Tuesday, May 13, 2014

How do you physically prepare for retirement? Part 6: How I begin building my clients Upper Body/Middle Back Strength.



Show me someone with a strong upper and middle back and I will show you someone who is strong. (and looks younger than their age)

In case you missed the first 5 posts:





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What you will find is we will use some of the same exercises for improving posture, mobility and strength. The difference is how the exercises are performed. 

Why do I begin with posture and mobility before strength? I want my clients to maximize the gains, while minimizing the risks they will make from the complex movements I use to make them stronger. The results will be much better if they can stabilize what I want stable and move with control what I want mobile.
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WHEN WORKING ON ANY OF THESE EXERCISES, NEVER FORCE YOUR BODY INTO A POSITION. The focus should always be on how you are controlling the muscles and joints and the movements they are making. The pace of each movement should be slow. Perform from 5 to 15 reps of each. Unlike the Posture, Mobility and Balance exercises, this time the goal is to get the muscles tired. You don't want to push yourself past the point of fatigue.
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What exercises you perform are important. How you perform them is more important.
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Before attempting any of the following exercises, be sure to get the approval of your Physician. Especially if you have ever had ANY JOINT OR BACK PAIN or INJURY.  If you aren’t sure how to perform any of these exercises, have someone show you that knows how to teach you.
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After my clients have learned their posture, mobility and balance exercises we begin focusing more on strength.  They still use the posture, mobility and balance exercises as their warm up.
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I like to start with the upper body or else the clients legs might be too tired to stand during the upper body work. I usually focus on pulling movements since most pushing exercises will only make it harder to correct older adults upper body crosses syndrome. Even though they can work on mobility every day,  I only want my clients working on upper body strength 2 – 3 times per week.
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Upper Body/Middle Back Strength:
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http://0.tqn.com/d/exercise/1/0/g/_/r-delt2.jpg
Yeah , you can do it seated, but I prefer to add the balance component while standing.

Shoulder Squeezes: This is a great posture exercise at the same time.

I have the clients stand up straight with their chest out. I place a light to moderate exercise band in their hands. They have their arms straight out around shoulder height with their palms down. They bring the hands back while keeping their arms straight. They focus on how their shoulder blades are squeezed together. I place my fingertips between their shoulder blades to help them focus on where they should feel the muscles contracting. They hold this contraction for a couple of seconds and slowly bring their hands back to the starting position.

I will have them repeat this from 10 – 15 times depending on where their strength level is. Since these are smaller muscles used more for correct posture, I like to focus more on building the endurance of them. One way is to have them hold the contraction longer. (Anywhere from 5 – 10 seconds each) They will never get as strong as some other muscles. If we decide to add a second set, I will usually have the client alternate arms while focusing on pulling the hands apart. This gives them an additional challenge when it comes to balance since I still want the torso stiff and hips still. (as opposed to moving with the arms)
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Be sure to keep the lower back from helping move the arms.

Face Pulls: I only have a client use this exercise if their shoulders are ready for it.

I will wrap the middle of a lighter resistance exercise band around a door handle and stand directly behind the client.  I want to make sure they can keep their torso stiff and hips still. I place my finger tips on the spot on their upper back where I want them to focus on how the muscles are contracting. Once I am comfortable they understand how I want them to perform this exercise, and their balance is good enough, we stand facing each other. I hold an exercise band in the middle and they hold the handles.  

I have the clients stand straight with their chest out. They have their arms straight out around shoulder height with their palms down. They bring the hands back with the thumbs close to their ears. They focus on how their shoulder blades are squeezed together. They hold this contraction for a couple of seconds and slowly bring their hands back to the starting position.

I will have them repeat this from 5 – 15 times depending on where they strength level is. Since these are smaller muscles used more for correct posture, I like to focus more on building the endurance of them. They will never get real strong. If we decide to add a second set, I will usually have the client alternate arms. This gives them an additional challenge when it comes to balance since I still want the torso stiff and hips still. (as opposed to moving with the arms)
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Finishing point. Focus on the shoulder blades.

Standing Rows: I have had every one of my clients perform these. It is my favorite Upper Body Exercise because of what is does for our strength and posture.

Just like the Face Pulls, I will wrap the middle of the exercise band around a door handle and stand directly behind the client.  I want to make sure they can keep their torso stiff and hips still. I place my finger tips on the spot on their middle back (between the shoulder blades) where I want them to focus on how the muscles are contracting. Once I am comfortable they understand how I want them to perform this exercise, and their balance is good enough, we stand facing each other. I hold an exercise band in the middle and they hold the handles.  

I have the clients stand straight with their chest out. They have their arms straight out around elbow height with their palms down or facing each other. They bring their elbows back while keeping their hands at elbow height.  They focus on how their shoulder blades are squeezed together. They hold this contraction for a couple of seconds and slowly bring their hands back to the starting position.

I begin with the client performing from 5 – 10 reps. The muscles involved with this exercise are naturally stronger so over a period of months I can make this exercise a lot more difficult than the face pulls. If the client gets strong enough they eventually might do 2 – 3 sets of only 4 – 6 reps each.  Once the client is performing this with excellent technique I will usually have the client perform some sets while alternating arms. Just like Face Pulls, this gives them an additional challenge when it comes to balance since I still want the torso stiff and hips still. (as opposed to moving with the arms)
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                                                  I cringe when I see a pic like this.                                                                              He needs more shoulder blade/thoracic spine work before pressing anything overhead.

Over Head Presses: But only if the client’s shoulders and thoracic spine can handle it.

If and only if the client is able to move their shoulder blades enough to open up the front of their shoulders and they are able to extend their thoracic spine enough will I consider having them use this exercise. Otherwise there is too much risk of hurting the shoulder and/or back for the client.  

I have the clients stand straight with their chest out. They have their hands about shoulder width apart close to being on the shoulders. Their elbows are held close to shoulder height. I have them squeeze their glutes enough to stabilize their pelvis and lower back. I will guide their hands so that they are being raised above their head while keeping the hands around shoulder width apart. They hold this contraction for a second and slowly bring their hands back to the starting position. 

Once I feel that they have enough control of the movement I will add a small amount of resistance. Another variety I will use is having them perform some sets by alternating the movement of their hands. Once again this adds a balance component to the exercise.
We might start with only 5 – 10 repetitions. This is another exercise that the clients can work towards using a large amount of resistance.  I make sure they focus on using the arms and shoulders and not the back or legs. 

One of the best ways to tell when a set should end is when they begin to recruit their legs or back to help lift the arms. No more reps are needed. We don’t want the exercise to turn into a push press. Not that there is anything wrong with adding the push press later.  
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You might have noticed that I didn't add any type of chest pressing exercises. (Push Ups, Bench Presses, etc.) This is because most clients are already working to correct upper body crossed syndrome and these pushing exercises can make it worse.)  I do have some clients perform some pushing exercises, but my programs are very pulling dominate.
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Next Week I will begin posting about increasing my clients lower body strength.

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