Progress or Plateaus

Most people will encounter plateaus at some point during a consistent training program. Learn more about what plateaus are and what to do when they arise in this article written by Jeff Gilliam, PhD, PT and published on physicaltherapist.com. For more questions call us 619-756-7500!

 

So often we see such great progress as we begin our weight loss program, pushing onward to our goal at a jackrabbit pace, only to be met with a discouraging plateau. When plateaus are experienced, our first response should be, “Am I doing everything possible to encourage my progress? Am I following through with the program as it’s been designed”??? If our answer is “Yes!” then our next question should be, what has happened to slow my progress, and what can I do to ensure continued progress toward my goal?

During weight loss programs, momentary plateaus are an absolute. Plateaus occur as the body loses weight and no longer requires the same amount of calories to run its basic bodily functions and daily activities. No longer are you carrying around 10, 20, or 30 extra pounds during daily activities, which means fewer calories are being expended now, than when you started the program. Also, whenever you go on a caloric restricted diet, your body becomes very efficient in running its basic bodily functions, and requires fewer calories for the Resting Metabolic Rate (RMR). Lastly, during weight loss programs, typically 25% of the weight loss is from lean body mass, while approximately 75% is from fat. The likelihood of muscle loss is increased when resistance training does not accompany a weight loss program. Maintaining muscle is a key to ensuring that the RMR continues to expend energy at a high rate, subsequently burning calories at a level that will allow for continued weight loss.

When plateaus arise, modifications in your program will be necessary to ensure ongoing progress. Increases in your exercise intensity/time are often required, and a close examination of your food choices may be necessary. In order to offset this trend, it may be necessary to increase your exercise output (an increase in exercise time and/or intensity) making sure resistance training is a part of your routine. Additionally, making sure your protein intakes are optimal will spare lean body mass loss during caloric restriction. The importance of protein in a weight loss program is highlighted by a recent study which found when subjects on an ad lib diet increased their protein intake to 30%, they ate 441 fewer calories each day, lost more weight, and experienced greater feelings of satiety than the lower protein group. Remember at your current weight you’re expending fewer calories at rest than when you started your weight loss journey, which means you must continue to make better food choices to encourage your body to continue to lose excess body fat.

These changes should cause your body to increase its fat burning capacity and is often affective in “recharging” the system and renewing weight loss at an acceptable level. During times in which you experience a plateau in your weight loss, strategic shifts toward better food choices and avoiding those occasional food temptations will allow you to realize ongoing progress. The use of daily exercise to boost your metabolism has been shown to be helpful in offsetting a depression in the RMR.

Remember: Plateaus are only momentary pauses in our progress that will soon be relinquished by making the appropriate adjustments in our dietary and exercise regimens.

Rehabilitation With a Personal Trainer vs. Physical Therapy

When tackling your fitness goals, its important to know your body. Are you looking to improve your fitness level or do you have some injury or pain that you need to heal? Your fitness goals will determine whether you see a personal trainer or a physical therapist. Learn the difference between training with both from this article posted on Livestrong.com and written by Nick Ng. For more questions, call our studio at 619-756-7500!

Rehabilitation With a Personal Trainer vs. Physical Therapy
Personal trainer. Photo Credit Creatas Images/Creatas/Getty Images

Personal fitness trainers design exercise programs and help their clients execute them to maintain or improve health, while physical therapists diagnose, treat and manage pain, injuries and diseases. Fitness trainers often encounter clients with existing difficulties, such as severe back pain and diabetes, and plan activities that blur the line between fitness and medicine. When a problem is beyond their expertise, trainers must refer clients to a proper rehabilitation professional, such as a physical therapist.

Therapist Education and Qualifications

Rehabilitation With a Personal Trainer vs. Physical Therapy
Physical therapist. Photo Credit Jupiterimages/Creatas/Getty Images

Physical therapists must have at least a master’s degree in physical therapy, kinesiology, sports medicine or a similar field. If your bachelor’s degree is not exercise related, you need to complete prerequisites as mandated by a university before applying for the physical therapy program. Physical therapists must also be licensed by the state they practice in, pass the National Physical Therapy Examination and fulfill state requirements such as jurisprudence exams, according to the Bureau of Labor Statistics. They must also take continuing education courses to keep their practice updated to maintain their license.

Trainer Education and Qualifications

Rehabilitation With a Personal Trainer vs. Physical Therapy
Sports Medicine is a degree for therapists. Photo Credit Hemera Technologies/AbleStock.com/Getty Images

The profession of personal training does not have an educational standard and is self-regulated. Trainers can have a master’s degree in biomechanics with five years of experience working at a clinical and athletic setting, or simply a weekend certification with no experience. However, personal trainers should have a minimum of a bachelor’s degree in exercise science or a related field as well as an accredited certification that extends their academic knowledge, such as PTA Global or the National Academy of Sports Medicine. They should also be CPR and first-aid certified.

Scope of Practice

Rehabilitation With a Personal Trainer vs. Physical Therapy
Physical therapists works with injured patients. Photo Credit Hemera Technologies/AbleStock.com/Getty Images

Physical therapists diagnose, treat and rehabilitate patients who have an injury or disease that limits their movement. Their job is to help patients move independently, alleviate pain and prevent disability. They often work with patients with joint and muscle pain, multiple sclerosis, arthritis, cerebral palsy, stroke, spina bifida and post-surgical conditions.

Besides designing exercise programs, personal trainers also coach clients to a healthier and more active lifestyle, help prevent injuries and help clients follow through with their physician’s or physical therapist’s advice. They also screen movement patterns to ensure that clients can move well without pain or severe limitations. Trainers may not recommend diets or supplements, unless they are registered dietitians.

Expert Insight

Rehabilitation With a Personal Trainer vs. Physical Therapy
Personal trainer with client at gym. Photo Credit Chris Clinton/Digital Vision/Getty Images

A personal trainer may perform the work of a physical therapist only if he is a licensed physical therapists also. This hybrid professional may work with a patient with back pain and a high school football player who wishes to gain muscle size and speed.

Some personal training certification agencies provide a clinical exercise certification for trainers who have little or no experience or qualifications in the rehabilitation field. When in doubt, choose a physical therapist over a personal trainer for rehabilitation services.

Physical Therapy Exercises for Neck Pain

Many people suffer from neck pain. Here are some exercises to help alleviate some of that pain from an article posted on LIVESTRONG.com ,written by Joshua McCarron . For more questions call our studio at 619-756-7500!

 

Photo Credit Jupiterimages/Goodshoot/Getty ImagesPhysical Therapy Exercises for Neck Pain
Neck pain can range from mild to debilitating.

If you’ve ever experienced pain in your neck, you’re not alone. According to a 2010 study published in the journal “Best Practice & Research Clinical Rheumatology,” neck pain affects up to 20 percent of the population each year. This pain can range in severity from a minor annoyance that slightly disrupts your day to a debilitating condition that leaves you unable to turn your head. Your neck pain may be the result of a chronic, degenerative problem, or occur due to acute trauma from a fall or accident, so visit your doctor to determine the cause of your neck pain. However, most neck pain is not serious, and physical therapy exercises can often help.

Isometric Push

Isometric pushes help to strengthen the muscles on all sides of your neck. Place your palms against your forehead with your fingers pointing up, and gently press your head into your hands. Then, place your hands on the back of your head and do the same thing. Repeat the exercise with one hand placed on the side of your head, pushing against the resistance of your hand. Repeat on the other side. Hold each push for five seconds, rest for three and continue. Throughout each push, keep your neck straight, and do not bend your head forward.

Shoulder Blade Squeeze

Stand or sit comfortably with your back straight, and bend your arms close to 90 degrees. Keep your arms close to your body and squeeze your shoulder blades back together as far as you can without pain. Hold them like that for five seconds, then relax. Do 10 repetitions.

Chin Tuck

The chin tuck is a straightforward movement that gently stretches the back of your neck. Sit or stand with your back straight, and slowly tuck your chin down until you feel a mild stretch in the back of your neck. Hold the stretch for three seconds, and repeat 10 times.

Flexion and Extension

Flexion and extension movements stretch your neck in all directions. Flexion refers to bending your head forward, and extension is when you move it back. Move your head gently, especially during the extension movement. Allow gravity to stretch your neck muscles, with no extra effort from you. Begin by dropping your chin to your chest. Then, circle your head to bring your right ear toward your right shoulder. Continue the circle to the right, until you return to the starting position.