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.

Pronation

It is important to understand pronation and the way your foot moves when you run. Some people pronate more or less when they run. Learn about normal pronation, overpronation and underpronation, and how you can prevent injuries in this article published on Runnersworld.com. For more questions, call or visit our studio at 619-756-7500!

 

 

Pronation

Pronation is the inward movement of the foot as it rolls to distribute the force of impact of the ground as you run. The foot “rolls” inward about fifteen percent, comes in complete contact with the ground, and can support your body weight without any problem. Pronation is critical to proper shock absorption, and it helps you push off evenly from the front of the foot.

Although pronation is a natural movement of the foot, the size of the runner’s arch can affect its ability to roll, causing either supination (underpronation) or overpronation. If you have a normal arch, you’re likely a normal pronator, meaning you’ll do best in a stability shoe that offers moderate pronation control. Runners with flat feet normally overpronate, so they do well in a motion-control shoe that controls pronation. High-arched runners typically underpronate, so they do best in a neutral-cushioned shoe that encourages a more natural foot motion.

 

Normal Pronation

IThe outside part of the heel makes initial contact with the ground. The foot “rolls” inward about fifteen percent, comes in complete contact with the ground, and can support your body weight without any problem. The rolling in of the foot optimally distributes the forces of impact. This movement is called “pronation,” and it’s critical to proper shock absorption. At the end of the gait cycle, you push off evenly from the front of the foot.

Runner’s World Video: Normal Pronation

Normal Pronation: What is it?

We show you, in slow motion detail, how to determine if you have this gait pattern.

 

Overpronation

As with the “normal pronation” sequence, the outside of the heel makes the initial ground contact. However, the foot rolls inward more than the ideal fifteen percent, which is called “overpronation.” This means the foot and ankle have problems stabilizing the body, and shock isn’t absorbed as efficiently. At the end of the gait cycle, the front of the foot pushes off the ground using mainly the big toe and second toe, which then must do all the work.
Preventing Overpronation Injuries 
Overpronation causes extra stress and tightness to the muscles, so do a little extra stretching. Too much motion of the foot can cause calluses, bunions, runner’s knee, plantar fasciitis, and Achilles tendinitis.
If you’re an overpronator, here are a few tips to help you find the right shoes for your feet.
  • Wear shoes with straight or semi-curved lasts
  • Look for motion-control or stability shoes with firm, multidensity midsoles and external control features that limit pronation
  • Use over-the-counter orthotics or arch supports

 

Runner’s World Video: Overpronation

Overpronation: What is it?

We show you, in slow motion detail, how to tell if you have this gait pattern.

 

Underpronation (Supination)

Underpronation (or supination) is the insufficient inward roll of the foot after landing. Again, the outside of the heel makes initial contact with the ground. But the inward movement of the foot occurs at less than fifteen percent (i.e., there is less rolling in than for those with normal or flat feet). Consequently, forces of impact are concentrated on a smaller area of the foot (the outside part), and are not distributed as efficiently. In the push-off phase, most of the work is done by the smaller toes on the outside of the foot.
This places extra stress on the foot, which can lead to iliotibial band syndrome, Achilles tendinitis, and plantar fasciitis. Underpronating will cause the outer edge of running shoes to wear sooner. To see if your shoes are unevenly worn, place them on a flat surface. If they tilt outward, supination is the culprit. Runners with high arches and tight Achilles tendons tend to be supinators.
Preventing Underpronation Injuries 
Supinators should do extra stretching for the calves, hamstrings, quads, and iliotibial band. Wearing the right type of running shoes and replacing worn shoes will also help avoid injuries.
If you’re an underpronator, here are a few tips to help you find the right shoes for your feet.
  • Wear shoes with curved lasts to allow pronation
  • Look for lightweight trainers as they allow more foot motion
  • Check for flexibility on the medial (inner) side of the shoe

Skip the Running: Alternatives to High-Impact Exercises

When it’s time to get back into the gym, running always appears to be one of the best forms of cardio. However, it get be very stressful on your joints. Adrienne Santos-Longhurst gives us some great cardio alternatives in this article posted on Livestrong.com. For additional questions, give us a call at 619-756-7500!

Give your joints a rest and test your meddle with these high-intensity/low-impact alternatives—not for beginners.
Written by Adrienne Santos-Longhurst
Medically Reviewed on June 5, 2013 by George Krucik, MD, MBA

Those who have felt the proverbial “runner’s high” will tell you that there’s no other activity that even compares to running. As intoxicating as a hard run can be, running can take a toll on your joints even if you’re in tip-top shape. Finding alternatives to running will help keep you active while giving your joints a much-needed break. According to a 1994 study conducted by the Exercise Science Unit at the University of Tennessee at Knoxville, cross-training is highly beneficial to your overall health and an effective alternative for athletes who are taking a break because of physical injury, overtraining, or fatigue.
Whether you’re in need of some recovery time from an injury or just looking for high-impact alternatives to mix things up and give your joints a break from the pavement pounding, these alternatives to running fit the bill.

Cycling
Cycling offers runners the perfect alternative to running. Just like running, cycling can be enjoyed indoors or out thanks to stationary bikes and bike trainers. Cycling allows you to maintain and improve your fitness but without the same stress on your joints and shins. Hop onto a road bike, a stationary bike at home or at the gym, or try an advanced Spin class for a high-intensity workout that just might offer runners a new kind of high.

The Elliptical Trainer
Love it or hate it, the elliptical trainer offers an excellent training alternative for runners who are injured or looking to rest their joints. Elliptical machines allow you to mimic the motion of running, and though a weight-bearing activity, it is low-impact for your joints so that you can get a workout comparable to jogging with less impact on your joints and no knee pain, according to Mayo Clinic physical medicine and rehabilitation specialist Edward R. Laskowski, MD. Focusing on motions that are as similar as possible to your usual running form and sticking to a similar training schedule will help you make the most of this activity and maintain your fitness level.

Water Running
Runners who need a change but are reluctant to try anything other than running are likely to find water running, which is also referred to as pool running, to be a good compromise. Just as the name suggests, water running is performed by running in water, often the deep end of a swimming pool. This great alternative to running lets you enjoy the benefits that come from the motion of running without any impact on your joints. To get the most out of pool running, focus on your form, staying consistent with your regular running motion. Following a training schedule similar to your running one will also help you get the most from this unique alternative while still allowing your joints a break.

Walking
Contrary to popular belief that walking isn’t nearly as good a workout as running; walking is in fact an effective alternative for runners who want the same health benefits but without the impact on their joints. A study published by the American Heart Association in their journal, Arteriosclerosis, Thrombosis, and Vascular Biology, found that walking was just as effective as running in lowering the risk of hypertension, diabetes, and high cholesterol. The key is to walk for twice as long as you would run in order to get the same benefits as you would from running. Along with the health benefits, you also get to enjoy the fresh air and scenery that makes running so appealing.

Step Aerobics
Taking a step aerobics class or working out to a step video offers a high-intensity and low-impact workout that is easier on the joints than running but still effective in improving muscular strength and cardiovascular endurance. A 2006 study published in the British Journal of Sports Medicine found that step exercise offers a workout with a biomechanical load that falls between what you would get from walking and running. The key is to perform the moves properly and safely to avoid injury.

Read more: http://www.healthline.com/health/osteoarthritis/knee/alternatives-to-high-impact-exercises#ixzz37Alz0m00