Slowing down aging with strength and grace


Three women standing next to each other in a field.

3 generations living well!

“It’s paradoxical that the idea of living a long life appeals to everyone, but the idea of getting old doesn’t appeal to anyone.â€- Andy Rooney

Older adults need exercise training to improve their functional fitness that results in their independence, reduced falls, and a positive and profound impact on their mental and emotional health. Programs that involve strength, agility, dynamic balance, sensory enhancement and joint mobility ( think chest- up-confident stride ) all contribute to helping slow down the aging process.As we age, the size and quality of our muscles shrink at a loss of .5-1% per year. From the age of 60-80 years, the natural prevalence of muscle loss, or sarcopenia, jumps exponentially  from 15-32% for men , and 23- 36% for women. At 80, the values increase to about 51% -55% respectively for women and men.

Shrinking  muscles affect strength, power, endurance and speed.According to the US Center for Health Statistics, a person spends about 15% of their lifespan in an unhealthy state because of disability, injury or disease occurring in old age. The good news is that only one day a week of training will help you. A recent study of healthy women aged 60 years and older, showed that as little 1 day per week of aerobic activity and 1 day per week of resistance training may be just as good for improving strength,endurance, and quality of life as more frequent training. The study, published in the Journal of Strength and Conditioning Research, sited significant  improvement of daily activities such as standing, sitting climbing stairs and walking. The majority of studies suggest that older less conditioned people adhere to training 2-3 times a week, with 48 recovery hours, performing 3 sets of 10-12 exercises.

Functional fitness involves dynamic balance, and it is not necessarily your fate to be the 1 of 3 people over 65 that suffer a bad fall. In younger people balance is largely an automatic reflex. A variety of movements, with practice, can make your legs stronger, ankles,hips and spine more flexible, and challenge the nervous system. Optimal balance requires information from both our body in space and our external environment. It also involves using all 360 degrees of thigh muscle, as these are the muscles that need to be strong. Try the following mobility and sensory-enhancement exercises adapted from Christian Thompson, PhD, associate professor in the department of exercise and sport science at the University of San Francisco:

1. Ankle Circles .
Stand tall with feet hip- width apart. Hold onto a stable object with one or two fingers only. Lift one leg off the floor slightly, in front of the body. Do 15 slow, clockwise ankle circles, moving your foot to the greatest degree possible. Repeat counter clockwise; switch legs. ( www.ideafit.com/ST-older-adults.com)

2. Rotating Head.
Stand with feet hip width apart while holding a shortened TRX Suspension strap in a single- handle mode, palm down, with arm partially extended at chest height. Repeatedly turn head fully from right to left at a brisk pace while keeping eyes fixed on anchor point.Try for 60 seconds. To progress exercise, march while turning head.

http://ketchumkeystone.com/2013/09/30/slowing-down-aging-with-strength-and-grace/PA man riding on the back of a bicycle.

TRX Suspension Training Group


A group of people holding onto straps in the gym

Ready for a workout?

Leave it to a Navy Seal to figure out a way to stay in peak condition. On missions, a few lengths of parachute webbing stitched together evolved into the hottest trend in body weight training-TRX Suspension Training. Join us every Monday @ 2-3 pm for an exciting class with this fun new method of functional training. Please contact me for more info.

A Changing Army: Ditching Sit-ups After 30 Years

Soldiers can forget about sit-ups. For the first time in 30 years, the US army has up-dated its fitness testing to better prepare soldiers for the demands of combat. Lt. General Mark Hertling, the general in charge of the Army’s initial training, collaborated with a 16 member team to revise the Army’s Physical Readiness and Combat tests. Going are the full sit-up test, and the 2 minute push-up and 2 mile run are being revised. Instead, the first test will expand from 3-5 events. The full sit-up goes for several physiological and safety reasons: they don’t do much to strengthen the core to translate to battle strength, and the full flex movement, the actual crunch part of the sit-up, puts an unhealthy strain on the back at its weakest point. The push-up  pace increases to assess upper body endurance, and the run gets shortened to 1.5 miles to assess the anaerobic capacity needed for high intensity bursts in the battlefield. “This is about training smarter, not training more”, Hertling said. Added are a no-rest standing long jump and 1 minute row to look at immediate fatigue and failure.

The out-dated PT test” does not adequately measure components of strength, endurance and mobility. The events have a low co-relation to the performance of warrior tasks and battle drills” said Hertling, who holds a master’s degree in exercise physiology.

Combat veterans trying out the new tests say they are tough. For the Army Combat Readiness test they are in full combat gear while carrying a rifle. They have to excel at sprints, move through hurdles and maneuver balance beams while holding heavy ammo tins, drag a 180 pound sled, and run  sprints.

Specific gender and age standards, from under age 30 to 60, for the test scores will align with the American College of Sports Medicine and Cooper Institute to establish standards and a thorough review before the tests are approved. “Soldiers like to be challenged. This will definitely challenge them”, Hertling said.

Training for the Rest of Us/ Bringing Boot Camp Home

Most of us want to look and feel good and the only battle we face is aging well. But we can take elements of the new testing to inspire us to work a little harder in our work-outs by going beyond where we thought we could, into the “somewhat hard” zone, even if it is only 30 seconds or a minute. High-intensity exercise toughens you up, writes Dr. John Ratey,author of Spark: The Revolutionary New Science Of Exercise and The Brain.”It’s why we climb mountains and sign up for boot camp and Outward Bound trips.” Studies show that by adding a single spurt of sprinting for 30 seconds, on a bike for example, generates a 6 fold increase in human growth hormone, the ” fountain of youth” hormone. Remember, he writes, that by middle age these hormones dwindle to 1/10 of what they were during childhood. The sprints and agility tests that the Army will practice build fast-twitch muscles, which add power to movement. For us mere mortals, these new muscle fibers enhance our metabolism and help us become better at burning fats and carbohydrates for up to 4 hours after training, as well as lowering blood pressure.

Keep the push-ups.Push-ups are a great full body exercise strengthening many muscles at once: abs, front of your legs, arms and back. According to the American College of Sports Medicine fitness test, a 40-49 year old  female or male  performing more than 18 or19  push-ups, respectively, with the chin touching the floor and back straight, scores an “above average” rating. The tests are designed to help you develop a fitness program based on your results. The ACSM and Cooper Institute will also be involved in the Army’s establishment of test standards.

Connie Aronson is an American College of Sports Medicine Health & Fitness Specialist and personal trainer located at the YMCA in Ketchum, Idaho

 

Foam Rollers: Your Own Personal Masseuse


A woman is stretching on the floor with another person.

Photo credit PTonthenet.

If  you’re  active and participate in any of the fun sports this valley has to offer, you might benefit from daily foam roller stretching to alleviate soreness and promote recovery.  Round foam rollers are either 1 or 3 feet long. Popular with savvy athletes, and used in sports medicine clinics for rehab, use of the rollers can help bring blood to tight muscles, help manage chronic problems, and can be used before or after activity. Rolling out your muscles can also warm up cold muscles before deeper stretching. Most gyms have them out for members to use. Similar to massage, in that pressure is applied to a knot, or trigger point, the technique is a form of self-massage called myofascial release. Your body weight resting against the foam roller acts like a steam iron on a wrinkled shirt, smoothing out these knots. As these knots warm up within the muscle and fascia, and unbundle into straighter alignment, you are able to access areas that are difficult to treat with conventional stretches. The technique is to simply stay on the tender spot for 20 to 30 seconds, until the pain starts to subside.
Muscles imbalances, misalignment, and overuse patterns usually create various aches and pains. Many can be addressed with self-myofascial release with the roller. Golgi tendon organs are  proprioceptors , deep in tendons. The pressure of rolling on the roller relaxes  muscles and other soft tissues so they  begin to “let goâ€.
A Common Problem…. and RX
Sore knees are a common complaint among runners. An assessment of the lower leg, for example, might find that the individual excessively rolls their ankle and lower leg inward. A tight iliotibial band ( IT) may be the root of the problem. The iliotibial band attaches the gluteus  maximus to the lower leg. In a normal gait, these muscles help control the leg as it moves over the foot. Since the IT band attaches to the lower leg, the excessive inward rotation of the leg can, over time, cause inflammation and pain in the IT band. In this scenario, here’s where the roller comes in:
Place the roller perpendicular to the outside of your thigh and lie over it. Roll over it at a rate of one inch per second, looking for any sore or tender spots. Hold your body weight there for 30- 40 seconds until the pain starts to subside. Try to relax, even if it is uncomfortable. Continue rolling down the side of your hip towards your knee. Roll each leg every day, for about 1-2 minutes. Make sure you don ’t  roll over the knee joint.
Check out www.power-systems.com, www.gaiama.com or www.amazon.com to purchase one. Start off this fall stretched and ready to get outside and play!

Are Kettlebells Good for your Back?

Back pain affects 60-85 percent of people worldwide, at one time or another, and half the population has their first lower back episode before age 20. It is the most common and expensive neuromuscular disorder. For most, the pain subsides in a few days, but for others, the right exercise program can restore and enhance back health. One of the biggest causative factors of lower back pain is the type and amount of mechanical loading placed upon the spine, such as bending, twisting and prolonged sitting. The good news is that you’ll have success if you incorporate exercises that develop power around the hips and gluteals. Many accomplished athletes and world-class strongmen with back pain credit a component of their success to kettlebells, a popular new trend in training. Yet others find that it irritates their backs. The kettlebell swing is a terrific dynamic total-body integration movement, but is it good for everyone? Kettlebells are bowling ball-size cast iron weights with a single looped handle on top. Unlike using regular weights, unique loading patterns are created throughout the body. The kettlebell swing is an example, in that the back, gluteal and external oblique muscles are turned on. To perform the swing, the kettlebell is held in your right hand. From a squat position with a neutral spine, the swing is initiated by simultaneously extending through your hips, knees and ankles, performed by swinging it to chest level and returning it. The move, says Stuart McGill, Ph.D., a professor of spine biomechanics and chair of the department of kinesiology at the University of Waterloo, is a “wonderful posterior chain balancer.” Pavel Tsatsouline, a former Soviet Special Forces trainer, started the kettelbell craze in the West in the 1990s. He and six other fit young men were part of Stuart Mcgill and Leigh Marshall’s research published in the Journal of Strength and Conditioning Research last month. McGill was curious about why the lower back loading of this exercise (the study included three others that I don’t have room for in this column) is therapeutic for so many accomplished athletes, yet troublesome for others. The swing itself needs sufficient spine stability to withstand the compression forces across the lumbar joints needed to accelerate the bell through the arc-like trajectory. The findings showed that compared to traditional squats or dead lifts, the ratio of compression to shear is quite different. Unstable spinal joints may experience micro-movements from these forces, causing discomfort. Most people with painful back conditions tend to use their backs more by moving the spine instead of the hips when it is under load. The spine may be better able to withstand high loads if it is postured close to its natural curves, and stiffened with abdominal wall contraction, McGill notes. He suggests using good form by bending at the hips in the squat part of the move (and any other type of squat), rather than spine motion. If it is appropriate for you, enjoy including kettle bells into your workouts.     Connie Aronson is a fitness specialist based in Ketchum.

Preventing Tripping and Falling As You Age

Falls can be traumatic after a certain age. My father passed away from complications from a fall, one of the most common causes of severe brain injury. He hit his head while helping my mother get groceries out of their car one morning. As tragic as my family’s loss, falls happens all too often in people over 65; The Center for Disease Control reports that 1 out of 3 people over 65 will suffer falls and that they are the leading cause of injury death. Twenty -30% percent of fallers suffer the inconvenience of hip, pelvis or spine fractures that not only make it harder for them to get around, but chips away at their self-confidence. Recent studies show that strength training alone is not enough to prevent falls and improve balance among the elderly. It certainly is important to retain muscle strength as you age, because in your 50’s your strength starts to decline at a rate of 12-15% per year. But could it be that older people trip and stumble more often or is it because they are less able to recover balance after a stumble or trip? Is it because their balance is off? In a study on the prevention of falling in older folks, The Journal of Strength and Conditioning Research February 2011 stressed the importance of not only power and quadriceps strength, but balance training also.

Swing , sway and stand

A lot of factors, like falling history, muscle weakness, eyesight, number of medications, arthritis,fear of falling and home hazards all contribute to fitness decline and falls. During the actual fall, the study demonstrated that lack of lower leg strength predisposes them to fall. Their “swing phase “is off; their thighs aren’t strong enough to allow them to regain their balance. This means these older people end up taking too many small steps or arm reactions and end up tripping.

For a simple balance exercise try rising up on your toes, keeping your weight aligned over your big and second toe. This trains the sensory, or balance receptors in your ankle and foot. These muscles send out important sensory information to control standing balance. An exercise such as toe-raises, for example, trains the sensorimotor inputs, all providing valuable information about body position with respect to the supporting surface.

Stepping down off a small step is a good exercise as the study showed that the down phase of stepping in this age group is altered because of very tight ankle muscles. Stepping up onto a step is an example of a strengthening move to help strengthen the whole lower body. Although not a chipper subject, The Department of Health and Human Services recommends 4 preventative measures to avoid falls. 1. No matter how old you are, stay active 2.Make your home safer, by removing clutter from stairways and doorways, for example. Almost half of falls happen at home. 3.Have your doctor review your medications for side-effects. Some medications can make you light-headed or drowsy, which can lead to a fall.4.Have your eyes or eyeglasses checked. Poor vision can increase your risk of falling.

Connie Aronson is an American College of Sports Medicine Health and Fitness Specialist and IDEA Elite certified personal trainer. She is located at the YMCA in Ketchum, Idaho

Strong legs : learning the basic squat

Featured


A woman is stretching on the floor with another person.Nothing beats a great pair of legs. We need the strength of them to walk us through our lives. If you’re a skier, you can appreciate how hard your legs have to work on a powder day, as your hips and knees continually flex and extend. The lower body provides support and mobility for movement. The strongest muscles, for instance, the quadriceps, the front thighs, and your gluteals( posterior),  are powerful movers in  most every sport. No matter what your activity of choice may be, it is a good idea to keep them strong with a simple traditional exercise: the squat.

The movement seems simple enough: you “sit back “, as if you were to sit down a chair. Yet our bodies are a little more integrated than we think, as muscle is intertwined and inseparable from fascia. Rodney Corn, a biomechanics professor at the California University of Pennsylvania builds on the concept of how muscles are not islands by themselves. From the bottom of your foot, all the way up through your calf muscles, legs, hips, up to the top of your head is one continuous band of myofascia, transferring force from tendon to bone, all affecting each other. For example, the deep squat with the arms held overhead  is used as a movement assessment tool, as every joint in your body has to work. Here is where muscle imbalances show up. For example, if your knees track inward or outward, it probably indicates that your gluts are weak, or the inner thighs are weak and tight, or maybe your heels come up off the ground, indicating very tight calf muscles. Overtime, these kinds of compensations can lead to injury. Be aware of alignment, even though the squat seems simple enough, before you start adding either heavy weights or variations of a squat, such as a walking lunge exercise.

How-to:

Stand with your feet hip width apart, with your toes pointing forward. Bend your ankles, knees and hips as if you were sitting back in a chair. The authors of Strength and Conditioning Journal December 2009 use the cue to “sit back into the squat.†Shifting your weight backwards not only reduces the torque on your knees by decreasing the angle, but also distributes the forces throughout the whole lower body, not just the front thighs. Pause for 1-2 seconds, tighten your gluts, and extend your legs fully back up to standing.

Sitting back in the squat can also prevent you from arching your back. By engaging the glutes, it becomes easier not to arch the low back. Keep your spine in a neutral position. The authors suggest that repetitive extension of the lumbar spine beyond the anatomical limit (arching) places stress in the small bones that join the facet joints in the back of your spine, called pars interarticularis. Keeping  a neutral spine throughout the move increases stability through the spine and allows it to handle greater compressive loads. Once your movement patterns are ingrained, you can progress the difficulty of a body weight squat to ones that include free weights, weighted bars, kettleballs or medicine balls. The variations  are numerous.

A shallow squat might be better for you if you have knee pain or patellar tendinous, because more than anything, strong quads will help in your rehabilitation.

Knee flexion and extension strength was recently measured in competitors in the National Senior Games. They had an average of 66% greater isometric knee flexion strength and 38% greater extension strength than control groups because of the demands of 20 or more years of competing, and loading the skeletal muscle. Other research, published in the Journal of Strength and Conditioning  Research  Journal 2009 shows a 53% increase in leg strength after 6 months of resistance training in older men. The point is the basic squat is a good exercise to do. Stronger legs make for better days on or off the hill, or on the tracks this winter.

Connie Aronson is an American College of Sports Medicine Fitness Specialist located in Ketchum, Idaho

Printed in Idaho Mountain Express January 31, 2010

 

 

Training Like a Pro for Golf

The biomechanics and complexity of a golf swing could make your head spin. An elite player uses nearly every joint in their body to propel 900 kg of force to hit a ball in half a millisecond or so at impact. At the elite level, the club-head speeds can exceed 160 kilometers an hour, all the while taking only .2 seconds to accelerate the club to this speed. Furthermore, throughout the game, elite players maintain a consistent club-head alignment within 2 degrees from shot to shot. At this level of playing, the game requires core strength and stability, power, flexibility and balance.

So it’s no surprise that today’s top players take their preparation for the game very seriously. They are leaner, more flexible and muscular than previous generations. They are training like athletes to play at a consistently high level.

To excel at any sport you love requires preparation and training, and new research  offers some training ideas .The Canadian National Golf Team was recruited for a study published in The Journal of Strength and Conditioning Research this past May. The testing of these competitors looked at limb length, abdominal strength, pull-up strength, cardiovascular fitness, flexibility, balance, and leg power and how it all affects golf performance. The testing showed genetics gave some advantage to players with long limbs and height. Those long limbs generate much more force at impact in both men and women.  The results of a run test showed a relationship between a good cardiovascular base and total score short game and putting average.

The abdominal muscle endurance test s involved variations of forearm planks, where the body is held stiff using your arms and toes as pivot points. Strong internal and external oblique muscles on the dominant side of the female golfers helped swing power and drive distance. These muscles act like an anatomical girdle around your middle. There were also correlations between putting distance and 5 –iron distance, in both men and women, showing that core strength and stability are important to train. The balance test had the athlete stand on one foot, with the foot of the other leg against the lower part of the support foot. The test began when they were asked to raise the heel of the support foot from the floor, and to balance as long as possible.  Given the weight shifts and balancing primarily on the dominant leg that occur during backswings, and sometimes uneven ground, balance training was found to be very beneficial to performance.

Leg power was found to be more crucial for men than for woman for power during the golf swing. Upper body strength as in pull-ups and push-ups was correlated with drive distance. Forearm strength was different between the men and women, suggesting that very different recruitment patterns may be happening for the different sexes during different aspects of the game. (Distance in the male group; only putting in the female group)

Body angles, joint forces, and muscle activity patterns all sounds very complex. You can start to practice at least one good habit this summer by keeping your  warm-up simple, as another study of competitive golfers  warmed up  with 10 practice swings, then 15 full swings with their competitive clubs to longer lighter clubs,  as opposed to a 20 minute stretching routine. (Less force can be applied to the bone because of the slack in the tendon after static stretching).  It’s just a game, after -all.

Connie Aronson, ASCM Health Fitness Specialist                                                                                                        Published June 26 in The Idaho Mountain Express

 

 

 

 

 

 

 

Summertime : taking care of you feet and ankles

I couldn’t help but notice the 2 newsmen behind the morning CNN anchor, slouched like no tomorrow. Their necks were craned forward, maybe towards a good cup of coffee, but slouched nevertheless, as they sat their keyboards. While it may sound simple enough, sitting up very straight uses your muscles in a good way, without even going to the gym. Think of how uncomfortable your neck can get with a backpack, or heavy shoulder bag, if you let the upper back round forward or tip sideways. Many of our small daily habits, most stemming from poor body mechanics, whether sitting at your computer, golfing, or never stretching ,can contribute to many preventable aches, pains, and even sprains. This month the focus will be on good mechanics in the foot and ankle, to help you enjoy all the summer activities you love to do, without annoying little injuries.

 It’s All Connected. If you exercise regularly and walk, that’s great because you and your feet are getting exercise that promotes a myriad of health benefits. However, if you’re one of the 11 million people annually prone to ankle sprains or foot problems, fixing the problem is more than just putting on a high hiking boot to prevent another twist or fall. Your foot, consisting of 33 joints, 26 bones, and 3 naturally springy arches, support the entire weight of your body. Problems occur when your feet tip and tilt outward, like a duck, or collapse inward, where your arches are flattened and your knees roll in. Think of how exaggerated this can be if you’ve ever tried ice skating. Good foot alignment means your feet point forward. It’s taught in yoga as an essential pose. Called Mountain Posture, or Tadasana, and taught before attempting anything more advanced, you learn to keep your body weight even over the inner and outer edges of your feet, keeping your arches lifted. Imbalances in the foot in a dynamic sport like Alpine skiing can really make a difference in turning well right and left.

Train the balance receptors in your ankles to reduce the chance of losing your footing and re-spraining it by practicing rising up on your toes, barefoot, keeping the weight aligned over your big and second toes. Other factors come into play, when we look at the kinetic chain. (Hip bone connected to the thigh bone type-of–thing) When the knees roll in, most likely the outside of your thighs, the tensor fascia latae, is tight. This dense muscle is like a sleeve that covers the outside of the gluts and thigh. The inner thighs are usually tight in this case also. It also means that your gluts are probably weak.

Our feet cushion up to a million pounds of pressure during an hour-long hard work-out, and good shoes offer extra shock absorption. The New York Times recently ran an article on flip-flops. Researchers from Auburn University presented some findings at a recent meeting of the American College of Sports Medicine, concluding that they’re best used for short periods of time, as flip-flops alter our gait. Since the toes don’t come up as much (from gripping them) as the leg swings forward, our stride length shortens, creating problems all the way up to the lower back. Similar to walking in high heels, the shortened leverage of the foot contributes to upsetting our gait from the foot upward.

Summer is so short, after-all, so for now maybe just toss your shoes off, enjoy a little bare-foot time sitting tall at your next picnic.

Printed in The Idaho Mountain Express July 25, 2008

 Connie Aronson is American College of Sports Medicine Certified Health Fitness Specialist, IDEA Elite personal trainer located at High Altitude Fitness and the YMCA in Ketchum, Idaho