also suggest that interventions to promote exercise in older adults should focus on both indoor and outdoor environments. The popularity of exercising outdoors in both colder and warmer months highlight the importance of facilitating outdoors areas such as hiking trails. Furthermore, our findings show that sex differences in exercise patterns exist and need to be taken into consideration when designing exercise programs targeting older men and women. Given the increasing number of older adults [1] and the health benefits associated with exercise [32], information on how to get older adults to exercise and maintain their exercise behavior is important. The results of the present study can help clinicians and researchers to develop exercise programs targeting older adult’s interests and in that way improve long-term participation.
Video Abstract for the ESSR 44.4 article “The Age-Associated Reduction in Propulsive Power Generation in Walking” from author Jason R. Franz. Propulsive power generation during push-off in walking decreases with advancing age. A common explanation is an accommodation for sarcopenia and muscle weakness. Yet, muscle strengthening often yields disappointing outcomes for walking performance. We examine the hypothesis that declines in force or power generating capacity of propulsive leg muscles cannot fully explain the age-related reduction in propulsive power generation during walking.
When intensity is high, it is physiologically impossible to work out for a long time. Doing more exercise than is minimally necessary to stimulate adaptive changes (or to maintain a proper level of fitness) drains bodily resources and compromises recovery. A properly performed workout should take no longer than 45 minutes, which if done in a gym can also include some time spent on a treadmill at the end of the workout.
A 2015 review of clinical evidence which included a medical guideline for the treatment of depression with exercise noted that the available evidence on the effectiveness of exercise therapy for depression suffers from some limitations;[53] nonetheless, it stated that there is clear evidence of efficacy for reducing symptoms of depression.[53] The review also noted that patient characteristics, the type of depressive disorder, and the nature of the exercise program all affect the antidepressant properties of exercise therapy.[53] A meta-analysis from July 2016 concluded that physical exercise improves overall quality of life in individuals with depression relative to controls.[43]
One of the rotator cuff strengthening exercises proposed by Kuhn is scaption performed with the thumb down or up. Clinically, this exercise is called the empty-can (thumb-down) or full-can (thumb-up) exercise. When prescribing this strengthening exercise, one should consider the effect that upper extremity position has on the tissues located in the subacromial space. Yanai et al4 showed that impingement forces on the rotator cuff tendons under the coracoacromial ligament were greater with the empty-can exercise than with the full-can exercise. Therefore, the full-can exercise is more appropriate for this patient population.
Fortunately, recent scientific studies have shown that Ubiquinol CoQ10 and PQQ supplementation will protect the mitochondria and reduce high levels of oxidative stress. With less mitochondrial fatigue, tolerable exercise can be had by the CFS/ME person.  Please also check the supplement page as I also use PQQ for oxidative stress along with Ubiquinol. 
Anyone who watched Jackie Warner on Bravo's Work Out knows she takes a tough-love approach to fitness. And, clearly, if you've checked out her abs lately, it works. She shares her signature circuit-training workout in this high-energy DVD that gives the option of four different 15-minute workouts or one 40-minute total body circuit, and left me feeling like I just had an up-close-and-personal training session with the exercise guru.
So what's so special about tendon problems and eccentric exercise? It seems that eccentric exercise seems to be helpful to injured tendons. Why? Researchers still do not know why this type of exercise is special. Still, if you have a tendon injury, like Achilees tendonitis, your physical therapist may have you perform eccentric exercises to help treat your condition.
This program isn’t just for the true beginner who has never touched a weight before; it’s also suitable for anyone who has taken an extended leave of absence from training. How long has it been since you went to the gym regularly? Six months? A year? Five years? No worries: The following routines will get you back on track in—you guessed it—just four short weeks. Let’s get to work.

If you’ve ever skipped a workout because you’re just too sore from a previous one (hey, these videos are tough!), you’re definitely not alone. That’s why we love this easy-to-follow routine. It features exercises that stretch and strengthen your muscles simultaneously so you give your body the chance to recover—without skipping a workout altogether. That’s what we consider a win-win.
If you’re sick of doing endless repetitions of traditional squats, check out this video to challenge your muscles in new ways and spark some creativity. “We asked certified personal trainer and Women’s Health’s Next Fitness Star, Selena Watkins, to pull together 15 dance-inspired versions of this classic booty toner, and the results are giving us a whole new appreciation for an old-school move,” says the magazine. This routine is just a sampler of some of the squat variations you could complete. Pick three or four and incorporate them into your next leg day to spice things up.
After 5 min warm up at 20% of peak power output, subjects performed a time to exhaustion at 85% of peak power output. Exhaustion was defined as a decrease in cadence below 40 cpm for a duration ≥ 10 s or when the subject voluntarily stopped. Subjects were not aware of the time elapsed during the time to exhaustion test. Verbal encouragements were provided by an experimenter naïve of time to exhaustion during the previous sessions.
The Internet may be your favorite way to waste time, but it also offers a wealth of resources for home and/or traveling exercisers. Not all content is created equal on the World Wide Web but, if you know where to look, you can find almost everything you need to know about exercise: How to set up a home gym, create your own exercise program, and learn the basics of cardio, strength training and how to get in shape with exercise.
Jump up ^ Rhodes, J. S; Van Praag, H; Jeffrey, S; Girard, I; Mitchell, G. S; Garland Jr, T; Gage, F. H (2003). "Exercise increases hippocampal neurogenesis to high levels but does not improve spatial learning in mice bred for increased voluntary wheel running". Behavioral Neuroscience. 117 (5): 1006–16. doi:10.1037/0735-7044.117.5.1006. PMID 14570550.
Jump up ^ Linke SE, Ussher M (2015). "Exercise-based treatments for substance use disorders: evidence, theory, and practicality". Am J Drug Alcohol Abuse. 41 (1): 7–15. doi:10.3109/00952990.2014.976708. PMC 4831948. PMID 25397661. The limited research conducted suggests that exercise may be an effective adjunctive treatment for SUDs. In contrast to the scarce intervention trials to date, a relative abundance of literature on the theoretical and practical reasons supporting the investigation of this topic has been published. ... numerous theoretical and practical reasons support exercise-based treatments for SUDs, including psychological, behavioral, neurobiological, nearly universal safety profile, and overall positive health effects.
Here's a way to tone the thighs and butt without a reformer. Begin by kneeling. Lean to the left, placing your left hand on the mat under the shoulder and your right hand behind the head with the elbow pointing up. Raise your right leg until it is parallel to the floor. Holding the torso steady, kick the leg to the front and then to the back, knee straight. Do five reps on each side.
Two incremental graded exercise tests until exhaustion were performed, with 4 h of rest in between. One hour before each test, the athletes received a standardised meal (2315 kJ, 73% carbohydrate, 19% protein, 8% fat). Athletes arrived in the laboratory at 07:00 after an overnight fast. The first blood sample was collected as they arrived. Immediately after the first exercise test, the second blood sample was drawn. The third and fourth blood samples were drawn before and immediately after the second test. A schematic overview of the protocol can be found in fig 1. Because it is known that venepuncture increases blood prolactin, going back to baseline within 30 min, blood was drawn before and after each test (four punctures) creating the same “stress” in each situation. The study protocol was approved by the university ethical committee.
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.
The best 7-minute workouts on the planet are the ones you’ll actually do. This is what I know for sure after testing out more than 30 of them over the past few months. That and yes, they really do work. Adding in short blasts of high intensity interval (HIIT) training consisting of various strength, cardio, core, and flexibility exercises whenever I have a spare seven minutes in my day, have helped me get stronger, leaner, faster, and to feel better overall.

If you ask most busy people why they don’t exercise, by far the most common reason is that that they “don’t have time.” The effort of putting on workout clothes, going to the gym and showering is simply too onerous to fit in. Even the idea of a boring home workout or a 30-minute exercise tape can feel like too much of a commitment when we’re late for work or for a date.
Although there is research concluding the effectiveness of the Alfredson protocol, some individuals find the completion of 180 repetitions of exercise daily to be difficult to achieve.  A study in the February 2014 issue of the Journal of Orthopaedic and Sports Physical Therapy indicated that a modified version of the Alfredson protocol with a "do as much as tolerated" approach achieved similar positive results as the full 180 repetition protocol.
Various weighted dumbbells. Some exercises require heavier weights, while others will need lighter weights or none at all. Try to have a range of dumbbells: a light set (3 to 5 pounds for women, 5 to 8 pounds for men), a medium set (5 to 10 pounds for women, 10 to 15 pounds for men), and a heavy set (10 to 20 pounds for women, 15 to 30 pounds for men).

Physiological, psychological and EMG responses to the time to exhaustion tests are presented Figs 4 and 5. Leg RPE (Fig 4A), leg muscle pain (Fig 4B) and heart rate (HR, Fig 4C) increased over time (all P < 0.001). Cadence during the time to exhaustion decreased over time (P < 0.001). Planned comparisons for these aforementioned parameters are presented Fig 5. EMG RMS of the VL (Fig 5A), VM (Fig 5B), RF (Fig 5C) and the sum of these muscles (Fig 5D) increased over time (all P < 0.001). Planned comparisons for EMG parameters are presented Fig 5. Blood lactate concentration increased (from 1.3 ± 0.5 to 6.0 ± 1.1 mmol/L, P < 0.001) and blood glucose concentration decreased (from 5.3 ± 0.5 to 4.4 ± 0.3 mmol/L, P = 0.001) over time.
More recently, exercise was regarded as a beneficial force in the 19th century. After 1860, Archibald MacLaren opened a gymnasium at the University of Oxford and instituted a training regimen for 12 military officials at the university. This regimen was later assimilated into the training of the British Army.[145] Several mass exercise movements were started in the early twentieth century as well. The first and most significant of these in the UK was the Women's League of Health and Beauty, founded in 1930 by Mary Bagot Stack, that had 166,000 members in 1937.[146]
Stuck in the strength training doldrums? Our best piece of fitness advice is that "Variety is key." Greatist has shared all sorts of ways to take workouts from "hum drum" to "hot stuff." We're now turning our eye to eight effective strength training techniques. So grab that workout log and a pen, because here are some great ways to challenge the status quo and add a little variety to the normal gym routine.
To try it, choose a medium-heavy weight (50 percent to 70 percent of your one-rep-max, or 1RM, if you know it). Lift it with as much velocity as you can muster, then lower it with control. For instance, if you are bench pressing, the push up will feel almost as though you are punching the weight up into the ceiling. Once you have completed the lift, slowly lower the weight to your chest. You can apply this technique using a variety of implements, including dumbbells, barbells, weight machines, elastic bands, and body weight, he explains.
Most studios offer yoga mats for your use, but you should purchase a fitness mat if working out at home. You’ll also need comfortable clothing, as you will flex your body into a variety of positions. You will most likely be barefoot, so purchasing specific footwear is not usually necessary. Other items such as straps and balls can accompany yoga routines, but they may not be necessary right away or even at all. A water bottle and towel will help you to stay hydrated and comfortable during your class. You will be bending and stretching, so it’s best to avoid heavy meals a few hours before your class.
Findings indicated that exercise is beneficial for reducing pain and improving function in individuals with RCIS. The effects of exercise might be augmented with implementation of manual therapy. In addition, supervised exercise might not be more effective than a home exercise program. Many articles had methodologic concerns and provided limited descriptions of specific exercises, which made comparing types of exercise among studies difficult. Based on the results, Kuhn generated a physical therapy protocol using evidence-based exercise that could be used by clinicians treating individuals with impingement syndrome. This evidence-based protocol can serve as the criterion standard to reduce variables in future cohort and comparative studies to help find better treatments for patients with this disorder.

A compound exercise is a move that incorporates multiple muscle groups, like lunges, deadlifts, and squats. It may also refer to two moves being strung together, like a bicep curl to a shoulder press. Compound exercises are efficient for increasing overall muscle mass and burning calories (because they require more effort to complete), as opposed to isolation exercises, which focus on working just one muscle group (like a bicep curl).


If you want to form a gym habit, it can be difficult to know what to do or how to workout. Once you become immersed in exercise, it can feel like there’s not enough time to try all the different things! Plain and simple, this is just a knowledge gap. Learning how to workout is like learning anything else, it requires time, research and study. Hiring a personal trainer is the fastest route around this, but it also helps to be a “student of the game” by continuing to educate yourself.
Simply put, progressive overload means that you are consistently lifting or pulling a little more each week (or progressively on a schedule that aligns with your capacity). Lifting weight will break down your muscles. However — and this is where the magic happens — when the muscles grow back, they grow back stronger, but only if you are subjecting them to progressive overload.
Behind the seemingly uniform acute hormonal response to exercise, explaining the disturbance to the neuroendocrine system caused by OTS is not that simple. There are several similarities with other intensive and chronic stress situations. There is compelling evidence for the involvement of HPA axis abnormalities in chronic stress situations such as post-traumatic stress disorder17 and depression25 and probably also during NFO and OTS. In chronic stress situations, the number of ACTH and cortisol secretion pulses is increased, which is also reflected in elevated urinary cortisol production.25

Matt Sauerhoff, owner of The LIV Method says one of his favorite, fastest and easiest to do on the go moves is the wall squat. “Start with your back against the wall and your heels about a foot off the wall. Bend your knees and slide down the wall until your legs create a 90-degree angle,” he says. “Make sure your knees are aligned over your toes/laces. Press heels into the floor and focus on contracting your abs, pressing lower back into the wall so it’s flat. Hold for 30 seconds.” Combine it with these 30 Fat-Burning Foods and you’ll be melting the fat in no time!


Barre workouts are appropriate for individuals of all fitness levels. It is ideal for individuals who wish to improve their core strength and posture. Many of us often sit in a hunched position at a desk or in front of a computer for long periods, and it takes its toll over time. Barre is appropriate for individuals who are seeking an intense but low-impact workout that will offer quick results.
Flexibility is a factor in yoga, but it is not a necessary for beginner classes. Continued practice over time will increase your agility and flexibility. You can see positive results over time even if you only attend an hour a week, but attending classes around 2-3 times per week will help you experience the most benefits. Yoga classes usually last around an hour from warm-up to cool down.

HIIT training is a type of interval training but more high-intensity, as the name implies. :) It entails getting your heart rate up close to its max, then briefly resting before doing it again. HIIT is well-known for being a very time efficient way of burning calories. Here’s an example, which you would do on a treadmill. Total workout time is five minutes:
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.

Tori is a dancer from Los Angeles, and she incorporates all of the dance moves she uses regularly in a super fun and high-energy workout. As she explains, you don’t need to be a dancer to take her classes. In just five minutes, Tori manages to work your booty, core, arms, and legs. A great intro workout, this low-impact routine requires no equipment — just an empty space — and will be sure to warm you up.
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.
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.
Begin this starter sit-up with your legs straight in front of you. Extend your arms over your legs and lower your head between your arms. Curl backward, bending your knees, and stop halfway down. Raise your arms straight up and pull your abs in tightly. Exhale and lower your arms as you curl back up. Do 6-8 reps at a moderate pace. As you become more advanced, try lowering all the way to the floor.
The practice of the MMB methods is generally emphasized in three areas. Firstly, human movement is achieved with involvement of a centrally controlled dynamic synergy between the body’s stability and mobility movement elements.61 Hoffman J, Gabel P. Expanding Panjabi’s stability model to express movement: A theoretical model. Med Hypotheses. 2013;80(6):692–7.10.1016/j.mehy.2013.02.006[Crossref], [PubMed], [Web of Science ®] [Google Scholar] This ensures all the muscles of the body concurrently employ or counter movement forces which results in visible harmonious movements. Secondly, functionality is required as the MMB is aimed at correct natural movements that reflect the requirements of activity and life in the modern world. Consequently, non-functional movements are unjustified as an MMB exercise. Thirdly, learning of MMB exercises requires a cognitive focus on achieving harmonious functional movements. With practice, the cognitive learning process enables an automatic and harmonious physical performance, making the exercises as well as everyday tasks easier, safer, and more efficient. The MMB exercises were intended by their creators to be healthy and enjoyable, a cultural alternative to the practice of aggressively overtraining the body and accepting pain and injury as normal components of sport.

Rock climbing is one of the most physically challenging sports, testing strength, endurance, flexibility, and stamina. Good climbers have to build and maintain each of these assets. This is revised and updated edition of the classic book, Conditioning for Climbers, provides climbers of all ages and experience with the knowledge and tools to design and follow a comprehensive, personalized exercise program.
Movement is essential during all stages of life, becoming a necessity during pregnancy. Through regular exercise and successful re-patterning of daily movements, many discomforts and fears associated with pregnancy can be eliminated while profound research shows that adopting the right fitness program during the 9 months of pregnancy provides endless benefits to both mom and baby.
Rake those leaves. Raking is already an excellent calorie-burning activity, so do it! Raking is not only great for your yard and lawn, but also for your body. Because your core (your back and abdomen) has to work to stabilize your body while your arms are maneuvering the rake, raking is good exercise for both your arms and core. Weirdly, there's a page all about raking as a workout, which you can read here.

Instructor Leah Sarago offers moms-to-be six 15-minute workouts in Fit + Sleek Prenatal Physique. Choose from cardio (think lunge variations with leg and arm lifts), bump-friendly core sessions and upper-body mat exercises. String a few together for a longer workout, or "pick just one if you want to ease up as your pregnancy progresses," our due-any-day tester suggested.
Many exercise interventions have been conducted under controlled laboratory conditions [9], but we do not know how older adults prefer to exercise when they are not under controlled settings and are free to choose type, location and social setting (e.g. alone vs. together with others) of exercise. Furthermore, it has been shown that high-intensity interval training (HIIT) can induce superior changes in health-related markers compared to continuous moderate-intensity training (MCT) [10–13], also in older adults [14, 15]. The scientific interest in HIIT has greatly increased during recent years [9], but larger and longer studies under free-living conditions are needed to investigate whether HIIT is feasible as a public health strategy among older adults [9, 16]. Therefore, detailed information about older adults exercise patterns with MCT versus HIIT outside laboratory conditions is of particular interest.

Video Abstract for the ESSR 46.1 article “Sedentary Behaviors and Adiposity in Young People: Causality and Conceptual Model” from author Stuart Biddle. Research on sedentary behavior and adiposity in youth dates back to the 1980s. Sedentary behaviors, usually screen time, can be associated with adiposity. While the association is usually small but significant, the field is complex, and results are dependent on what sedentary behaviors are assessed, and may be mediated and moderated by other behaviors.
The best 7-minute workouts on the planet are the ones you’ll actually do. This is what I know for sure after testing out more than 30 of them over the past few months. That and yes, they really do work. Adding in short blasts of high intensity interval (HIIT) training consisting of various strength, cardio, core, and flexibility exercises whenever I have a spare seven minutes in my day, have helped me get stronger, leaner, faster, and to feel better overall.

Jump up ^ Petersen RC, Lopez O, Armstrong MJ, Getchius T, Ganguli M, Gloss D, Gronseth GS, Marson D, Pringsheim T, Day GS, Sager M, Stevens J, Rae-Grant A (January 2018). "Practice guideline update summary: Mild cognitive impairment – Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology". Neurology. Special article. 90 (3): 1–10. doi:10.1212/WNL.0000000000004826. PMID 29282327. Lay summary – Exercise may improve thinking ability and memory (27 December 2017). In patients with MCI, exercise training (6 months) is likely to improve cognitive measures and cognitive training may improve cognitive measures. ... Clinicians should recommend regular exercise (Level B). ... Recommendation
The two 20-minute high-energy kickboxing routines combined with other cardio moves eliminate boredom in this program. When I felt particularly ambitious, I did both together for one calorie-blasting 40-minute workout; I chose one or the other when I only had 20 minutes to spare in the morning. Make sure to do this in a spacious room, because the amount of kicking, punching and movement, as I unfortunately discovered, is not tailored to tiny spaces.
Stand with feet shoulder-width apart. Lift right leg straight back and up; at same time, hinge at waist and bring hands or fingertips to floor in front of left foot. Bend both knees, bringing right knee behind left knee. Press back up through left foot to return to previous position. Do 15 reps, keeping leg raised, then switch sides and repeat. Do 3 sets.
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).
Do you want low, medium or high impact workouts? – Impact is important when it comes to how intense you workout is. Do you need or want low impact or do you want to really take it up a notch (or several) and get a challenging workout that will have you begging for it to be over? Most exercise videos will give you information on what kind of impact you will experience by doing it.
Sensitivity of ACTH and PRL for the detection of OTS was four out of four and five out of five, respectively (table 2; cutoff, 200% at the second exercise test) and for the detection of NFO was four out of five and three out of three, respectively. Sensitivity of cortisol (cutoff, 200% at the second test) and GH (cutoff, 1000%) for the detection of OTS was four out of five and two out of five, and for the detection of NFO, one out of five and two out of four, respectively (table 2).
Stephanie Mansour, weight loss and lifestyle coach for women, has a great way to get your triceps toned while you’re watching TV. Just do 30 tricep dips on your couch. Here’s how: “Hands on edge of couch, fingers facing you. Bend your knees at 90-degree angle, scooting your butt up so it almost touches the couch,” she says. “Bend at the elbows, lower your body down, then press back up and straighten your arms. Repeat for 30 seconds to work on arm flab.”

The Alfredson protocol for Achilles' tendinopathy is actually two separate exercises.  To perform the exercises, you must have a small step or curb on which to stand.  Be sure to check in with your doctor or physical therapist to ensure that it is safe for you to exercise and that you are performing the exercises correctly.   Here is how you perform the Alfredson protocol:
An early detailed documentation of a Western mind–body exercise philosophy was created in the late 18th century by Swedish medical gymnastics teacher Pehr Henrik Ling (1766–1839), who is remembered as the father of Swedish Gymnastics. Ling developed an apparatus-free method to improve functional movement and concurrently address the concept of prevention and healing of human diseases.4 Bakewell S. Illustrations from the Wellcome Institute Library: Medical gymnastics and the Cyriax collection. Med Hist. 1997;41:487–95.10.1017/S0025727300063067[Crossref], [PubMed], [Web of Science ®] [Google Scholar] His early age rheumatism, experiences as a Fencing Master and his studies of medicine at Uppsala University influenced his ideas on the remedial benefits of physical training.5 Brodin H. Per Henrik Ling and his impact on gymnastics. Sven Med Tidskr. 2008;12(1):61–8.[PubMed] [Google Scholar] His 1853 book ‘Gymnastic Free Exercises’ stated: ‘It cannot be denied that the art of preventing disease is far preferable to that of curing it.’6 Ling PH. The gymnastic free exercises. Boston (MA): Ticknor, Reed and Fields; 1853. [Google Scholar] Ling regarded his ‘gymnastic free exercises’ as one of two separate yet related systems; the other being competitive gymnastics and athletics. Together, these two systems defined what became the Physical Culture or Gymnasium Movement of the 19th century.5,7 Brodin H. Per Henrik Ling and his impact on gymnastics. Sven Med Tidskr. 2008;12(1):61–8.
The Instructor – This is one of the most important factors of your exercise video. If you don’t like the instructor, it will eventually irritate you enough to stop using it. Look for instructors that motivate you to work harder and push harder not work to end the video so you don’t have to listen to them anymore. It’s a plus for the instructor to actually have a fitness background of some kind, which is both for your safety and to give you the knowledge that the video has legitimate foundations in real fitness rather than just being something they did on a whim or for celebrity endorsement.
In summary, Kuhn demonstrated substantial evidence in randomized clinical trials that exercise is effective for treating individuals with RCIS, thereby supporting its use in clinical practice. However, as Kuhn indicated, detail related to which specific exercises are best to prescribe is lacking. Thus, it might be premature to label this exercise protocol as a criterion standard based on current available evidence. In addition, the multifactored nature of RCIS indicates that individuals do not present with a homogeneous list of impairments. Therefore, we believe that using the same exercise program to treat everyone who has RCIS is inappropriate. An effective exercise program is derived not only from the pathoanatomic diagnosis but also from the synthesis of factors, such as pain, impairments, and functional limitations. Furthermore, we believe follow-up examinations might be necessary to modify and progress the individual's exercise program. Development of a classification-based treatment approach using evidence-based exercises with standardized exercise dosage and progression guidelines might optimize outcomes for individuals with RCIS.
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This study was supported by grants from the Liaison Committee for education, research and innovation in Central Norway, The K.G Jebsen Foundation for medical research and the Research Council of Norway. The funding organizations had no role in the design and execution of the study, in the collection, analysis, and interpretation of the data, or in the preparation, review or approval of the submitted manuscript.
Ten patients who consulted a sports physician with complaints of underperformance and fatigue participated in the present study. The eight men and two women had an average height and weight of 181±(8) cm and 68.4±(11.8) kg. All subjects were diagnosed by a sports physician according to the latest guidelines for overtraining diagnosis.1 18 A careful history including training history was taken, completed by a physical examination and a blood draw to rule out other possible causes for the complaints. Patients were diagnosed as NFO or OTS retrospectively according to the severity of symptoms and the total duration of symptoms and underperformance (ie, both before and after testing) when no medical explanation for the condition could be found. It turned out that a cutoff of 1-year total duration gave a good distinction between NFO and OTS patients. Demographic data and reported symptoms can be found in table 1. Data of subject 1 are the same as presented in an earlier publication.10 All subjects signed informed consent before participation.
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