Strength Training the Endurance Athlete
This strength training blog will be delivered in a series over the next week and geared toward the runner, triathlete and walker. I hope this series will leave you with a handful of exercises to maintain strength through your season. However, a biomechanical assessment of your individual needs should be considered at the conclusion of your season so that you are able to make optimal use of your off-season time to improve specific strengths.
The first exercise of this series is the Leg Press. Those who have worked with me or other MIHP staff in the past, know our lack of love for any machine training, but I often recognize the need that individuals have for that "burn" they get from machine training. The beauty of the leg press is that you are able to produce a co-contraction of the leg muscles vs an isolated contraction that the knee extension or leg curl machine offer. In function, the leg muscles never work independent of each other, they must rely on the stabilizing muscles to do their jobs so that they can contract correctly at the right times.
The runner and walker need to emphasize strengthening the hip stabilizers called on in a single -legged stance or narrow base stance (glute medius and maximus). The cyclist need to consider strengthening of this same muscle group, as the over-use of their quads and calf muscles often predispose them to an injury.
My leg-press prescription is to perform this exercise in a "shallow" fashion and single legged. Meaning you will come from a fully extended position of the knee to only 30-45 degrees of knee bend. I prefer a sled-fashion machine where the platform is non moving, however you can still perform this exercise on the machine with a moving platform. Initiate this exercise by placing your feet approximately hip width apart on the platform. Choose a weight that is going to be challenging (probably over 40# for most). Your feet should be placed high enough on the platform that the knees are bent only 90 degrees. Push yourself out using both legs to a fully extended position, before dropping one leg off the platform. Proceed to lower yourself no further than 30-45 degrees of knee bend and back out. Repeat 15-20 reps on one leg before placing your other leg back on the platform to return yourself to the starting position and repeating on the other leg. Your resistance should be heavy enough that you are left feeling fatigued at the end of the set (like you couldn't do two more reps). The burn should be centered in the glute, hamstrings and hip area greater than the quad burn felt with a traditional leg press. Begin with 3 sets and progress to 3 sets of 15-20 reps 3x per week.
Walk Straight!
A few weeks ago, the MIHP MoveWell team held a women’s seminar. The seminar consisted of a Keynote speech : “The Five Key Facts” about the body and its design, instruction/ participation in a partner circuit, instruction/participation in the “Daily Dozen” exercises, and 5-minute biomechanical screens. Our team of seventeen Movement Training Specialists moved 184 women through this event seamlessly. It was a huge success.
Our Lesson:
We learned that out of the184 women, 79 of them reported having low back pain! That is 43% of the participants! That’s a lot of sore backs.
Your Lesson:
Simply walking with your toes straight, rather than turned out, may significantly reduce low back pain. Try it!
Stay tuned for more tips on preventing and eliminating low back pain…….
Is it Really Carpal Tunnel Syndrome?
MoveWell is an exciting wellness program designed by the MIHP Think Tank to decrease workplace injuries. So far, we have been working with the corporate sector doing providing topics of “lunch and learns” on various topics, along with 5-minute screenings and 15-minute biomechanical assessments.
A majority of the clients have been “office” workers complaining of low back, shoulder, and neck pain. I’ve had at least five people just today that complained of neck or shoulder pain, numbness, and tingling in their dominant hand. That’s not too surprising when your job requires you to sit at a desk/computer with your hand on a mouse most of the day.
While researching this problem, I found some staggering statistics:
"According to the U.S. Department of Labor, Occupational Safety and Health Administration (OSHA), repetitive strain injuries are the nation's most common and costly occupational health problem, affecting hundreds of thousands of American workers, and costing more than $20 billion a year in workers compensation.”
That’s a lot of moolah!
“According to the U.S. Bureau of Labor Statistics, nearly two-thirds of all occupational illnesses reported, were caused by exposure to repeated trauma to workers upper body (the wrist, elbow or shoulder ). One common example of such an injury is carpal tunnel syndrome.”
In our findings, symptoms of carpal tunnel syndrome can be the same as a pinched nerve, which can be caused by tight muscles in the neck, shoulder and/or upper back. That makes the next statistic even more horrifying:
“849,000 new cases of carpal tunnel syndrome occurred in 1994.-National Center for Health Statistics.
Approximately 260,000 carpal tunnel release operations are performed each year, with 47% of the cases considered to be work related.-National Center for Health Statistics.
Carpal tunnel syndrome results in the highest number of days lost among all work related injuries. Almost half of the carpal tunnel cases result in 31 days or more of work loss.-National Center for Health Statistics.
Carpal tunnel surgery has about a 57% failure rate following patients from 1-day to 6-years. At least one of the following symptoms re-occurred during this time: Pain, Numbness, Tingling sensations. Source: Nancollas, et al, 1995. J. Hand Surgery.”
Those are staggering numbers!!! 57% failure rate??? 31 days or more of work loss?? How can that happen? That is outrageous! Maybe the cause of carpal tunnel syndrome is not in the carpal tunnel!! Maybe a knife is not the answer!
If you, or anyone you know, are experiencing this type of pain, do this simple exercise first to see if it lessens your symptoms. It worked with all five people I saw today.
It’s called STEMs (Sitting Thoracic Extension Movements) and it simply restores movement in the closest key rotational spot of your body, the thoracic spine. This is how you do it:
Sit tall on the edge of a chair with both feel firmly planted on the ground. Fold your arms across your chest and lift them straight overhead and down 6 times. Next, lift your arms (still folded) overhead and move side to side so you feel a good stretch down your side. Do this 6 times on each side. Lastly, twist right and left as far as you can go, again 6 times on each side. Be sure to keep your back straight, chest lifted, and neck in neutral position. See diagram below:



This exercise opens the chest/thoracic spine in three planes of motion and many times will get rid of or at least lessen pain in the neck, wrist and hand. This exercise can be done every day.

