Archive for the ‘Health and fitness professionals’ Category

10 Ways to Overcome Procrastination in 2011-by Bobby Cappuccio

Wednesday, January 5th, 2011

The following post was written by a great friend of mine and a brilliant mind. Bobby Cappuccio is a leader in the fitness industry and an extensively studies human behavior, particularly in relation to health and fitness.

This post originally appeared on the best fitness education portal on the internet, PTontheNet. Bobby writes extensively for PTontheNet and I’m fortunate to be very involved with them too.

Please enjoy Bobby’s great article.
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Deception is a concept that is despised in our society. It violates our sense of fairness and arouses our instinctual nature to nurture and protect the victim. From the sandbox to the boardroom we’ve all heard the not too unfamiliar cry of “It’s not fair!!”

Outrage arises not just when we feel violated ourselves, but almost equally when witnessing the victimization of others. Elizabeth Tricomi, professor of psychology at Rutgers University, observes that “…the brain doesn’t just reflect self-interested goals, but instead, these basic reward processing regions of the brain seem to be affected by social information…That might explain why what happens to other people seems to matter so much to us, even when it might not actually directly affect our own situation.”

My question, as uncomfortable as it may be, is…Is it truly possible for a victim to be deceived if they’re not in some part a willing participant?

Every situation brings with it our own perception and interpretation, stemming from a lifetime of experiences, beliefs and values, and, therefore, biases. So our interpretation of events is the combination of fact and perception. Hence, every story we tell is, to a degree, fictitious. Could this be especially true regarding the stories we tell ourselves?
Consider Giacomo Puccini’s opera Madame Butterfly. Cho Cho San is more acquired than courted by her new husband, United States Naval Lieutenant Benjamin Franklin Pinkerton. From the beginning, the loyalty, faith and love that she gives with gentleness of a “butterfly” is returned with carelessness, lies and betrayal.

For three years after Pinkerton departs from his wife, leaving her pregnant with not more than the empty promise to return to her “after the robin’s nest,” she waits naively, but ever so faithfully. Despite the admonishment from her servant and even her husband’s personal aide to forget the lies of a treacherous man who has clearly forgotten her, she remains loyal in a way that is so sweet, trusting, it is painful, even tormenting, to watch.

It is only after Pinkerton’s return to Nagasaki with his new American wife that Cho Cho realizes his extent of her betrayal. She sees the loss of her illusion of a loving husband as analogous to loss of honor. In the dramatic final scene she seeks redemption by ending her own life.

I cannot help wonder if the tragedy is the treachery of Pinkerton’s deceitful callousness or in Cho Cho’s quiet subservience. Was her mental model of love and devotion so deeply rooted, so pervasive that she chose ignorance over prudence in the face of obvious betrayal? As undeserving as she was, was the pain of her reality more intense than the illusion she imagined?

In many ways all of us are not too dissimilar to Cho Cho San. We deceive ourselves into seeing our reality not as it is but as we wish it would be. We delay until tomorrow to avoid dealing with our issues today. The danger in this becomes evident when our reality can no longer be ignored, yet we have denied it for so long that the consequence, figuratively, is death in the form of lost opportunity or, worse, our career. In actuality, dealing with reality is less painful than denying it. Yet, with the economy, rate of change, growth of competition, etc., the enormity of our circumstances may dissuade us from doing what we know we should do whether we feel like it or not.

Here are 10 tips to overcome procrastination in 2011.

1. Fear of criticism, rejection and failure are major reasons why people hesitate to take action. Understand that any significant goal will be met with resistance, scepticism and ridicule. Accept the fact that opposition may be a sign that you’re on the right track. No one who has ever done anything even slightly interesting has done it in the absence of criticism.

Albert Einstein said that “great spirits have always encountered violent opposition from mediocre minds.” Be open to feedback but accept that in the end if the feedback of a critic was of any value at all he/she would be doing something in the real world themselves instead of tearing down the ideas of others. Before allowing the opinion of another to distract you from important tasks, ask yourself, “Do I desire to be where he/she is in his/her career?” If not, who cares what they think?

2. Set goals that you intensely desire to achieve. Review them daily. We persevere when our desires exceed our fears.

3. Tell other people about what you intend to do. Use social pressure to make sure you follow through.

4. Write a list of every action step you need to take in order to complete a task or project.

5. Isolate the two most important tasks.

6. Write drunk, edit sober! Not literally, this just means get going and build momentum. Don’t worry about perfection.
Perfection is indefinable and, therefore, unattainable. Just produce. Later on, you can go back to your work and revise it.

7. Similarly, the hardest part of dealing with anything is to simply get going: from a project to dating after a break-up or divorce to starting your life over in a new location. Identify one small action you can take just to get you started.

8. Start with the task that causes you the most anxiety and frustration. Removing that task from the project makes the rest of the process seem much easier by contrast.

9. Identify the consequences of not taking action. What is the most painful result of not getting started on the thing you’ve been avoiding? When the pain of not doing something exceeds the pain of doing it, it’s likely to get done. Think about how you feel about putting off your taxes two days before the deadline.

10. Determine the areas of your life that are suffering the most not taking action and then list every benefit you believe you will experience as a result of doing what you know you should do.

Cheers,
Bobby

Corrective Exercise 18

Thursday, November 18th, 2010

My One Day at the 7th Interdisiplinary Congress on Low Back and Pelvic Pain

Wednesday, November 17th, 2010

What an opportunity for those of us in Southern California to have the 7th Interdisciplinary Congress on Low Back and Pelvic Pain come to Los Angeles. This is an incredibly influential gathering of top experts from all over the world and is only held every 3 years. Unfortunately, I was limited to attending just one day due to other obligations, but I’m glad I did.

I hit the road from San Diego at 5:30 a.m. Thursday morning to be there for the morning sessions that began at 8:00 a.m. Thursday was the day that I really wanted to be there because of the presenters speaking that day. In particular, I wanted to see Robert Schleip from Germany and Leon Chaitow from the UK. Dr. Schleip heads up the Fascia Research Project from the University of Ulm. And Dr. Chaitow is the author of many books on manual medicine and the editor of The Journal of Movement Therapy.

This was a line-up of “heavy hitters’ in the world of myofascia and exactly why I coordinated my schedule to be there on this day. The afternoon ran two parallel sessions in which I jumped back and forth between rooms to hear the speakers on topics that were of more interest to me.

The line-up for the morning sessions looked like this:

Siegfried Mense: The thoracolumbar fascia as a source of low back pain

Robert Schleip: Tearing and micro injuries of lumbar fasciae as potential pain generators

Helene Langevin: Ultrasound imaging of connective tissue pathology associated with chronic low back pain

Jean Claude Guimberteau: Journey under the skin to the muscles, lumbar fasciae and structural architectures

Jay Shah: Ultrasound techniques reveal objective abnormalities of myofascial trigger points and surrounding connective tissue

Leon Chaitow: Fascia directed therapies for the treatment of low back pain: review and new directions
(There were too many afternoon sessions to list here)

It was an honor to be there and listen to the latest research. I was thoroughly impressed at the level of knowledge that the faculty had on their subject matter and their dedication to research. At the same time, I felt myself being a bit disappointed in the limitations of the very same research.

Most of the researchers made it a point to clarify the insight derived from their study was limited to a very specific (and small) area of the body and at a very specific moment in time. While a few others implied very broad applications to similarly limited studies. And others openly wondered about the possible applications and inferences from the study without attempting to make the study something it was not.

Over the years I have read and continue to read a significant amount of research papers and have been involved in several studies. Although my knowledge of statistics is very limited, my understanding of experimental design and application of findings is reasonably solid. So when I hear the findings of a study presented without any “qualifiers” by the very researchers themselves, I find it intriguing if not alarming.

A platform such as this Congress is the perfect opportunity for a researcher to speak to other researchers and clinicians about the limitations and possible applications of the research. Most research is not given this opportunity. Instead, it is read through a scientific journal without the opportunity for further clarification.

The research into the human organism continues to be pieces of the puzzle and not the solution to the puzzle itself. And when therapists, trainers, coaches read reviews of the research or abstracts and not the research itself, there tends to be huge misinterpretations and misapplications. And if the person reading the research does not understand experimental design or only makes conclusion from their paradigms or philosophies, we’ve got problems.

I would have loved to have had some time to ask questions of the researchers. I did get a chance to speak briefly with Dr. Paul Marshall of Australia after his talk. He was one of the researchers who, in my opinion drew some very broad conclusions from his research. Talking with him I found out that his study looked at isometric, concentric and eccentric contractions. Yet he only presented on the isometric contractions because there was too much data too analyze from the concentric and eccentric contractions.

In an effort to get his paper published, there is no surprise he used the data that was more accessible. But he did not even mention during his presentation that he had data from the other contractions. Nor did he communicate that the findings may have been different when movement was involved. Common senses and other studies would suggest that the findings would be different.

My take-home from the conference was confirmation of a belief that I already had: Proceed with caution when citing research. I love what these researches have done and thank them for their contribution. Let us all keep things in perspective.

The next World Congress is in Dubai. I don’t think I’ll be dropping in for just one day if I go there.

Hip Twist from The Pain-Free Program

Thursday, October 28th, 2010

A non-technical explanation of the Hip Twist exercise for the person using The Pain-Free Program: A Proven Method to Relieve Back, Neck, Shoulder and Joint Pain

Corrective Exercise #17

Wednesday, August 11th, 2010

Heel Lifts with Strap is an exercise many of your clients will benefit from. It is one of the exercises in the Pain-Free Program that has helped people from all over the world feel and function better.

This is not a calf exercise!



My Dogma Can Kick Your Dogma’s A$$

Wednesday, July 7th, 2010

Dogma= is the established belief or doctrine held by a religion, ideology or any kind of organization: it is authoritative and not to be disputed, doubted or from which diverged. (Wikipedia)

Fitness educators are a disillusioned bunch. We (yes me included) often profess the absolutes to our clients, prospects, workshop/conference attendees, staff, etc. And I for one can laugh at myself.

We stand at the sacred alter at educational events and profess what is now the irrefutable truth:

• Cardiovascular exercise bad-metabolic training good
• Static stretching bad-dynamic warm-up good
• Machines bad-functional movements good
• Crunches bad-vertical ab training good
• Balance training bad-ground based training good-balance training good again

The dogma at times is pure entertainment. I’ve seen educators whom I respect greatly, teaching subject matter this year that is completely different from what they taught 5-7 years ago. This of course is a good thing in many ways because they/we have learned more from new research, borrowing from other sciences and disciplines and our own experience. Their current teachings however, often discredit their former teachings.

So this year they are presenting and writing with total conviction (read dogma) regarding new concepts and/or interpretations of the literature. And so they should be because if they did not passionately believe in what they are teaching, then they should not be teaching it.

Here’s the caveat: If I bought into their passion 5 years ago because they said it was THE best way, why the hell should I believe them now?! You would think the way some people are teaching and writing that God gave them a private viewing into all the answers of the human body.
dogma
I personally feel the better approach these days is to preface certain statements with, “what we now know …..”. Quite frankly, I don’t believe much of anything that we’ve done in the recent past was wrong. It just wasn’t the most effective or at times the safest.

You aren’t seeing any trainers blood letting with leaches these days. That would be wrong. And I’m not going to stick my clients on a leg extension machine nor will I recommend it while teaching. But if another trainer puts 55 year old Mrs. Jones on the leg extension machine because that is the only way she’s showing up on Monday, then I should mind my own business.

We all have our convictions about what works best. That shouldn’t differ if you are speaking to an audience of 500 or 5. Where do these convictions come from? I can only speak for myself. My convictions come from results. I do what I do because it works. And I teach what I do because I understand the mechanisms behind what I do. Therefore, I know the strength’s and at times the limitations of what I do.

You might notice that those that are actually doing the research and teaching at events usually don’t come with the same dogma. That’s because they understand the inherent limitations of extrapolating the findings of research to parameters that don’t replicate the study. Look what the fitness industry did with abdominal hollowing. Trainers were telling people to pull their belly button in while sprinting at maximal speed. That application of the research couldn’t have been farther from the parameters of the studies related to abdominal hollowing.

Of course the researchers rarely work with real people with real problems. So they are not emotionally invested in the results the way we are.

I really believe that much of the dogma comes from the fact that we want to hold on to and defend the “known”. This is what we understand. And if someone else is teaching something that doesn’t fit our model, then we better protect our perspective. Because if we don’t, we might just have to open up our minds to someone else’s ideas and let go of our own.

I think a lot of people have to ask themselves if their dogma is really their own dogma or someone else’s. And if it is someone else’s dogma, will your dogma change when their dogma changes in a couple of years?

Please share this with someone you know because I am convinced what I have written here is authoritative and not to be disputed, doubted or from which diverged. Yes, my dogma can kick your dogma’s a$$.

You are What You Eat….But Careful Who Says So

Monday, June 28th, 2010

I EAT THEREFORE I AM….A NUTRITIONIST! If it were really that simple, we’d all be experts by now! It seems like every time we turn on the television or open a health magazine, there’s some self-proclaimed health guru telling us what we should and shouldn’t eat; try this diet, take that supplement. But how can we know who to listen to?

Sifting Through the Science
The sheer volume of information available is overwhelming, and it’s no easy task sifting through the claims and determining which have merit and which are nothing more than hollow marketing promises. As health and fitness professionals, our clients look up to us as the real experts, so we must base our recommendations on something more than conjecture and opinion. The following list is a valuable tool for evaluating the science behind nutrition claims. Keep a copy close at hand and refer to it when considering new research findings.

Checklist for scrutinizing scientific research

    Number of studies
    Consider how many studies were conducted. A single study might suggest efficacy, but numerous studies conducted by a variety of researchers from independent labs without vested interests would hold more weight.

    Number of subjects
    The higher the number of subjects in the study, the better. More subjects give a greater degree of statistical power. That is, we can say with reasonable confidence that the results were due to the intervention and not to random chance.

    Dosage
    Look for consistency in the dosages employed in the studies and what is found in commercially available diets/products. If large dosages were used in the studies, say 1000mg, then how does this compare to the comparatively small dosages (i.e. 10mg) used in commercial products? We need to compare “apples to apples” and “oranges to oranges.”

    Purity
    In the case of dietary supplements, many nutrition products are cocktails comprised of a number of ingredients. If a study was conducted on just one ingredient, then it’s difficult to confirm that a mixed commercial product would yield the same results. Cross-ingredient interactions might potentiate the effect and pose safety issues as was the case with combined herbal preparations containing ma huang (ephedra) and guarana (caffeine).

    Population group
    One size does not fit all. Look at the population group upon which the research was conducted and consider how it applies to real life situations. For example, it is difficult to apply results from a study on young, university-level female athletes to bed-ridden morbidly obese, middle aged diabetic women since their metabolisms would be markedly different. Experimental conditions Consider how “life-like” the experimental conditions were. For example, a diet study conducted on elderly cardiac patients living in a metabolic ward for a month would reflect very different conditions to a young, free-living adult subject to a variety of real-life factors.

    Protocol
    Appropriate methodological controls help to ensure that the results are due to the intervention and not to random chance. Ideally, a study should be randomized, controlled, and, when appropriate, double blind—neither the subjects nor investigators know who received the experimental or control intervention.

    Peer-reviewed
    Confirm that the studies were published in reputable peer-reviewed journals. While even this is not a 100% guarantee, it at least confers a higher level of academic scrutiny to minimize bias and ensure the integrity of the research.

    If You Can’t Convince ‘Em Confuse ‘Em
    While claims based on science are always preferred, many diet book authors and product manufacturers are determined not to let the truth get in the way of a good marketing campaign. Clearly not everyone’s a research scientist, but we all have a built-in baloney detector that can help keep us from getting taken for a ride. Cut out and give the following quick reference checklist to your clients.

    Quick reference guide for evaluating popular health claims

    Too good to be true
    Infomercial watchers beware! The age old adage “if it sounds too good to be true, then it probably is” rings true in most cases. Often the repeating of lofty, seemingly unrealistic claims will cause you to lower your guard just long enough to make you lift the phone and surrender your credit card details. Always do your homework and thoroughly investigate all health products.

    Testimonials
    While a heart-wrenching testimonial makes for great late-night infomercial viewing, this is not a guarantee of efficacy. Testimonials do not separate cause and effect from coincidence. For example, if someone begins taking a “fat-burning” supplement while exercising every day for 3 hours per day, then it’s difficult to conclusively ascribe those results to the pill or the radical change in exercise levels.

    Terminology
    The use of trendy buzz words is not an accident. Marketing research focus groups are explicitly conducted to determine which terms resonate with consumers and will likely translate to greater sales. For example, the term “natural” has been associated with safe and effective in the eyes of most consumers, yet even natural remedies may carry potential health risks. After all, even arsenic and cobra venom are also naturally occurring substances.

    No effort required
    Humans are pleasure seekers and pain avoiders and will avoid logging the hard yards if at all possible.
    Beware of any diet, supplement, or health product that claims quick, easy results. It took us nearly a century to reach these epidemic levels of obesity and disease and it certainly won’t go away overnight. Diet books have claimed to have the “secret” to health for over 50 years, yet if they worked in the first place, we’d all be skinny by now.

    Strictly business
    Advertising is meant to do one thing: sell product. Altered, airbrushed images, changes in lighting, body positioning, and body angle all give the appearance of a miracle transformation. Again, marketing materials are meant to sell, not inform.

    Confusing jargon
    Sometimes advertising is littered with science-sounding jargon. Glossy images of confusing biochemical pathways mean nothing to most people, yet it seemingly confers a level of scientific scrutiny. For example, because a substance is part of a fat burning metabolic pathway does not mean that taking it as a supplement will enhance the process.

    Out of context claims
    Sometimes it’s not what you’re told, rather it’s what you’re not told. You must be certain to evaluate the original research from which marketing claims are extracted. For example, “statistically significant” fat loss in the context of a research article may, in fact, be scientifically valid, but in the real world might only translate to a half kilo difference. Not quite the 50 kilos you were expecting to lose.

    Persecuted guru
    Beware of self-proclaimed health gurus who trumpet the notion that the “establishment” is trying to persecute them. If their theories are valid, then in time they will stand up to scientific scrutiny and eventually be vindicated. However, in the case of the vast majority, there is a reason why you’ve never heard of them and a reason why next year they’ll be off the health radar.

    Final Thoughts
    As health professionals, we are the ultimate gate keepers between our clients and the multitude of new diets and nutrition products entering the market. We are bombarded by an incessant mélange of both fact and fiction, and it is our responsibility to view each through the lens of science in order to discern the difference. We should never maintain a dismissive attitude because science is always changing. What we
    believe to be false today may eventually be proven true tomorrow—or vice-versa. Clearly we need to keep an open mind, but not so open that our brains fall out!

    About the author
    William R. Sukala, MSc. is a Clinical Exercise Physiologist with two decades of experience in both clinical cardiac rehabilitation and preventive health care settings. He holds a master’s degree in Exercise Physiology and a bachelor’s degree in Nutrition, and is currently completing his PhD with a research focus on type 2 diabetes, obesity, and associated metabolic syndrome risk factors. William is a popular international presenter on medical exercise topics and has authored articles in major publications both domestically and internationally. He is frequently cited as an expert in his field by magazines, newspapers, and television news media. For more information, please visit his website at:
    http://www.williamsukala.com

Corrective Exercise #16

Wednesday, May 19th, 2010

(Due to a server crash, this post is being reposted after originally being posted on April 17th, 2010)

We take the Thomas Test that is used for hip flexor contractures and create a beneficial corrective exercise with it. A great way to lengthen the hip flexors for certain populations.

Review of Mike Boyle’s book: Advances in Functional Training

Wednesday, May 19th, 2010

(Due to a server crash, this post is being reposted after originally being posted on April 17th, 2010)

I have certainly known of Mike Boyle for many years. His name often came up in discussions and articles on strength and conditioning as well as functional training. Mike is as well known for calling it like he sees it as he is for his contribution to strength and conditioning.

Up until a couple of years ago, Mike and I had never met. I wasn’t sure what kind of guy he was going to be when we did finally meet because I can’t say that I’ve always agreed with everything Mike’s ever written. But who wants an industry of clones?

In the summer of 2007 I had arranged a meeting with Chris Poirer of Perform Better to show him a pre production prototype of the Core-Tex™ at the Perform Better Summit in Long Beach, CA. I sent Mike an email because I knew he was going to be presenting there and asked him if he would be available to take some time to look at the Core-Tex and give me his opinion.

There’s no doubt in my mind that Mike gets approached all the time by people with products and ideas (because I certainly do). Even so, Mike got back to me right away and graciously agreed to spend some time with me between his presentations.

When I finally got to meet Mike, it was a pleasure to see that he just one of the guys. Like so many of the great educators in our industry, Mike had no ego and was genuinely interested in hearing more about the Core-Tex™. He didn’t have to do this since he didn’t know me but he extended me a professional courtesy. And to me, that was a class act.

When I got Mike’s book, Advances in Functional Training, I took it on a plane to England and read it cover to cover. This book is probably the most comprehensive book out there right now in respect to the amount of content it covers on the various components of functional training.
We all know that some people believe that functional training equates to circus acts-which of course it is not. This book covers the full continuum of what functional training really is and leaves out the circus acts.

I often speak in terms of training for function versus functional training because for me functional training denotes a mode or method of training and training for function denotes and objective. The content covered in Mike’s book falls right in line with training for function.
Mike has spent a lot of years in the industry. Yet he is humble enough to readily cite those that have influenced his approach to training and states his reasons for following the training principles he adheres too.

Since the functional training continuum covers everything from restoring normal movement patterns to maximizing sport performance, there is a tremendous amount of information to cover. A book could be written for each aspect of training for function along the continuum. As comprehensive as Advances in Functional Training is, it couldn’t possibly cover everything along the continuum in the depth that each topic requires.

But that is not bad thing. Because what Advances in Functional Training does is give the reader a full appreciation of the many aspects of function. And there is no shortage of content in this book (314 pages).

For example, my professional strengths are focused more around the assessment process and corrective exercise. Therefore, it’s not often that I get to work with clients as they move toward the more advanced end of the functional continuum. Mike’s book serves as a great resource to me for identifying some of the critical variables that need to be part of the training progressions.

The term “soup to nuts” keeps coming to mind when I read through this book. The book begins with where all training should begin-the assessment process. It then takes you through the continuum with appropriate progressions right up to athletic preparation. Mike not only does a great job at guiding us through the functional continuum, but he highlights critical areas where injury and common training pitfalls take place.

A minor criticism of this book is the lack of direct references from the research literature. Although Mike does give credit to other authors and practitioners, I don’t recall reading any direct citations of the literature. Doing so would have strengthened the delivery of many of the concepts in the book.

Advances in Functional Training really is a comprehensive look at a topic that regularly stirs debate from trainers and coaches with different training philosophies. Mike Boyle has made some tremendous contributions to our industry and with this book he provides ample evidence and rationale for a functional training approach.

Published by On Target Publications (January 11, 2010)

Corrective Exercise #15

Wednesday, May 19th, 2010

(Due to a server crash, this is being reposted after originally being posted on January 20th, 2010)

As you are reading this, my guess is that your thoracic spine and the lower cervical (if not all the cervical segments) are in flexion. So I’ve taken another of the exercises from the Pain-Free Program for Corrective Exercise #15.

As always, I hope to offer you a little more insight and detailed information on an exercise/posture like this that goes way beyond the obvious.
Click on the image to watch this short, informative video.