Session 17 | Safe Strength Training Strategies © Australian Institute of Fitness 1 / 25 SETTING THE SCENE Let’s get stuck into the theory and practice behind safe strength training strategies. For safe and effective exercise prescription, the first requirement is what exercises to prescribe - safe exercise selection. The next requirement is to ensure these exercises are executed correctly - safe exercise technique and execution. To get results, we then need the know-how to progress the exercises – safe exercise progression. If we satisfy these requirements, we should be designing workouts that gets results and minimise the risk for injury. The golden rule – Safety first for clients! Always! These strategies can be applied to any resistance training exercise and include: The steps to perfect technique Determining intensity using the strength training intensity guide When and how to spot Exercise variations and progressions You need to plan a visit to a well-equipped gym to complete the practical Your Turn called “Feel the Force”. The goal of this practical is to work through a series of exercise progressions, one exercise at a time, progressing from easier to harder variations – that is, from a simple movement to a more complex one. You should feel the increase in intensity or skill and the need to apply your safe strength training strategies! © Australian Institute of Fitness 2 / 25 Elements of Difficulty All fitness professionals must select the most suitable exercises and equipment for the client's level of ability and experience. So what makes an exercise easier and harder? Think about this question for a couple of minutes before you view the video and write down any emerging themes that come to mind. Examples would be body position and degree of stability. Can you think of others? These elements of difficulty are used to determine the skill classification of an exercise and help you choose the right level of exercise for your client’s level of ability and experience. Element Easier/Simple Harder/Complex Body Position Seated Supported Body vertical or flat Arms below shoulder height Moving limbs in vision Standing Unsupported Body in a range of angles Arms above shoulder height Moving limbs not in vision Joint Movement Fewer joints moving Smaller ROM Natural ‘everyday’ movements Many joints moving Large ROM Unusual or highly skillful movements Control & Stability Bilateral movement (two feet, two hands) Various grips and various widths Pulling above or below mid line Multiple planes of movement Travelling movement Unstable equipment e.g., fitball, BOSU Unilateral movement (one foot, one hand) Easier to control e.g., machines Light to moderate load Natural ‘everyday’ loading More challenging to control e.g., DB Heavy loads New or unusual forms of resistance Resistance/ Equipment Narrow or neutral grip Pulling to mid line One plane of movement Stationary movement Stable equipment e.g., machines The more elements of difficulty an exercise has, the more complex the exercise requiring a higher level of skill, balance, control and stabilisation to maintain neutral body alignment and execute the exercise safely. © Australian Institute of Fitness 3 / 25 STEPS TO PERFECT TECHNIQUE By now you should be on your way to mastering perfect postures and exercise technique for a range of exercises. We are now going to learn how to Perfect Technique by reviewing the four steps to success. These steps will help us to (a) choose the right exercise and (b) progress an exercise. We are going to use the analogy of ‘driving a car’ to help us. When first learning to drive, you select a vehicle that is easy to control and not of “high performance”. In the gym, this refers to beginning with simple, easy to perform exercises. For example, machine strength training exercises are often recommended for beginners as they generally have a lower degree of difficulty and are easy to handle when compared to free weight exercises. Introducing the Four Steps Steps 1-3 provide the foundation for good technique; only progress to Step 4 when all other steps are mastered. Step 1 - Posture Put your seatbelt on before you drive off Step 2 - Range of movement Turn the steering wheel Step 3 - Stability Control the car as we drive Step 4 - Load and/or complexity © Australian Institute of Fitness 4 / 25 Push the accelerator and increase speed Don't Go the Wrong Way Many people go straight for Step 4 – they choose to lift a heavy load or a difficult exercise without having mastered the preceding three steps – this is when the person will ‘cheat’ to complete the exercise, for example, swinging the trunk to lift a weight and injuries are more likely to occur! © Australian Institute of Fitness 5 / 25 Step 1 - Posture The number one safety rule to apply when you get behind the wheel is to set-up correctly in the driver’s seat and put your seatbelt on “click clack front and back” – doing this before we drive off is more likely to ensure a safe trip. With strength exercises, this can be likened to starting with the correct postural position and activating the stabilising muscles. Common postural cues to use Soft knees Pelvis square – hips level Spine neutral and abs braced Shoulders back and down Slight chin tuck Refer to the Perfect Postures in your Exerpedia for specific postural tips. © Australian Institute of Fitness 6 / 25 Step 2 - Range of Movement Great, you are sitting in the driver’s seat of a suitable car and have your seatbelt on, You start the car and begin to drive down the road at a controlled speed, things are going well until you come to your first corner and lack the ability to turn because the steering wheel won’t move properly. It is essential to have a steering wheel that can turn within the range that is required for your journey. In strength training, we refer to this as your functional range of movement, that is, the range of movement that is required in everyday movement patterns. For example, we should have adequate range of movement to sit down (squat), lift overhead (shoulder press) and perform other pushing and pulling movements. So we need to teach people how to turn their steering wheel; to perform exercises with an adequate range of movement. © Australian Institute of Fitness 7 / 25 Step 3 - Stability If you can’t control the steering wheel when you are driving and the car weaves all over the road, you are more likely to increase wear’n’tear and you may even crash the car! If the car is “loose”, it is harder to control. In strength training this can be likened to the effects of performing exercises with poor joint control or poor stability leading to increased forces and premature wear on the musculoskeletal system. Establishing joint control and stability are a vital part of good technique as follows: Provides a stable platform for the major muscles to work from. Decreases joint stress and reduces the load on the small stabilising muscle groups due to limiting unwanted joint movements. Enhances lifting performance of major exercises due to a stronger base of support (less chance of cheating by using other muscles) Enhances body awareness by knowing what should move and what should be still More likely to maintain good alignment throughout the movement More likely to develop correct patterns of muscle recruitment The major joints that require control while performing strength training exercises are the scapulae, shoulder, lower back, pelvis and knees. © Australian Institute of Fitness 8 / 25 Stabilising the Scapula and Shoulder Girdle The movement of the scapula and shoulder joint are intimately related in many upper body exercises, meaning that if the shoulder joint moves, there is a co-ordinated movement of the scapula. For example, in an overhead press, once the deltoid has abducted the shoulder about 90 degrees, the scapula will rotate as the trapezius completes the movement above shoulder level. Sometimes however, the scapula moves too much or moves incorrectly such as any premature and uncontrolled scapular elevation and upward rotation during shoulder movements. Lack of control may cause shoulder impingement – this is where the rotator cuff tendons between the acromion process and the humeral head are compressed. The goal is for the scapula to be set or aligned in the correct postural position and any scapula movements that are not considered part of the technique should be avoided. Poor stabilisation of the scapula is indicated by the: Shoulders moving too far forwards such as dropping the shoulder in a single arm row – a controlled full range is recommended but not at the expense of control. Shoulders moving too far backwards such as excessive scapula retraction (squeezing the shoulder blades together) in a seated row – this can also cause the back to arch; a good cue is to keep the sternum still! Shoulders lifting when they should be still – this is scapula elevation and often occurs in the up phase of a lat pulldown indicating that the muscles responsible for scapula depression are not doing their job! Shoulder blades sticking out (wing scapula) – this can occur when the upper body is loaded such as the start position of a push-up and indicates that the stabilisers of the scapula are weak So what do we do when poor scapula stabilisation is evident? As the shoulder girdle is part of posture, you should first test the client’s ability to ‘hold’ the scapula in Step 1. In the start position, the shoulders need to be set down and the scapula should be flat on the ribcage; not squeezed together or sticking out. If the static position cannot be held, the person is unlikely to stabilise during dynamic movement. In the start position, the scapula stabilisers must be activated. The scapula stabilisers include serratus anterior, pectoralis minor, rhomboids and trapezius posteriorly. We teach scapula stabilisation by gently retracting and depressing the scapula which activates the trapezius and rhomboid muscles posteriorly, and the pectoralis minor and serratus anterior muscles anteriorly. Hence, not only does scapula stabilisation prevent unwanted movement of the scapula but also serves to activate the scapula stabilisers. Try this imagery - imagine the shoulder blades making a soft v, or that you are gently squeezing a peach between them between your shoulder blades. Avoid the ‘sergeant major’ chest up and shoulders back – only provide this postural cue if the person is slouching. Next thing to do to improve scapula stabilisation is to keep the scapula stabilisers activated during the movement. You may need to reduce the weight. A good teaching tip is to ask the client to imagine that they have to hold the V between their shoulder blades. If the client cannot stabilise after reducing the weight then the exercise is too challenging and an easier one should © Australian Institute of Fitness 9 / 25 be chosen instead. Poor spinal alignment and poor scapula control – scapulae are elevated and protracted © Australian Institute of Fitness Ideal neutral spine and good scapula control – scapulae are depressed 10 / 25 Stabilising the Neck, Lower Back and Pelvis Stabilising the Neck This firstly involves ensuring that the cervical spine is in the correct neutral alignment with the ears over the shoulders. Many people have a forward head posture which is common with excessive kyphosis. Alternatively, people look up and hold the chin in a high position causing the neck to arch. The deep cervical flexors are the main stabilisers of the neck and are activated by encouraging a slight chin tuck. Avoid saying chin up unless the person is dropping their chin. In a standing position, the eyes should be on the horizon. When the trunk moves, the eyes should follow the movement. Stabilising the Lower Back Core stability and correct spinal alignment are crucial in stabilising the back. The first thing is to ensure that the spine is in neutral alignment hence the lower back should have a slight lumbar curve. Then we activate the stabilisers by gently contracting the abdominal muscles to encourage a subtle isometric contraction of the core by bracing the abdominals. Emphasise normal breathing; never hold the breath. In addition to the local spinal stabilisers, the global stabilisers such as the erector spinae group, rectus abdominis and other superficial muscles, will be called upon when more stabilisation is required especially in large compound movements involving load. Try this imagery – imagine that you are wearing a corset or belt around your waist and you are pulling it in just one notch tighter, or pulling on tight jeans; hold that deep contraction. Stabilising the Pelvis Pelvic positioning affects the lower back hence a neutral pelvic position is essential for the correct alignment of the lumbar spine. In standing, the anterior superior iliac spine (ASIS) of the pelvis should be level with the posterior superior iliac spine (PSIS) and vertically with the pubis. Therefore, the pelvis should not be tilting forwards or backwards. The challenge is to keep the pelvis neutral during movement. The pelvis is stabilised predominantly by the oblique muscles and hip abductors (e.g., gluteus medius). The abdominal brace is recommended as many of these muscles attach onto the pelvis hence will help to keep it still. © Australian Institute of Fitness 11 / 25 Hip, Knee and Foot Alignment The knee tends to be the more challenging joint to stabilise and align. The ideal alignment is for the knees to be in line with the toes – specifically the centre of the patella should be in line with the second metatarsal. This promotes proper patellofemoral tracking. If the patella does not track properly, for example, when the knee falls inward to the midline (‘buckles’), it places unequal forces through the knee joint and may cause knee problems. Knee position is partly determined by hip mechanics and pelvic stablisation and it is recommended that the client concentrate on squeezing their buttocks to activate the gluteals. This will help place the leg and the knee into a more desirable biomechanical position. Last but not least, the knees should be soft (slightly bent as should the elbows) to reduce the stress placed on the joint hence the rule to never lock the knees (or the elbows). This is particularly important on extension – check that you fully extend without locking. © Australian Institute of Fitness 12 / 25 Step 4 - Load and/or Complexity Let's see if you're ready to race your sports car? Would you race a car without your seatbelt fastened? Would you race a car with a steering wheel that did turn correctly? Would you race a car that you could not control? No, you only race your car when your seatbelt is fastened (good posture), your steering wheel turns correctly (adequate range of motion) and when you have full control over your car (stability). Once you have mastered the skill of stabilising joints, such as the neck, shoulder, lower back, pelvis and knees and can move through a functional range without losing stability of those joints, you may increase the amount of weight you use and/or try more difficult exercises. Without Posture, Range of Movement and Stability there is no place for Load. Too often, people “load up” and end up with an injury. © Australian Institute of Fitness 13 / 25 Coach Tip © Australian Institute of Fitness 14 / 25 STRENGTH TRAINING INTENSITY GUIDE Now that we have the strategy for choosing the right exercise, we now need a strategy for selecting the right intensity. Intensity is a combination of load and complexity. For example, a less stable, unilateral exercise such as a lunge is more complex and will feel intense without much load or weight. A suppported, stable exercise such as a machine leg press is less complex and more load can be applied. The Strength Training Intensity Guide (nicknamed the STIG) has been developed by the Institute as a user-friendly tool to assist you choose the right intensity and monitor the intensity as your client trains. Strength Training Intensity Guide (STIG) Level 1-3 Very easy to light; I could keep going for a long time Level 4 I can feel effort in my muscles (ideal for warm-up) Level 5 It feels somewhat heavy but I can keep going Level 6 It is quite heavy but I have control Level 7 It is really heavy and I can’t do many more reps (need a spotter) Level 8 I am fatiguing but I can do one more rep (spotter crucial) Level 9 Fatigued but going to see if I can do another rep (spotter crucial) Level 10 I am physically and mentally incapable of moving the weight Print this page from the session PDF so that you can apply the STIG to your own training and client practice sessions. How to use the strength training intensity guide for clients of differing abilities. Training Age Objective Level First time Learn safe technique – avoid too heavy too soon Level 4-5 Beginner Reinforce technique and gradually increase intensity Level 5-6/7 Intermediate Establish skill with load Level 6-8 Advanced To get stronger Level 8-9 Did you know that the harder you train, the more recovery you need? © Australian Institute of Fitness 15 / 25 Starting Weight What weight should you use? From your own strength training, you should have a good idea of what weight is considered light, moderate and heavy. You then need to adjust this to suit the level of your client. It gets easier with experience. Follow these guidelines: Explain the Strength Training Intensity Guide to your client and identify the level you require them to train at Always underestimate rather than overestimate the weight – aim to progress the weight rather than having to regress - increase the weight as required based on the level your client reports Ask for client feedback at the start, middle and end of the set Look for excessive strain, loss of form and technique – decrease the weight if technique is compromised Always make sure that the technique is perfect before the weight is increased! © Australian Institute of Fitness 16 / 25 Coach Tip Prior to viewing the video, make sure you have reviewed the Strength Training Intensity Guide and information on starting weight. © Australian Institute of Fitness 17 / 25 SPOTTING Spotting is required when a client is struggling! This may be a beginner who needs guidance or a client reaching fatigue and trying to complete a few more repetitions. The trainer assists by either holding the resistance or holding the client (exercise dependent). Spot where most influence e.g., bar or body? Always ask the client for permission to touch – be specific about where and how Set up communication terms Confirm the target repetitions Be prepared for the worst Position yourself to protect yourself and the client Don’t over spot or under spot Unrack and rack bar together In the Bench Press shown to the right, a spotter is needed to help the client lift the bar from the rack (unrack) and place it back on completion of the exercise (rack). To rack and unrack the bar, the shoulder is in a compromised position hence the assistance of the spotter reduces the risk for injury. For this exercise, the spotter would 'spot the bar' and in most cases, stand behind the client's head. © Australian Institute of Fitness 18 / 25 Spotting Positions Part A Practice these spotting positions and techniques on a friend or training partner. DB Bench Press – spot the elbows or wrists DB Chest Fly – spot the elbows or wrists Lat Pulldown (wide grip) – spot the bar Lat Pulldown (close grip) – spot the bar Seated Row – spot the wrists (avoid holding the cable) Standing DB Shoulder Press – spot the wrists or elbows © Australian Institute of Fitness 19 / 25 Spotting Positions Part B Practice these spotting positions and techniques on a friend or training partner. Chin-up – spot the body either around the ribs or waist Some clients may feel uncomfortable with you touching them so ask where they would like to be spotted. If you cannot reach their waist/ribs, spot the thighs or feet taking care not to push them into a hyperextended back position. Squat (start position) Squat – spot the body Spot the body, preferably the waist, in squats, deadlifts and lunges - keep your centre of gravity close to the client – squat/lunge with them to protect your back. For heavy squats, use a squat rack or power rack for enhanced safety. Make sure you clearly explain where and how you will spot - some clients may feel uncomfortable with you touching their abdominal region so always ask for permission first. © Australian Institute of Fitness 20 / 25 EXERCISE PROGRESSIONS The first exercise listed in the progression for each movement pattern is the easier variation. The goal is to progress a client from a simple movement to a more complex one but the client has to ‘earn the right’ to progress by mastering Steps 1-4 at each progression. Step 1 - Posture Slight chin tuck Shoulders down and scapula set Neutral spine and abs braced Pelvis square – hips level Knee over second toe Soft knees and elbows Step 2 - Range of movement Step 3 - Stability Step 4 - Load or Performance © Australian Institute of Fitness 21 / 25 Sample Lower Body Progressions Squat Body weight With dumbbells With barbell Single leg squat Single leg squat with dumbbells Dead lift Modified with barbell With dumbbells (not modified) With barbell (not modified) Lunge Body weight split (static lunge) Weighted split (static lunge) Body weight backward lunge (step behind) Weighted backward lunge Body weight forward lunge (step forward) Weighted forward lunge Leg press (use sparingly for strength gains as not functional) Light weight to start and to ensure good form Increase weight Single leg press – light weight to ensure good form Increase weight © Australian Institute of Fitness 22 / 25 Sample Upper Body Progressions Chest – horizontal push * Push-up requires a higher level of stabilisation than a seated machine chest press hence for a weaker person, the chest press may go first Push-ups* – 3 progressions: wall, half (knees), full (toes) Seated machine chest press Barbell bench press Dumbbell bench press Dips Shoulders – vertical push (as the DB press allows a more natural movement, it precedes BB in this exercise) Seated machine shoulder press (light weight) Bench Dip Dumbbell shoulder press Barbell shoulder press Forward Dip (suspended) Back – horizontal pull Machine supported seated row Machine unsupported row Single cable rows Single arm dumbbell rows (on bench) Bent-over row Back – vertical pull Lat pull down – vary grip Assisted chin-ups Chin ups (unassisted) – vary grip Abdominals/Trunk These muscles should be activated during all strength training exercises – teach clients to brace and maintain neutral alignment in all exercises © Australian Institute of Fitness 23 / 25 Your Turn | Feel the Force It is time to FEEL the FORCE and apply the principles of progression. This gym practical requires you to perform the exercise progressions on the previous pages. You will need access to a wellequipped gym and a copy of the following guide. Strength Training Intensity Guide (STIG) Level 13 Very easy to light; I could keep going for a long time Level 4 I can feel effort in my muscles (ideal for warm-up) Level 5 It feels somewhat heavy but I can keep going Level 6 It is quite heavy but I have control Level 7 It is really heavy and I can’t do many more reps (need a spotter) Level 8 I am fatiguing but I can do one more rep (spotter crucial) Level 9 Fatigued but going to see if I can do another rep (spotter crucial) Level 10 I am physically and mentally incapable of moving the weight Print this page from the session PDF so that you can apply the STIG to the Your Turn. Visit your Your Turn Diary for more details. © Australian Institute of Fitness 24 / 25 ROUND UP Did you FEEL the FORCE? Did you apply the steps for perfect technique? This session was designed to help you choose the correct exercise for clients and have strategies for progression. Steps to perfect technique Step 1 - posture Step 2 - range of movement Step 3 - stability Step 4 - load and/or complexity Strength training intensity guide Starting weight Spotting Exercise progressions © Australian Institute of Fitness 25 / 25
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