WHY IS STRETCHING AFTER WORKING OUT IMPORTANT?

A: This is a great question because it addresses the importance not only of practicing stretching but also the best and safest technique for performing this valuable type of exercise.

Why stretch? Stretching increases flexibility, a key component of physical fitness that is often neglected. A greater degree of flexibility is believed to help prevent injury (and low back pain) and improve sports performance. We lose flexibility as we age, so practicing a regular program of stretching the major muscle groups can help prevent loss of flexibility and its associated negative impact on quality of life in our golden years.

Stretching properly involves a slow, steady elongation of the muscles and tendons to the point of tightness—never pain—and holding the stretch for several seconds. (Never use bouncing or ballistic-type stretching, which can cause injury.) It is best to stretch muscles that have been warmed up internally from exercise as opposed to cold muscles. In fact, stretching cold muscles can actually increase risk of injury, as a cold muscle is more prone to strains! Think of a muscle as if it were a rubber band. If you stretch cold rubber, it snaps and breaks; however, if you warm the rubber first, it stretches more elastically and fluidly, like taffy.

Stretching is different from “warming up.” A warm-up is what you do before you begin a bout of exercise and generally consists of a low-intensity version of the exercise you are planning on engaging in (such as a fast walk before a jog). A good exercise routine would be to warm up (work up a light sweat and raise the internal temperature of your muscles), followed by a series of brief stretches, then perform your exercise bout, warm down and end with another series of stretches. Practice this plan and you will have a well-rounded fitness routine.

Posted by Dr. Janet Brill

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PHYSICAL THERAPY EXERCISES FOR LEGS

Matthew Schirm shares a few physical therapy exercises to benefit your legs. IF you have any pain, come see us at San Diego Sports Physical Therapy in San Diego. We will help you regain your strength and improve your health!

A leg injury can limit your activity level.

Physical therapy is an essential component of a rehabilitation program for any leg injury. This entails a logical progression of low-intensity to high-intensity exercises designed to restore any lost flexibility, strength and power so you can return to normal activities as quickly as possible. Consult a physical therapist to develop a program that suits your personal goals and needs. Want to improve your health? Learn more about LIVESTRONG.COM’s nutrition and fitness program!

STRETCHING EXERCISES
Stretching your calves, quadriceps, hamstrings and gluteal muscles will help restore your ankle-, knee- and hip-joint ranges of motion, respectively, depending on the location of your injury. Lengthen the involved muscles until you feel gentle tension, then hold for 10 to 30 seconds, gradually deepening the stretch with each exhalation as you breathe deeply. You can also repeatedly lengthen and shorten your leg muscles in a slow and controlled fashion to stretch them dynamically.

ISOMETRIC EXERCISES
Isometric exercises are appropriate if you’ve injured an ankle, knee or hip joint and consequently moving the joint through a normal range of motion is painful. Performing isometric heel raises, for example, targets the calf muscles. This exercise involves standing on your tiptoes for 10 to 30 seconds at a time. Furthermore, isometric hamstrings and quadriceps contractions may help you recover from a knee injury, and isometric hip abduction, adduction, extension and flexion exercises may help rehabilitate a hip injury.

STRENGTHENING EXERCISES
Perform traditional strengthening exercises when it’s no longer painful to move your injured joint through a normal range of motion. Use your body weight or a resistance band to provide low-impact resistance at first, then increase the intensity by using a barbell, dumbbells or a weight machine for each exercise. Examples of appropriate exercises include heel raises that work your calves, leg curls and leg extensions that isolate the hamstrings and quadriceps, respectively, hip abduction, adduction, extension and flexion exercises on a weight machine and deadlifts, leg presses, lunges, squats and stepups, which work your hip and knee joints simultaneously.

PLYOMETRIC EXERCISES
Perform plyometric exercises at the end of your rehabilitation program, after your injury has healed and you’re ready to resume normal activities again. These power-building exercises are particularly effective for athletes that jump, run and sprint frequently while training and competing. Examples of effective plyometric exercises for your legs include box jumps, depth jumps, lateral hops and long jumps. Do these exercises two to three times per week, progressively increasing the intensity with each training session.

REFERENCES
“Essentials of Athletic Injury Management”; William Prentice and Daniel Arnheim; 2008 “NSCA’s Essentials of Personal Training”; Roger Earle and Thomas Baechle; 2004 Sports Fitness Advisor: Isometric Exercises and Static Strength Training

Read more: http://www.livestrong.com/article/477394-physical-therapy-exercises-for-legs/#ixzz2ikT7NnAa

Protect the Lower Body by Working the Core

You can work your core a lot, but make sure you perform exercises properly to avoid injury! If you experience any pain, come see us at San Diego Sports Physical Therapy – 619.756.7500

What are the first things you think of when you hear someone talk about working the “core”?
Crunches
Sit-ups
Abs
The list could go on with similar exercises, but if these, and others like them, are the only exercises used, you may be not be working a significant part of the core. The core has been defined (Wilkerson, et al., 2012) as:
The lumbopelvic-hip complex, which is composed of the lumbar vertebrae, pelvis, and hip joints and the active and passive structures that either produce or restrict movements of these segments.

In short, or easier to understand terms, the core is more than just the abs, or the muscles on the front side of the body. The core also includes the muscles of the hips and low back. These muscles are important to the lower body as they assist in controlling the position and motion of the trunk over the pelvis and leg.
In a study by Leetus, et al. (2004), individuals who had sustained a lower body injury were found to have statistically significant differences in strength on hip abduction and hip external rotation exercises compared to non-injured participants. Another study (Wilkerson, et al., 2012), found that low back dysfunction and poor endurance of the core musculature were predictors of injury that could be modified.

By working all of the muscles of the core, individuals can increase core strength and core stability in hopes of modifying lower body injury risk predictors. A few simple exercises that you might consider adding to a workout might include:



Back Extensions on the ground or on a ball as in the picture above

Clamshells as is described below:
For this exercise, position the body in a supine position on the floor with the hips and knees bent about 45 degrees with a mini band around knees and heels on the ground. The knees should be placed beside each other while keeping the band taut.
Movement: Keep one knee stationary throughout the movement. Open the other knee to the outside of the body by performing hip external rotation against the resistance while keeping the heel planted on the ground. Slowly return to the starting position.
Tips: Do not allow the stationary knee to move during the exercise. This exercise can also be done by lying on your side if lacking stabilization in the hips to keep the “stationary”leg/knee from moving.

These exercises along with many other traditional exercises such as crunches, bridges and side bridges may help increase the motor control and muscular capacity of the lumbo-pelvic hip complex leading to increased core stability, which has been found to be a possible modifiable risk factor for lower body injuries (Leetun, et al., 2004; Wilkerson, et al., 2012). While the research is somewhat mixed on the importance of force output compared to endurance of these muscles, for beginners it appears it may be more important to start with muscular endurance.

References
Leetun, D. T., Ireland, M. L., Wilson, J. D., Ballantyne, B. T., & Davis, I. M. (2004). Core stability measures as risk factors for lower extremity injury in athletes. Med & Sci in Sports & Exercise, 36(6), 926-934. doi: 10.1249/01.MSS.0000128145.75199.C3
Wilkerson, G. B., Giles, J. L., & Seibel, D. K. (2012). Prediction of core and lower extremity strains and sprains in collegiate football players: A preliminary study. Journal of Athletic Training, 47(3), 264-272. doi: 10.4085/1062-6050-47.3.17