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Archive for the ‘Osteoporosis’ Category

Is your posture making you sick?

Wednesday, March 31st, 2010 by Karena

When I walk the dogs in the morning I don’t wear my glasses. My eyes aren’t all that bad and when I see someone walking towards me I can almost always guess their age. And I’ll bet you can, too. We pick up these clues from someone’s posture and by their gait, or how they walk, and there is one woman at the park that I aspire to be.

Without my glasses on, this woman appears to be in her late 20’s early 30’s. With my glasses on, she’s clearly in her mid-late seventies. Pretty cool, huh? That’s what I want to be like when I grow up. She has great posture and she kind of just kicks along when she strides. Most women her age are standing/walking with their chins jutted forward (forward head) and their backs hunched (kyphosis). Their arms no longer swing, they just kind of hang there. Most of them also limp or shuffle, not picking their feet up when they stride. Not this lady. She looks like a model. I love her; she’s my inspiration and I’ve never said more than, ‘Good Morning’, as I go through my morning wrestling match with the dogs.

Picture 31Here’s an easy way to begin correcting your posture:

1. Sitting on a ball or a desk chair, rest your forearms (fingertips touching) on a desk or table.
2. Drop your mid-back towards the floor.
3. Pull your chin towards your neck as you press the back of the head against an imaginary board lying on your back from your head to your hips.
4. Also press your low back into the same imaginary board.
5. Once you have found your position. Brace all the muscles in your hips, arms and spine. Bracing these muscles is like clenching your fist. You have put your spine into a new shape and you are bracing your muscles to hold your new alignment. Hold the bracing for 10 seconds.

This exercise is not as easy as it looks. It’s not too hard to drop the spine or to pull the chin in but you have to also pull the low back towards that imaginary board. You cannot make a correction by correcting only one segment of the spine. The mid-spine is not hunching all by itself. It is being allowed to hunch by the weaknesses above and below it. Address all three areas and the change will be rapid.

Standing up straight is better than a 1,000 sit-ups

Tuesday, December 29th, 2009 by Karena

Picture 24‘Tis true, ’tis true. If you were to use correct posture whenever you were standing or walking you would strengthen your abs more than performing sit-ups ’til you puked. It is a matter of very high repetition and low levels of work. I get comments all the time along the lines of: Of course, you have a flat stomach you do Pilates all day. Wrong. I don’t do Pilates all day; I teach Pilates all day. Secondly, I haven’t done a sit-up in over a decade: bad back. Lastly, my abs are very solid. I stand up straight as often as I remember (dancers are notorious for horrible posture) and when I exercise I try to keep my alignment.

Think about your own workout. You are in your Pilates class and working, working, working. You stand up to leave and your posture is horrendous. I see it everyday. What did we just work on for the last hour? We worked on making you feel better: with an awesome bonus result of having a higher tush and sexier arms. If you stand up and don’t stand up straight you throw a lot of that work away. Yes, you’ll retain a percentage of it but not all of it. Your arms and your butt will benefit but your abs won’t be able to retain as quickly if you stand with the abs relaxed all day. But, really, it’s not just the abs that work when you stand up straight. Here’s the list:

When you stand up straight here are just a few muscle building benefit:

  1. Abdominals: Stand with the abdominals gently braced
  2. Upper Back: With your shoulders squared off (not yanked together) and gently pressed down the upper back gets a great workout as do the posterior deltoids (shoulders)and latissimus
  3. Gluteals: For those of you who stand with your hips swayed forward, the gluteals never work and the butt disappears and the hamstrings are tight enough to saw down a redwood with.Most importantly when you stand up straight you are grooving a pattern, setting a new ‘normal’. Ever watch Cesar Milan on the Dog Whisperer? His most common tip is to get your dog out for a walk and train your dog while walking. You are setting a pattern, so when you bring the dog home he is more family/house friendly. More in tune with what you need from him. Same with your body. Train it to be there for you. The benefits of standing up straight aren’t purely an instantly flatter stomach and a sexier body. You create adequate space for your organs (poor posture crushes them) which leads to improved lung, heart and digestive function. Improved posture has even been said to improve mood. One of those reverse psychology tricks on your brain: act like you feel great and eventually your brain will believe it.

    I could go on….

Top 4 Posts of 2009

Wednesday, December 16th, 2009 by Karena

Picture 22It’s exciting to look back at 2009 and know that we made it through. We kicked and screamed through the economics of it all and celebrated and rejoiced in remembering what is really important. I think that the most popular posts of 2009 reflect what 2009 taught us. Health and great friends are way more important than world craziness…. Here are your top choices for 2009:

1. Are Your Sit-ups Making you Fatter?

When you do sit-ups incorrectly you may find yourself buying the next size up.

2. Osteoporosis: Bone Quality vs. Bone Quantity

A Mayo Clinic study shows that you do not have to increase your bone density to reduce your fracture risk up to 300%

3. Inspiring Cancer Patient: Photos

Linda Smith, a cancer patient and Pilates friend, fought back during chemo. Did you ever dream of doing a glamorous photo shoot when you are undergoing cancer treatment?

4. Better than Sit-ups.

Sit-ups are great but this exercise is even more effective than sit-ups for activating those core muscles.

Osteoporosis: Bone Quantity v. Bone Quality

Monday, September 14th, 2009 by Karena

Picture 6In some cases, you can exercise ’til the cows come home (does anyone know where this expression came from? Really? ‘Til the cows come home?!) and you still get no improvement in your bone density. So is it all a huge waste of time? No. Especially not if your fracture rate was reduced 300% compared to your peers who didn’t exercise.

These are the results of a study by the Mayo Clinic. The 10-year follow-up of the initial study was done in 2002. Twelve years prior, the study began. Fifty post-menopausal Caucasian women were divided into two groups: an exercise group and a non-exercise group. The exercising group were given a spine extension exercise to perform 5 days a week for two years. The spine extension exercise performed by the exercising group is similar to the picture below. But instead of the weights being hand-held they were placed in a backpack over the upper back (between the shoulder blades). Progressively the weight was increased to 50 pounds. I know…. it does seem excessive but I am just reporting on what was performed in the study.

The results of the women performing this exercise were pretty remarkable. Exercisers increased their spine extensor strength 70%. The amazing thing? After 10 years of not performing this exercise, the exercisers lost only 16% of their strength. The non-exercisers? They lost 27% of their strength. Isn’t that amazing? That the exercisers were able to retain so much strength after they stopped. So many people tell me after they’ve been sick that they feel that they’ve lost everything they’ve been working on. How wrong could they possibly be? You might be sick for a week or even a month and that doens’t even remotely compare to not exercising for 10 years. And these women only lost 16% of their strength! Remarkable.

Back Pain: No Sit-Ups Required

Thursday, August 13th, 2009 by Karena

Are you doing sit-ups and crunches to help support your aching back? Stop. In the name of all that you have already put your spine through, please, stop. I teach therapeutic exercise in a physical therapy clinic and I hear myself repeating the same thing over and over again. Stop doing sit-ups, stop doing crunches, stop, stop, stop, stop, stop….. (In my own head, what I am hearing is the voice of Charlie Brown’s teacher: WAHN, WAHN, WHAN, WHAN, WAHN, WAHN… )

It’s a mistake to think that what we need is increased strength in our abdomen. Did you know that people with a history of disabling back pain, whether they are currently in pain or not, have a better ability to hold a sit-up type position than their pain-free counterparts? (It’s true. I’m not making this up.) The tests were done by Stuart McGill. He’s a doctor of kinesiology at the University of Waterloo in Canada. He has done too many tests to count on how our muscles are firing, or not firing as the case may be, and has produced a wonderful body of work in ‘Low Back Disorders’ that explains why some exercises work and others don’t. The book is a little dense: it’s not meant for the lay person but if you are determined you can get through it.

Picture 4In any case, one of the more remarkable studies he did was to test muscular endurance on thoseTherapeutic Exericse with and without a history of back pain. When holding a sit-up type position, those with a history of back pain were stronger. The exact position is this: Seated with the knees up and the soles of the feet down, the person being tested is asked to lean back against a wedge.

The angle is about 35 degrees off of perpendicular. Next the wedge is removed and the timer starts. On average, the person with a history of disabling back pain was able to hold this flexed position for almost 20 seconds longer than someone with no history of back pain.

Now the position does rely on the stabilization of not only the abdominal musles but also relies heavily on the hip flexors. But so does a crunch and a sit-up. The best exercise for the abdomen (whether you have back pain or not) is to not engage the hip flexors. An example of that type of exercise is below in Part 6 of 8 on back pain.

After several more tests were completed this position is the only one where those with a history of disabling back pain tested stronger. They were weaker in spine extension and right and left side-bending (the obliques). So THAT is where the time should be spent if you are trying to prevent back pain: your spine extension muscles and your obliques. You can strengthen the obliques with the exercise that will be in the next installment of the back pain series and the spine muscles with the final installment.

In the meantime, you can get yourself going with the exercises below. All of these exercises and more are compiled in my DVD: Pilates for Healthy Bodies. You can purchase the DVD on this website. Good luck! –Karena