All posts by Teresa Stockton

recumbent bikes

How Recumbent Bikes Can Help You with Physical Therapy

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recumbent bikes

Recumbent bikes are fantastic pieces of gym equipment for rehabilitation and physical therapy. Their design and intent make them easy to use, with little strain on sore or injured joints, tendons, and ligaments. They also allow you to strengthen muscles during the process of recovering and after.

What is a Recumbent Bike?

A recumbent bike is a stationary bicycle that has a bucket seat. Instead of sitting directly over the pedals, the pedals are more forward centered on the machine. This makes it easier to use the bike, putting less strain on your knees, back, and hips, all while strengthening your muscles.

Recumbent bikes are seen in home gyms, fitness centers, and physical therapy rehabilitation facilities. Sometimes they are used simultaneously with a traditional upright pedal bike. However, they are typically used more as a graduated process, from a recumbent to a conventional bicycle.

Why are Recumbent Bikes Used in Physical Therapy?

Due to their design, recumbent bikes put less strain on your back, hips, and knees. When you are recovering from injury or surgery, the goal is to rehabilitate you back to the point you were before that event. Sometimes, depending on the circumstances, this can take considerable time. Starting slow is a good way of reducing the risk of hurting yourself, all while providing gentle exercises to regain lost muscle tone and strength.

While you can use a recumbent bike for strength training, they are more often used as a way to work the same muscle groups as an upright bike, but with less trauma to the joints. If you have arthritis or a tendon injury, a recumbent bike is a great starter bike to get you on the road to recover or, at least, be more active.

Recumbent bikes do provide a cardio workout with less strain on the heart. With a goal of increasing heart rate and blood circulation, you can still get a great cardio workout with less stress on your joints.

If you have balance issues, a recumbent bike is often recommended over an upright bike. For patients recovering from a stroke, they can get a cardio workout in, without the worry of falling off the bike. Since you are seated and can be seat-belted in for added safety, a recumbent bike is a good alternative.

Some physicians specifically write their orders that no upright bikes be used for the treatment of their patients. This is because an upright requires you to have a weight-bearing tolerance for standing and mounting the machine. With a good recumbent bike, you can move the seat to the side, and the patient can get on the bike with minimal stress. If they are recovering from back, hip, or knee issues, this is an important differentiating feature between the two types of bikes.

Can You Do Resistance Training on Recumbent Bike?

Yes, you can do resistance training on a recumbent bike. Depending on the model and style of the bike, there are various ways to increase the resistance. If you are rehabbing an injury, the amount of resistance you will want to use will be minimal, so that you don’t hurt yourself. However, you can increase the amount of resistance, giving you a great workout as you heal and progress.

If you are using a recumbent bike in a home gym, you can get a fantastic cardio workout without straining your back and hips.

Recumbent bikes are a great tool in the physical therapy realm. They are also extremely beneficial for home and fitness gyms where you may have some limitations but still desire a great cardio workout.

Please consult your healthcare provider before starting an exercise program. For help finding a workout that fits your lifestyle and ability levels don’t hesitate to call your physical therapist. They have the expertise and skills needed to help keep you active and safely avoid injuries during sports and exercise.

physical therapy near me

carpal tunnel

Carpal Tunnel Causes, Relief, and Treatment

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carpal tunnel

What is carpal tunnel and why does it hurt so much?

The carpal tunnel is a small space at the wrist in which the median nerve and nine tendons pass through. The median nerve travels on top of the tendons through the tunnel. The tunnel itself is made up of your wrist bones and along the top of the tunnel is a thick fibrous ligament called the transverse carpal ligament. If the tendons become swollen (tenosynovitis) or if the tunnel size itself decreases because of injury, compression to the median nerve can occur. Symptoms may include: pain during pinching and gripping, a feeling of clumsiness – the inability to hold things, numbness in the fingers at night, or a radiating pain up the arm.

Risk factors at home and at work

There are many factors that can contribute to pain in the carpal tunnel, but these are some of the most common causes.

  • Repetition – Overuse can occur with light forces. Irritation of the tendon can be caused by rapid, repetitive activity without a break. Decreased blood flow to the nerves and tendons may be caused by holding or gripping an object without relaxation.
  • Force – The muscles of the hand and fingers are contracted when gripping or pinching. These contractions place stress on the tendons that go through the carpal tunnel. Higher forces are more likely to expose you to greater risks.
  • Bending – The tendons in the carpal tunnel can be irritated by bending your hand. Bending your hand up, down, or sideways may inflame the tendons in the carpal tunnel.
  • Vibration – Nerves are especially susceptible to vibration. Common causes of vibration of the nerves in the carpal tunnel are power tools, steering wheels, or other mechanized equipment.
  • Impact – Your hand is not a tool. Hitting, moving, or jerking objects may damage the structures of the wrist. Even using a hammer transmits sudden force to these delicate structures.

Practicing prevention

The first line of defense against Carpal Tunnel Syndrome is reducing the risk factors that may lead to CTS. Look carefully at your equipment and tools and try to eliminate the forces that are risk factors. This can include bending, vibration, impact, and repetition.

  • Tool Handles – A handle should have an optimum grip span of about 2 ¼ inches.
  • Gripping Surface – Use rubberized coating or tubing on your gripping surface. This will lower the grip strength required to hold onto the tool.
  • Reduction in vibration – Place a rubber or gel material on the handles or utilize gloves with rubber inserts to reduce vibration.

Home treatment

  • Ice – Use an ice pack on the palm and wrist area for 10 minutes after intensive hand activities. This can be followed by the wrist stretches.
  • Rest – Rest your hands after frequent, forceful, or repetitive activities that last 30 – 60 minutes. Try doing a different activity which is not as stressful to your wrist and hand.

carpal tunnel

If your pain does not subside, call your physical therapist to schedule an appointment. Physical therapy may be able to reduce pain and remove the need for surgery.

physical therapy near me

women's health physical therapy

4 Common Pelvic Issues Seen by Physical Therapists

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women's health physical therapy

Women’s bodies and their wellness are unique. Many factors cause problems specific to women’s bodies. Physical therapists specializing in women’s health can help female patients eliminate or manage pelvic pain or problems while restoring their quality of life. Using a comprehensive approach to evaluation and treatment, women’s health physical therapy programs can provide relief for these 4 common pelvic issues:

  • Pelvic floor pain or dysfunction
  • Pelvic organ prolapse (POP)
  • Postpartum recovery and or pain
  • Urinary incontinence

 

1. Pelvic Floor Pain or Dysfunction

Pelvic pain can occur for many reasons. One typical cause is what is called a hypertonus dysfunction or an unusual tightening of the pelvic floor muscles. This is common after a long delivery and scar tissue formation from a healing episiotomy. It can also occur from sexual abuse or when the muscles tighten to prevent the “falling out” sensation that occurs with the prolapse of the internal organs. The primary symptom is pain, but it can occur in the back, perivaginal area, lower abdomen, or thighs.

women's health physical therapy

How physical therapy can help pelvic pain patients:

Physical therapy can help to eliminate or manage pelvic pain while restoring the quality of life. This is possible through a comprehensive approach to the evaluation and treatment of the pelvic floor.

 

2. Pelvic Organ Prolapse

According to the International Urogynecology Association (IUGA) and the International Continence Society (ICS), pelvic organ prolapse is defined as the decent of one or more of the anterior vaginal wall, the posterior vaginal wall, the uterus (cervix) or the apex of the vagina (vaginal vault or cuff after hysterectomy). POP can be caused by a variety of circumstances including vaginal childbirth, increased age and/or BMI, increased abdominal pressure, and connective tissue disorder.  The symptoms of pelvic organ prolapse (POP) include:

  • Many women are asymptomatic
  • The sensation of pressure or heaviness in the vagina
  • Feeling of bulging or something coming out of the vagina
  • Urinary symptoms: incontinence, position change or manual reduction of prolapse needed to initiate or complete voiding, weak or prolonged stream, incomplete emptying, obstructed voiding symptoms
  • Bowel symptoms: incontinence, feeling of incomplete emptying, straining, digital evacuation, splinting of vagina or perineum to aid emptying
  • Sexual symptoms: decreased lubrication, sensation, arousal, or dyspareunia

How physical therapy can help pelvic organ prolapse patients:

  • Pelvic floor muscle training (recommended as the first line of treatment in stage 1-2 of pelvic organ prolapse)
  • Strength and endurance training of underactive pelvic floor
  • Stretching and relaxation of an overactive pelvic floor
  • Lifestyle modification to reduce the effect of increased abdominal pressure on the pelvic organ support system

In addition to physical therapy, other treatments for POP may include pharmacological treatment, the use of mechanical devices, and surgical intervention.

 

3. Post Partum Recovery and/or Pain

Birthing a baby is a joyful and yet very traumatic experience. Regardless of the method of delivery, whether VBAC or Cesarean Section, each birth comes with its own potential postpartum problems. From urinary incontinence to pelvic pain, there are just some things after childbirth that are not glamorous and can be embarrassing
to discuss.

While some issues will resolve over time, there may be treatments that can help. Pelvic health physical therapy can address diastasis recti (a tear in the
abdominal wall), urinary incontinence, low back/ pelvic girdle/hip pain, pain with intercourse, or scar pain to name a few postpartum unpleasantries that may benefit from physical therapy.

Potential postpartum problems that can be helped with physical therapy:

  • Urinary incontinence
  • Pain with intercourse
  • Pelvic floor pain
  • Scar pain
  • Diastasis recti
  • Pelvic organ prolapse
  • Difficulty returning to exercise

If you find yourself 6 weeks postpartum and still suffering, please discuss with your OB-GYN and decide if a referral to physical therapy may help.

 

4. Urinary Incontinence

Urinary incontinence can be embarrassing but it doesn’t have to be part of your life. Do you have to change pads every couple of hours? Do you worry
about going out because you need to know where the closest bathroom is? Do you always carry a change of clothes with you? Do you not travel or exercise because of fear of leakage? Don’t live in fear of urinary leakage.

Symptoms of Urinary Incontinence Include:

  • Involuntary loss of urine
  • Increased daytime/ nighttime frequency
  • Urgency
  • Post voiding retention
  • Straining to avoid dribble
  • Leakage with efforts like coughing or other activities.

How physical therapy can help urinary incontinence patients:

  • Behavioral interventions (urge suppression techniques, dietary modifications, appropriate fluid intake, weight loss, habit training)
  • Pelvic muscle re-training (for overactive) as well as underactive pelvic floor
  • Bladder training (bladder diary or scheduled voiding)
  • Neuromuscular re-education (NMES) and biofeedback devices

 

What to expect during a women’s health physical therapy session:

Each person will be individually evaluated and treated in a quiet, private, safe space. The initial evaluation may include an internal exam if the patient is comfortable in order to properly assess the patient’s musculature and symptoms.

  • Musculoskeletal assessment: An evaluation to identify causes of poor postural alignment, strength, flexibility and movement patterns which cause orthopedic pain Soft Tissue Mobilization – to release adhesional restrictions.
  • Observation and palpation of the pelvic floor to the patient’s comfort level
  • Stretching and strengthening techniques
  • Relaxation techniques
  • Soft tissue and joint mobilization
  • Modalities: Interferential electrical stimulation, ultrasound, heat or cold therapy.
  • Biofeedback: Provides measurable assessment of the pelvic floor muscles ability to contract and relax in function.
  • Behavior modification
  • Educational instruction: Home exercise programs and information concerning diet, sleep, work and rest positions and self-management of symptoms.

If you find yourself in need of women’s health physical therapy, talk to your doctor or physical therapist and see if physical therapy would be a good fit for your symptoms. To find a physical therapist near you visit our Find A PT page.

physical therapy near me

Contributions to this blog post were provided by Spring-Klein Physical Therapy (Spring, TX), Therapy Partners of North Texas (North Richland Hills), and STAR Physical Therapy (65 locations throughout TN)

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PT News June 2019

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This time in PT News we recap what our clinics have been posting throughout June 2019. We are excited to begin a new year of new posts featuring published articles from PTandMe partnering clinics!

1. 8 Great Pelvic Floor Stretches to Do During Pregnancy
Written by Ability Rehabilitation with multiple locations throughout Orlando and Tampa Bay.

retching and strengthening your pelvic floor muscles during pregnancy can help relieve your aches and pains — and alleviate stress and tension too. Pelvic floor stretches will also help you have an easier delivery and decrease your risk of urinary incontinence later on.  Read more

 

get active square

2. Get Active to Stay Active

Written by Rebound Physical Therapy, a privately owned, outpatient physical therapy practice throughout Central Oregon.

Summer is a time to have fun and spend time outdoors. It is an opportunity to enjoy the sunshine. It’s a time when you can go out for a walk and roll down the windows and take in everything that nature has to offer, allergies and all. Read more

 

3. For Shoulder Relief Try These Home Remedies

Written by Sport and Spine Physical Therapy with 4 physical therapy locations in Southern, WI.

Shoulder pain can be one of the most disabling problems to deal with. Whether you realize it or not, you use your shoulder pretty frequently throughout most days, as it permits practically any movement that involves your arms. Read more

exercise benefits mental health

Senior Tip: How Physical Exercise Benefits Mental Health

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exercise benefits mental health

We all know the importance of exercise in our lives. Exercise keeps our body, soul, and brain, healthy. It keeps us fit physically as well as mentally. According to Senior Guidance, older adults who exercise regularly have lower rates of getting any kind of mental illness. Moreover, exercise also helps in treating anxiety and depression. Many people believe that with growing age, exercise loses its effect. Hence, there is no need for elderly people to strain their bodies. That’s just not true. Exercise benefits mental health at every age.

Per health experts, regular exercise is highly beneficial for elderly people. It would not only let them live an active and healthy life but would help in increasing their life span. If you want to be physically, emotionally, and mentally fit, try doing regular exercise. Exercise benefits mental health by keeping seniors active and healthy, which would further help them live independently.

A regular, healthy part of senior living should be to find the motivation to do regular exercise. Routine exercise will help older adults become mentally strong and fight mental conditions like depression and anxiety, which are quite common at their age.

Benefits of exercise for aging adults and golden oldies include:

1. Helps You Sleep Better

One of the most common problems faced by senior people is the lack of sleep. As we get older, we tend to have a lighter and less deep sleep. Various researches have proved that exercise boost sleep. Regular exercise improves the quality of sleep. Physical activity like exercise increases the time of deep sleep, which further helps in boosting the immune system and controlling anxiety and stress. Moreover, exercise results in energy expenditure, which makes you feel tired, which results in longer and peaceful sleep.

2. Helps to Maintain the Level of Chemicals in Brain

Brain chemicals or neurotransmitters are responsible for how we feel, physically as well as mentally. This holds true for young and elderly people. Regular exercise stimulates the production of brain chemicals- dopamine, norepinephrine, and serotonin. Regular exercise boosts the release of these brain chemicals, which help us in improving our overall well-being. Exercise stimulates the production of norepinephrine, which counters the effect of stress response in our body. Exercise gives a relaxing and calming effect on our brain and body because of the release of serotonin. Hence, regular exercise is essential for senior people as it helps in maintaining the level of brain chemicals, which decreases mood disorder symptoms, reduces stress, and gives a feeling of calmness and relaxation.

3. Boosts Energy Levels

Fatigue is very common among elderly people. Exercise does not only help in overcoming fatigue but also increases the energy level in the body. Just taking a simple walk in the fresh air not only refreshes your mood but would also boost your energy levels. While exercising, we use the energy which is stored in our body and start making more of it. Sitting and remaining inactive will not bring any change in the state of fatigue. However, getting involved in some physical exercise will make you feel active.

4. Reduces the Muscle Tension

Muscle tension is another common health problem faced by elderly people. Prolonged semi-contracted state in muscles results in muscle tension. This further results in muscle pain and muscle spasm. One of the major causes of muscle tension is lack of exercise. In addition to this, with age, people start losing muscle mass and strength. Older adults who spend most of their time in remaining sedentary faces more muscle related problems. Tense muscles generally lack oxygen and vital nutrients. Exercise increases the flow of blood to muscle cells, which further increases the oxygenation in muscles.

5. Decreases the Risk of Falls

The risk of falls is much higher in older adults. Falls are quite dangerous for them as it not only causes physical damage to the body but also hampers their independence. Recovery time after falls increases with growing age. Regular exercise or enrollment in a fall prevention physical therapy program increases muscle strength and flexibility. Physical exercises result in better bone density, which makes bone stronger and reduces the risk of getting fractures and osteoporosis. Exercise reduces the risk of falls by improving coordination and balance.

6. Makes You Happier and Boosts Positivity

Regular exercise brings positivity in life and makes you feel happier. Exercise stimulates the release of the happy hormone ‘Dopamine’ in our brain. This hormone is very essential for feeling happiness. Studies state that with age, the dopamine level decreases in our brain. This makes regular exercise more important for senior adults.

7. Reduces the Risk of Developing Dementia

Recent studies show that inactivity increases the chances of Dementia among seniors, requiring memory care or assisted living at later stages of the disease. Dementia is an umbrella that covers various mental conditions, including judgment impairment, memory loss, etc. Regular exercise increases the blood flow to the brain, which keeps the cells healthy. Moreover, exercise increases the production of brain chemicals and growth factors, which helps in keeping existing cells healthy and also helps in the growth of new brain cells, which results in increasing memory and control thinking.

Regular exercise is essential for everyone irrespective of age. Exercise benefits mental health by reducing stress, depression, and anxiety. Just make sure to make exercise a part of your everyday regime. It will help you in living a healthy and happy life.

Please consult your healthcare provider before starting an exercise program. If you are looking for help developing an exercise routine that fits your needs and skill level, please reach out to your physical therapist for guidance.

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Post Surgical Rotator Cuff Physical Therapy

Post Surgical Rotator Cuff Physical Therapy

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Post Surgical Rotator Cuff Physical Therapy

A patient will typically be referred for rotator cuff surgery when 90% or more of the tendon is torn. The most common causes for rotator cuff injuries are aging, overuse of overhead activities and heavy lifting. Surgery should never be taken lightly, so we wanted to take some time to inform you about what to bring before surgery, things that can help you immediately after and then give an idea of what to expect as you go through a post surgical rotator cuff physical therapy treatment plan. These are general guidelines. More specific expectations can be given by your healthcare provider.

Items to bring with you before rotator cuff surgery

  • Sling
  • Ice Pack or Cold Therapy Unit

Using your sling

  • You will usually wear for about 4 weeks. (Removing only to wash up and do exercises)
  • Avoid ANY active reaching or lifting up to 6 weeks
  • Getting Dressed
    – Place involved arm in sleeve first.
    – Put your belt in pants first.
    – Slip on shoes is recommended.
  • Sleeping
    – It may be more comfortable sleeping in a recliner instead of a bed.
    – Support your arm with a towel roll or pillow if lying down.
  • Avoid showering for the first couple of days.  (Once able to shower, lean over to let your healing arm hang away from your body, while you use the other to wash.)

Icing your shoulder (Ice Pack or Cold Therapy Unit)

  • Ice for 20 minutes in your waking hour for the first few days.
  • Decrease to 3-5 times a day as needed for pain.

General Care

  • Change dressing daily as recommended by your physician/nurse.
  • No driving especially if right arm and if taking pain medications.
  • Walk around your home at least 1 time each hour to prevent blood clots.
  • Begin therapeutic exercises as soon as instructed

After being cleared for physical therapy, the normal course of a POST-SURGICAL rotator cuff physical therapy has been described as having five stages:

Stage 1: Immobilization

There is a mandatory period of rest for the arm following a rotator cuff surgery. The tendons have been repaired but need to wait through the biological healing phase in order to be able to accept the strain of moving the arm. This period may last 4-6 weeks and may be intermittent with the therapist being able to do slight motions to the arm to keep the joint from getting stiff.

Stage 2: Passive motion

During and after the immobilization phase, you’ll begin performing passive motion exercises. At first, the therapist will provide the muscle to move the arm, but over time, you’ll be educated in the use of pulleys, stretch straps and table stretches to allow the joint to move while keeping the muscles fully relaxed.

Stage 3: Active-Assisted motion

Once the shoulder has achieved full expected passive motion, and with the permission of the surgeon, your therapist will begin active-assisted motion. This type of exercise uses less than 100% of the surgical shoulder’s power to move the arm. The therapist may instruct you in pendulum exercises that employ gravity and momentum. Self-ranging exercises use the uninvolved arm to move the involved arm, either against the weight of gravity or lying down so that the weight of gravity is minimalized. The surgical arm’s responsibility will slowly increase up to 100% of the weight of the arm. Then, you’ll be ready for active motion.

Stage 4: Active motion

The active motion phase begins when the arm is able to carry its own weight against gravity but is not yet ready to lift, push or pull objects. During this phase, your therapist will demonstrate safe motion patterns of the shoulder and shoulder blade. They will monitor the coordination of movement between the muscles to check for specific weakness that could put strain on the repair. Once you can achieve full expected active range of motion against the weight of gravity, and with your physician’s approval, you’ll be ready to add weight.

Stage 5: Strengthening

The strengthening program may start out slowly. Be patient! The muscles are relearning how to work together so inflammation of the tendons and bursae are still a risk in this phase. Your therapist will recommend exercises that you can do at home in order to improve the arm’s tolerance for strength and to reduce the strain on the arm when you come into therapy. Over time, the therapist will demonstrate ways that you can safely use the arm for pushing up from a chair, pulling a door open, reaching into a cabinet and other activities of daily living.

Post surgical rotator cuff physical therapy care can vary based on the patient’s needs and ability levels. Depending upon the severity of the tear, physical therapy can work with patients to heal the tendon and reduce pain. To find a physical therapist near you click the button below.

physical therapy near me

Periodization Weight Training

A Guide to Periodization with Weight Training

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Periodization Weight Training

Periodization is an important technique utilized with training in order to maximize gains, whether it be through increased aerobic performance, speed, and strength. This guide outlines simple tips customizing training programs to prevent plateauing with training and improve performance. By no means is this an exhaustive guide, or an end all be all in regards to what specific exercises to perform to improve function or performance. For specifics on what exercises to perform, this depends on what goals you seek to achieve and physical characteristics, which can be outlined by a physical therapist or certified strength and conditioning coach.

1. Strength, endurance, hypertrophy, power continuing and rest

The amount of resistance, number of repetitions, and speed the exercises are performed all have an impact on how the body will respond to training. Proper training requires proper rest between sets to maximize the effect of whatever you are trying to accomplish. For a rough and dirty guide on training loads and adaptations, use the following:

weight training


Brute Strength
100% of Max (1-5 Reps)
In this range, gains are made more from neuromuscular adaptations with little effect on muscle fiber size.
REST: When training for maximum strength or power, rest for 3— 5 minutes between sets.

 

weight training


Power Training (High Velocity)
80-90% of Max (1-3 Reps)
At a high velocity to promote endurance and power.
REST: When training for maximum strength or power, rest for 3— 5 minutes between sets.

 

weight lifting


Strength and Mass
76-82% of Max (6-8 Reps)
This range still heavily taxes the neuromuscular system but provides a high enough volume to help elicit gains in muscle mass.
REST: When training for strength, utilize a rest scheme of 2— 3 minutes between sets.

 

weight lifting


Mass
68-74% of Max (9-12 Reps)
This range is the best for providing a high enough volume to elicit large gains in muscle mass, but not enough of a stimulus to cause as great of a strength gain as high resistances.
REST: When training to maximize muscle mass, utilize a rest scheme of 60— 90 seconds between sets.

Endurance Training
13+ REPETITIONS- These rep ranges do a better job at promoting muscular endurance, but do not have a high enough intensity to elicit large changes in muscle mass.
REST: When training for endurance, utilize a rest scheme of 30— 45 seconds between each sent.

*Note the above information is applicable to multi-joint movements like squats and deadlifts. Single joint movements, such as bicep curls, can typically be done for a greater number of repetitions at any percentage of an individual’s given maximum, and so, will need to be assessed accordingly when developing a training program.

2. Training Cycles

Training cycles are an organized way to design a training program to meet a specific over-arching goal. This consists of macrocycles, mesocycles, and microcycles.

weight training cycle

3. Progressive vs. an Undulating Program

Progressive programs revolve around a systematic increase in volume, intensity, or both in a given cycle while an undulating program utilizes a randomized progression within a cycle, in which the volume, intensity, or both can vary daily, weekly, or monthly. Neither progression displays a significant superiority over one another in regards to peak performance. However, some suggest that undulating programs carry a smaller risk of overtraining. In reality, the utilization of both progression techniques allows progression and reduces the risk of overtraining while reducing the risk of plateauing.

Putting it all together (Example: 3 Month Training Progression)

Month 1- Capacity Building
Higher rep range to help the body become accustomed to training. Utilizing a combination of periodization an undulation in a month progression:

Example:

  • wk 1— 4 sets of 13—15 reps at 55% — 60%;
  • wk 2— 4 sets of 11—13 reps at 64%—70%;
  • wk 3— 4 sets of 10—12 reps at 68%—72%;
  • wk 4— 4 sets of 10—12 at 60% — 64%

Each week the rep ranges decreased with increasing resistance until week 4. The 1st 3 weeks utilize a linear progression in order to increase the body’s ability to handle a given training volume, but week 4 acts as a deloading week. This takes the undulating approach into account to alter load parameters to allow for recovery within a training cycle in order to reduce the risk of overtraining.  Another important note, the higher the resistance, the lower the number of repetitions performed.

Month 2- Hypertrophy Phase
Utilize a weight that is challenging for 9 to 12 repetitions with eventually progressing to 8 to 10 repetitions utilizing progressive system detailed in month 1.

Example:

  • wk 1— 10 to 12 reps at 68%— 72%
  • wk 2— 9 to 11 reps at 70%— 74%
  • wk 3— 8 to 10 reps at 72%— 76%
  • wk 4— sets of 8 at 64%— 70%

 

Month 3- Strength Phase
Utilizing resistance that is challenging for 6 to 8 reps and eventually progressing to a resistance that only allows for performing 4 to 6 reps.

Example:

  • wk 1— 6 to 8 reps at 76%— 82%
  • wk 2— 5 to 7 reps at 78%— 85%
  • wk 3— 4 to 6 reps at 82%— 88%
  • wk 4 sets of 5 to 8 at 70%— 75%

This would training progression could be used a stand-alone training progression, or as part of a more comprehensive training program. The three-month block could act as a mesocycle for a larger training program with each month acting as a microcycle to address short term goals.

*Note this is by no means an exhaustive list, nor is this a specific training progression for different sports. This is just an example of how the different concepts are written in this paperwork together in a training progression.

physical therapy near me

This article was written by Rehab Associates of Northern Virginia. Rehab Associates of Central Virginia is an outpatient physical therapy clinic that focuses on putting the patient’s needs first. Their physical therapists have advanced degrees in specialty orthopedic care from head to toe.

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PT News May 2019

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PT News PTandMe

This time in PT News we recap what our clinics have been posting throughout May 2019. We are excited to begin a new year of new posts featuring published articles from PTandMe partnering clinics!

nutrition strategies

1. Effective Nutrition Strategies
Written by The Center for Physical Rehabilitation with 8 physical therapy locations throughout Greater Grand Rapids, MI.

How do you stay on target with eating healthy and being active? Between work schedules, kids schedules, appointments, and change of plans, finding time to exercise and eat right can sometimes feel impossible. Read more

 

physical therapy for headaches

2. Physical Therapy Can Help Headaches
Written by Mishock Physical Therapy and Associates, a privately owned, outpatient physical therapy practice throughout Montgomery, Berks and Chester Counties.

Headache pain is the third most common pain complaint worldwide. Some people suffer from the occasional headache, but others suffer from daily, chronic headaches which can be disabling, interfere with one’s ability to work and result in decreased quality of life. Read more

 

Does Mono Mean no exercise

3. Does Mono Mean No Exercise?
Written by The Jackson Clinics with 21 physical therapy locations throughout Northern Virginia and Maryland.

Mononucleosis—often known simply as “mono”—has an incubation period of one to two months. Once symptoms appear, recovery can take an additional four to six weeks. Until your physician tells you it is safe to resume more strenuous workouts, avoid any but the mildest exercise. Read more

prevent joint pain physical therapy

6 Ways to Find Relief and Prevent Joint Pain

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prevent joint pain physical therapy

Joint pain is a common issue that can have many causes and can lead to an array of complications. Joint pain affects such a large percentage of the population. It is estimated that by the year 2030, 67 million—one in every four American adults—will have doctor-diagnosed arthritis. That doesn’t mean that we have to live in pain. It’s important to understand your pain and to take the steps needed to make sure it doesn’t lower your standard of living.

So, what are some great ways to relieve and prevent joint pain?

Going to Physical therapy

Physical therapy is a good solution for treating various joint pain symptoms. Physical therapists can help prevent or delay joint replacements, manage symptoms of arthritis/ chronic joint pain while providing tools to minimize pain or further damage to the joint, and help acutely injured joints recovery from injury. Improving flexibility and range of motion in the affected joints is also a key component in most physical therapy programs.

Getting enough movement and exercise

Even though the natural inclination for a person experiencing joint pain would be to move as little as possible, movement and light exercise will often time do the exact opposite, and be a great ally on your journey towards pain relief.

Good exercises for those who suffer from inflammation causing joint pain are aerobics, water aerobics, bicycling, burst training exercises, social activities that include movement, Tai Chi, light weight lifting, and yoga.

Go for a massage

Massaging the affected joint can be a treat, especially for joint pain occurring in the hips and knees. You can have this done at a treatment center, or have a professional who provides this type of service come to your home, but this is also something that a loved one can do for you, or that you can do yourself. An infographic from spa-hotels.ie has shown the benefits associated with massage therapy, including reducing joint pain and stress levels.

Maintain an ideal weight

Having a high BMI can cause joint pain. The more weight on the joint, the more effort is needed to move and support the body. Introducing movement and light exercise to a daily routine, as well as working towards a healthier diet, can reduce the strain on the joints. Before beginning an exercise regimen, it is important to consult your healthcare provider. A physical therapist or physician can introduce an exercise program that is tailored to your needs and ability level.

Eat an anti-inflammatory diet

Making the change to an anti-inflammatory diet is a great way to naturally alleviate joint pain. The Mediterranean diet is a good example of what anti-inflammatory eating habits should look like. One thing to be aware of is the fact that some of the most inflammatory foods out there are dairy and gluten products.

In order to mitigate joint pain through diet would be to eat a healthy amount fruits and vegetables, berries and nuts, various types of spices and herbs, as well as teas, such as green tea or ginger tea. Processed meats, fast food, artificial sweeteners, refined sugars, and chips should be cut as much as possible. Working with a nutritionist can help introduce long-term meaningful changes to a diet plan.

Get enough sleep

Believe it or not, the quality and quantity of sleep is a factor in pain relief. New research suggests that irregular sleep contributes to pain in a variety of ways, including the ability to tolerate pain. By adjusting your posture at night to keep pressure off of the painful joints, the body is able to more easily relax and allow for sleep. Exercising and remaining active throughout the day should also help you get better sleep at night.

As joint pain has become common, we tend to accept it as something we can’t really control. However, when looking at the most common causes for joint pain, we can clearly see that a sedentary lifestyle, high anxiety levels produced by stress, and unhealthy food choices are leading causes related to the issue in question.

In order to prevent inflammation, as much as in the purpose of relieving joint pain, we have to make better decisions regarding our way of living. This means creating an environment for ourselves and for our families where movement is valued and practiced on a daily basis. It also means that we should make an effort in order to ensure that there’s always a bit of time during the day to help clear one’s head by engaging in mindful practice, or by taking up a relaxing leisure activity. Equally important, it is essential to set dietary boundaries and to respect our body by not constantly abusing it with food that’s poor in nutrients, and lacks all of the advantages healthy food brings to the table when talking about the general health of the human body.

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PT News PTandMe

PT News April 2019

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PT News PTandMe

This time in PT News we recap what our clinics have been posting throughout April 2019. We are excited to begin a new year of new posts featuring published articles from PTandMe partnering clinics!

shoulder impingement

1. The Truth Behind Shoulder Impingement
Written by Spectrum Physical Therapy with 3 physical therapy locations in Connecticut.

Shoulder impingement (Subacromial Impingement Syndrome) is a condition of the shoulder that results in pain felt at the front of the shoulder, under a bone called the acromion process, that is often worse with repetitive or frequent overhead activity.  Read more

 

what is certified hand therapy

2. What is Certified Hand Therapy?
Written by the Therapy Team at Momentum Physical Therapy with multiple physical therapy locations throughout Greater San Antonio.

You may have heard of Certified Hand Therapists (CHTs) and wondered if they are the only therapists that can treat hand injuries. You may have also wondered why therapists needed a special certification to treat a specific body part. Read more

 

wrist pain

3. The Power (and Weakness) of the Wrist
Written by the physical therapy team at Cornerstone Physical Therapy with 5 locations in Ohio.

A wrist fracture has the potential to impact daily life for an extended period of time. Wrist fractures result from falls, sports activities, and improper lifting. Owing to the complex architecture of the bones, muscles, and ligaments in the wrist and hand, healing can take a while. Read more