Since core training is of extreme importance, Christopher McGrath shares some great exercises and benefits of core training for injury prevention.

For more on the anatomy and purpose of training, functional considerations including stabilization and reactive movement, and techniques to incorporate integrated core training, join ACE fitness expert Chris McGrath for our live one-hour webinar on Wednesday, Oct. 10 at 11 a.m. PST.

With perhaps the exception of aesthetic purposes, the most popular reason for training the core is “protection” or injury prevention—primarily for the back. We often hear the phrase, “The best way to protect your back is to strengthen your core.” While this may not be untrue, it is not quite as simple as this statement suggests. If core training is important for injury prevention, especially for the back, we must be able to explain how core training helps and, conversely, why a “weak core” might lead to injuries. And exactly what do we mean by “weak core?”

To help break down the answers (of which there may be dozens of combinations), we must first have a fundamental understanding of the functionality of the core—and a clear concept of what “the core” actually is. At the risk of repeating many other core-related educational materials, here is a brief overview of the core:

The abdominal muscles are not the core. The abdominal muscles are some of the muscles that make up the core.
The core consists of a stabilization unit and a mobilization unit.
The stabilization unit consists of mostly muscles you can’t see because they are deeper in the body.
In function, all of the abdominal muscles are designed as stabilizers, not as primary movers. (Yes, this includes the rectus abdominus and the external obliques.)
The spinal erector muscles are part of the stabilization unit.
The mobilization muscles are typically bigger muscles that move the body, but also influence pelvic and lumbar positioning and stability.
Planks and crunches do not constitute a balanced or comprehensive core-training workout.
What is a Weak Core?

“Weakness” is associated with a lack of strength, but is a lack of strength always associated with weak muscles? Absolutely not! Naturally, weak muscles can be a factor, but there are many individuals with no shortage of strong muscles (including “ripped” abdominal muscles) who still fall prey to back injuries—and not always during high-risk activities or exercises. So why might this happen? What else can “weak” mean?

In its simplest explanation, the stabilization unit of the core is responsible for two things—posture and timing—which are not mutually exclusive. When the stabilizers are irresponsible (i.e. not doing their job), poor postureresults. When our timing is irresponsible, poor posture results during activity. This presents as a form of “weakness.” Individual muscles may be “strong,” but can be simultaneously weak during functional activities. At the very least, poor timing affects efficiency and performance, but it also carries the risk of injury. In other words, the core must work in the right place, at the right time, to provide the stability needed to perform and protect.

Posture, which the core is largely responsible for, can be observed in two basic ways: statically (standing, sitting and/or balanced on a single leg) and dynamically (through movement). While static posture can be thought of as “neutral spine,” or “standing tall,” dynamic posture is not that simple. Dynamic posture requires control through stabilization, deceleration and/or reactivity. In some instances (typically under maximal loads), this might require a rigid and forceful “standing tall.” But in other instances, maintaining a rigid and neutral posture will inhibit performance (as in swinging a baseball bat or tying one’s shoe).

Observing dynamic posture is not exercise-specific—it is movement-specific, which means the core needs to act differently depending on the activity performed, a fact that is rooted in one of the fundamental principles of exercise science—specificity. Therefore, while there may be some carryover, we should not assume floor-based exercises would have an automatic transfer to activities performed on our feet. Floor-based exercises can be good and may actually be the best place to start, but without integration with other activities, functional core strength may not be fully realized.

Dynamic Core Posture

Given the countless movements performed in everyday life, it is helpful to define some basic patterns for observing dynamic core posture:

Under low loads (body weight)
Under moderate loads with endurance (either lighter weights or body weight with some momentum as in walking or jogging)
Under high loads (heavier weights and explosive activities)
Anti-rotation (resisting rotation when applied with a low to moderate force)
Bilateral stance movements (e.g., squatting)
Unilateral stance movements (e.g., stepping)
Split stance movements (e.g., lunging)
In line with specificity, just because the core works well on a bilateral movement doesn’t guarantee it will work well in a split-stance movement. Additionally, it should not be assumed that low-load or low-intensity core control will predict high-intensity core function and visa-versa. High-load observations were included in the previous list, but should only be observed if the client is currently participating (or intends to participate) in high-load activities, sports or training. Also, don’t be surprised if the high-intensity participant struggles with low-intensity core challenges.

Improving Timing

Low-intensity core stabilization should be viewed as the introductory phase for core training and timing, and may be accomplished through floor exercises from supine, prone and side-lying positions. Adding low-intensity perturbations to excite reactive responses in different planes can help prepare the core for low-grade dynamic stabilization, which is what the core encounters during everyday activities outside of exercise, sport and manual labor. This can also serve as an appropriate preparation for more progressive training. Finally, find ways to reactively stimulate the core through integrated exercises (while standing) and workouts. This will allow the core to adapt to higher demands in different situations and therefore offer better protection and better results.

It is worth repeating that timing and reactivity is enhanced through progressive training and is key to functionality. The ACE Integrated Fitness Training® (ACE IFT®) Model offers strategies for developing the core for function. While not all exercises in early stages seem terribly exciting, they serve as prerequisites to more advanced core-training practices—much like learning basic chords and scales on an instrument eventually allows the musician to play songs efficiently and effortlessly.

Chris McGrath, M.S., is the founder of Movement First, a New York City-based, health and fitness education, consulting and training organization. With more than 20 years of fitness and coaching experience, McGrath specializes in a variety of training modalities including sports performance, injury prevention, post-rehabilitation and lifestyle/wellness coaching. McGrath is a Senior Fitness Consultant to the American Council on Exercise and has established himself as an international fitness expert.

You core is an important part of you body. It ties everything together! So here are some tips from Dr. Michael Mantell at ACE Fitness about how to do so! Then come see us at San Diego Sports Physical Therapy for more tips on how to strengthen your core.

Your core muscles form the sturdy link in a chain that connects your upper body and your lower body. Regardless of what you do while you’re lifting, twisting or bending – from putting on your gym shoes and socks to taking out the trash – your core is at work.

Low back pain? Check your core.

Problems playing your favorite sport? Check your core.

Trouble doing household chores? Check your core.

Issues with your posture? Check your core.

A little shaky on your balance and stability? Check your core.

Not thinking clearly or acting wisely? Check your core.

Wait a moment? What does your core have to do with thinking clearly or acting wisely? Plenty – if it’s your core BELIEFS that you’re talking about.

Typically clients know the drill for core exercises, but I’m going to show you additional exercises you may incorporate to add an additional real benefit to your coaching sessions. Have your clients ask themselves (and perhaps ask yourself) this simple question: “What idea have I feverishly and insistently held onto that causes many of the problems in my life?”

Here’s a list adapted from the work of Albert Ellis, Ph.D., founder of Rational Emotive Behavior therapy. Known as the forerunner of cognitive behavior therapy, Ellis has compiled a list of the most common irrational thinking that leads to the most universal forms of human upset:

The idea that it is a dire necessity for adults to be loved by significant others for nearly everything they do instead of their concentrating on their own self-respect, and on loving rather than on being loved.
The idea that certain acts are awful or wicked, and that people who perform such acts should be severely damned instead of the idea that certain acts are self-defeating or anti-social and that people’s poor behaviors do not make them bad individuals.
The idea that it’s horrible when things are not the way we like them to be instead of the idea that it’s unfortunate and if it’s not possible to change the situation, we should temporarily accept their existence.
The idea that human misery is invariably externally caused and is forced on us by outside people and events instead of the idea that our upset is caused by the view we take of unfortunate conditions.
The idea that if something is or may be dangerous or fearsome we should be terribly upset instead of the idea that we should face it and accept the inevitable.
The idea that it is easier to avoid than to face life’s difficulties and self-responsibilities instead of the idea that the so-called “easy way” is usually much harder in the long run.
The idea that we absolutely need something other, stronger or greater than yourself to rely on instead of the idea that it’s better to take the risks of thinking and acting independently.
The idea that we should be thoroughly competent, intelligent and achieving in all possible respects instead of the idea that we should accept ourselves as imperfect creatures with general human limitations and specific fallibilities.
The idea that because something once strongly affected our life it should indefinitely affect it instead of the idea that we can learn from our past experiences.
The idea that we must have certain and perfect control over things instead of the idea that the world is full of probability and chance, and despite this we can still enjoy life.
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Help strengthen your own and your client”s core beliefs by answering the following questions in writing:

“What idea have you feverishly and insistently held onto that is the cause of many problems in your life?”

Ask yourself what’s inaccurate about this unhelpful thought. Do you have any evidence the useless thought is true? If not, why keep holding onto what’s unnecessary? What can you replace this adverse thought with one that’s more helpful?

Do this exercise mindfully everyday, one set, as many reps as needed.

Feel better? Thinking more clearly? Acting more wisely? Congratulations!

Michael R. Mantell, Ph.D., the Senior Fitness Consultant for Behavioral Sciences for ACE, earned his doctorate at the University of Pennsylvania after completing his M.S. degree in clinical psychology at Hahnemann Medical College where he wrote his thesis on the psychological aspects of obesity. He has served as Chief Psychologist for San Diego’s Children’s Hospital and Health Center and the San Diego Police Department and has been on the clinical faculty of UCSD’s Department of Psychiatry. He is a Behavior Science coach for fitness trainers, health coaches, world-class athletes and fitness enthusiasts for mental and behavioral performance enhancement. He has taught for the Equinox Fitness Training Institute, is an Ambassador for PHIT America, serves on the expert panel for greatist.com, is a weekly contributor to Fox 5 News, writes monthly for IHRSA, and is a member of the Sports Medicine Team at the Sporting Club of San Diego specializing in fitness behavioral science. Dr. Mantell

Some Fitness Together trainers and owners share their thoughts about some foods that help with inflammation and arthritis. If you’re experiencing more pain, then come see us at San Diego Sports Physical Therapy today! 619-756-7500

Sean Ryback
FT Mission Hills

Chocolate”Many of us have the challenge of facing unwanted inflammation in our body and arthritis in our daily lives. This breakdown of cartilage along with our body’s negative immune response most commonly happens in our major joints, causing pain and irritation. How do we fight it? The sweet answer: chocolate! The phytochemicals in cocoa have been linked to reducing inflammation in the body. Find yourself some chocolate that has a cocoa content of 70% or higher to harvest this great benefit!”

Vanessa Ocasio
FT Auburn

“A diet full of fish, fruits and vegetables will provide you with the omega-3 fatty acids and phytochemicals that have been found to be great anti-inflammatories. Think of wild-caught salmon and dark-green and brightly colored fruits and vegetables such as broccoli, chard, and blueberries.

“Taking fish oil supplements is a great way to get omega-3 fatty acids if you don’t eat fish or don’t eat it often. Make sure you talk to your doctor first and do your research. Not all fish oil supplements are created equal.”

Dr. Janet Brill
FT Nutritionist

“It’s well known that atherosclerosis (the process of plaque buildup in the arteries) is an inflammatory disorder (as is rheumatoid arthritis), therefore there has been much recent research interest involving the anti-inflammatory effects of omega-3 fatty acids. Scientists have determined that eating a diet high in omega-3 fats decrease inflammation.

“Eating a daily dose of ground flaxseeds (two tablespoons), provides about three grams of omega-3 ALA (the plant form of omega-3), an amount that exceeds the 2.2 grams a day recommended by the National Institutes of Health. Flaxseed oil is one of the few known plant sources of omega-3 fatty acids, so try using some in place of other oils. It’s great in salad dressing or as a flavoring for vegetables or grains. And you can add a tablespoon of canola oil to your daily diet, another leading plant source of ALA omega-3 fatty acids, to get an additional 1.3 grams.”

Josh Bate
FT East Greenwich

“Some foods that may help alleviate inflammation are often found right in the produce area or nutrition section of your local grocery. To some surprising extent these are probably foods you may be eating daily already and simply adding in a little more, while staying within your caloric goal, could just be the answer. Blueberries, sweet potatoes and green tea are among the long list of foods that will help fight against not just inflammation but toxins and carcinogens as well.

“Blueberries are high in phytonutrients and packed full of antioxidants that counter inflammation, and can aid in protection against cancer and dementia. Sweet potato has a team of beta-carotene, manganese, vitamins b6 and c all working in synergy to fight off your inflammation. Green tea, not only good for metabolism, is considered a potential anti-inflammatory agent due to its flavonoids.

“All of these are nutritious, vitamin and nutrient dense foods that should be part of a well balanced, healthy diet.”

Liz Heatter
FT New Canaan

“Apples: Not only can an apple a day keep the doctor away, but it may also help to hold your arthritis at bay. Apples contain boron, a mineral that appears to reduce the risk of developing osteoarthritis. Moreover, when boron was given to people who already have the disease, it helped relieve pain.”

– See more at: http://corp.fitnesstogether.com/our-solution/fitness-tips/what-are-some-foods-that-help-with-inflammation-and-arthritis/#sthash.jV4H09EI.dpuf