Showing posts with label Rotator Cuff Strengthening. Show all posts
Showing posts with label Rotator Cuff Strengthening. Show all posts

Thursday, June 25, 2009

Rotator Cuff Exercises

Rotator Cuff Exercises:

Before you begin:

The exercises described below are set to help strengthen the muscles in your shoulder, especially rotator cuff muscles, the part that helps circular motion. These exercises should not cause pain if the exercise causes pain to stop exercising. Start again with a lighter weight

Warm the area before adding weights. Stretch your arms and shoulders and then in the form of pendulum exercises: Bend from the waist letting his arms hang. Keep your arm muscles and shoulders relaxed and move your arms slowly back and forth. Do this exercise slowly: Lift your arm slowly counting up the number three (3) and lower your arm slowly counting up to six (6).

Keep repeating each exercise until your arm is tired. Use a weight light enough so that you do not get tired to repeat the exercise about 20 to 30 times. Each week increase the weight a bit but never until the weight causes pain). Start with two ounces the first week. Increase to four (4) ounces the second week.

Each time you finish the four years to complete, place an ice pack on his shoulder for 20 minutes. It is better to use a plastic bag with ice or inside a bag of frozen peas instead of those bags with gel inside. If four years ago of three (3) to five (5) times per week, your rotator cuff muscles will strengthen and you will regain normal strength in his shoulder.

Back

Exercise 1

Exercise 1 Start by lying on your stomach on a table or a bed. Place your left arm out at shoulder level with your elbow bent 90 ° and the hand down. Keep your elbow bent and slowly raise your left hand. Stop when your hand is level with your shoulder. Lower the hand slowly. Keep repeating each exercise until your arm is tired. Then do the same with his right arm.
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Exercise 2

Exercise 2 Lie on your right side with a rolled towel under the right armpit. Stretch your right arm over his head. Keep your left arm on the side with your elbow bent at an angle of 90 degrees and the forearm resting against your chest with the palm facing down. Make circular movements with his left shoulder lifting out the left forearm until it is at the same level with your shoulder. (Hint: this is how raquetazo back in tennis. Lower the hand slowly. Keep repeating each exercise until your arm is tired. Then do the same with his right arm.
Back

Exercise 3

Exercise 3 Lie on your side. Keep your left arm along the top of your body. Bend the elbow in 90 ° angle. Keep the right forearm resting on the table. Now make circular movements with his inside shoulder, raising his right arm upward until your chest. (Hint: this is how raquetazo forward in tennis). Lower the forearm slowly. Keep repeating each exercise until your arm is tired. Then do the exercise with your left arm.
Back

Exercise 4

Exercise 4 In a standing position with your right arm begins to half the height between the front and the side of your body, thumb down. (You may need to lift his left arm for balance). Lift your right arm until almost reaching almost to the level (more or less at an angle of 45 ° F). (Hint: This is like emptying a can. Do not lift beyond the point of pain. Lower your arm slowly. Keep repeating each exercise until your arm is tired. Then do the exercise with your left arm.

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Tuesday, August 19, 2008

What Really Works - The Fundamentals Of Strength

What Really Works - The Fundamentals Of Strength

It seems like the debates over effective resistance training program design will never end. Throughout my career as a trainer I have studied and implemented countless strength and hypertrophy regimens. What always intrigued me was that so many of these programs promote what appeared to be completely antagonistic training philosophies! One guru will insist that only high volume training is ideal for muscle growth, while another expert declares that low volume, high intensity training is the key. Other routines were so convoluted that you would spend more time contemplating the complex variations therein than actually training! This is called “analysis paralysis”.

What became apparent, however, was that despite all of the conflicting information, the most effective programs typically share common elements and principles. Rather than focusing on the different theories, it will serve you better to look at the big picture: the fundamentals. The intention of this article is to present the most effective training principles in a simple and clear fashion. If you design your next program based on these basic concepts, you will get results. When it comes to training for size and strength, this is “What Really Works”:

1. Use Progressive Overload:

This is the most basic and one of the most important principles. Muscles grow bigger and stronger as they adapt to stress. Therefore, you need to progressively overload your muscles each week either by lifting moderately more weight, exerting more force, or performing more repetitions with the same weight. This is why it is so important to record your progress and write down your training goals.

2. Use compound, multi-joint, free weight exercises:

Basic, big pushing and pulling movements such as variations of the deadlift, squat, lunge, power clean, overhead press, chest press, row and pull-up involve more muscles, larger muscle groups, more resistance and greater Neuro-Muscular Activation (NMA) than isolation movements. Generally, the more of your body you involve in the exercise and move through space, the greater the NMA. By this reasoning, a heavy weighted dip would be more productive than a heavy decline press, and pull-ups are superior to pull downs, for example. These exercises not only produce greater increases in size and strength in a shorter period of time, but they also stimulate the production of higher levels of growth hormone in your body. In addition, by training destabilized (free weights vs. machines) you are involving more of your small intrinsic muscles.

3. Use Ground Based Exercises:

This idea ties in with the above principle. When possible, choose to train in a standing or ground based position rather than seated or lying. This alone will make the exercise much more functional, and more challenging! Compare the seated overhead press to a standing military press; or seated rows to bent-over barbell rows. There is also typically a greater involvement of your core muscles with ground based exercises.

4. Train your CORE:

Some define their core as only their abdominals; I look at the “core” musculature as your entire midsection, including your abs (rectus abs, tranverse abs, obliques), spinal erector muscles (quadratus lumborum, longissimus, spinalis, multifidus, iliocostalis), and glutes. Considering this, you should incorporate exercises to target each of these main areas. I recommend starting your workout with some core isometrics, to activate these muscles in order to facilitate a stronger workout and prevent injury. The basics are the plank, the side plank, the bridge, and the lying back extension. Then I finish each workout with a different isotonic core exercise.

Of course, if you are using the big, multi-joint exercises I suggested above, your core muscles are being challenged during the rest of your workout as well. By using functional, free weight, ground based, compound movements, you are involving your entire midsection to a huge extent. I also strongly advise against using any belts, wraps or straps during most of your regular training, as this can decrease the involvement of the important core stabilizers. These training accessories should be reserved for maximum lift attempts and competition, unless otherwise indicated for specific injuries.

5. Train with Balance:

I have written entire articles on the topic of ‘balance’: balancing rest and training; training different energy systems in balance; having balance in your life. It is an important subject, not to be overlooked. For now, let’s look at the following aspects of balance:

• Include stability training & unilateral (single leg, arm) movements:

Incorporate some exercises that force you to balance on one leg or stabilize a weight with one arm, such as step ups, lunges, single arm press, etc. Working with odd objects such as kegs or sandbags also create a greater demand on your stabilizers and place a new stress on your body, leading to new results. These types of movements will increase the strength of your weaker side and develop your proprioceptive ability.

• Balance the volume of training for (and the strength of) agonist and antagonist (opposing) muscle groups:

This is an important principle for increasing strength, size, NMA, and preventing injuries. Basically, you want to balance the workload on both your pushing and pulling movements. The force and speed you can generate in a press or a throw is largely affected by the ability of the antagonist muscles to eccentrically stabilize the joint. If you cannot control deceleration, you can’t accelerate to your full potential.
Research has also demonstrated that one can recuperate faster by performing a set for an antagonist muscle group between sets. This is known as Push-Pull Supersets, such as super-setting rows and chest presses, or pull-ups and overhead presses. It has been shown to maintain strength between sets, as well as stimulate hypertrophy.

• Work on Your Muscular Imbalances:

Muscle tension and joint pain is often due to compensation for joint instability or weakness in another muscle. This is where isolation exercises come into play. You need to train your weak links in isolation before you can incorporate them into a movement pattern. Otherwise, your dominant muscles will continue to compensate, leading to further muscular imbalances. Prime examples of common weak links are the posterior deltoids, external rotator cuff, lower trapezius, glute medius, vastus medialus, and often some core muscles.
Having said that, it is my opinion that in most cases it is a waste of time to perform an entire workout using only isolation exercises for small muscle groups (unless you are in a prehab / rehabilitation program). For example, a one hour workout just for “arms” is completely impractical. Each workout should stimulate a majority of target muscle groups with fewer exercises. Think of training movements, not muscles.

“Functional training” (integrated exercise) will only reinforce compensatory patterns if the weak links are not first identified and eliminated.”
— Greg Roskopf, MA, founder Muscle Activation Techniques

6. Incorporate Strongman Implement Training:

Strongman training and odd object lifting is great for improving a trainee’s General Physical Preparedness (GPP) and stimulating new neural muscular recruitment patterns. Exercises such as sled dragging, farmers walk, keg pressing, thick bar lifts and sandbag carries increase the use of muscles that may not be challenged with a barbell alone. There is also a huge stimulus placed on your ‘core’ musculature and your smaller joint stabilizers with this type of training.
In fact, strongman training ties in directly with most of the principles listed above (#2,3,4 & 5)! It involves compound, functional, ground based movements that strengthen your core and build balance. Strongman training is a fun and effective way to make your workout more productive, and is easy to incorporate into your regular training program. Give it a shot.

7. Incorporate Speed and Explosiveness Training:

To maximize your strength potential you need to develop more ‘powerful’ muscles as well. In order to generate more power you will need to incorporate speed training into your program, in addition to pure strength training. (Power equals Force X Speed). Activities such as plyometric drills, sprint training, sled dragging, and Olympic Weightlifting type exercises are very effective. This also helps to prepare your body for the unexpected dynamic stresses that can occur in daily life and competition. A great strength coach once said, “Life is Ballistic. Train for it.”


8. Use a Method of Periodization:

For long term progress you will benefit from following some method of program periodization. A very general definition of periodization is that it is a training scheme with planned phases of varied intensity, volume, speed, and exercise selection, etc. The popular Western method is known as linear periodization, which divides the different aspects of strength training into separate phases over time, but it has many limitations. Conjugated periodization is a very effective method with shorter phases, wherein you train many aspects of strength (such as max strength and dynamic strength) during the same weekly program. This is the method used by Louie Simmons at Westside Barbell Club. There are other variations (such as pendulum training), but I will not embark on a lengthy explanation at this point. However, I do encourage you to study periodization and adopt a method that makes sense to you.


9. Variation:

Most people understand that training load should be progressively increased, but few seem to understand that the training stimulus must also be progressively and periodically varied to continually stimulate your body and nervous system to adapt.
If you keep doing the same workouts with the same exercises in the same order, with the same set and rep scheme, your body will get used to it and your progress will diminish. Therefore you must regularly change things up to stimulate your body to adapt to the new stress by growing bigger and stronger. Incorporate different rep ranges (i.e.: lower reps for max strength or speed training, moderate rep range for hypertrophy and higher reps for endurance) and change your primary exercises at least every 3-6 weeks. A properly designed periodization program, such as the Westside method, will accommodate for this.


10. Get Enough Rest:

Muscles grow while at rest, not while you are training. The resistance exercise is the stimulus for growth, but your sleep, rest and nutrition facilitates the hypertrophy to take place. In general, most active people need at least 6 to 8 hours of quality sleep each night, dependant on their diet, training intensity, daily activity level, stress, etc. Note that I emphasized “quality sleep”; more than 8 hours may in fact be necessary for adequate recovery.
As far as rest during the workout is concerned, you will need more rest between sets for heavy, maximum effort lifting (i.e.: 2 to 4 minutes), and less rest between sets for lighter speed or endurance work (i.e.: 60 to 90 seconds). In general, the more intense the set, the more rest is needed between sets. If you don't rest long enough your lactic acid levels can interfere with your performance on the next set.
Also, more is not better when it comes to the duration of your workout. If you can keep your resistance training session between 30 and 90 minutes, you can take advantage of a natural boost to your growth hormone levels at the end of your workout. This can greatly enhance recovery. However, training for too long can cause a drop in your natural anabolic levels and interfere with your recovery, leaving you feeling drained and weak.



11. Follow a healthy, intelligent nutrition plan:

In order to achieve optimal results you need to provide your body with high quality ‘building materials’ and fuel. Here are some very basic nutritional guidelines:

• Consume about 1 gram of protein for each pound of lean bodyweight per day.

• Eat 4 to 6 smaller meals per day.

• Choose less starchy foods, with a lower glycemic index.

• Drink at least 1 liter of water for every 50 pounds of body weight per day.

• Eat a balance of nutritious foods, including fruits and vegetables.

• Include “essential fats” (EFA’s) in your diet every day.

• Focus on “whole food”, but recognize that often nutritional supplements are recommended.

• Eat soon after exercising.

• Gradually increase your caloric intake as you gain more muscle tissue.

• Don’t eat a heavy meal right before going to sleep.

• Reduce consumption of simple sugars, caffeine, alcohol, and saturated fats.

Make sense? Good.


12. Flexibility:

It is important to maintain healthy range of motion (ROM) around your joints, but most people aren’t familiar with active or dynamic stretching and don’t use effort to control the extreme stretch positions. Unfortunately, passive stretching (using force to push or pull further into the stretch) is still the most frequently used; although there is growing evidence to question it’s effectiveness or safety. As I mentioned before, muscle tightness is usually secondary to muscle weakness. By strengthening the weak links you will also increase your flexibility. By contrast, if you force a passive stretch (without engaging the muscles involved) you could decrease joint stability even further, increasing the risk of future injury. Even though there is research demonstrating the limited benefit to passive stretching, many old school coaches and trainers still argue in favor of its use.

My advice on What Really Works for improving flexibility is to begin your workout with a dynamic warm-up, including dynamic “stretches” such as high knees, butt kicks, walking lunges, bodyweight squats, and arm circles, and then finish your workout with active range of motion stretches, engaging your muscles to actively hold the stretch positions. At the very least, do not use passive stretching before working out! These stretches dampen the nervous system and relax the muscles, decreasing your ability to safely move weight.

Conclusion:

I hope you will find this information helpful in designing a very effective size and strength training program. Keep in mind that I have provided you with only a brief overview of these training principles and I encourage you to research these ideas further. I will also be elaborating on these topics in my future articles.

If you are not familiar with some of the information I have presented, don’t be afraid to try something new. Remember, “If you always do what you’ve always done, you will always get what you’ve always got.” Futility is doing the same thing over and over but expecting different results. Have an open mind.

Keep your mind on your goals and keep the faith that you will achieve them.

You are invited to contact Josh Hewett if you have any questions or are interested in a training program. Check out his websites at:

www.top-form-fitness.com
www.teambarbarian.com

Josh Hewett is a personal trainer and strength & conditioning specialist with Top Form Fitness. He also coaches and competes with Team Barbarian Strength Athletics.

http://www.top-form-fitness.com/http://www.teambarbarian.com/

Josh holds a degree in Kinesiology from the University of Western Ontario, as well as personal training qualifications from several agencies including CanFitPro. He is a qualified personal training specialist and competitive strength athlete with over 14 years of involvement in the health and fitness industry including employment, academic, competitive, and volunteer experience. Whether your goal is to improve your health and fitness, excel at your sport or hobby, or to recover from an injury, Josh is prepared to motivate and guide you toward reaching your objective.

Wednesday, July 2, 2008

Rotator Cuff Strengthening

Here you will learn everything about Rotator Cuff Strengthening, How to listen to your body when it tells you that Rotator Cuff Strengthening must be incorporated into your exercise rutine and how Rotator Cuff Strengthening can save you from spending a fortune on Dr. fees.