Developing Fit Futures Exercise for Children and Adolescents All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 1 Introduction Evolutionary history shows us that early humans could not have 1. Fourteen million Australians are overweight. survived without the ability to perform demanding physical tasks. 2. More than five million Australians are obese. Anthropologists have estimated that they would have been active 3. If weight gain continues at current levels, by 2025, close to 80% of all each and every day primarily because of their hunter-gatherer life Australian adults and a third of all children will be overweight or styles, travelling between 16 and 19km per day in their constant obese. search for food and resources. Individuals who could out-run and out- 4. Obesity has overtaken smoking as the leading cause of premature plan their peers would ultimately survive. If you could move and think death and illness in Australia. Obesity has become the single biggest quickly, you could stay safe and out of the mouths of predators. threat to public health in Australia. Unfortunately today this active lifestyle has shifted in modern times, 5. On the basis of present trends we can predict that by the time they we no longer have a need to hunt and gather because modern reach the age of 20 our kids will have a shorter life expectancy than technology has automated so many of our daily physical tasks; which earlier generations simply because of obesity (2). has now developed into a major societal problem (1). As a result of lack of moving and increased obesity, there has been a Research from Monash University, MODI Breakthrough treatments for corresponding increase in mental health disorders especially in our Obesity and Diabetes (2) shows an alarming trend that the fitness young people. Beyond Blue report some alarming statistics (3) as the industry have a pivotol role in reversing. The current state of play is following highlights. reflected in these stark statistics: All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 2 1. Around 160,000 young people (aged 16 to 24 years) live with depression. issue is costing our country much misery and malaise and is causing major financial burdens for the Government with unprecedented 2. Depression and anxiety can be as serious, debilitating and lifethreatening as a physical illness. health costs. The Australian Diabetes, Obesity and Lifestyle study was conducted in 2000 with a follow up in 2005. In 2000 it was estimated 3. Adolescence is a critical time for mental health and it is estimated that obesity and the resultant diabetes was costing 5 billion dollars. In that 75 per cent of adult mental health disorders begin in 2005 this had jumped to 10 billion dollars. In 2010 it is estimated that adolescence. this was costing Australian’s 21 billion dollars per year. (5). Professors 4. The 2007 National Survey of Mental Health and Wellbeing found Colagiuri and Caterson, obesity researchers from Sydney University, that about one in four Australians aged 16 to 24 years had a mental stated that, “investing in measurers to combat obesity would deliver health disorder in the preceding 12 months. cost savings to the nation. What we need is to fast-track a range of 5. Some of the reasons young people don’t seek help are a desire to fix initiatives outlined in the report of the National Preventative Health things on their own, feeling ashamed or embarrassed, a fear of not Taskforce to help increase levels of physical activity and decrease being understood by health professionals and worry about financial unhealthy eating" (5). costs or time constraints. 6. Among the main issues of concern for young people are body image, There have been a variety of initiatives and clinical trials that are family conflict, bullying and emotional abuse, coping with stress and presently being researched with regards to their efficacy on our depression (3). unhealthy population. One such innovative program is called Fit-4Fun. The Fit-4-Fun program is “an innovative school-based Exercise is the biggest safeguard against both of these growing health intervention targeting fitness improvements in primary school issues of obesity and depression (4). The result of this lifestyle health children. The program will involve a range of evidence-based All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 3 behaviour change strategies to promote and support physical activity Despite these health benefits and academic gains, many Australian of adequate intensity, duration and type, needed to improve health- children and their parents are just not receiving the message; that related fitness”(6). exercise can change so many aspects of their lives!. Take 5 Read the article, “Improving health-related fitness in children: the fit-4-Fun randomized controlled trial” which gives a great overview of the status of fitness in our primary schools, but also provides an evidence based protocol for conducting fitness testing and programs for primary students. The World Health Organisation (7) in a response to these declining levels of fitness have recommended that children between the ages of 6-17 years old should participate in at least 60 minutes of moderate to vigorous physical activity every day. This should have also included physical activity that is high in intensity, and is complemented with From the statistics reviewed earlier it was clear that the fitness level of muscle and bone strengthening sessions on at least three-days per children and adolescents are in decline. This is a real reason for week. concern as we have identified that a higher level of fitness in younger people is associated with improved physical and mental health. Recent research has shown that children who have a higher level of fitness Recent research has suggested potential for school-based interventions to improve the physical activity and fitness levels of young people [8]. The school environment is an ideal avenue for have: accessing and educating young people about the importance of a decreased risk of cardiovascular disease. physical fitness. There are numerous opportunities in school settings less likelihood of developing diabetes and other lifestyle diseases. for the promotion of physical activity, personal development, health are less likely to suffer depression or anxiety. and physical education (PDHPE), active transportation, active breaks, and are more likely to perform better academically. (6) sport etc. While PDHPE is widely acknowledged as the cornerstone of All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 4 a schools’ physical activity program, studies have questioned the quality and quantity of HPE lessons delivered in schools (9). Preparation and Planning Independent fitness professionals and commercial fitness providers Innovative interventions like Fit-4-Fun are attempting to utilise are well placed to offer children and young adolescents safe and multiple components that influence behavior in the school setting. enjoyable physical activity opportunities. However, because of the Many struggle to get time allocations in schools, especially with a vulnerability of young people, specific guidelines are required to timetable which is already full, with teachers who are time poor, and maximise their safety and wellbeing whilst they are attending physical governments who are not funding the employment of specialist activity programs. Prior to actually beginning an exercise program Physical Education teachers to implement these imperative and with any client there are industry guidelines and professional necessary programs (10). standards that must be adhered to. This apparent void in quality physical fitness in schools has led to An essential guide for all practitioners working with children in a boundless opportunities for private fitness professionals and fitness training capacity is the publication “Kids in Gyms” (11). organisations to tap into this critical niche market. In preparation for this looming demand, this unit aims at developing knowledge and skills to provide fitness-training opportunities with this younger clientele. All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 5 Take 5 Read the booklet, “Kid in Gyms” which outlines essential information that will ensure you are meeting industry guidelines and professional standards when working with children in your fitness programs. See http://www.dsr.nsw.gov.au/publicat/detail.asp?pub=65 The following highlights the key components of the guidelines that are the 2011 Filex Fitness Conference (12). Through his research he concluded that: Many organisations were screening clients, however, this was done more for legal reasons rather than a diagnostic tool. Current forms at the time, were complex and sometimes relevant for planning and delivery of exercise programs to healthy cumbersome for clients and fitness professionals to complete and children and adolescents. One of the first tasks when engaging new understand. clients, is to have them complete a pre-exercise screening check and The ability to identify which clients might be at risk, was difficult evaluate their suitability to begin an exercise program. More to identify or often ignored with completed forms just being filed importantly though, is to evaluate each client for any risk factors that away in an office filing cabinet, never to be looked at again. may need further evaluation or referral onto a medical practitioner for medical advice or clarification. As a result of this review, a new Adult Pre-exercise Screening System was developed by a technical committee with membership from Exercise Sport Science Australia (ESSA) (13), Fitness Australia (14) Pre-Exercise Screening Pre-exercise screening has been part of the fitness industry for sometime, however there has been contention as to how effectively it was being utilised, and what was happening to the information once it and Sports Medicine Australia (SMA) (15). Professor Kevin Norton (16) chaired the committee and the APSS was launched in March 2012 with a series of forums organised by Fitness Australia. was collected by the fitness leader or fitness centre. Max Martin presented an overview of the state of play of pre-exercise screening at Take 5 Take time to view the Filex presentation (12) http://www.slideshare.net/informmax/pre-exercise-cv-screeningtool-launch which was utilised to give an overview of the current play of pre-exercise screening and outlined a new industry standard which has been presently adopted by the industry. All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 6 To raise the professional standard of the usage of this latest pre- A guide to the Australian adult pre-exercise screening system has been screening tool, much work has gone into training resources and authored by Professor Kevin Norton and Dr. Lynda Norton (16). This workshops so that fitness professionals are conscious of this new gives a comprehensive overview and rationale for it’s implementation, standard and how to administer it. but more importantly it seeks to simplify the screening process and standardise how it is administered and followed up if concerns are identified. Take 5 Take time to review “Pre-Exercise Screening” Guide to the Australian adult pre-exercise screening system. It can be downloaded at http://www.essa.org.au/for-gps/adult-pre-exercisescreening-system/ While this resource has “Adult” in its title, the comprehensive nature of the content makes it essential information for any fitness professional who is required to screen new clients, whether they are adults or children. As of March 2013, no specific detailed user guide had been written for children in this new format, however the “Kids in Gyms” resource, (highlighted above) discusses special considerations which need to be adhered to when working with children and also contains a children’s screening example in attachment 2 on page 21; these special considerations include the following: All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 7 Parents or guardians of children or adolescents under the age of 16 adolescents must be assessed by a qualified fitness professional years must complete a pre-exercise questionnaire if their children before any type of physical activity program begins at the centre. participate in a centre’s physical activity program. (Clause 24 of the The screening procedure requires a thorough and diligent process NSW Fitness Industry Code of Practice indicates that it is as injuries or aliments missed in this evaluation could lead to compulsory for all consumers who participate in any physical serious injury or at worst, even death. activity program within a centre to complete a pre-exercise screening questionnaire.) This questionnaire must include: Given these important factors “Kids in the Gym” (11) recommends that o emergency contact details Fitness Professionals who are responsible for conducting physical o medical/health history — if any serious risk factors are activity programs for children and young adolescents must: identified there must be provision for a medical practitioner to authorise further participation in the relevant activity approved course or Unit of Competence at Certificate IV level, and o physical activity history — listing type of activity, frequency specialising in the area of exercise prescription for special and intensity populations — children and young adolescents. o a disclaimer o a parent or guardian signature giving authorisation and consent o a countersignature by the fitness professional or centre official indicating approval. have successful completion of a relevant Fitness Australia- have a current Fitness Australia registration. hold cardiopulmonary resuscitation and first aid qualifications. have had a working with children check. have appropriate insurance (11). Special Importance: it should be noted that questionnaires completed by parents or guardians on behalf of children and young All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 8 Figure 1: Overview of Pre-exercise screening system. (16) As stated earlier, one of the problems with older screening systems was the subjective nature of interpreting the results of a completed screening. In figure 1 above, stage 1 of the screening process is a filter for any individual answering yes to any question. If they answer “YES” they must see their General Practitioner (GP) or allied health professional to seek clearance prior to undertaking any exercise program. In stage 2 and 3 detailed information is sought which will help indicate whether an individual is at moderate or low risk to exercise induced health concerns. Anyone who displays two or more risk factors during this stage should consider further advice from their Figure 2: Stage 1 Questions from the Pre-Exercise Screening Tool. GP. For detailed guidance on how to conduct this screening see (17). All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 9 Take 5 Use the form below to guide your evaluation of three industry pre-exercise screening tools. This activity is designed to give you a feel for recent changes in the screening process and the improvements in following up identified risk factors. Open the following three Pre-Exercise screening tools. (You can also find these by clicking on this “Learnist” link) Review each tool and compare and contrast the new pre-exercise screening tool 1 with number 2 & 3 below. 1. New Industry Standard Pre-Exercise Screen Tool 2. Exercise and Physical Activity Readiness Assessment of Children and Young Adolescents (ExPARA) 3. Physical Activity Readiness Questionnaire (PARQ) List three differences in the forms design and briefly outline whether these are a pro or a con. 1. . 2. . 3. . Do you think the new features of the industry standard form in bullet point 1 above, will streamline the screening process and allow for better analysis of conditions that may require further medical referral? Yes or No. Explain your answer. All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 10 place to ensure everyone working with children are functioning in Child Protection Fitness professionals may be engaged to work with children in a variety of different ways. You might be employed by a fitness centre to conduct exercise sessions or training or you could be self-employed conducting your own personal training business. Whatever your mode of employment, if you are working with children you must undergo a working with children check. ways that protect children and in turn, also protecting themselves and the organisation with which they work for from allegations of inappropriate behaviour. The NSW Commission for Children and Young People have a resource website where organisations needing help with their policies, checklists and practices can download forms to aid in the preparation of child safe practices in their workplace. Working with Children Checks and Police Checks are different types of pre-employment screening programs which ensure child-safe working environments in Australia. Pre-employment screening of adults and volunteers who are in contact with children is mandatory and legislated across most states and territories in Australia. However, there is no national framework which sets out the requirements for obtaining a Working With Children Check (or Police Checks) - and each state and territory has their own procedures and requirements. For an overview of requirements in your state visit National Crime Check Australia (18) or visit the federal government Pre-employment screening: Working With Children Checks and Police Checks website. Organisations and individuals working with children need to spend time ensuring that they have policies, procedures and practices in Fig 3: Self-employed fitness trainers need a Certificate if working with kids All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 11 Protecting Yourself And Your Organisation To help protect yourself and your organisation and ensure you are operating at an industry standard practice download Take this checklist and assess how you are doing with your child 5 safe practices. http://www.kids.nsw.gov.au/Working-with-children/Become-a-ChildSafe-Organisation/Codes-of-conduct/Capability Fig 4: Resources to help ensure your organisation is protecting your employers and child clients are available at: http://www.kids.nsw.gov.au/Working-with-children/Become-a-ChildSafe-Organisation/Become-a-Childsafe-Organisation Fig 5: Example of Child Safe Checklist: How do you compare? All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 12 Risk Management In addition to the above, a risk management plan for children and Any organisation which is involved with the delivery of fitness and young adolescents should also include additional sections related to: training of children or adolescents should have a risk management o duty of care plan in place to ensure the safe programming of classes. The following o the Working with Children check lists some of the key elements of a traditional risk management plan. o the centre’s facility environment 1. Appoint a risk manager - responsible for the risk management process 2. Identify ‘key’ people who will be involved in managing risk 3. Determine the organisations risk management context 4. Identify risks – what can happen, why? 5. Analyse risks – How could this occur? 6. Evaluate risks – What is the likelihood of this risk occurring and what is the consequence if something goes wrong? o fitness equipment and children. The risk register in figure 6 below is a template that can be completed by the risk manager to ensure the chance of an accident or incident occurring is greatly reduced. All staff must sign off on the risk register as an acknowledgment that they are aware of the hazard and they know how to reduce the chance of that risk causing harm. 7. Design a risk elimination and reduction plan 8. Implement the plan 9. Develop and implement a clear communication strategy on risk management to all involved in your program 10. Communicate the strategies to all appropriate levels of the organisation 11. Ensure the risk management is discussed regularly as a meeting agenda item. Any near misses or areas that need follow up 12. Monitor and review strategies at least annually. Fig 6: Risk Management Register: This form is utilised to identify risks and design mitigating strategies to reduce the likelihood of occurrence. (A printable version is available in the appendix which can be found on the course page.) All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 13 Working Outside Many fitness sessions with children and adolescents may take place in . the outdoors away from a fitness centre in surrounding bush, parklands, climbing gym, or at the beach. Working in this environment brings into play a unique set of risks which are harder to control and which require careful planning and managing. For example how would you manage the following? o Impacts of weather: heat, cold, wind, rain, storms and associated lightning. o Boundaries: Where can kids go and not go? What if they need a toilet break? Can they go on their own? o Natural Occurring Hazards: Cliffs, rocks, surface, swimming in the ocean. o Safe belaying at the climbing gym. Many organisations develop a checklist of areas which require evaluation in order to identify unsafe conditions, this is used to guide maintenance or interventions to reduce risk. Figure 7 is an example of a Facility and Equipment Related Risk checklist. Fig 7: Risk Management Register: This form is utilised to identify risks and design mitigating strategies to reduce the likelihood of them occurring. (A printable version is available in the appendix) All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 14 Duty Of Care: Considerations When Working With Children Fitness centres and independent fitness professionals have a duty of training apparatus to ensure it can be used safely. Because of the shorter levers of younger participant’s limbs, equipment will often fit incorrectly which could lead to injury. care to any child or adolescent who participates in any of their Likewise, machines that have adjustment often programs. It is essential that they provide: do not adapt to smaller individuals and should not be used. safe and well-maintained facilities and equipment qualified fitness professionals to conduct physical activity classes supervision in all areas of the centre children and adolescents build up a range of protection against physical, sexual and emotional abuse and neglect from other centre members, participants and staff equipment and apparatus that are specifically Many fitness trainers who work specifically with designed for the younger population a policy of safe supervision for change rooms for children and adolescents under the age of 18 years (11). Any centre that conducts programs for children must have a written policy outlining its duty of care responsibilities. It must be read and signed off on by all staff indicating that they know the procedures they Age Based Equipment Usage Guidelines Kids in gyms recommends the following age usage guidelines (11). Type of Equipment or Class should be working by. This signed statement must be filed and kept Age Requirement securely. Non-Weights based group: Cardio equip, aqua classes, fitness classes. 14 years old Fitness Equipment and Children Weights based fitness classes or circuits 16 years old Unsupervised resistance training 16 years old Organisations and individuals intending to offer fitness classes to children or adolescents need to carefully audit their equipment and Table 1: Recommended ages of participation in fitness classes (11) All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 15 Staff Supervision Ratios Fitness centres or personal trainers who conduct classes for large Working With Children and Adolescents: Stages of Growth and Development groups. The question of how big a class is acceptable is often asked. Children and adolescents mature and develop at different rates. If we The visited the local oval and watched a game of soccer, we would observe following table summarises ratio guidelines based on that some children are taller than others, some can sprint faster, while recommendations from Kids in Gym (11). Type of Class Ratio Non-weights based group: Cardio equipment, aqua classes, fitness classes or weights based fitness classes or circuits 1:25 Supervised or structured resistance training 1:8 others are more agile and skillful. Emotionally we could see a player have a crying fit when they let a goal in, while others take it on the chin and continue to have fun whether they are winning or losing. One child may have intense focus and concentrate diligently, while others will be Note: For activities which involve the supervision of school age children, a schoolteacher must also be present at all times. To ensure clarity with responsibility of tasks, the role of the fitness having a chat about what they are doing on the weekend, oblivious that an opponent is dribbling the ball down the field towards them. Psychological and physical differences vary immensely with the clients you will be working with, and this next section is designed to increase understanding of these growth and development differences. professional is to deliver a safe exercise program which has its main Let us have a look at the terms - growth and development. Growth focus on fun and to instill “perfect practice” technique (19). The role refers to observable step-by step changes in quantity and measurable of the teacher is to maintain general class discipline if individuals changes in body size, such as height, weight, and fat percentage. misbehave (11). Development refers to “the interrelationship between growth and maturation in relation to the passage of time. The concept of development also includes the social, emotional, intellectual, and motor realms of the child” (20). All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 16 Chronological age refers to the number of years and days elapsed since PVH is directly linked to the Development Age of athletes. PVH is a birth. Children of the same chronological age can differ by several measure of the maximum rate of growth in stature during the years in their level of biological maturation and this can have an adolescent growth spurt (20). Note that this is the average impact on training groups of the same age with the individuals chronological age of when individual growth spurts begin to happen, differing greatly in size, skill, and ability. Developmental age refers to but it can occur several years either side of these average ages. the degree of physical, mental, cognitive, and emotional maturity. The relative developmental age can be determined by skeletal maturity or bone age after which mental, cognitive, and emotional maturity is incorporated (20). The relevance of this to a coach or fitness professional is that in a class of 12 year olds (chronological age) you may have within your group individuals ranging in PVH from 10 to 15 years old. This will require you to consider the kind of class to plan; will you cater for different Before children undergo their hormone led growth spurt, they grow an PVH age differences within your session? Or alternatively, as occurs in average of about 6cm per year and put on around two kilograms of the coaching of elite junior individual sports, will you group your weight. session based on the PVH age of participants? Peak velocity height, which occurs on average at approximately 12 years for females and 14 years for males, is where major changes in height and weight begin to occur. Figure 8 below displays Peak Velocity Height (PVH). As a mentor to young clients it is worth noting that those late developers (smaller body sizes) often get frustrated at their level of strength and performance when compared to their taller, stronger earlier developing classmates. Unless they are nurtured and reassured, and the physiology of growth explained , Figure 8: PVH Growth Source: Brianmac Coaching: www.brianmac.co.uk/ltad.htm All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 17 there is a risk that they may drop out of class or sport altogether years). The teenager will go through some important biological because of feelings of inadequacy. Reporting research studies like one changes (such as the menstrual cycle and breast development for from Canadian swimming can help motivate these individuals; a study girls, and voice deepening and increased body hair for males). of primary school “Outstanding” elite swimmers found that only 25% Hormones are crucial at this stage, and the increased presence of of them were still “Outstanding” when they were in their late teens, estrogen and testosterone can result in behavioral changes. It is which indicates that the later developers eventually caught up and are important for a fitness professional to be aware that these body as good or if not better (20). changes can impact greatly on adolescents’ motivation for exercise. Human growth and development can be looked at from a variety of perspectives. Psychologist Erik Erikson (21) outlined eight stages of human development. For the purpose of this unit we will only take a look at the characteristics of those dealing with children and adolescence. Young girls are especially at risk of becoming depressed and feel self-conscious about their newly developing body and may need support and guidance through these sometime turbulent years (22). Tudor Bompa, one of the worlds leading sports conditioning experts Human growth stages generally follow a pattern which corresponds with the subject's age, however, as we examined above, this can be variable. utilises a system of categorising junior athletes in a way which matches their stage of development with a recommendation for the kind of fitness activities which suits their stage of growth. These phases are: 1. The school age child (six to twelve years) continues to rapidly increase in height and weight, and at this age the strongest influences on the child change from involving the parents and immediate family to also include outside peer groups. 2. Puberty and adolescence usually last from ages (twelve to eighteen 1. Initiation Stage: 6-10 years old 2. Athletic Formation: 11-14 years old 3. Specialisations: 15-18 years old (23) We will look at each one of these in more detail to develop an understanding of the needs and capabilities of this younger clientele. All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 18 Initiation Stage Fundamental Movement Skills can be categorised into three areas: Children are not mini adults; they are still developing basic 1. Body Management Skills: involves controlling body balance fundamental motor skills and the neural pathways to perform in a whether on the move, (dynamic balance) this includes activities variety of exercise and sporting contexts and are not able to handle the that require rolling, stopping, landing, turning, twisting, bending, stress of the high physical and psychological demands of a typical swinging, stretching and dodging or when stationary, adult exercise regime. Bompa believes that training and exercise balance) such as balancing on one foot. programs for young athletes, “must focus on overall athletic development and not sport-specific performance” (23). and fitness professionals 2. Locomotion Skills: are movements that take the body from one location to another in any direction. They need to be learnt and reinforced from a young age, these include, walking, running, There are a growing number of coaches, PE teachers, (static dodging, jumping, landing, hopping, leaping, skipping and sliding. who 3. Object Control Skills: involve hand-eye and foot-eye coordination believe that fundamental movement skills are in the manipulation of objects such as balls, bats, hoops, jump being neglected in this initiation stage (25), ropes, racquets, and hockey sticks. Then there is the ability to be and that there should be an effort to refocus able to integrate, bouncing, dribbling, rolling, striking (hitting), on these important developmental milestones. throwing, catching, kicking and trapping skills. (24) There are many great resources to support the inclusion of FUNdamental motor and movement skill development. Landy and Fig 9. Textbook on Fundamental Skills Burridge’s book in figure 9 being a valuable asset to anyone working with clients in this initiation or primary school age. Take 5 to check out this youtube video which gives a snapshot of integrating FUNdamental Movement skills into any fitness or Take sport training session with young children. 5 http://www.youtube.com/watch?feature=player_embedded &v=bzlML1Cyv9c#! All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 19 Current research suggests that if children DO NOT reach a degree of confidence and competence by the time they reach grade 6 at school they will not engage in regular physical activity or sport for the rest of their lives (24) (see figure 10). This can have some profound consequences as highlighted in a very effective and amusing way in the “Take 5” box below. FUNdamental Movement Skills: So as was just alluded to, if children do not pick up fundamental skills by the end of primary school they not only are less likely to play sport through their adolescence, their motor skills never develop and this can impact on their lives socially and functionally. Take a look at Take these two clever youtube videos from Sport Canada that have 5 been used to promote Fundamental Movement Skills. http://www.youtube.com/watch?v=bARkhWUF8MI http://www.youtube.com/watch?v=MFN9uZReNZ0 Figure 10: Consequences of not learning fundamental movements skills at a younger age. All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 20 While the videos in the previous “Take 5” box take a light hearted look at the consequences of not learning fundamental movement skills, the real result can impact on one’s ability to socialise and develop through sporting participation. These individuals end up becoming a statistic to the national obesity epidemic that is presently sweeping our country, and even worse, they miss out on a lifetime of fun through exercise. The NSW Department of Education and Training (25), recognising the importance of Fundamental Movement Skills has invested a multitude of resources into supporting their Physical Education Teachers with a raft of resources on the website http://www.curriculumsupport.education.nsw.gov.au/primary/pdhp Figure 11: NSW Department of Education and Training Website. e/gamessport/fmsindex.htm see figure 11 below. Our job as fitness professionals is to not only to improve the fitness of our young clients but to critically analyse their developing motor skills and provide effective and constructive feedback about their technique (an issue that will be discussed in more detail in an upcoming section). One of the signs of a fitness professional who has delivered a quality session to younger clients is that each individual has walked away not only with a sound workout, but they have had rich feedback about how to improve their Fundamental Movement Skills. For those of you who are new to teaching fitness with this age group, it Figure 12: Movement skill videos which break down Fundamental Movement Skills into teaching points. All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 21 is worth viewing some of the teaching videos from the Department of It is worth noting how this teacher structures their class in a clear and Education and Training. Figure 12 above shows links to videos of each effective fashion, utilising a variety of teaching styles to engage of the Fundamental Movement Skills and breaks this down into students and the interesting way he uses hula hoops to manage and teaching points. control where the children move to. (http://www.curriculumsupport.education.nsw.gov.au/primary/pdhp e/gamessport/fms002a.htm) Knowing these key-teaching points can Characteristics Of Children In The Initiation Stage Within each stage of development there are three sub-areas of an be utilised when you are analysing children’s movement and can be individual’s development that we need to consider (26), these are: the basis for constructive feedback. In addition, at http://www.curriculumsupport.education.nsw.gov.au/primary/pdhp The Physical Domain: which incorporates two-elements; Growth e/gamessport/orgmanvid.htm you will find an instructional video and change that occurs in a person’s body, and motor skill which is highlighted in figure 13. This is an excellent example of how development. Understanding how these elements interact gives to teach a class with children in the initiation stage of development. one an appreciation of the capabilities of physical performance. The Psychosocial Domain: is the area of emotional, personality, and social development and gives us insight into the psychological readiness for sport and how children relate at a given age. The Cognitive Domain: is concerned with a child’s ability to process information and learn new skills as well as interpreting their environment, decision making around game sense, strategy and tactics (27) Table 1, 2, and 3 below looks at these domains for different stages of child and adolescent development and can be utilised to structure lesson delivery and student interactions. Figure 13: All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 22 Domains Of Development For The Initiation Stage (5-8 years old) Physical Domain Psychosocial Domain Cognitive Domain Tires easily, recovers quickly. Moving from working as an individual to working with others. Increasingly able to use mental representation and symbols, but ideas about the world are sometimes illogical. Learns best by being physically active but emphasise good technique in any activity. Easily motivated, enjoys initiating activities, especially when praised for their endeavours. Able to take into account ideas and emotions of others. Needs to repeat activities until they are well known and mastered. Becoming more independent and attempting to exercise more control over own environment May have trouble understanding the rules of some games, so simplify or modify them to enhance understanding. Mainly uses large muscle movement – fine motor skills developing, but more difficult to master. Limited attention span (15-20 minutes). So your lesson plan needs to constantly change stimulus to keep their attention. Plan activities for lots of movement which allows for maximum participation. Inconsistent attention span but including activities that develop attention control will help prepare them for the demands of training and competition in sport that occur in later stages. Basic motor skills developing, needs to combine Fundamental Movement skills in simple games and activities. Sensitive to criticism, does not enjoy failure. Frustration can come quickly so frame feedback in a positive way. Moving from being adventurous to being cautious. Equipment may need modification for this age ie) smaller basketball, lower hoops to shoot at Has a strong desire for affection and attention from adults and see you as a real role model. Interests can be short and quick changing. Boys and girls have equal ability. Experimental, exploratory behaviour is part of development so give time for play for trialing new skills. Imaginative, spontaneous and creative. Table 1: Displays the Physical, Psychosocial and Cognitive Domains of Children in the Initiation Stage of Development – 5-8 years old. (Adapted from (23) & (26)) All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 23 Domains Of Development For The Initiation Stage (8-11 years old) Physical Domain Psychosocial Domain Cognitive Domain Coordination and body control improving rapidly, due to slower growth. Enjoys group activities. Able to stay on task longer due to increasing attention span. Boys and girls have equal ability. Interests often change rapidly. Likes to test themselves but often dislikes public failure. Reaction time slow, but improves rapidly as child grows. Peer group becomes increasingly important, therefore peer acceptance or rejection can be a major stress factor. Facilitate inclusion of all! Changing interests with some long-term interests beginning to appear, but still likes to try new activities. Lots of energy as endurance levels increase, but may have fluctuations in energy. Beginning to accept responsibility for self and others. Developing ability to understand logical principles. High need for skill development and increasing ability to apply known skills to complex situations. Easily motivated, eager to try something new. Willingness to seek risk and adventure. Better able to understand and learn because of growing memory capacity. Fine motor skills developing rapidly. Needs guidance and praise from adults to stay on task and to achieve their best performance. Large individual differences in physical growth need to cater for these differences in your classes. Idolisation of significant others – hero worship of adults. Be a role model to these young individuals. As early maturers enter puberty, rapid growth may lead to awkwardness and uncoordinated movement. Reassurance from fitness professionals can be valuable during this time. Accepts and handles leadership roles. (Give opportunities to display this). Visual & hand-eye coordination improving. Table 2: Displays the Physical, Psychosocial and Cognitive Domains of Children in the Initiation Stage of Development – 8-11 years old. (Adapted from (23) & (26)) All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 24 Domains Of Development For The Athletic Formation Stage (12-14 years old) Physical Domain Psychosocial Domain Concern about physical development. Increasingly concerned about acceptance by friends, social graces and good grooming. Early or late puberty can be very stressful. Displays rapid but uneven physical growth, leading at times to awkwardness, uncoordinated movement, tiredness, lack of confidence and poor posture. Increase in female and male hormone levels. Continued development of independence, yet wants and needs adult help. Increase in height, weight and musculature. Ready for in-depth, longer learning experiences. Males develop deeper voices, characteristic patterns of facial/body hair become stronger. Has a continuing need for reinforcement and development of self-esteem, especially in relation to body perception and exercise. Shows tolerance of needs and abilities of others. Females become wider at hips; breast development continues for several years. Cognitive Domain Can concentrate and participate in activities for longer periods of time. Egocentrism, along with feelings of uniqueness and invincibility often cloud judgment. Capable of formal operational thought, enabling them to understand and articulate general principles. Needs to continue fitness activities, especially those Needs opportunities to develop confidence based that develop flexibility, circulorespiratory on previously learned skills, to explore efficiency, strength, core control and endurance. challenging new experiences, and to be creative. Has capabilities to learn new motor skills, refine those previously learned, and apply them with more efficiency. Capable of combining new and more complex skills into movement patterns and sequences. Continues to need repetitive practices and revision in refining skills. Incorporate a variety of sport training modes to develop multilateral base. Table 3: Displays the Physical, Psychosocial and Cognitive Domains of Children in the Athletic Formation Stage – 12-14 years old. (Adapted from (23) & (26)) All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 25 coaches may lead to some kind of physical breakdown that will lead to Beginning To Work With Your Client or Client Group training down time (27). The previous section gives a general overview of the growth and The design of your training program must address these causes of development and overuse injuries by balancing out flexibility, strength and endurance understanding is now incorporated into an individual assessment of training across all the different areas of activity a child or adolescent is your clients in the following two areas: participating in. Parents and coaches involved in school and out-of- of children and teens. This knowledge 1. Are there any issues related to muscle imbalance, skeletal school sports must share the coordination of ensuring properly growth issues or previous injury history that might need to be periodised training that “prevents the child from doing too much too considered when formulating a training program? soon or combining too many activities” (28). All too often young 2. What are your client’s current fitness levels? This can be assessed through a variety of validated testing protocols. athletes are set up for injury by the accumulation of inappropriate stresses and strains on their bodies. Care should be taken to monitor over zealous parents who might be pushing their child too hard by Major Types Of Injuries That Are Commonly Associated With Different Stages Of Development In the preparation and design of a fitness program one should consider the goals of the client, the type of sport and associated injuries that are common to their sport, as well as any pre-existing injuries that may need to be addressed through further development of strength or flexibility. Overuse injuries can be of particular concern with young athletes. Too much activity without adequate recovery periods, improperly sized equipment, or inefficient biomechanics and a lack of communication and coordination between parents and overscheduling activities. Having athletes monitor their fatigue levels, muscle and psychological energy levels, resting heart rate and sleep patterns through a training diary can be very beneficial in capturing early warning signs that may lead to injury or overtraining. What is clear however, is that all activities should fit into a total program with the total duration of activity being documented and monitored for signs that the training is only having a positive effect. Due to their immature skeletal and muscular development children are more susceptible to certain types of injury. During your regular evaluation of children in your care be vigilant for signs of overuse or All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 26 growth-related issues. The following highlights some of the most disease (at the lower pole of the Patella) and Sever’s Disease (at the common growth and developmental issues or common injuries that insertion of the Achilles Tendon) and Patellofemoral pain syndrome present in young individuals: are all injuries which young people may present with due to stress at Weight Training Can Stunt Children’s Growth Or Cause Injury the locationplace where the bone and ligament join. At sometime in your role as a fitness trainer working with children you will hear the comment ….. I have heard that children should not lift weights as it is dangerous and it will stunt their growth or cause issues as their skeletal muscle growth plates develop. You should be able to categorically look at them in the eye and say, “No, that is not correct and research has clearly demonstrated that strength exercise is a safe, effective, and efficient means for conditioning young muscles, as long as certain safety precautions are in place” (29). Faigenbaum and Figure 14: Epiphyseal Plates: From BBC GCSE Bitesize Physical Education Site Westcott in their book Youth Strength Training state that “all the boys Similar injuries of the upper torso (elbows and shoulders) have been and girls in our programs have increased their muscular strength and observed in adolescents usually due to overuse in sports which involve not one has had an exercise-related injury” (29). Your clients however, repetitve throwing like cricket or baseball which can cause micro- are going to come to you after being involved in other sports and trauma to the epiphysis area of either the elbow or upper humorous, physical activities so monitor their progress for any of the following. these often are a sign of an imbalance in the rotator cuff muscle group. Osteochondroses Osteochondroses are conditions that affect the growing epiphysis or growth plates of our long bones (see figure 14). Conditions such as Osgood-Schlatters (area at the Tibial Tuberosity), Larsen-Johansson There have been documented cases of injury to the epiphysis (growth plate) in adolescents and these have included fractures caused during UNSUPERVISED resistance training sessions where overhead press or All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 27 push press was performed with near-maximal resistances. Analysis of develop lumbar lordosis (a forward bending of the spine, often these accidents identified two-precautions which warrant attention accompanied by an anterior rotation of the pelvis (see figure 15). from any fitness professionals working with adolescents or children. 1. They should not lift near-maximal weights overhead, in fact they should lift lighter loads than normal. 2. They must use proper form in all lifts but especially overhead lifts. It is very rare that young children or adolescents can identify good form or be disciplined enough to resist the temptation to complete a maximal lift to impress their peers (28). This is why Gym for Kids (11) recommends that supervision is a compulsory form of risk management when working in a gym setting. Active correction of technique should make up an important component of regular Figure 15: Common Back Issues To Be Aware Of feedback during an exercise session (more on this later). Growth and Development Issues Of The Spine Factors that may contribute to Lordosis include tight hamstrings and growth of the front portion of the vertebrae to a greater extent than There are several growth and development disorders of the spine that that of the back area. If posture is threatening functional movement fitness professional should be on the lookout for when taking on new the client should be seen by a medical professional for a thorough clients. The lower-back muscles and vertebral column are still evaluation. developing in the pre-pubescent child and as a result maybe at greater risk of lower back pain or injury. With growth spurts children may Lower back issues in children can cause acute injury and in resistance training they may be triggered by improper technique by lifting All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 28 maximal or near-maximal efforts with exercises like the squat or dead endurance for both boys and girls was significantly weak (30). Lack of lift. Before allowing young athletes to complete these lifts your upper body strength can inhibit many sport specific tasks even at the periodised training program should have an “adaption” training phase recreation level; so resistant training for children and adolescents where technique is refined with very light weights or a broom stick should include exercises for the upper body. with regular feedback and a formal evaluation of lifting technique occurring prior to weights being allowed. In conjunction with this technique training, lower back and abdominal musculature Joint Hypermobility conditioning, along with flexibility of the hamstring work, should be It is estimated that 10-25% of children have hypermobile joints, or conducted over several months before any significant bar work is joints that can move beyond their normal range of motion. You might carried out (28). see this in a child who can lock out their legs and then bend forward and put their hands flat on the ground or bend their thumb to touch Abdominal and Upper Body Strength and Endurance their forearm. Children with this syndrome often have symptoms that include: pain in the knees, fingers, hips and elbows. These kids are Fitness testing norms tells us that children in both Australia and other much more susceptible to a higher instance of dislocation and sprains western countries on average achieve low scores when tested for in these joints. A management plan and special program might be abdominal muscle strength and endurance measured by the number of required for these individuals (31). sit ups one can do in a minute. These children show little improvement between the ages of 10-16, and then decline (28). In a similar manner, the upper body strength of children and adolescents were described as weak, this was tested by the number of pull-ups boys can do, while females attempted to hold a bent arm hang for as long as possible (30). Results concluded that upper-arm and shoulder-girdle strength and Figure 16: Sign of hypermobile Joints. All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 29 Female Athlete Triad Female athletes who compete in events which require a focus on figure and weight control may be vulnerable to “Female Athlete Triad”. This is a combination of no menstrual cycle, disordered eating and osteoporosis; it may occur in one or more of these combinations. If you become aware of a client with these issues, parents need to be informed and a medical practitioner needs to manage their welfare (32). General Practitioner, Sport Medicine Specialists, Pediatrician, Physiotherapist, Chiropractor, Osteopath, Masseuse, Exercise Physiologists, Dietician, Child/Sport Psychologist, and Counselor. Establishing and fostering this network can also lead to the possibility of marketing opportunities where new clients could be referred to you for exercise programming as part of ongoing treatment. Provide Advice on Alternative Options for Participants who are Unsuitable for the Planned Exercise Developing A Network Of Supportive Allied Health and Fitness Colleagues You may find that after initial screening of a new client, and then The above list of possible injuries and conditions which young clients client is informed that they cannot partake in an exercise program might present with are just a few of many that could be encountered in with you at this time. Helping your client find alternative treatment or your role as a fitness professional. While the training we have received therapy for their condition can help ensure a positive outcome for all helps us to recognise many of these conditions we are not qualified to involved; they are receiving the treatment to help them with their suggest treatments or interventions for many of these ailments. As health issue, and you have left the door open for their return once they part of demonstrating a professional image to clients and in the best are well enough to exercise again. interests of the child in your care, it is highly recommended that you With some of the conditions described earlier, having connections develop a network of other allied professionals that you can refer your with services like: hydro-therapists for those with joint problems, clients to should the need arise. This network might include the Yoga for flexibility, Meditation for relaxation, Pilates instructors for following: low impact classes, are others you can add to your network list. referral onto a supportive network of health professionals that your All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 30 Ready To Roll! Time To Get Active: Assessing Client Fitness Levels Recreation (ACHPER) developed The Australian Fitness Education Kit With much of the pre-exercise administration and health checks taken (AFEA) which is “a program of easy to use tests, a motivational system care of, it is time to get active! Conducting a fitness assessment of your of awards and supporting curriculum ideas. It reflects a health-related client/s is the next step. When properly administered, fitness philosophy and encourages students to set personal goals by aspiring assessments can be utilised to establish a benchmark of current to criterion-based standards of achievement” (see figure 17)(33). strengths and weaknesses, with this data being used as a starting point for writing a personalised program for each of your clients. Tracking In the United States of America the “Fitnessgram” is an instrument their progress and sharing this with your clients can be a motivational widely utilised for assessing the fitness of children and youth. tool when improvements can be seen over time (29). “Fitnessgram is a fitness assessment and reporting program, first developed in 1982 by The Cooper Institute. The assessment includes a While there is no international standard fitness-testing instrument for variety of health-related physical fitness tests that are used to children and adolescents, there are several valid and reliable testing determine students' overall physical fitness and suggest areas for protocols available depending on what continent you are from. All improvement when appropriate” (see figure 18) (34). attempt to assess similar fitness measures but vary in how this is tested. The Australian Council For Health, Physical Education and Figure 17: The AFEA Fitness Testing Kit Website (see 33) Figure 18: The Fitnessgram Website (see 34) All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 31 Development of the ALPHA Fitness Testing Protocol. Take some time to investigate the following links to find out more. Go behind the scenes of how a fitness test is developed; Take 5 Figure 20 below, gives a graphical summary of the different baseline protocols involved with the ALPHA testing model. Click this link to view the Testers Manual http://www.ukkinstituutti.fi/filebank/500-ALPHA_FIT_Testers_Manual.pdf See videos of the testing being performed correctly: http://www.ukkinstituutti.fi/en/alpha/video_tests_1-3 Finally, most recently a group of European Physical Education researchers developed the ALPHA fitness-testing regime. Their objective was “to develop and test a comprehensive set of assessment methodologies for physical activity levels at the population level. Moreover, the project focused on a number of key factors that relate to the achievement and enablement of physical activity levels, such as the urban environment, transport related physical activity, work related physical activity and health related fitness” (see figure 19) (35). Figure 20: Basic ALPHA fitness testing regime overview Each of these testing protocols has a set of normative data that accompanies the procedural documentation. Once the test has been administered one can compare their scores with the generalised population and see where their fitness level is positioned on a National continuum. This however, while being motivating for some individuals, may actually discourage unfit or overweight individuals Figure 19: The ALPHA Fitness Testing Website (see 35) All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 32 from participating in your program because of a fear of being tested. Like any fitness session, safety consideration and risk management With this in mind Faigenbaum and Westcott in their book Youth should be at the forefront of your thinking. The following checklist can Strength Training (29) recommend that it is important to avoid a pass- be used to guide your preparations (32). fail mentality when evaluating fitness, and in fact they advise taking Ensure your screening procedures and consent forms have been completed. the words “evaluation” and “testing” out of your programs vocabulary and replacing it with “Fitness Challenge”. This promotes a tone of Conduct a thorough warm up and stretching preparation. personal best effort where children will enjoy the fitness assessment Conduct an orientation of all the testing equipment and allow the children to become familiar with it. Give them some practice attempts. Allow for any questions to be asked if clarification is required. and feel good about participating, and are just happy challenging themselves to get in and be active! In the same vein Attridge and Felice in their work titled Fitness Training Essentials For The Personal Trainer (32) remind us that “the aim of testing is to provide data to allow for exercise prescription, and the benefit of comparing normative data maybe superfluous. The initial and subsequent test results can be used Encourage appropriate nutrition and hydration and ensure a day of rest prior to the evaluation so participants are not fatigued. Make clear guidelines and safety rules, which will then form the basis of participant safety. to examine the child’s improvements over time. These comparisons serve as a greater benefit to improving a child’s and parent’s motivation than normative data comparisons”. Monitor each child and if there are any signs of dizziness, excess fatigue or any signs that the testing is too taxing bring the evaluation to an immediate halt. When administering the fitness assessment be sure to follow the administration documentation so that forthcoming testing follows the same protocols and thus future results have a greater chance of being valid and replicable. All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 33 The results obtained from testing need to be reported to the Reporting of Results The ACHPER and Fitnessgram testing kits provide software to generate reports in a graphical and text format (see figure 21). parents/guardians and the child being tested. This can be in a more comprehensive format for parents with a simplified version given to children. Young people will often appreciate a discussion of results by viewing a visual representation of their data rather than descriptive text. Figure 21 offers a template for reporting the data in both a graphical and text format. This kind of report could also be developed using standard word processing and spreadsheet software packages if one did not want to invest in a commercial fitness software package. Whatever mode is chosen, this information forms the baseline data from which to develop a personalised fitness program and any future testing to monitor improvements. Fundamental Fitness Programming After an analysis of your fitness testing data you will be able to begin writing a fitness program to guide your client’s fitness development before instructional sessions begin. If, however, you are working with larger groups you may have test results from two broad categories of clients which impacts on the kind of program you will design. 1. Overweight underactive Individuals. The larger category is often one which consists of members who engage in little physical activity on a regular basis. As we discussed Figure 21: Fitness result report from Fitnessgram. All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 34 earlier in this unit, unlike previous generations, many kids today don’t because a fundamental level of musculoskeletal fitness is essential for do chores around the house or farm. They don’t play outside, are not the enjoyment of a physical lifestyle. Strength training provides these involved in backyard sports, and to add to this decline, there is now a individuals reduced number of PE classes at school. Instead of being active these positive children end up spending the majority of their free time connected to enables them to enjoy some electronic device. This group may have members who are purposeful exercise, overweight, lack motor skills and confidence to participate in any kind experience personal of physical activity or sport, and perceive any involvement as improvement, and train awkward and embarrassing. One will need to consider the kind of cooperatively with friends program that is designed for this group based on the following in a supportive setting considerations. and exciting atmosphere” (27, p.7). with activity “a which This kind of activity is not aerobically taxing and provides Excess weight hinders movement performance in activities which opportunities for all body shapes and sizes to experience success. involve jogging, but it also increases the risk of musculoskeletal Larger kids can often lift heavier weights than their peers and this overuse injuries, so careful consideration needs to be given to activity gives them a sense of achievement and might be the first step in selection with this client group. Aerobic programming utilising believing that they have a future in exploring lifelong fitness goals. activities involving water, like aqua aerobics, water games or ergo What is clear is that the research tells us that participation in a machines built for kids or youth would be more suitable. supervised program of strength exercise can make a world of difference to a child’s life when they are overweight (27). Faigenbaum and Westcott (29) from observations in their “youth strength-training centres” noted that overweight kids need strength 2. The other category of participants consists of physically active training to condition their muscles, tendons, ligaments, and bones young people or sports participants. All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 35 These are the children who are regularly active in sport training, or thinking that study is the only thing that matters. They often lack the are self-motivated to get out and explore their world in fun play or in motor skills of their more active peers, and find aerobic activity taxing other organised activities. These individuals can benefit from a general like the overweight group above. program of strength training to ensure balanced muscle development New research however is telling a different story. John Medina in his and a lowering of their risk of overuse injuries. This client group can book Brain Rules highlights the latest studies from the field of often present to you after being involved in sport-specific training Neuroscience and the findings are clear; aerobic exercise enhances which has had an overemphasis on sport-specific skills which can brain function across many different cognitive domains (see figure typically provide too little stimulus for some major muscles, and too 21). Kids who exercise are smarter than those who do not exercise; much stress on other major muscles, thus, injury, failure and with exercise, memory and learning functions being enhanced. This frustration are a possible result (29). new research provides an avenue to an untapped market for a specific fitness class to enhance academic performance and brain function! If you are intending to run a group-based fitness class for children or youth it would be worth considering the above groups and designing separate classes or sessions so that these specific needs are catered for. Mixing these groups together in one session may leave the overweight individual feeling less adequate about themselves, and could lead to the fitter individual not being extended enough and becoming bored. A New Approach To Attracting Youth Clients To Your Fitness Business One other group that you may consider programming fitness sessions for is the studious adolescent who spends much of their time in the library or at their desk studying. They have had ingrained into their Figure 21: Visit http://www.brainrules.net/exercise to learn more about how exercise enhance brain function! All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 36 Figure 22 below is an excerpt from John Medina’s Brain rules website. Exercise Prescription For Children And Adolescents It is a great marketing tool which should be tapped into; exercise is not only good for the body, it is also good for the brain! As part of your training as a fitness professional you will develop a comprehensive knowledge and understanding of general exercise prescription and how to teach exercise technique. This next section will not repeat these foundational basics, but instead focus on applying new knowledge Adolescent to Child exercise and training principles. Figure 23: Youth Strength Training: A recommended resource for your programming. There are many good sources of literature to support child and adolescent training, the book titled Youth Strength Training by Avery Faigenbaum and Wayne Westcott (29), stands out because it is supported by a comprehensive research base (see figure 23). This Figure 22: A brief overview of Brain Rule #1: Exercise increases brain function. Take 5 Brain Rules #1: Exercise increases brain power. Take 5 to watch this great overview of John Medina talking about how exercise increases brain function. http://www.youtube.com/watch?v=ck-tQt0S0Os would be a natural choice if you require more detailed information on working with younger populations in the fitness industry. The following section highlights the key recommendations from their “Program Prescriptions” section. All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 37 The main goal of your exercise prescription is to ensure that children in your charge have fun while exercising and that they develop a positive psychology about strength training. The following principles can guide your exercise programing. There MUST be a major emphasis on proper form and technique. Simply going through the motion is not good enough, this puts your client at risk of injury, as well as minimising their development opportunities. Placing exercise information cards at exercise stations or machines places an emphasis on education and motivation and is helpful for technique development. Working one on one and modeling technique is something which a young individual values and ultimately turns the learning into a visual experience. A tool which is invaluable for giving technical feedback to clients is an APP for smart phones Figure 24: Coaches Eye APP for your smart phone. A must have tool for anyone involved in the teaching of sport technique called “Coaches Eye”. You can video your client’s technique and then replay it with Coaches Eye slow motion playback options so they get immediate feedback on their performance (see figure 24). Take 5 Coaches Eye Smart Phone App: Visit Coaches eye website and download this APP to your smart phone. Your clients will be impressed by your professional approach to technique development in your exercise sessions. http://www.coachseye.com/ All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 38 Generic Training Guidelines For Children & Adolescents The combination and sequencing of exercise prescription to develop strength is infinite, however Faigenbaum and Westcott (29) The variance in size, maturity, motivation and stress tolerance can be recommend starting with basic exercises for the major muscle groups evident with young people in our charge. Kids of the same age can such as (see figure 25): show marked differences in their development. Training programs Lower Body Upper Body Trunk have to be prescribed to meet individual needs and progressed with Leg Press Chest Press Curls specific differences in mind. Leg Curl Seat Row Sit ups consider in your exercise prescription include; choice and order of Body Weight Squat Shoulder Press Static Back Extension exercise, training intensity, training sets, rest interval between sets Body Weight Lunge Bicep Curl Back Raise Triceps Press Down Stability Ball Work The variables that you will need to and exercises, repetition velocity and training frequency (29). Let us take a look at these in more detail. Figure 25: Exercises that activate major muscle groups In addition, your selection should promote muscle balance across Choice and Order of Exercise joints, agonist and antagonist muscle groups (eg. quadriceps and There are a variety of exercise modalities available to the exercise practitioner working with young people, all of which have shown a benefit to overall fitness of the clients. Free weights, medicine balls, weight-machines, body-weight and elastic bands have all shown positive gains when kids are taught how to perform each exercise with a focus on correct technique. The type of equipment that you hamstrings). Begin with simple exercises and once these are mastered, progress to ones requiring more coordination and skill to perform eg. for an older teen, begin with a bench press on a stable bench, progress this to a bench press on a stability ball, moving to a single arm dumbbell press with rotation on a stability ball, to push ups on the stability ball. ultimately choose comes down to the overall goals, abilities and needs of the clients you will be working with. All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 39 Having a balance in one’s life is critical for teens who are often juggling Figure 26 highlights an example program for an experienced teen sporting commitments, school work, and many other after school which took an hour to complete. activities. For young athletes, ideally a gym session should be kept to around one-hour, with more seasoned and experienced adolescents Training Intensity being able to tolerate a 90-minute gym session. In general, young Intensity of the exercise is the most important variable in your clients should perform about 8 – 12 strength exercises per session, athlete’s training program. One of the most common mistakes made by firstly focusing on multi-joint larger muscle groups, and secondly, inexperienced strength and conditioning leaders is that too much followed by single-joint and smaller muscle groups. If athletes are weight is introduced before correct biomechanical technique has been learning to lift more explosively during a power phase of training, this mastered. If strength gains are to be optimised one must be guided should be performed early on in the session when one is still fresh. toward good technique. Spending time on key lifts and learning correct technique is worth the investment. Having kids begin with a wooden dowel as a bar with no weight is a great starting point for those who have never lifted weights before. Faigenbaum and Westcott (29) recommend that youth should perform 6 to 15 repetitions of each exercise with the final few reps eliciting temporary muscle fatigue. Recent research by this team however, have made refinements to this recommendation which will enhance the efficacy of adolescent training. They compared strength gains achieved from one group lifting with fewer repetitions (6-8) using heavier Figure 26: Anatomical Phase for an Experienced Teen. This routine weight loadings, with gains made from more repetitions (13-15) using would take 60 minutes to complete. moderate weight loadings. It was clear that young male and female All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 40 lifters achieved great strength gains with higher repetitions and moderate loadings during the first few-months of training. With this method in mind they assert that the best way forward for novice lifters is to establish a weight that can be lifted 10-15 times with proper technique. The weight can then be adjusted to ensure form is maintained. Developing an awareness of strength-training intensity can take some weeks to develop. To aid this process Faigenbaum and Westcott (29, p.21) developed the “perceived exertion for children scale” which contains a verbal and numerical reporting scale of intensity during their lift. Figure 27 highlights the scale. At the conclusion of the final rep children are asked to rate their level of exertion. Reports show that an effort rating of 6-7 is consistent with a training intensity of approximately 75% of maximum. This objective interpretation of intensity, along with an assessment of technique form (see figure 28), aids in the prescription of the training intensity for each individual. The purpose of an objective measure of form is that participants must show technical competence prior to weights being increased. Figure 27: Perceived Exertion for Children Scale All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 41 Training Sets During an introduction to strength training for a junior client it would be reasonable to begin with one set of a variety of exercises while they learn and adapt to new movement patterns; they then gradually move to multiple sets once they become more competent. Research has shown that after time, two to three sets will produce even greater gains if done with progressive overload (36). The DeLorme-Watkins training protocol requires a low-moderate-high combination of sets, and has been shown to produce the greatest gains. With this, the first set has a light resistance of 10 repetitions, the second a moderate resistance of 10 repetitions, with the third requiring a heavier resistance for 10-15 reps. When they can complete 15 reps during this final set, the weight can be increased in all three-sets. While this combination has proved most effective in youth training, to save time this protocol might only be used with exercises utilising larger muscle groups and multiple joints, while others could simply use a two-set protocol. All images, charts and diagrams are (c) Australian Fitness Network unless otherwise indicated. 42
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