Staying in your lane
We were all there – stuck in the "fast lane" behind someone driving slowly. While the unwritten rules of the road can tolerate slow driving in the fast lane, such concessions within the fitness industry have a significant impact.
Consider, for example, the health and exercise specialist who uses a manual, hands-on approach Solve your customers' pain problems. Make no mistake, the impact that manual therapy can have on an individual's chronic pain can be profound, but this "practical treatment" track is reserved for those with highly specialized training and regulated licenses.
Health and exercise professionals navigating the turbulent waters of chronic pain require familiarizing themselves with the development of strategic and personalized exercise programs.
Primary Goals: Your 80/20
Working with people with chronic pain is undoubtedly complex. It can sometimes feel like a labyrinth of ambiguity, especially as clients begin to refer to their symptoms. Along with subjective symptoms, the challenge is to decipher each customer's score. It can sometimes be difficult to even know where to start.
Here, the specific goals of the script and the compliance with the box can lead to huge dividends. This principle states that 20% of the focus determines 80% of the desired result. When the 80/20 principle is linked to the programming and analysis of assessment data, a key question becomes: "What were the biomechanical limitations that have repeatedly cropped up in most customer reviews?"
For example, was the client still left hip without sufficient internal rotation, regardless of what global assessment was performed? Perhaps the client's inability to load into the frontal plane was observed in his one-leg stance, in the front lung and gait assessments.
These are examples of identifying consistent, inefficient movement patterns. These patterns are referred to by the Painless Movement Specialists as their "big stones," and these large stones not only direct the specific goals associated with effective program design, but also affect the order and sequence of exercises.
A Practice Progression Framework: Level AD
How Important Is Sequencing Exercises? Think about what would happen if you had the correct numbers to unlock a vault, even though you were not aware of the order and order in which you should place them. Without proper ordering and sequencing (syntax), the numbers are essentially useless. The vault remains closed.
The same principle applies to programming. Each exercise should prepare the body for the next one. Therefore, logic and intention guide each of the selected exercises. This process can be divided into four levels of training, each of which rises through the cognitive, associative, and autonomous phases of motor learning.
Level A Correction Exercises
Level A correction exercises are floor-based exercises (prone or supine) that provide an optimal environment for new motor learning strategies. The climate created here focuses on the cognitive phase of motor learning, enhances each client's intrinsic awareness, and at the same time creates trust between you and your client.
Level B Correction Exercises
Level B correction exercises are performed on all fours (quadruped), kneeling and / or sitting. The increasing complexity here provides a new motion strategy by linking it to an existing central engine program already stored in the customer's motion "database". Here, the client enters the associative phase of motor learning.
Level C correction exercises
Level C correction exercises are standing exercises that provide at least three reference points for the body. The aim is to create an environment in which the body is upright and parallel to the forces of gravity. These exercises provide an optimal environment for the transition from the cognitive and associated phases of motor learning to the autonomic phase.
Level D Correction Exercises
Level D correction exercises are performed in a bipedal or unipedal posture with a maximum of two reference points. These exercises are designed for the autonomic phase of sensory-motor integration and should not require cognitive processing. Minimal oral instruction / coaching is required. The interaction of gravity, ground reaction force, mass and momentum, acceleration and deceleration, various myofascial loops, and multiple body segments are all elements that can be associated with Level D exercises.
Each individual ultimately views the world through a different lens and forms its unique perspective. This is especially important when working with clients who are in pain. And because pain is much more than just a sensory mechanism, the consistent experience of pain can negatively alter a person's thoughts, feelings, perceptions, and beliefs about movement, affecting not only biological but also psychological and social factors.
Therefore, one important question to keep in mind when navigating the program design is: "What does a successful corrective action look like for the client?" For some, success is confident to go up without knee pain. For others, the desired result is to stand for longer periods while the dinner is being cooked.
The art of successful intervention involves understanding and validating each client's emotional, psychological, and social concerns while addressing their unique biomechanical needs. Together, these components provide a comprehensive framework for developing a strategic and personalized strategy for the fitness program.
The following picture shows a graduated scale of psychosocial autonomy and self-confidence in which the re-education of movement modulation and movement tolerance is based on their own inner perception and general sense of security.
The genesis of change is deeply rooted in awareness of the multidimensional interaction between biological, psychological, and social factors that contribute to the individual's perception of pain.
And should you ever get lost in the flow of program design insecurity, remember that working with people in pain is a reciprocal, collaborative process. It's a screenplay in which every client is cast as a protagonist in his story, using the health and exercise specialist as a guide, a fellow traveler who gets each one to arrive safely and (painlessly) at the desired destination. Reference
Koch, R. (2011). The 80/20 Principle: The Secret to Achieve More with Less. Danvers, Mass .: Crowne Publishing Group
Learn more about becoming a pain-free movement specialist .