Prehab is receiving physical therapy prior to a surgery or before a future physical challenge or sport. The goal is injury prevention and or to prepare your body before a surgery. The physical therapist assesses targeted vulnerable areas and works to improve the deficits found during the evaluation with specific exercises. Here are some benefits of receiving prehab:
Injury prevention- Improving strength and stability of weak muscles and joints can prevent common injuries during daily activities and sport.
Faster recovery- if you have an injury or surgery, the body will be in better condition to handle healing.
Improved strength, flexibility, and mobility- Improves your overall strength and flexibility, making your body stronger and more mobile with your daily activities.
When it comes to exercise, many people think they need fancy equipment to achieve their workout goals. However, this is not true. In fact, there are plenty of exercises you can perform without any equipment by just using your body weight. Body weight exercises use your own weight to create resistance. Some examples of body weight exercises are:
Squats
Push-ups
Planks
Lunges
Burpees
You can progress these exercises by increasing the reps, time, and performing different variations. Also, cardio exercises do not require much equipment either. You can run, walk, do a HIIT workout, pilates, yoga, or dance workout in your home. It is always best to vary your workouts to keep you motivated and to build strength, cardio fitness, and muscle endurance.
Myth: Physical therapy is only for people who are experiencing pain.
Answer:FALSE- Physical therapy can be beneficial to people experiencing a wide variety of conditions. While we do treat a lot of people that have some sort of pain, we can also help those who are not in pain but still limited in their ability to move and get around. Some of these conditions are listed below. Physical therapists are considered “movement experts” and are well equipped to help you reach your movement goals and achieve a higher quality of life.
Muscle weakness due to aging or chronic neurological conditions – Physical therapists will help develop a program that promotes recruitment and strengthening of weakened muscle areas to help make day to day life both easier and safer.
Injury prevention – Some patients come to physical therapy because they are prone to injury and want to take the necessary steps to avoid injury prior to starting a new exercise routine.
Walking abnormalities – Whether due to a genetic abnormality or acquired from a certain illness or injury, physical therapists analyze how you walk and work to improve your walking to be more safe and efficient.
Decreased balance/stability -A physical therapist helps to decrease your risk of falling by improving your balance and stability through prescribed exercises.
Deconditioning – This is commonly seen in physical therapy and can be due to a variety of reasons (aging, prolonged hospital stays, chronic injury, etc). A physical therapist will evaluate you and determine and create an exercise plan to improve your muscle strength and endurance.
A simple answer is yes, exercising while pregnant can be very beneficial to expecting mothers. There are certain instances, such as high risk pregnancies, where your doctor will likely tell you to avoid non-essential physical activity, but for most pregnant women it is recommended. Below are some guidelines and tips on how to exercise safely while you are expecting.
Talk with your doctor – make sure you are aware of any restrictions or guidelines your OB-GYN wants you to follow.
Pre-pregnancy activity levels should equal pregnancy activity levels – being pregnant is not the time to go from couch to 5k if you were sedentary previously. Performing very strenuous exercise such as running a marathon or playing contact sports is not recommended. If you are unsure, always contact your physician.
Adjust as necessary – as your body changes, your physical activity may also change; be sure to listen to your body and make good/safe choices.
Avoid exercising on your back – as the baby grows, it can place more pressure on major blood vessels if you exercise on your back for a prolonged period of time.
Avoid excessive stretching – to help with the birthing process, a woman’s body produces hormones that increase the flexibility of your ligaments. This is something to be aware of while exercising since it puts you at a slightly higher risk of injury.
Remember to breathe – while it is always important to breathe throughout an exercise, it is particularly important while exercising when expecting. Holding your breath causes increased pressure in your abdominal cavity and can decrease the amount of oxygen being brought to the placenta
Physical Therapy is a great option for patients with arthritis. Physical Therapists will evaluate your joints that are affected by arthritis to determine your baseline level of motion and strength. Physical Therapy will help to ease your symptoms associated with arthritis by improving your strength and stability through prescribed exercises. With increased muscle strength supporting your joints, it will decrease joint stress and improve overall function. Physical therapist might also recommend certain modalities along with exercises to help decrease your discomfort. Examples of these modalities are heat, massage, and electrical stimulation. The most common joints that are affected by arthritis are the hands, knees, hip, and spine. The good news is all these joints can benefit from physical therapy.
Getting back into running? Trying to figure out where to start? The best way to start your run is with a dynamic warm-up. This allows for increased blood flow to the muscles, aids in raising your core temperature and metabolism, and also provides increased stretch to the muscles you will soon be activating during your run. A dynamic warm-up can reduce your risk for injury and simply prepares the body for activity.
The bird dog is a simple exercise that enhances core strength, provides stability, aids in neutralizing spine position, and reduces the onset of low back pain.
The bird dog:
Improves spinal and core stability by stiffening the musculature and enhancing muscular endurance.
Improves hip extension by increasing glute strength and aids in differentiating low back extension and hip extension.
Improves shoulder stability by loading the joint with your body weight to help maintain stability throughout the exercise.
Improves balance and coordination by engaging in contralateral muscle movements while maintaining proper positioning.
If this exercise is too difficult to perform with contralateral movements – try performing one limb at a time until your balance and stability improves – progress as tolerated!
Aging is inevitable; losing your strength and ability to perform daily activities doesn’t have to be. Sarcopenia is a term used to describe the age-related progressive loss of muscle mass and strength. The process begins in your 40s and ramps-up between the ages of 65 and 80. While age-related strength loss is normal, sarcopenia speeds up the loss of muscle mass and can reduce your muscle mass by 8% each decade. Factors such as insulin resistance, obesity, loss of mobility, and inactivity contribute to the progressive loss of muscle mass in older adults and as a result increase the risk for falls and make daily activities difficult to perform.
Sarcopenia is often diagnosed with the following mnemonic:
S – strength (loss of strength)
A – assistive device (use of a device for walking)
R – rising from a chair (difficulty standing from a chair without use of hands)
C – climbing stairs (difficulty with stair climbing)
F – falls (presence of falls in the last year)
Aging might suddenly sound daunting, but it doesn’t have to be as long as you stay moving! Improving your strength and staying active reduces your risk at developing sarcopenia and also improves your quality of life. Strength training alone can improve your ability to complete daily activities, protect your joints from injuries, improve your balance, and reduce your risk for falls. It can also enhance your thinking skills, improve bone density (to reduce risk for osteoporosis), and help manage chronic conditions such as diabetes, heart disease, and depression.
Strength training as you age doesn’t have to be difficult. Research shows that exercising even just 2-3x per week can enhance muscle mass and strength. Ideally, 2-3 sets of 1-2 exercises for each major muscle group should be performed. If the “ideal” situation doesn’t exactly match your lifestyle, try starting small and just get moving! Any physical activity is better than no physical activity, because even small steps lead to big changes. Try walking more often, getting up out of your chair repetitively to build leg strength, lifting small weights, or joining a fitness class at your local facility; make the change to live a longer healthier life!
Squatting isn’t just for those really muscular people who put 700lbs on their back at the gym. In fact, I bet you don’t even realize how often you squat in a day. Think about the number of times you sit down on a chair and have to get back up, the number of times you go to the bathroom in a day, or even the amount of time you spend bending down to pick something up you might have dropped… This is constant, every-day squatting!
The squat is one of the most important exercises to perform for a wide variety of reasons. The squat aids in (1) increased leg strength, (2) increased core strength and lumbar stability, (3) increased hip and ankle mobility, (4) helps aid in the reduction of injury, and (5) increased metabolic rate due to muscle growth. Muscle loading the squat can be an effective way to increase muscle growth in the quadriceps, glutes, and hamstrings. Additionally, increased repetitions of squats with minimal muscle loading can enhance muscle endurance; this improves your ability to perform daily activities, increases athletic performance, and helps maintain improved posture/stability for extended periods of time.
Should I squat below 90?
Squatting below parallel does not increase your risk for knee injuries, however, it does often increase your risk for breaking proper squat form/mechanics. Squatting below parallel does not provide any significant muscle activation benefits, but can enhance mobility. Studies show minimal differences between squatting to 90 and squatting below 90. Most importantly, maintain good form and mechanics before progressing the depth of your squat – this will enhance overall benefits.
In the early centuries, a corset was typically worn as a supportive undergarment that improved posture, supported the spine, and shaped the body into what was then called “ideal proportions.” While corsets used to come in many shapes, sizes, and colors – in today’s world the most important “corset” goes by a single name – the Transverse Abdominis (TrA).
The TrA is the deepest of the abdominal muscles and acts a girdle around the spine. The TrA responds most to perturbational movement and is the only abdominal muscle that remains activated with resisted extension in the spine (resisted extension often comes with exercises such as lifting a box incorrectly, deadlifts, and a quick jerking motion backwards). The TrA is the first stabilizer that kicks in with any arm/leg movements, and as a result helps limit your risk for injuries. It also aids in stabilizing each bone in your spine; so without this muscle, your spine would just be dancing around, pinching on nerves, and collapsing (almost).
The take home here is… the TrA is very important! You need this muscle to assist in stabilizing the spine and when it doesn’t do its job… you end up with back pain. The TrA is difficult to control. It doesn’t work like the 6-pack abs you’re used to. Try activating your TrA to reduce your risk of low back pain, improve your core and back stabilization, and reduce your risk for injury.
