In addition to determining the optimal position from which to initiate an exercise based on the patient's related impairments and level of pain, exercise dosage and progression are important aspects of a rehabilitation program. Intervention details, such as number of repetitions and sets, exercise order, and work-to-rest ratios, should be tailored to each patient based on his or her specific needs. The proposed protocol does not describe a method to determine the initial exercise intensity or the criteria for modification or progression. Using a criterion-based method to determine the initial intensity and progression would individualize these guidelines of the exercise program. In their randomized controlled trial designed to address the effectiveness of exercises to treat RCIS, Lombardi et al6 used a 6-repetition maximum load to establish the starting intensity of strengthening exercises. They6 also recommended a reevaluation every 2 weeks to make necessary adjustments to exercise intensity. Although we do not know whether the 6-repetition maximum-load criteria used in their study is optimal, it is an excellent example of a criterion-based method to determine initial exercise intensity and progression. Future research on exercise for the treatment of RCIS should include criterion-based methods to determine the optimal exercise dosage and progression.
Training to Failure. During most lifts with a moderately heavy weight, the set is completed before failure is reached. Muscles feels taxed, the sweating has begun, a few more sets are rocked, and we move on to the next exercise. This is a great way to get stronger, but is taking a set to failure an even better way? Yes and no Muscle Activation strategies during strength training with heavy loading vs. repetitions to failure. Sundstrup, E., et al. 1 National Research Center for the Working Environment, Copenhagen, Denmark 2, Institute of Sport Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark 3Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark. Journal of Strength and Conditioning Research. 2012 Jul;26(7):1897-903.. While training to failure — lifting until the body can't do a single more rep — recruits more muscle and triggers the body to release more strength-building hormones, it’s most effective if a very high percentage of a one rep max can be performed The application of training to failure in periodized multiple-set resistance exercise programs. Willardson, J.M. Physical Education Department, Eastern Illinois University, Charleston, Illinois 61920, USA. Journal of Strength and Conditioning Research; 2007 May;21(2):628-31. The mechanisms of muscle hypertrophy and their application to resistance training. Schoenfeld BJ. Global Fitness Services, Scarsdale, New York, USA. Journal of Strength and Conditioning Research; 2010 Oct;24(10):2857-72.. Also, sets to failure increase the opportunity for overtraining and injury, so it’s best to use this technique only occasionally and with a spotter.
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.
Vinylcise has been historically neglected, and probably for good reason: it's terrible, and not very effective—at least not since we've had visual media alternatives. Can you imagine trying to follow along to an audio-only workout? At any rate, these workout records first appeared in the early 1920s, and were usually accompanied by a paper foldout with exercise diagrams (see the image). The earliest of these records appear to be the set of five Wallace Reducing Records released in 1920-1922 by the Wallace Institute of Chicago and pressed by Columbia Records. These records were marketed towards women, aiming to help them "get thin to music." Other exercise records of the 1920s included Victor Records for Health Exercises, released in 1922, the Battle Creek Sanitarium Health Ladder, directed by John Harvey Kellogg and released by Columbia Records in 1923, and Walter Camp's Daily Dozen, released in 1924.
Now that the holidays are creeping around the corner, you may have to break up with your regularly scheduled sweat sessions, at least temporarily. And though the most wonderful time of the year may interfere with your fave spin class or butt-kicking bootcamp routine, it’s completely possible to stay fit—all you need is an Internet connection and a little living room space. (OK, and maybe a few props here and there.) And it’s all thanks to these seriously excellent, totally free workout videos. We’ve rounded up the best YouTube workouts—we’re talking everything from traditional aerobics to ballet to high-intensity interval training routines—so you can keep your physique in tip-top shape this season and beyond.
Take the stairs. You know, some people pay to use stairs (read: they buy a stair stepper machine), so if you work or live above the first floor, consider using your stairs as a privilege. Using the stairs is great cardiovascular exercise, and also tones your calves, hamstrings, glutes, quadriceps, and abs. Next time you're about to take the elevator or escalator, take the stairs instead. If you have some time to spare, take an extra trip up and down. Or, try a stair-based workout like this one.
The Alfredson protocol should be continued for 12 weeks to see optimal results. During that time, you may wish to consult with a physical therapist who can offer advice on when to return to normal activities, such as running. Your physical therapist can prescribe balance exercises with a BAPS board and plyometric exercises to ensure that you will be able to run and jump without suffering a re-injury to your Achilles' tendon.
Perception of effort, defined as “the conscious sensation of how hard, heavy, and strenuous exercise is” [23, 24], was measured during the incremental test (at the end of each minute) and during the time to exhaustion tests (at the end of the warm-up and every 30 s) using the 15 points RPE scale (Borg 1998). Standardized instructions for the scale were given to each subject before the warm-up. Briefly, subjects were asked to rate how hard they were driving their leg during the exercise (leg RPE [8, 24, 25]). Subjects were also asked to not use this rating as an expression of leg muscle pain (i.e., the intensity of hurt that a subject feels in his quadriceps muscles only).
(3) Recovery Phase (<60% HRR). Postural control and spine mobility exercises in a quadrupedal position with the platform support, exercises of static balance over either 4 or 2 supports, eyes either open or closed, and with core muscle activation. The latter phase also included various poststretch exercises to restore the preexercise muscle length.