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Your Fitness Program
Department of Public Health Sciences, Clemson University
Table of Contents
◼ Introduction
◼ Risk Factor Screening
◼ Lifestyle Screening Summary
◼ Your health Fitness Status
◼ Goals and Objectives
◼ How Hard Should You Work?
◼ Cardiovascular Fitness Plan
◼ Strength and Flexibility Plan
◼ Shoulder Packing
◼ Centering
◼ Motivation Program
◼ Putting Your Plan into Action
◼ Safety Considerations
◼ 3
◼ 4
◼ 6
◼ 8
◼ 13
◼ 15
◼ 16
◼ 21
◼ 42
◼ 43
◼ 44
◼ 46
◼ 47
2
Introduction
Congratulations on your completion of the CU for Health fitness assessment! The purpose
of this program is to improve your overall health and quality of life by increasing your physical
activity levels in the areas of cardiovascular fitness, strength and flexibility. Your fitness plan will
focus primarily on improving your core stability, flexibility, overall strength, and aerobic
endurance. It is important to understand that this program is not intended to train any individual
for the purpose of sports related competition or goals. This program should be used to build
activity into your life for the purpose of improving health, reducing sedentary related health risks
and allowing for a better quality of daily living.
We have taken into account your existing health conditions and have tailored this fitness
program to your needs. It is imperative that you notify your healthcare provider if any changes to
your health status occur due to illness, accident and new medications. If at any point during the
execution of this program you should experience pain, nausea, or severe shortness of breath
immediately discontinue the activity and contact your health care provider.
The following fitness plan is intended to bring about improvement in your health and fitness
over the next three to six months. We have created a list of goals and objectives with you to
achieve during the course of your plan. Once you have met these goals or you decide to expand
on these goals, you can contact a fitness professional for a follow-up appointment. Thank you for
your interest and participation in this program and remember to sit less, move more and have fun!
Sincerely,
Dr. Karen A Kemper,
Department of Public Health Sciences
Gina Ciccaglione, Alexis Georgia, and Margaret Huss: Student Intern Fitness Specialists
3
Risk Factor Screening
Based on the information from your
lifestyle assessment, you are exercising
moderately but have difficulty sticking to
your exercise programs. We determined
that you are moderate health risk when
participating in fitness and exercising.
According to the American College of
Sports Medicine (ACSM) risk factor
screening, you may participate in
moderate exercise without physician's
consent, but must consult a physician
before engaging in vigorous exercise.
4
Risk Factor Yes No
Family History of Heart Disease X
Cigarette Smoking X
High Cholesterol X
High Blood Pressure X
High Fasting Blood Glucose X
High BMI or Waist Circumference X
Sedentary Lifestyle X
Age X
Table 1: Your Risk Factor Profile
Additional Considerations:
You have two risk factors, no
known disease and no signs
or symptoms of
cardiovascular disease.
However, since you have
high LDL cholesterol and low
HDL cholesterol, as well as
have a high BMI, it is
important for you to avoid the
development of other
cardiovascular risk factors
listed in Table 2.
5
Risk Factor Yes No
Pain, discomfort in chest, neck, jaw, or arms X
shortness of breath at rest or mild activity X
Dizziness or fainting X
Difficulty breathing while lying down X
Swelling in ankles X
Irregular heartbeat X
Pain in calves with physical activity X
Known heart murmur X
Unusual fatigue or shortness of breath with usual activity X
Table 2: Major Signs and Symptoms of Cardiovascular Disease
Lifestyle Screening Summary
After a review of your Lifestyle
Questionnaire, we initially identified
the following factors that would be
considered assets and barriers for
you before beginning this program.
We recognize that you have
already begun to make positive
lifestyle changes and we encourage
you to continue turning negative
lifestyle habits into positive lifestyle
habits!
6
Habits Positive Negative
Sleep 7-8 hours most nights X
Eat Breakfast most days X
Drink 6-8 glasses of water most days X
Eat 5 servings of fruits and vegetables most days X
Engage in moderate or vigorous physical activity
most days of the week
X
Accumulate 7,000-10,000 steps most days of the
week
X
You eat “healthfully” most days of the week X
Table 3: Health Promoting Habits
Lifestyle Screening Summary
Table 4 shows assets and barriers
that you indicated in your day to
day life that can either hinder or
help your overall health. We
understand that some factors are
unavoidable and impossible to
change (ex. your job requiring long
periods of sitting), however we
hope you will make strides to
change your barriers into assets if
possible (ex. taking a quick walk
down the hallway every half hour
to break up your workday).
7
Factors Asset Barrier
Social Support X
Interested in a variety of physical
activities
X
Active leisure activities X
Job involves long periods of sitting X
Ability to exercise during the work
day
X
Table 4: Assets and Barriers
Your Health Fitness Status
In order to determine your current fitness status, a number of health fitness tests were
selected for you to perform based on safety, practicality and current limitations. Five areas
of physical fitness were assessed, including posture, body composition, cardio-
respiratory fitness, functional movement and stability and joint flexibility. The
following chart provides you with the test performed, your score, classification and the
expected target range for optimal health. A brief summary provided explains the
significance of your scores and rationale for improvement.
8
Test Your Score Preference Interval Your Status Goal
BMI 29.7 <18.5—Underweight
18.5-24.5– Normal
25-29.9– Overweight
Overweight Improve
Percent Body Fat 15.6% Athletic 6-13%
Physically Fit 14-17%
Acceptable 18-25%
Obese >25%
Physically Fit Maintain
Waist Circumference (in) 38.5 in > 40 in Healthy Maintain
Treadmill Test VO2 Max= 40.9 > 60 - Excellent
49-60 - Good
43-48 - Above Average
39-42 - Average
34-38 - Below Average
30-33 Poor
Average Improve
9
Movement Screen Good Observations Poor Observations
Hurdler Step Test -Hip doesn’t adduct greater than
2 in
-Torso stays stable
-Moving leg stays aligned
-Slight shoulder tilt
-Left foot slightly off balance
-Outward rotation of the left
knee
Bend and Life Test -Stable feet, heels stay in contact
with the floor
-Alignment of knees over second
toe
-Glute dominance
-Spine stays aligned
-Head stays aligned
-Tibia and back not parallel
Thoracic Rotation Test -Achieve 45 degrees of rotation
-Same amount of rotation on
each side of the body
-Right shoulder drops when
rotating left
Postural Assessment -Slight eversion of feet
- Internal knee rotation
-Anterior tilt of hip
-Shoulder pronation
-Humeral rotation inward
Movement Screen Results
10
Strength Test Your Score Preference Interval Your Status
Push Up 23 30 - Excellent
22-29 - Very good
17-21 Good
12-16 Fair
11 Needs Improvement
Very Good
Trunk Flexion:Extension
Endurance Ratio
1.2 Less than 1.0 Poor
Ride side bridge: Left
side bridge Endurance
ratio
1.05 No greater than 0.05
away from 1.0
Good
Side bridge: Extension
Ratio
(R): 0.63
(L): 0.60
Less than 0.75 Good
KEY:
(R) = Right side
(L) = Left side
Strength Test Results
11
Flexibility Test Your Score Preference Interval Your Status
Thomas Test (R) Thigh reaches table
Knee doesn’t’ reach 80
degree flexion
(L) Thigh reaches table
Knee doesn’t reach 80
degree flexion
Thighs touch the table
Knees reach 80 degree
flexion
Needs
Improvement
Passive hip flexion (R)- 91 degrees
(L)- 72 degrees
Leg achieves 80 degrees
flexion
Left leg needs
improvement
Shoulder flexibility
assessments
Shoulder flexion- Arms hit
ground behind client
Shoulder extension-
Arms raised 50 degrees
Shoulder rotation-
shoulders rotated the full
amount
Met all goals
Romberg Balance Test (R)- 60 sec
(L)- 60 sec
> 30 sec - good Good
Stork Stand Balance Test (R)- 3 sec
(L)- 1 sec
>50 sec - excellent
41-50 sec - good
31-40 sec - average
20-30 sec - fair
<20 sec - poor
Poor
KEY:
(R) = Right side
(L) = Left side
Flexibility Test Results
Fitness Summary
Based on your fitness evaluation, we have made a
plan that specifically targets strengthening your
glutes, core, and back muscles along with correcting
your tight legs, hips, back, and shoulders. We have
also made a cardiorespiratory plan that will help
increase your VO2 max and improve your aerobic
fitness.
12
Goals and Objectives
The following goals and objectives were created with
the help of your fitness tester based on results from
the fitness test, your personal limitations, interests,
and goals. The primary focus of your goals will be to
increase your cardiovascular fitness, strength, and
flexibility, as well as improving muscle tone of your
body. Personal goals will be incorporated via specific
exercises with the underlying interest being the
holistic improvement of your overall health status.
Goal 1: To increase cardiorespiratory fitness
Goal 2: To lose 19 pounds at a healthy and steady
rate
Goal 3: To gain more energy through a healthy
lifestyle change
13
When you initially
came in, you
weighed 210 lbs.
Your second
testing you were
down to 195 lbs. -
- a 15 lb. weight
loss already!! We
are VERY proud
of the work you
have already put
in, but also want
you to be aware
that it may be
harder to lose the
rest of the weight,
so don't get
discouraged!
Goals and Objectives
Goal 1: To increase cardiorespiratory fitness
◼Accumulate 60 minutes of moderate to vigorous walking or
running about 5 days per week.
◼ Participate in basketball with friends at your gym or outside on
days that running does not fit into your plan.
Goal 2: To lose 19 pounds at a healthy and steady rate
◼ Follow the exercise prescription we have provided you with,
consisting of cardio and strength training
◼ Keep a food log/journal, or use an app, to track calories,
macronutrients, and recipes
Goal 3: To gain more energy through a healthy lifestyle
change
◼ Get 7-8 hours of sleep per night
◼ Eat a balanced diet, including breakfast, lunch, and dinner
◼ Decrease sedentary time by getting up and moving every
chance you get! Park farther away, or walk to the bathroom
downstairs to get more steps in.
14
How Hard should You work?
Exercise intensity is how hard you are working during
exercise. It is an important part of your physical
activity program because appropriate exercise
intensity will allow you to safely maximize the benefits
of every workout.
15
The RPE scale is
the scale we used
during your fitness
assessment to
determine how
hard you felt you
were working
throughout the
test. We never
want you working
above a 17 RPE,
and the
recommended
RPE will be listed
on each stage of
your plan.
Target Heart Rate (THR)
Heart rate is a great indication of
how hard your heart is working
throughout exercise. Your
cardiovascular fitness plan (CVF),
found on page 16, will specify your
recommended THR for the
different stages of your plan,
including warmup and cool down.
You can measure your heart rate
during exercise using a heart rate
monitor or by manually counting
the beats in either your wrist or
neck for 1 minute.
Your target heart rate for
aerobic exercise is:
111-167 bpm
Talk Test
The talk test is a simple way to
measure relative intensity. If you
are doing moderate-intensity
activity, you can talk, but not sing.
If you are doing vigorous-intensity
activity, you will not be able to say
more than a few words without
pausing for a breath.
This test is useful when you are
unable to track your heart rate.
When doing moderate activity, try
saying the alphabet, if it is too hard
to do, you are working too hard
and should bring the intensity
down.
Rating of Perceived Exertion
(RPE)
Cardiovascular Fitness Plan
Your current VO2 max is 40.9, which is in the average range. You
stated before that one of your goals is to be more fit and improve
cardiorespiratory fitness so we will set up a plan that will continue
to improve your aerobic fitness. A higher VO2 max correlates with
more energy and decreased risk of chronic disease, cancer and
obesity. The following cardiorespiratory plan includes the activity,
frequency, intensity, and duration determined to best suit your
current activity levels. Phase I is designed to help you get back
into a normal routine for exercise and Phase II will help increase
your VO2 max.
16
Cardiorespiratory Plan: Phase I
Warmup: Walk 5-7 minutes at 2.5-3.5 mph (nice brisk pace-
RPE 8-9), dynamic stretches
Activity: Running, baseketball, other aerobic activity
Frequency: 3 days per week
Intensity: Zone 1
40-59% of Heart Rate Reserve, 111-135 bpm
Rating of Perceived Exertion= 12-13
Duration: 30 minutes of aerobic work per session
Cool Down: Walk for 5-7 minutes at 2.5-3.5 mph, static
stretches
Goal: Getting back into the routine of exercise, should stay in
this zone for 1-2 weeks
17
Other aerobic
activity:
-Cycling
-Elliptical
-Rowing machine
-Stair master
18
Warmup: Walk 5-7 minutes at 3.5-4 mph (a fast walk),
dynamic stretches
Activity: Running, basketball, other aerobic activity
Frequency: 4-5 days per week
Intensity: Zone 2
60-84% of Heart Rate Reserve, 136-165 bpm
Rating of Perceived Exertion= 14-16
Duration: 30 minutes of aerobic work per session
Cool Down: Walk for 5-7 minutes at 2.5-3.5 mph, static
stretches
Goal: Enhance aerobic fitness by increasing the duration and
frequency of aerobic exercise.
Cardiorespiratory Plan: Phase II
Other aerobic
activity:
-Cycling
-Elliptical
-Rowing machine
-Stair master
Dynamic Stretches
When performing dynamic stretches it is important to make
sure you maintain good alignment. You want to be sure you
use slow, controlled, and relaxed movements. Continue to
monitor your body throughout the stretch to make sure you
are maintaining good alignment. Perform these dynamic
stretches AFTER warming up for 5-7 mins. You want to make
sure your muscles are warm before you begin any type of
stretch work.
https://www.youtube.com/watch?v=f8knLSFeQ84
(you can skip to 0:55 on the video, this is where the stretching instruction begins)
*Remember: Just stretch to the point of tension, NEVER pain*
19
Please do not
perform either
the side lunge
or lunge in your
dynamic warm
up until you
have made it to
Phase II of your
strength plan
Static Stretches
https://www.youtube.com/watch?v=iodG6mkbcz4
This YouTube video contains various static stretches to
stretch different muscle groups in the body after you
work out. You can follow along with the video and find
the exercises you like and that work for you. Never do
an exercise or stretch you do not feel comfortable with.
*Remember: Just stretch to tension, NEVER to pain*
20
Strength and Flexibility Plan
Strength and flexibility are important for good posture, back health,
and injury prevention. The following safety rules are designed to
protect you against back, neck, and joint injury while you execute
the strength and flexibility portion of your fitness plan.
◼ Always move in and out of positions in a slow controlled way
◼ Do not hold your breath during activity
◼ Do not bounce or use momentum in these movements
◼ If any activity causes pain, stop the activity and consult a
physician
Additional safety information and considerations are included on page
41, as well as descriptions and illustrations of each exercise on pages
42-45.
The follow exercises have been selected to improve specific areas that
may need direct attention as determined by your fitness testing or your
personal goals. Use the plan below as a guide to improving your
strength and flexibility.
21
Strength Plan
Phase I Plan:
Workout: 2-3 days a week, 3-6 sets consisting of 8-12
repetitions
Intensity: Rating of Perceived Exertion of 10-12
Goal: Strengthen muscles to restore good posture
Phase II Plan:
Workout: 2-3 days a week, 3-6 sets consisting of 8-12
repetitions
Intensity: Rating of Perceived Exertion of 13-14
Goal: Strengthen muscles, improve muscular endurance
22
Strength Plan: Phase I
Areas of Improvement: Increase core strength, increased back strength
23
Warm up: 5-10 mins.
Activities:
Strength Training: 20-30 mins.
Cool Down: 5-10 mins.
Purpose: To gradually increase muscle temperature to enhance performance
and decrease risk of injury
Purpose: To promote muscular endurance and strength in muscles that are
important for activities of daily living, hobbies, work, or good posture.
Purpose: to slowly decrease the heart rate to resting levels; prevent blood
from pooling in extremities; prevent irregular heartbeat.
*You should move to Phase II ONLY when you can easily do 12 reps of each exercise at Phase I intensity*
Exercise Selection Intensity Repetitions Rest Interval Sets
Cat-camel Body Weight 8-12 30-60 seconds 2-3
Plank Body Weight 1 (30-45 second hold) 30-60 seconds 2-3
Side plank Body Weight 1 each side (20-30 second hold) 30-60 seconds 2-3
Birddog Body Weight 8-12 30-60 seconds 2-3
Glute bridge; progress to single-leg Body Weight 8-12 30-60 seconds 2-3
Walk 5-7 minutes at 2.5-3.5 mph (nice brisk pace- RPE 8-9), dynamic stretches (pg. 19)
Cat-Camel
24
Plank
-Keep legs straight
-Keep back and head
aligned
-Keep elbows under
shoulders
-Remember to
breathe!
25
Side Plank
-Keep legs straight
-Feet can either be
stacked in front of
each other or on
top of each other
-Keep elbow under
shoulder
-Keep back and
head in alignment
-Remember to
breathe!
26
Birddog
-Extend one leg
and opposite arm
-Keep core tight
(brace it)
-Squeeze glutes
-Hold no longer
than 7-8 seconds
-Repeat on both
sides
27
Glute Bridge 28
-
-Lie on your back in a
bent knee position
-Place feet hip width
apart
-Exhale as you lift your
hips up off the floor
-Keep your core
engaged the whole time!
-Lift hips until your
thighs and core are
aligned
-Inhale as you lower
back down
-Progress by extending
one leg at a time
Strength Plan: Phase II 29Strength Plan: Phase I
Areas of Improvement: Increase core strength, increased back strength,
increased glute strength
Warm up: 5-10 mins.
Strength Training: 20-30 mins.
Cool Down: 5-10 mins.
Purpose: To gradually increase muscle temperature to enhance performance
and decrease risk of injury
Purpose: To promote muscular endurance and strength in muscles that are
important for activities of daily living, hobbies, work, or good posture.
Purpose: to slowly decrease the heart rate to resting levels; prevent blood
from pooling in extremities; prevent irregular heartbeat.
Dynamic Stretches (pg.19)
Cat camel
Plank
Side Plank
Single leg glute bridge
Body Weight 8-12 (1 for planks, hold
for 30-60 seconds
each)
90 seconds (after all exercises) 2-3
Exercise Selection Intensity Repetitions Rest Interval Sets
Hip Hinge Body weight 8-12 30-60 seconds 2-3
Body weight squats Body weight 8-12 30-60 seconds 2-3
Half kneeling woodchop (progress to
standing)
Body weight, can progress
to medicine ball
8-12 30-60 seconds 2-3
Half kneeling hay bailers (progress to
standing)
Body weight, can progress
to medicine ball
8-12 30-60 seconds 2-3
Forward lunges, progress to lunge matrix Body weight 8-12 30-60 seconds 2-3
Push ups Body weight 8-12 30-60 seconds 2-3
Hip Hinge 30
-Stand with feet hip
width apart
-Place a dowel along
your back so it makes
contact with the head,
upper back, and
sacrum.
-Engage core muscles
-Slowly perform a
forward bend
-Push hips backward
-Try not to move
downward during this
motion
Body weight Squat 31
-Keep feet slightly more
than shoulder width
apart
-Engage your core
muscles
-Keep your chin parallel
to the floor as you go
down
-Shift hips back and
down
-Try to keep knees from
going past your toes
-Keep back flat
-Try to get far enough
that your thighs are
parallel to the floor
-Keep arms out to stay
balanced
Kneeling Haybaler, Woodchop 32
-
-Kneel with one leg up on
the foot and the other back
on the knee
-Hold your arms near the
hip of the rear leg
-Twist through the trunk
and shoulders to bring your
arms across the body and
over the opposite shoulder.
-Keep both arms straight
during the whole
movement.
-When finished with one
side, switch to the other
side
-Progress to a medicine
ball when you can
complete this effectively
-Progress to standing when
you can complete that
effectively
Standing Haybaler, Woodchop 33
-Stand with legs hip-width
apart
-Step one foot forward flat
on the ground and the
other leg back behind the
body on the ball of the foot
-Hold your arms near the
hip of the leg that is behind
-Twist through the chest
and shoulders to bring your
arms across the body and
over the opposite shoulder,
keeping both arms straight
for the whole movement
-When finished with one
side, switch to the other
side
-Progress to medicine ball
once you can do it
effectively standing
Lunges
Here’s a link to see the progression to a lunge matrix:
https://www.youtube.com/watch?v=nf-_qiyAkwQ
34
-Stand with feet
close together
-Lift one foot off the
floor and balance
on the other leg
-Step forward
-Shift body weight
to other leg
-Move hips down to
the floor
-Keep back aligned
-Lower body until
front thigh is
parallel to the floor
-Keep core
engaged!
Push Up
◼Keep hands
shoulder width apart
◼Bend until shoulders
are 90 degrees
◼Remember to
breathe!
35
Flexibility Plan
Purpose: To gradually increase muscle temperature to
enhance flexibility and decrease risk of injury
-To increase Range of Motion (ROM) in joints and
associated muscles that are important for activities of daily
living, hobbies, work, or good posture.
Activity: Attached stretches for quadriceps, hip flexors,
hamstrings, and pectoralis.
Intensity: Stretch to tension (*never to pain*)
Frequency: At least 3 times per week, more if possible
Duration: Hold each stretch for 5 deep breaths
Goal: Maintain good posture, Increase flexibility of
quadriceps, hip flexors, and hamstrings.
36
Prior to aerobic
exercise or
strength
training, do
dynamic
stretches.
Consider doing
your static
stretching after
your aerobic
exercise.
Quadricep Stretches
While standing, pull your
foot up to your glutes
until you can feel a
gentle stretch along the
front of your thigh. You
may use a wall, chair,
or desk to help you
balance. Complete on
both sides
37
Using a thick yoga mat,
or placing a towel
under your knee, kneel
in a lunge position. Pull
your foot up to your
glutes until you feel a
gentle stretch along the
front of your thigh.
Complete on both
sides.
While laying on your
side, pull your foot up
to your glutes until you
feel a gentle stretch
along the front of your
thigh. Complete on
both sides.
Hip Flexor Stretches 38
Kneel on the floor with one knee
bent and one leg behind you.
Position your forward knee over
your foot. Keep other knee
touching the floor.
Slowly push your hips forward
until you feel the stretch in the
upper thigh of your rear leg.
Use a mat or towel under your
knee for support
Note that these
stretches are
similar to the
quadricep
stretches, but
your focus is on
a different area
of muscles.
Make sure to
breathe
throughout
each stretch,
never holding
your breath.
This is a variation of the previous
stretch, where he is using a
bench to support his back leg.
You may also use a strap or the
wall for this stretch, as well.
Hamstring Stretches 39
Using a bench, desk, stable
chair, or even your couch,
extend one leg straight out
and rest it on the surface.
Lean forward folding over
your thigh reaching towards
your toes. Stretch until you
feel a slight pull and hold.
Complete on both sides.
Sitting on the ground,
extend one leg out,
while bringing the sole
of the opposite foot in
towards your thigh.
Lean forward folding
over your leg reaching
toward your toes.
Complete on both
sides.
Standing with feet hip-width
apart (approximately two fists
width), slightly bend your
knees as you fold over both
legs. Reach toward your toes,
using your thighs, shins, or the
floor as support. Make sure to
keep the bend in your knees
to prevent over-stretching.
Pectoralis Stretch 40
Standing against a wall or a door frame
extend your arm 90 degrees out from
your body, and flex your arm at the
elbow to 90 degrees. Place your
forearm on the wall or door frame and
gently rotate your torso away from the
wall/door frame until you feel resistance
in your pectoralis/shoulder.
Standing against a wall
extend your arm to 90
degrees out from your body.
Place your palm on the wall
and gently rotate your body
away from your arm until
you feel resistance in your
pectoralis/shoulder.
Remember:
Only stretch to
resistance,
NEVER to pain!
Stretches You Can Do at Your
Desk
Here are a
few
stretches
you can
do at your
desk to
break up
the work
day!
41
Shoulder Packing
Shoulder packing stabilizes your shoulders and helps to
reduce the chance of injury during exercise. It also will
allow you to properly and safely lift more weight.
To properly shoulder pack, the following steps should be
followed:
1. Stand with your feet hip-width apart, toes forward, arms at
your side. Engage the abdominal muscles to stabilize the
spine as you keep your chest and chin lifted.
2. Pull the shoulder blades up and then down your back as
you exhale, without letting your lower back arch. Hold
this contraction for 5-10 seconds for 2-4 reps in order to
allow your body to get used to the feeling.
42
Here is a link to
help you
understand
shoulder packing
a bit more:
https://www.acefitn
ess.org/exercise-
library-
details//205/
Centering
Activating your core is extremely important in exercise to
protect your lower back, as well as give you more force to
move through exercises. Your abdominal muscles, lower
back muscles, pelvic floor, glutes, and muscles surrounding
the hips are central to your core “powerhouse” that provide
you a solid foundation for movement.
To properly engage your core, the following steps should be
followed:
1. Tighten your abdomen, without having to suck in or
expand your stomach area
2. Activate your transversus abdominis (the deepest muscle
layer) and hold the tightening position for 6-10 seconds.
Release, and repeat 10 times.
43
Here is a link to
help you
understand
centering a bit
more:
http://yourfunction
alhealth.com/funct
ional-health-tip-
how-to-engage-
your-core/
Motivational Program
Fitbit Plan
We will be giving you a Fitbit. You already are very active and will sometimes hit
the recommendation of 10,000 steps per day, usually going above and
beyond on these days. However these days happen sporadically, with days in
which you do not hit the daily recommended goal dispersed throughout. We
want to challenge you to try to hit this daily-recommended goal of 10,000
steps each day. We will set your Fitbit to alert you when you hit 10,000 steps
each day, with the goal being to see how many days in a row you can hit this
goal. You can hit this goal however you want to! Go for a walk, or a jog. Play
pickup basketball with friends, or park your car farther from campus. Just get
up and get moving!
The benefits of hitting 10,000 steps a day include:
◼ Increased energy
◼ Lower your risk for certain diseases up to 50%
◼ Stroke
◼ Type II diabetes
◼ Heart disease
◼ Cancer
◼ Lower your risk of early death by up to 30%
◼ Lower your risk of many chronic conditions
44
Fitbit Tip:
You can connect
with your friends
on Fitbit and
challenge them
through your Fitbit
app, increasing
the motivation and
the fun at the
same time! The
challenges you
can do are: Daily
Showdown,
Weekend Warrior,
Workweek Hustle,
and Goal day.
Motivational Program
Join a Basketball Team
We noticed that although you want to exercise regularly, you often have a hard
time sticking to fitness programs. We believe that if you combine exercise with
something you enjoy doing it may help you stick to exercising. By joining a
basketball team in your community you are able to get the exercise you need,
while doing something you enjoy doing. Because you will have a team counting
on you it will be much harder to “give up”, or skip going to exercise.
The City of Anderson Parks and Recreation has winter and summer adult
basketball leagues:
◼ http://www.cityofandersonsc.com/recreation/adult-
sports/basketball/index.html
45
Putting Your Plan into Action
The most difficult part of your fitness plan is finding the
time and motivation to add movement to your day,
especially with your job calling for much sedentary
time. The good news is that you are already thinking
about becoming more active and making strives to
accomplish your fitness goals. You have already
taken the first step to making physical activity a daily
habit, and your next step is making it a full lifestyle
change. Once you become more physically active
and understand the demands and benefits, you can
begin to incorporate the activities we have given you
on a regular basis. It can take 3-6 months of regular
exercise and diet change to create a healthy habit.
46
Tip 1: Choose
activities that
you enjoy
Tip 2: Visualize
yourself
exercising and
benefitting from
exercise
Tip 3: Use
outside
motivation, such
as friends and
family
Safety Considerations
47
High Blood Pressure
Prevention
-Exercise, weight loss,
sodium reduction, and
reduced fat and alcohol
intake are important for
controlling HTN
-Use RPE or talk text to
monitor intensity
-Stick to a RPE of 9-13
(scale referenced on earlier
slide)
-Do not hold your breath
during static strength
exercises
-Stay hydrated
-Circuit training utilizing low-
moderate resistance and
high reps is recommended
-Heavy lifting is not
recommended
Healthy Back
Routine for enhancing low-
back health
-Cat-camels
-Modified curl-up
-Birddog
-Side bridge
*See next pages, and pg. 24,
26, and 27, for pictures and
descriptions*
If you have lower back pain,
avoid:
-Unsupported forward flexion
-Lifting both legs
simultaneously when in a
prone or supine position
-Rapid twisting movements or
hyperextension
Heat Illness Prevention:
Fluid
Replacement/Climatization
-Begin exercising in the heat
gradually
-Wear lightweight, ventilated
clothing
-Replace body fluids as they
are lost
-Drink water at regular
intervals while exercising
without over-hydrating
-2 hours prior to exercise, drink
17-20 oz fluid
-Every 10-20 minutes during
exercise drink 7-10 oz fluid
-After exercise, drink 16-24 oz
for every pound of body weight
lost
Modified Curl Up
-You may place a
towel or hands
under your lower
back to keep a
neutral spine
-Do not flatten
back to the floor
-One knee is
flexed, other is
straight
-Alternate bent
leg halfway
through reps
48
Side Bridge
-Lateral muscles of
torso are important
for stability
-Elbow is directly
under shoulder
-Top picture is
beginner, with
knees on floor
-Bottom is
advanced, with
body fully raised
-Keep a neutral neck
and spine
49

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Fitness program

  • 1. Your Fitness Program Department of Public Health Sciences, Clemson University
  • 2. Table of Contents ◼ Introduction ◼ Risk Factor Screening ◼ Lifestyle Screening Summary ◼ Your health Fitness Status ◼ Goals and Objectives ◼ How Hard Should You Work? ◼ Cardiovascular Fitness Plan ◼ Strength and Flexibility Plan ◼ Shoulder Packing ◼ Centering ◼ Motivation Program ◼ Putting Your Plan into Action ◼ Safety Considerations ◼ 3 ◼ 4 ◼ 6 ◼ 8 ◼ 13 ◼ 15 ◼ 16 ◼ 21 ◼ 42 ◼ 43 ◼ 44 ◼ 46 ◼ 47 2
  • 3. Introduction Congratulations on your completion of the CU for Health fitness assessment! The purpose of this program is to improve your overall health and quality of life by increasing your physical activity levels in the areas of cardiovascular fitness, strength and flexibility. Your fitness plan will focus primarily on improving your core stability, flexibility, overall strength, and aerobic endurance. It is important to understand that this program is not intended to train any individual for the purpose of sports related competition or goals. This program should be used to build activity into your life for the purpose of improving health, reducing sedentary related health risks and allowing for a better quality of daily living. We have taken into account your existing health conditions and have tailored this fitness program to your needs. It is imperative that you notify your healthcare provider if any changes to your health status occur due to illness, accident and new medications. If at any point during the execution of this program you should experience pain, nausea, or severe shortness of breath immediately discontinue the activity and contact your health care provider. The following fitness plan is intended to bring about improvement in your health and fitness over the next three to six months. We have created a list of goals and objectives with you to achieve during the course of your plan. Once you have met these goals or you decide to expand on these goals, you can contact a fitness professional for a follow-up appointment. Thank you for your interest and participation in this program and remember to sit less, move more and have fun! Sincerely, Dr. Karen A Kemper, Department of Public Health Sciences Gina Ciccaglione, Alexis Georgia, and Margaret Huss: Student Intern Fitness Specialists 3
  • 4. Risk Factor Screening Based on the information from your lifestyle assessment, you are exercising moderately but have difficulty sticking to your exercise programs. We determined that you are moderate health risk when participating in fitness and exercising. According to the American College of Sports Medicine (ACSM) risk factor screening, you may participate in moderate exercise without physician's consent, but must consult a physician before engaging in vigorous exercise. 4 Risk Factor Yes No Family History of Heart Disease X Cigarette Smoking X High Cholesterol X High Blood Pressure X High Fasting Blood Glucose X High BMI or Waist Circumference X Sedentary Lifestyle X Age X Table 1: Your Risk Factor Profile
  • 5. Additional Considerations: You have two risk factors, no known disease and no signs or symptoms of cardiovascular disease. However, since you have high LDL cholesterol and low HDL cholesterol, as well as have a high BMI, it is important for you to avoid the development of other cardiovascular risk factors listed in Table 2. 5 Risk Factor Yes No Pain, discomfort in chest, neck, jaw, or arms X shortness of breath at rest or mild activity X Dizziness or fainting X Difficulty breathing while lying down X Swelling in ankles X Irregular heartbeat X Pain in calves with physical activity X Known heart murmur X Unusual fatigue or shortness of breath with usual activity X Table 2: Major Signs and Symptoms of Cardiovascular Disease
  • 6. Lifestyle Screening Summary After a review of your Lifestyle Questionnaire, we initially identified the following factors that would be considered assets and barriers for you before beginning this program. We recognize that you have already begun to make positive lifestyle changes and we encourage you to continue turning negative lifestyle habits into positive lifestyle habits! 6 Habits Positive Negative Sleep 7-8 hours most nights X Eat Breakfast most days X Drink 6-8 glasses of water most days X Eat 5 servings of fruits and vegetables most days X Engage in moderate or vigorous physical activity most days of the week X Accumulate 7,000-10,000 steps most days of the week X You eat “healthfully” most days of the week X Table 3: Health Promoting Habits
  • 7. Lifestyle Screening Summary Table 4 shows assets and barriers that you indicated in your day to day life that can either hinder or help your overall health. We understand that some factors are unavoidable and impossible to change (ex. your job requiring long periods of sitting), however we hope you will make strides to change your barriers into assets if possible (ex. taking a quick walk down the hallway every half hour to break up your workday). 7 Factors Asset Barrier Social Support X Interested in a variety of physical activities X Active leisure activities X Job involves long periods of sitting X Ability to exercise during the work day X Table 4: Assets and Barriers
  • 8. Your Health Fitness Status In order to determine your current fitness status, a number of health fitness tests were selected for you to perform based on safety, practicality and current limitations. Five areas of physical fitness were assessed, including posture, body composition, cardio- respiratory fitness, functional movement and stability and joint flexibility. The following chart provides you with the test performed, your score, classification and the expected target range for optimal health. A brief summary provided explains the significance of your scores and rationale for improvement. 8 Test Your Score Preference Interval Your Status Goal BMI 29.7 <18.5—Underweight 18.5-24.5– Normal 25-29.9– Overweight Overweight Improve Percent Body Fat 15.6% Athletic 6-13% Physically Fit 14-17% Acceptable 18-25% Obese >25% Physically Fit Maintain Waist Circumference (in) 38.5 in > 40 in Healthy Maintain Treadmill Test VO2 Max= 40.9 > 60 - Excellent 49-60 - Good 43-48 - Above Average 39-42 - Average 34-38 - Below Average 30-33 Poor Average Improve
  • 9. 9 Movement Screen Good Observations Poor Observations Hurdler Step Test -Hip doesn’t adduct greater than 2 in -Torso stays stable -Moving leg stays aligned -Slight shoulder tilt -Left foot slightly off balance -Outward rotation of the left knee Bend and Life Test -Stable feet, heels stay in contact with the floor -Alignment of knees over second toe -Glute dominance -Spine stays aligned -Head stays aligned -Tibia and back not parallel Thoracic Rotation Test -Achieve 45 degrees of rotation -Same amount of rotation on each side of the body -Right shoulder drops when rotating left Postural Assessment -Slight eversion of feet - Internal knee rotation -Anterior tilt of hip -Shoulder pronation -Humeral rotation inward Movement Screen Results
  • 10. 10 Strength Test Your Score Preference Interval Your Status Push Up 23 30 - Excellent 22-29 - Very good 17-21 Good 12-16 Fair 11 Needs Improvement Very Good Trunk Flexion:Extension Endurance Ratio 1.2 Less than 1.0 Poor Ride side bridge: Left side bridge Endurance ratio 1.05 No greater than 0.05 away from 1.0 Good Side bridge: Extension Ratio (R): 0.63 (L): 0.60 Less than 0.75 Good KEY: (R) = Right side (L) = Left side Strength Test Results
  • 11. 11 Flexibility Test Your Score Preference Interval Your Status Thomas Test (R) Thigh reaches table Knee doesn’t’ reach 80 degree flexion (L) Thigh reaches table Knee doesn’t reach 80 degree flexion Thighs touch the table Knees reach 80 degree flexion Needs Improvement Passive hip flexion (R)- 91 degrees (L)- 72 degrees Leg achieves 80 degrees flexion Left leg needs improvement Shoulder flexibility assessments Shoulder flexion- Arms hit ground behind client Shoulder extension- Arms raised 50 degrees Shoulder rotation- shoulders rotated the full amount Met all goals Romberg Balance Test (R)- 60 sec (L)- 60 sec > 30 sec - good Good Stork Stand Balance Test (R)- 3 sec (L)- 1 sec >50 sec - excellent 41-50 sec - good 31-40 sec - average 20-30 sec - fair <20 sec - poor Poor KEY: (R) = Right side (L) = Left side Flexibility Test Results
  • 12. Fitness Summary Based on your fitness evaluation, we have made a plan that specifically targets strengthening your glutes, core, and back muscles along with correcting your tight legs, hips, back, and shoulders. We have also made a cardiorespiratory plan that will help increase your VO2 max and improve your aerobic fitness. 12
  • 13. Goals and Objectives The following goals and objectives were created with the help of your fitness tester based on results from the fitness test, your personal limitations, interests, and goals. The primary focus of your goals will be to increase your cardiovascular fitness, strength, and flexibility, as well as improving muscle tone of your body. Personal goals will be incorporated via specific exercises with the underlying interest being the holistic improvement of your overall health status. Goal 1: To increase cardiorespiratory fitness Goal 2: To lose 19 pounds at a healthy and steady rate Goal 3: To gain more energy through a healthy lifestyle change 13 When you initially came in, you weighed 210 lbs. Your second testing you were down to 195 lbs. - - a 15 lb. weight loss already!! We are VERY proud of the work you have already put in, but also want you to be aware that it may be harder to lose the rest of the weight, so don't get discouraged!
  • 14. Goals and Objectives Goal 1: To increase cardiorespiratory fitness ◼Accumulate 60 minutes of moderate to vigorous walking or running about 5 days per week. ◼ Participate in basketball with friends at your gym or outside on days that running does not fit into your plan. Goal 2: To lose 19 pounds at a healthy and steady rate ◼ Follow the exercise prescription we have provided you with, consisting of cardio and strength training ◼ Keep a food log/journal, or use an app, to track calories, macronutrients, and recipes Goal 3: To gain more energy through a healthy lifestyle change ◼ Get 7-8 hours of sleep per night ◼ Eat a balanced diet, including breakfast, lunch, and dinner ◼ Decrease sedentary time by getting up and moving every chance you get! Park farther away, or walk to the bathroom downstairs to get more steps in. 14
  • 15. How Hard should You work? Exercise intensity is how hard you are working during exercise. It is an important part of your physical activity program because appropriate exercise intensity will allow you to safely maximize the benefits of every workout. 15 The RPE scale is the scale we used during your fitness assessment to determine how hard you felt you were working throughout the test. We never want you working above a 17 RPE, and the recommended RPE will be listed on each stage of your plan. Target Heart Rate (THR) Heart rate is a great indication of how hard your heart is working throughout exercise. Your cardiovascular fitness plan (CVF), found on page 16, will specify your recommended THR for the different stages of your plan, including warmup and cool down. You can measure your heart rate during exercise using a heart rate monitor or by manually counting the beats in either your wrist or neck for 1 minute. Your target heart rate for aerobic exercise is: 111-167 bpm Talk Test The talk test is a simple way to measure relative intensity. If you are doing moderate-intensity activity, you can talk, but not sing. If you are doing vigorous-intensity activity, you will not be able to say more than a few words without pausing for a breath. This test is useful when you are unable to track your heart rate. When doing moderate activity, try saying the alphabet, if it is too hard to do, you are working too hard and should bring the intensity down. Rating of Perceived Exertion (RPE)
  • 16. Cardiovascular Fitness Plan Your current VO2 max is 40.9, which is in the average range. You stated before that one of your goals is to be more fit and improve cardiorespiratory fitness so we will set up a plan that will continue to improve your aerobic fitness. A higher VO2 max correlates with more energy and decreased risk of chronic disease, cancer and obesity. The following cardiorespiratory plan includes the activity, frequency, intensity, and duration determined to best suit your current activity levels. Phase I is designed to help you get back into a normal routine for exercise and Phase II will help increase your VO2 max. 16
  • 17. Cardiorespiratory Plan: Phase I Warmup: Walk 5-7 minutes at 2.5-3.5 mph (nice brisk pace- RPE 8-9), dynamic stretches Activity: Running, baseketball, other aerobic activity Frequency: 3 days per week Intensity: Zone 1 40-59% of Heart Rate Reserve, 111-135 bpm Rating of Perceived Exertion= 12-13 Duration: 30 minutes of aerobic work per session Cool Down: Walk for 5-7 minutes at 2.5-3.5 mph, static stretches Goal: Getting back into the routine of exercise, should stay in this zone for 1-2 weeks 17 Other aerobic activity: -Cycling -Elliptical -Rowing machine -Stair master
  • 18. 18 Warmup: Walk 5-7 minutes at 3.5-4 mph (a fast walk), dynamic stretches Activity: Running, basketball, other aerobic activity Frequency: 4-5 days per week Intensity: Zone 2 60-84% of Heart Rate Reserve, 136-165 bpm Rating of Perceived Exertion= 14-16 Duration: 30 minutes of aerobic work per session Cool Down: Walk for 5-7 minutes at 2.5-3.5 mph, static stretches Goal: Enhance aerobic fitness by increasing the duration and frequency of aerobic exercise. Cardiorespiratory Plan: Phase II Other aerobic activity: -Cycling -Elliptical -Rowing machine -Stair master
  • 19. Dynamic Stretches When performing dynamic stretches it is important to make sure you maintain good alignment. You want to be sure you use slow, controlled, and relaxed movements. Continue to monitor your body throughout the stretch to make sure you are maintaining good alignment. Perform these dynamic stretches AFTER warming up for 5-7 mins. You want to make sure your muscles are warm before you begin any type of stretch work. https://www.youtube.com/watch?v=f8knLSFeQ84 (you can skip to 0:55 on the video, this is where the stretching instruction begins) *Remember: Just stretch to the point of tension, NEVER pain* 19 Please do not perform either the side lunge or lunge in your dynamic warm up until you have made it to Phase II of your strength plan
  • 20. Static Stretches https://www.youtube.com/watch?v=iodG6mkbcz4 This YouTube video contains various static stretches to stretch different muscle groups in the body after you work out. You can follow along with the video and find the exercises you like and that work for you. Never do an exercise or stretch you do not feel comfortable with. *Remember: Just stretch to tension, NEVER to pain* 20
  • 21. Strength and Flexibility Plan Strength and flexibility are important for good posture, back health, and injury prevention. The following safety rules are designed to protect you against back, neck, and joint injury while you execute the strength and flexibility portion of your fitness plan. ◼ Always move in and out of positions in a slow controlled way ◼ Do not hold your breath during activity ◼ Do not bounce or use momentum in these movements ◼ If any activity causes pain, stop the activity and consult a physician Additional safety information and considerations are included on page 41, as well as descriptions and illustrations of each exercise on pages 42-45. The follow exercises have been selected to improve specific areas that may need direct attention as determined by your fitness testing or your personal goals. Use the plan below as a guide to improving your strength and flexibility. 21
  • 22. Strength Plan Phase I Plan: Workout: 2-3 days a week, 3-6 sets consisting of 8-12 repetitions Intensity: Rating of Perceived Exertion of 10-12 Goal: Strengthen muscles to restore good posture Phase II Plan: Workout: 2-3 days a week, 3-6 sets consisting of 8-12 repetitions Intensity: Rating of Perceived Exertion of 13-14 Goal: Strengthen muscles, improve muscular endurance 22
  • 23. Strength Plan: Phase I Areas of Improvement: Increase core strength, increased back strength 23 Warm up: 5-10 mins. Activities: Strength Training: 20-30 mins. Cool Down: 5-10 mins. Purpose: To gradually increase muscle temperature to enhance performance and decrease risk of injury Purpose: To promote muscular endurance and strength in muscles that are important for activities of daily living, hobbies, work, or good posture. Purpose: to slowly decrease the heart rate to resting levels; prevent blood from pooling in extremities; prevent irregular heartbeat. *You should move to Phase II ONLY when you can easily do 12 reps of each exercise at Phase I intensity* Exercise Selection Intensity Repetitions Rest Interval Sets Cat-camel Body Weight 8-12 30-60 seconds 2-3 Plank Body Weight 1 (30-45 second hold) 30-60 seconds 2-3 Side plank Body Weight 1 each side (20-30 second hold) 30-60 seconds 2-3 Birddog Body Weight 8-12 30-60 seconds 2-3 Glute bridge; progress to single-leg Body Weight 8-12 30-60 seconds 2-3 Walk 5-7 minutes at 2.5-3.5 mph (nice brisk pace- RPE 8-9), dynamic stretches (pg. 19)
  • 25. Plank -Keep legs straight -Keep back and head aligned -Keep elbows under shoulders -Remember to breathe! 25
  • 26. Side Plank -Keep legs straight -Feet can either be stacked in front of each other or on top of each other -Keep elbow under shoulder -Keep back and head in alignment -Remember to breathe! 26
  • 27. Birddog -Extend one leg and opposite arm -Keep core tight (brace it) -Squeeze glutes -Hold no longer than 7-8 seconds -Repeat on both sides 27
  • 28. Glute Bridge 28 - -Lie on your back in a bent knee position -Place feet hip width apart -Exhale as you lift your hips up off the floor -Keep your core engaged the whole time! -Lift hips until your thighs and core are aligned -Inhale as you lower back down -Progress by extending one leg at a time
  • 29. Strength Plan: Phase II 29Strength Plan: Phase I Areas of Improvement: Increase core strength, increased back strength, increased glute strength Warm up: 5-10 mins. Strength Training: 20-30 mins. Cool Down: 5-10 mins. Purpose: To gradually increase muscle temperature to enhance performance and decrease risk of injury Purpose: To promote muscular endurance and strength in muscles that are important for activities of daily living, hobbies, work, or good posture. Purpose: to slowly decrease the heart rate to resting levels; prevent blood from pooling in extremities; prevent irregular heartbeat. Dynamic Stretches (pg.19) Cat camel Plank Side Plank Single leg glute bridge Body Weight 8-12 (1 for planks, hold for 30-60 seconds each) 90 seconds (after all exercises) 2-3 Exercise Selection Intensity Repetitions Rest Interval Sets Hip Hinge Body weight 8-12 30-60 seconds 2-3 Body weight squats Body weight 8-12 30-60 seconds 2-3 Half kneeling woodchop (progress to standing) Body weight, can progress to medicine ball 8-12 30-60 seconds 2-3 Half kneeling hay bailers (progress to standing) Body weight, can progress to medicine ball 8-12 30-60 seconds 2-3 Forward lunges, progress to lunge matrix Body weight 8-12 30-60 seconds 2-3 Push ups Body weight 8-12 30-60 seconds 2-3
  • 30. Hip Hinge 30 -Stand with feet hip width apart -Place a dowel along your back so it makes contact with the head, upper back, and sacrum. -Engage core muscles -Slowly perform a forward bend -Push hips backward -Try not to move downward during this motion
  • 31. Body weight Squat 31 -Keep feet slightly more than shoulder width apart -Engage your core muscles -Keep your chin parallel to the floor as you go down -Shift hips back and down -Try to keep knees from going past your toes -Keep back flat -Try to get far enough that your thighs are parallel to the floor -Keep arms out to stay balanced
  • 32. Kneeling Haybaler, Woodchop 32 - -Kneel with one leg up on the foot and the other back on the knee -Hold your arms near the hip of the rear leg -Twist through the trunk and shoulders to bring your arms across the body and over the opposite shoulder. -Keep both arms straight during the whole movement. -When finished with one side, switch to the other side -Progress to a medicine ball when you can complete this effectively -Progress to standing when you can complete that effectively
  • 33. Standing Haybaler, Woodchop 33 -Stand with legs hip-width apart -Step one foot forward flat on the ground and the other leg back behind the body on the ball of the foot -Hold your arms near the hip of the leg that is behind -Twist through the chest and shoulders to bring your arms across the body and over the opposite shoulder, keeping both arms straight for the whole movement -When finished with one side, switch to the other side -Progress to medicine ball once you can do it effectively standing
  • 34. Lunges Here’s a link to see the progression to a lunge matrix: https://www.youtube.com/watch?v=nf-_qiyAkwQ 34 -Stand with feet close together -Lift one foot off the floor and balance on the other leg -Step forward -Shift body weight to other leg -Move hips down to the floor -Keep back aligned -Lower body until front thigh is parallel to the floor -Keep core engaged!
  • 35. Push Up ◼Keep hands shoulder width apart ◼Bend until shoulders are 90 degrees ◼Remember to breathe! 35
  • 36. Flexibility Plan Purpose: To gradually increase muscle temperature to enhance flexibility and decrease risk of injury -To increase Range of Motion (ROM) in joints and associated muscles that are important for activities of daily living, hobbies, work, or good posture. Activity: Attached stretches for quadriceps, hip flexors, hamstrings, and pectoralis. Intensity: Stretch to tension (*never to pain*) Frequency: At least 3 times per week, more if possible Duration: Hold each stretch for 5 deep breaths Goal: Maintain good posture, Increase flexibility of quadriceps, hip flexors, and hamstrings. 36 Prior to aerobic exercise or strength training, do dynamic stretches. Consider doing your static stretching after your aerobic exercise.
  • 37. Quadricep Stretches While standing, pull your foot up to your glutes until you can feel a gentle stretch along the front of your thigh. You may use a wall, chair, or desk to help you balance. Complete on both sides 37 Using a thick yoga mat, or placing a towel under your knee, kneel in a lunge position. Pull your foot up to your glutes until you feel a gentle stretch along the front of your thigh. Complete on both sides. While laying on your side, pull your foot up to your glutes until you feel a gentle stretch along the front of your thigh. Complete on both sides.
  • 38. Hip Flexor Stretches 38 Kneel on the floor with one knee bent and one leg behind you. Position your forward knee over your foot. Keep other knee touching the floor. Slowly push your hips forward until you feel the stretch in the upper thigh of your rear leg. Use a mat or towel under your knee for support Note that these stretches are similar to the quadricep stretches, but your focus is on a different area of muscles. Make sure to breathe throughout each stretch, never holding your breath. This is a variation of the previous stretch, where he is using a bench to support his back leg. You may also use a strap or the wall for this stretch, as well.
  • 39. Hamstring Stretches 39 Using a bench, desk, stable chair, or even your couch, extend one leg straight out and rest it on the surface. Lean forward folding over your thigh reaching towards your toes. Stretch until you feel a slight pull and hold. Complete on both sides. Sitting on the ground, extend one leg out, while bringing the sole of the opposite foot in towards your thigh. Lean forward folding over your leg reaching toward your toes. Complete on both sides. Standing with feet hip-width apart (approximately two fists width), slightly bend your knees as you fold over both legs. Reach toward your toes, using your thighs, shins, or the floor as support. Make sure to keep the bend in your knees to prevent over-stretching.
  • 40. Pectoralis Stretch 40 Standing against a wall or a door frame extend your arm 90 degrees out from your body, and flex your arm at the elbow to 90 degrees. Place your forearm on the wall or door frame and gently rotate your torso away from the wall/door frame until you feel resistance in your pectoralis/shoulder. Standing against a wall extend your arm to 90 degrees out from your body. Place your palm on the wall and gently rotate your body away from your arm until you feel resistance in your pectoralis/shoulder. Remember: Only stretch to resistance, NEVER to pain!
  • 41. Stretches You Can Do at Your Desk Here are a few stretches you can do at your desk to break up the work day! 41
  • 42. Shoulder Packing Shoulder packing stabilizes your shoulders and helps to reduce the chance of injury during exercise. It also will allow you to properly and safely lift more weight. To properly shoulder pack, the following steps should be followed: 1. Stand with your feet hip-width apart, toes forward, arms at your side. Engage the abdominal muscles to stabilize the spine as you keep your chest and chin lifted. 2. Pull the shoulder blades up and then down your back as you exhale, without letting your lower back arch. Hold this contraction for 5-10 seconds for 2-4 reps in order to allow your body to get used to the feeling. 42 Here is a link to help you understand shoulder packing a bit more: https://www.acefitn ess.org/exercise- library- details//205/
  • 43. Centering Activating your core is extremely important in exercise to protect your lower back, as well as give you more force to move through exercises. Your abdominal muscles, lower back muscles, pelvic floor, glutes, and muscles surrounding the hips are central to your core “powerhouse” that provide you a solid foundation for movement. To properly engage your core, the following steps should be followed: 1. Tighten your abdomen, without having to suck in or expand your stomach area 2. Activate your transversus abdominis (the deepest muscle layer) and hold the tightening position for 6-10 seconds. Release, and repeat 10 times. 43 Here is a link to help you understand centering a bit more: http://yourfunction alhealth.com/funct ional-health-tip- how-to-engage- your-core/
  • 44. Motivational Program Fitbit Plan We will be giving you a Fitbit. You already are very active and will sometimes hit the recommendation of 10,000 steps per day, usually going above and beyond on these days. However these days happen sporadically, with days in which you do not hit the daily recommended goal dispersed throughout. We want to challenge you to try to hit this daily-recommended goal of 10,000 steps each day. We will set your Fitbit to alert you when you hit 10,000 steps each day, with the goal being to see how many days in a row you can hit this goal. You can hit this goal however you want to! Go for a walk, or a jog. Play pickup basketball with friends, or park your car farther from campus. Just get up and get moving! The benefits of hitting 10,000 steps a day include: ◼ Increased energy ◼ Lower your risk for certain diseases up to 50% ◼ Stroke ◼ Type II diabetes ◼ Heart disease ◼ Cancer ◼ Lower your risk of early death by up to 30% ◼ Lower your risk of many chronic conditions 44 Fitbit Tip: You can connect with your friends on Fitbit and challenge them through your Fitbit app, increasing the motivation and the fun at the same time! The challenges you can do are: Daily Showdown, Weekend Warrior, Workweek Hustle, and Goal day.
  • 45. Motivational Program Join a Basketball Team We noticed that although you want to exercise regularly, you often have a hard time sticking to fitness programs. We believe that if you combine exercise with something you enjoy doing it may help you stick to exercising. By joining a basketball team in your community you are able to get the exercise you need, while doing something you enjoy doing. Because you will have a team counting on you it will be much harder to “give up”, or skip going to exercise. The City of Anderson Parks and Recreation has winter and summer adult basketball leagues: ◼ http://www.cityofandersonsc.com/recreation/adult- sports/basketball/index.html 45
  • 46. Putting Your Plan into Action The most difficult part of your fitness plan is finding the time and motivation to add movement to your day, especially with your job calling for much sedentary time. The good news is that you are already thinking about becoming more active and making strives to accomplish your fitness goals. You have already taken the first step to making physical activity a daily habit, and your next step is making it a full lifestyle change. Once you become more physically active and understand the demands and benefits, you can begin to incorporate the activities we have given you on a regular basis. It can take 3-6 months of regular exercise and diet change to create a healthy habit. 46 Tip 1: Choose activities that you enjoy Tip 2: Visualize yourself exercising and benefitting from exercise Tip 3: Use outside motivation, such as friends and family
  • 47. Safety Considerations 47 High Blood Pressure Prevention -Exercise, weight loss, sodium reduction, and reduced fat and alcohol intake are important for controlling HTN -Use RPE or talk text to monitor intensity -Stick to a RPE of 9-13 (scale referenced on earlier slide) -Do not hold your breath during static strength exercises -Stay hydrated -Circuit training utilizing low- moderate resistance and high reps is recommended -Heavy lifting is not recommended Healthy Back Routine for enhancing low- back health -Cat-camels -Modified curl-up -Birddog -Side bridge *See next pages, and pg. 24, 26, and 27, for pictures and descriptions* If you have lower back pain, avoid: -Unsupported forward flexion -Lifting both legs simultaneously when in a prone or supine position -Rapid twisting movements or hyperextension Heat Illness Prevention: Fluid Replacement/Climatization -Begin exercising in the heat gradually -Wear lightweight, ventilated clothing -Replace body fluids as they are lost -Drink water at regular intervals while exercising without over-hydrating -2 hours prior to exercise, drink 17-20 oz fluid -Every 10-20 minutes during exercise drink 7-10 oz fluid -After exercise, drink 16-24 oz for every pound of body weight lost
  • 48. Modified Curl Up -You may place a towel or hands under your lower back to keep a neutral spine -Do not flatten back to the floor -One knee is flexed, other is straight -Alternate bent leg halfway through reps 48
  • 49. Side Bridge -Lateral muscles of torso are important for stability -Elbow is directly under shoulder -Top picture is beginner, with knees on floor -Bottom is advanced, with body fully raised -Keep a neutral neck and spine 49