Tag Archives: rehabilitation

Do You Have Blinkers on Too?

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I am sure many health and fitness professionals go through life with blinkers on.

These blinkers effectively blind the professional making them unable to see beyond the scope of their training organisation rules and most recent guru.

A case in point is the subject of dangerous exercises in training programs and exactly what exercises are safe and which are dangerous.

There was a time when I was very black and white in my understanding and teaching of the concept of dangerous and even contra-indicated exercises – sticking rigidly to many common rules and restrictions.

Some of these rules that I rigidly believed include: Continue reading →

Are You Damaging Your Clients and Patients Shoulders – Try These Essential Rehab Strategies

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Shoulder pain is one of the most common problems treated by Allied Health Professionals – with the shoulder also being easily injured by well meaning fitness trainers.

I urge all health and fitness professionals to remember the following key
points when constructing your fitness and rehabilitation programs.

Balance the Position of Your Shoulders

The demise of the Bent Over Row in most fitness programs has led to a dominance
of rowing movements with the elbow closer to the sides – ie closer grip seated
chest pad rows and seated cable rows.

This flexion/extension action at the shoulder does not adequately balance the
amount of wider grip pressing work that the shoulders are usually involved in
with most pressing exercises – ie Barbell Bench Press.

Tip – If you are doing lots of horizontal adduction/abduction – wider grip style –
pressing movements in your chest programs make sure you balance this with wide
arm Bent Over Rows.

Encourage Thoracic Spine Extension and Do This Test

I am yet to see a shoulder related problem that cannot be at least partly eased
by the introduction of exercises to increase the mobility of the thoracic spine
– as many professionals fail to see the role that the Thoracic Spine plays in
loading (or unloading as the case may be) the gleno-humeral joint.

I encourage all health and fitness professionals to include a basic thoracic spine
mobility test in all their pre-exercise screenings.

One of the simplest tests involves asking the patient to sit on the edge of a
bench and raising both arms as far as possible over their heads.

If the patient cannot reach at least 170 degrees of shoulder
flexion they should not be given overhead exercises.

It is clear to see that this reduced range of motion would lead to massive
stresses being placed on the gleno-humeral joint during most overhead pressing
exercises.

Tip –  Include exercises which encourage thoracic extension and rotation in all training programs – some of my favourites include –  ball pullovers, one arm dumbell rows and standing one arm cable rows.

30 Minutes to Better Shoulder Rehabilitation

I have recently made available a FREE 30 minute section of my recently recorded “Physios Guide to Lifting Techniques” seminar.

This 30 minute preview includes a more details analysis of the best and most
effective shoulder rehabilitation and injury prevention tips and strategies
that all professionals should know and use.

At the end of the 30 min session I will also give you a link for a low cost 30 day trial
membership of my PhysioProfessor.com or thePTProfessor.com
online education portal – where you can see the full version of this lecture.

Here is the link to the FREE 30 minute shoulder rehabilitation section of “A Physios
Guide to Lifting Techniques”

http://www.healthbusinessprofits.com/evplayer/?seed=wrightliftingpreview

Free Webinar

A reminder to make sure you register for and watch my latest FREE
webinar “The Truth About Dangerous Exercises and Personal Training”.

You find out more and register for this webinar at:

http://ewebinars.com/4185/n5d8uyc9x1/webinar-register.php

Best Wishes

Paul Wright

A Physio’s Guide to Correct Lifting Techniques and Rehabilitation

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A Physios Guide to Lifting Techniques and Rehabilitation?

Are you a health professional involved in exercise prescription and rehabilitation?

Are you a Physiotherapist wanting to learn more about exercise rehabilitation for your gym training patients?

Are you a Personal Trainer – concerned that you are giving your clients the correct advice and instruction?

In March this year I presented a series of seminars on the NSW Central Coast to a group of health professionals – one of these presentations was:

“A Physios Guide to Lifting Techniques and Rehabilitation”

I am pleased to say that I recorded this great presentation and it is now available to view for members of my www.PhysioProfessor.com and www.thePTProfessor.com online education portals.

This lecture is the featured presentation this month on all learning pathways inside PhysioProfessor.com and thePTProfessor.com – so members make sure you check it out .

If you are a member of PhysioProfessor.com just log into the system and you will see this new lecture is the featured presentation in this month’s program.

If you are not yet a member go to www.PhysioProfessor.com and join now to get immediate access to this session as well as another 60 hours of great online content.

If you are a Personal Trainer – you can also get immediate access to this session as a member of my new thePTProfessor.com program.

In this program you will also get access to over 60 hours of online education, 15 CEC’s, and a PT Rehab forum where you can ask your most pressing rehabilitation and injury prevention questions.

Full details and registrations can be found at :

www.thePTProfessor.com

Here is just some of what you will learn in the latest 90 minute presentation.

“A Physios Guide to Lifting Techniques and Rehabilitation” with Paul Wright

–          Learn the correct technique for a majority of resistance training exercises and the best rehab exercises for the most common injuries.

–          The right to left strength imbalance that can lead to injury and how most health professionals miss it.

–          Why weakness is more important than alignment in preventing knee pain.

–          What the Australian Wallabies strength and condition coach said when asked to name his “Top 10 Exercises”.

–          How low to squat and how to determine the correct depth for your clients and patients.

–          The “late and last” lunge technique that can increase success of the exercise and improve results.

–          The fundamental problem with leg pressing and the modification that can increase its benefit to your clients and patients.

–          Why some health professionals are ‘copping out” in their exercise choices and how to avoid these mistakes.

–         How when and why to use a ball wall squat over a standard squat and the key teaching point that must be obeyed to allow optimal benefit from this exercise.

–          The best exercise to treat patello-femoral pain and how this has been successful in treating this common problem for over 20 years.

–          The best swiss ball exercise for treating knee pain – are you using it?

–          The hip stretch used by the Crusaders and All Blacks that helped reduce knee and groin pain – and how you can use it in your training sessions now.

–          How “rehab gone wrong” can set your clients up for shoulder pain.

–          The technique flaw in bent rows that causes most shoulder problems and what to do about it.

–          The training technique that increase bench press strength by over 30%.

–          The amazing advantage provided by the one arm row and the technique flaw that can make it useless for some people.

–          Bent row versus inverted row – which is best exercise and why?

–          The simple technique change for shoulder press that can reduce shoulder pain in fitness centres.

–          The secret training tip that gives a safe push up every time.

–          The “body position” – technique that reduces shoulder stress in resistance training programs and how to use it in your training sessions and rehabilitation programs now.

–          The dip technique taught in the 1940s that is still one of the most effective but dangerous tricep exercises.

–          The dip modification – that people think you are doing incorrectly– but is one of the most effective rehab exercises.

–          The throwing exercise all athletes must do to prevent shoulder problems.

–          The truth about the “Lordotic Lifting Posture” and how it can actually increase pain and risk when training.

–          The best hamstring gluteal exercise available – are you doing it?

–          The tricep exercise that is like the leg extension is to the knee and why this exercise causes over 60% of all elbow problems.

–          The simple modification to wrist exercises that will reduce your wrist and elbow problems.

Plus Much MORE:

If you are a member of PhysioProfessor.com just log into the system and you will see this new lecture is the featured presentation in this month’s program.

If you are not yet a member of this program go to www.PhysioProfessor.com and join now to get immediate access to this session as well as another 60 hours of great online content.

If you are a Personal Trainer – you can also get immediate access to this session as a member of my new thePTProfessor.com program – where you will also get access to over 60 hours of online education, 15 CEC’s, and a PT Rehab forum where you can ask your most pressing rehabilitation and injury prevention questions.

Full details and registrations for personal trainers be made at

www.thePTProfessor.com

Free Webinar

A reminder to make sure you register for and watch my latest FREE webinar “The Truth About Dangerous Exercises and Personal Training”.

You find out more and register for this webinar at:

http://ewebinars.com/4185/n5d8uyc9x1/webinar-register.php

Best Wishes

Paul Wright

Strength and Conditioning for Rugby Union and Rugby League – Update with Ashley Jones

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Are you a health professional involved in exercise prescription
and rehabilitation of athletes?

Do you treat or work with Rugby Players or other athletes and want
to know “What Works” for size, speed and strength development?

Do you want to know the training secrets used by one of the world’s leading authorities in Rugby conditioning?

In April this year one of my resistance training gurus, former New Zealand All Black
and Canterbury Crusader Strength and Conditioning Coach – Ashley
Jones –  presented an incredible seminar in Sydney titled:

“Building the Physically Dominant Rugby Player”

I am pleased to say that we recorded this great presentation and
it is now available to view for members of my www.PhysioProfessor.com and www.thePTProfessor.com online education portals. Continue reading →

Injury Prediction Testing for Personal Trainers – 8 Minute Video

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Following up on my recent post about the lecture:

“Prehab – Injury Prevention and Prediction for Health and Fitness Professionals”

I have just addedd a short video below that summarises some of this great seminar.

You can see the video at:

http://youtu.be/e19Qy7NGTdc

If you are a member of PhysioProfessor.com just log into the system and you can watch the full lecture.

If you are not yet a member go to www.PhysioProfessor.com and join now to get immediate access to this session as well as another 60 hours of great online content.

If you are a Personal Trainer – you can also get immediate access to this session as a member of my new thePTProfessor.com program.

In this program you will also get access to over 60 hours of online education, 15 CEC’s, and a PT Rehab forum where you can ask your most pressing rehabilitation and injury prevention questions.

Full details and registrations can be made at :

www.thePTProfessor.com

Injury Prediction – Are Your Personal Training Clients at Risk?

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Are you a health professional involved in exercise prescription and rehabilitation?

Are you concerned that some of your clients may be at risk of injury?

Are you doing a thorough pre-exercise physical screening for each and every new client?

In March this year I presented a series of seminars on the NSW Central Coast to a group of personal trainers – one of these presentations was:

“Prehab – Injury Prevention and Prediction for Health and Fitness Professionals”

I am pleased to say that I recorded this great presentation and it is now available to view for members of my www.PhysioProfessor.com and www.thePTProfessor.com online education portals.

If you are a member of PhysioProfessor.com just log into the system and you will see this new lecture is the featured presentation in this month’s program.

If you are not yet a member go to www.PhysioProfessor.com and join now to get immediate access to this session as well as another 60 hours of great online content.

If you are a Personal Trainer – you can also get immediate access to this session as a member of my new thePTProfessor.com program.

In this program you will also get access to over 60 hours of online education, 15 CEC’s, and a PT Rehab forum where you can ask your most pressing rehabilitation and injury prevention questions.

Full details and registrations can be made at :

www.thePTProfessor.com

Here is just some of what you will learn in the latest 90 minute seminar.

“Prehab – Injury Prevention and Prediction for Health and Fitness Professionals” with Paul Wright

– Why most new gym members are at risk of injury and the simple tests that could have predicted and prevented them.

– The screening tool produced by Fitness Australia and why it only does part of the job in injury screening.

– How you can decrease your injury rates by 80% using 2 simple tests.

– Why most pre-screening testing procedures don’t ask the right questions.

– Why men are at risk and are unreliable when doing a pre-exercise questionnaire and what to do about it.

– The 3 key advantages that trainers have over physios and how to use these advantages to reduce client’s injury and cancellation rates.

– How to predict 85% of gyms and fitness centre based injuries before they happen.

– The most important time to ask questions of your new clients and how moist trainers get it wrong.

– The 6 key things you must ask a new client about that can predict injury.

– The 2 key predictors of injury and how most trainers don’t ask at about either of them.

– The biggest assumption made by trainers that puts all clients at risk on injury.

– The one factor that causes a new gym member, who has lived normally with no pain for 20 years, to incur an injury within 2 weeks of joining.

– How a shoulder injury that happened 20 years ago can lead to massive injury risk today – and how to stop this impacting your business and clients.

– The easiest way to see a rotator cuff tear and why most trainers miss it – all trainers need to be able to identify this injury.

– The muscle group that – if wasted – can greatly increase the risk of lower back pain and how to spot it.

– Why Q angle measurement is overrated and the real risk factor for knee pain post joining the gym.

– The 2 different types of scoliosis and the 10 second test that can be used by al health professionals to detect and classify them.

– The 4 worst exercises for people with scoliosis and three better alternatives.

– The 2 simple posture checks that most trainers don’t know and how these can greatly reduce injury risk for your clients

– The technique problem in swimmers and why they are at risk in gym programs.

– Why fast bowlers in cricket have reduced risk of shoulder injury compared to throwers and tennis players and what it means to you in program design and exercise selection.

– How cyclists get back pain when they start running and the 30 second test that can predict those at risk.

– How tight hamstrings can actually help athletic performance and why the big trick for injury risks may not be muscle length testing at all.

– The 20 second hamstring and quad test that all health professionals should use in their pre screening assessment and the risks that come from failing to do them.

– The “hands to ears” shoulder range test that determines the exercises your client should and should not be doing.

– The “essential test” that all health professionals should do and how if you don’t do this – your clients are at great risk of knee and lower limb problems

– The most important test you will ever do as a personal trainer or health professionals and why very few trainers do it.

– The 2 leg exercises that are safe to do for clients with limited ankle range of motion and the exercise you need to avoid.

– The worst piece of cardio equipment in all gyms and the machine setting that will lead to injury in many clients.

– The biggest mistake most trainers make when setting up the program that pre-disposes new gym members to injury.

– The “swimmers stop sign” test and how this test can predict shoulder injury risk pre exercise and what to do about it.

– The upper body test that all trainers must do to reduce injury and the exercises that all trainers must do with their clients if this test is positive.

– The major problem with machine systems and why the Smith Machine can greatly increase the risk of shoulder injury in one group of new members – do you know it?

– The pre-requisite for all Olympic Lifting techniques and how to test it.

– The major problem with most lumbar spine range of motion test and the simple test that can accurately measure lumbar range.

– The figure 4 test for hip range and how this test can predict knee pain and also treat it.

– Why most stretching programs don’t work and the real reason why we need to do some flexibility work.

– The “9 point flexibility test” that you should fail if you are to be considered low risk and normal – and what trainers must do if your person passes this test.

– The lower limb swelling problem that could have been predicted and prevented before it started and the key piece of information the trainer overlooked.

– The best core stability tests and why most test are not useful for trainers.

– The common exercise that terrifies a 20 year physio veteran every time he sees it done in a personal trainers program.

– The concept of gluteal amnesia in post back pain people and the test you must do to identify this issue in runners and weight trainers.

– The test used by the Australian Wallabies that predicted back pain and the result they needed to attain to be allowed back onto the field.

Plus Much MORE:

If you are a member of PhysioProfessor.com just log into the system and you will see this new lecture is the featured presentation in this month’s program.

If you are not yet a member of this program go to www.PhysioProfessor.com and join now to get immediate access to this session as well as another 60 hours of great online content.

If you are a Personal Trainer – you can also get immediate access to this session as a member of my new thePTProfessor.com program – where you will also get access to over 60 hours of online education, 15 CEC’s, and a PT Rehab forum where you can ask your most pressing rehabilitation and injury prevention questions.

Full details and registrations can be made at :

www.thePTProfessor.com

Best Wishes

Paul Wright

The Truth About Dangerous Exercises, Fitness and Personal Training – Free Webinar with Paul Wright

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This FREE webinar will give you facts about dangerous exercises and personal training that all health and fitness professionals should know.

In this presentation International Health and Fitness expert – Paul Wright – will share with you: Continue reading →

Paul Wright – Beat Back Pain with Core Stability Secrets – Video

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I spoke to a personal trainer last week about the concept of Core Stability and how to best train your core – in one stage in our conversation he said:

“I don’t do any lower level core training for my rehabilitation clients – I just use cables and lots of free weight exercises”

Now this statement – whilst it has a small level of truth – points out a serious problem in our understanding of core stability training – that you MUST train and condition the Inner Unit of the CORE before progressing to the outer unit muscles. Continue reading →

Muscle Imbalance and Injury Risk – Tips for Personal Trainers by Paul Wright

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Many people looking to get fit end up with injuries, and it is a sad fact that many of these injuries can be prevented by looking more closely at how the exercise programs are structured and how they effectively balance all the muscles of the body.

Muscle balance can be defined as the “relationship between both the strength and the length of muscles and groups of muscles as they cross over joints “. This definition leads us to the conclusion that it is possible for muscles to have any or a combination of the following : Continue reading →

Shoulder and AC Joint Pain – Exercise Tips for Personal Trainers

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Pain originating from the AC joint (the joint at the end of the collarbone – on top of the shoulder) is usually well localized and the client will often place one finger directly over the AC joint when asked to indicate the most painful area.

There is usually discomfort with humerus and scapula movement, particularly movements where the arm is brought across the body into a horizontally flexed position. Uncomfortable exercises in the gym may include bench press ( particularly wide grip bench as you have found already), dips and push-ups. The person often has difficulty sleeping on the effected side.

 Some suggestion to reduce stress on the AC joint include: Continue reading →