The cheerleaders in the photo at right are letting their lower spine overarch.
Their hip tilts forward in front and sticks out in back.
It is an unhealthy, pain-producing spine position.
Can you see it?
Can you see it better now with arrows showing the tilt of the hip?
Sticking the hip out in back creates a higher angle than normal in the normal inward curve of the lower spine.
It is an unhealthy spinal position called hyperlordosis, swayback, and overarching, among other terms.
Letting the lower spine overly-arch presses the weight of the upper body, plus the weight being lifted, downward onto the lower back, folding it backward and compressing it unevenly. Over years, the joints of the vertebrae, called facets, can degenerate under the compression. The surrounding soft tissue aches. The photographer of the photo labeled it "Ouch" in the Creative Commons collection where I found it.
Overarching and sticking out in back is unhealthy for the spine, and is a major overlooked cause of ongoing lower back pain after long standing and ambulating (walking and running, for example).
If the cheerleaders were standing in neutral spine, the yellow arrows would be vertical. In the drawing at right, the left drawing shows neutral spine, the right shows tilting the hip so that it sticks out in back.
Tucking the hip until neutral spine does not mean curling the spine forward (rounding the back), which can pressure the discs. In neutral spine, a small inward curve remains in the lower back, but not a big one, and the hip does not tilt outward in back.
Some exercisers are accustomed to stick far out in back when lifting weight overhead. It is now known that it is healthier over the long run to maintain neutral spine, not sticking out in back, when lifting overhead.
Another bonus of neutral spine is that the muscles that pull the spine away from overly arched position and into neutral position, are the abdominal muscles. Keeping neutral spine is a free, built-in abdominal exercise. There is no tightening of the abdomen to hold neutral spine - you should be able to inhale easily. It should be no great effort to move your spine from unhealthy to healthy position. Just move the spine, the same as moving your arm to scratch your head.
Click the label "neutral spine" below this post for all related posts. Neutral spine is fun, and looks healthier, stronger, and fitter. Enjoy.
--- Read success stories of these methods and send your own. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certified - DrBookspan.com/Academy.
Beginning next Friday, I hope to post a fun technique each Friday that you can read quickly and use right away in a busy healthy lifestyle. Regular full posts continue the rest of the week.
Laurie wrote that my post "shows how climbing stairs can be painless, not punishing."
In a hospital, Grand Rounds is a lecture for doctors about a patient or topic. On the Internet, the weekly Grand Rounds is a medical web post that lists "the best medical posts of the week."
The photo at left shows a commonly done motion, often mistaken for a stretch. With the back leg turned outward, stretch is reduced or lost on the back of the leg, the bottom of the foot, and the front of the hip.
To get a better lunge stretch for the foot, leg and hip, don't turn your back leg outward (left photo). Point your back foot straight forward (below, right photo). Facing the back leg and knee forward instead of turned, also prevents angulation force on the medial knee (the inside knee, that faces the other leg).
One of my students, Lily, demonstrates good hip and leg position for the lunge (photo at right). Instead of tilting the hip forward in front and out in back, you tuck the bottom of the hip to maintain it vertical from the top of the leg (hip joint) to the middle of the waist. Note the stripe of the side of the pants compared to the vertical line in the wall behind her.
The previous Fitness Fixer article Hip Stretch While You Strengthen Legs shows a key change to position your hip to get a great stretch on the front of the hip and feel a better strengthener for the legs as you lower and rise in standing lunges.
On occasion, Lily makes me a wonderful bean dish and brings it to class in a glass container. The glass is a thoughtful healthy touch to avoid whatever may leach out of plastics into food. My students and I try to do this with food and drinks carried to work and class. Here is her recipe. Just throw it all in a bowl:
Lily's Wonderful Beans
Cup or two of cooked black beans Cup or two of corn 1 jalapeño pepper, diced 1 red onion, chopped 1 red pepper, chopped 2 tablespoons cumin powder 1 bunch fresh cilantro, chopped salt and pepper to taste sprinkle of olive oil, just enough to blend ingredients squeeze 1 fresh lime over the top
Some people with celiac omit the corn. Celiac causes various discomforts after eating wheat and related products.
Good bending gives free exercise and stops a major cause of several chronic pain syndromes (muscle strain, disc degeneration, disc herniation, and sciatica) at the same time. Click the labels under this post for related posts. If you use the lunge and squat around the house for all the things you need to bend for instead of bad bending, you will stop a major source of back pain back, and get hundreds of free leg exercises a day. Enjoy healthy eating and healthy lunging.
When you lunge to get a stretch, to strengthen, and to bend to reach or retrieve things, keep your hip vertical instead of tilting forward. You will feel a better strengthener for your legs and a wonderful stretch for the front of your hip.
Neither photo, above left, shows straight hip position. The left and right photos both show the hip tilted forward. The stripe in the pants tips forward between the top of the leg and the middle of the waist-band.
The photo below right shows straightening the hip. The moment you tuck the bottom of the hip under to straighten the hip, you will feel the stretch move to the front of the hip. If you use the lunge for bending and leg exercise, keep the hip tucked and vertical as you lower and you will feel a far better stretch and strengthener. One way to do the hip tuck:
Put your hands on each hip, thumbs in back, fingers in front.
Roll your hip down in back so that your thumbs roll down in back.
The front of the hip and upper leg will feel very good when you do this right. You will feel the large arch reduce and the front of the hip stretch. The front of the hip is an area often overly-maintained in bent and shortened position from hours of sitting, then exercising with the hip still bent, as in the top-left photos.
These two posts show the key to position your hip so that your lower spine returns to neutral position and the hip stops tilting. You get a nice stretch with the benefit of stopping one kind of lower back pain that comes from going around all day with your hip tilted forward.
Bending the legs with one foot in front of the other is one of two healthy ways to bend for all the daily bending around the house. Click here to see it. The half-squat with feet side by side is another. Click here to see it.
The lunge is not an exercise that you do ten times then bend wrong for the rest of the day. It is one of several ways to do healthy bending for all you do. Use the lunge, not as an exercise, but a retraining for healthy body function and easy fitness as a lifestyle.
Prevent Neck Pain and Get Upper Back Exercise Carrying Backpacks
Friday, July 20, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
Tilting or leaning your neck forward (left photo) instead of keeping ear over shoulder (right photo) is called a "forward head."
A forward head hangs the weight of your head on the muscles of the neck and upper back, making them hurt. Keeping the head forward tightens the front chest and shoulder muscles. The forward head also interferes with healthy motion of the shoulder and can contribute to shoulder injury.
The resulting upper body tightness and pain is often given a fancy name of "upper crossed syndrome." It is not a disease, but an injury from simple mal-positioning, and often a simple matter to fix.
The backpacker in the left-hand photo is standing with a forward head. The photo on the right shows bringing the neck, head, and chin inward until upright - without strain, without increasing the inward curve of the lower back, or making any new problems, just relaxed, straight body positioning.
When you carry packs or handbags, or any loads, see if you tilt or lean your neck forward or jut your chin out or upward. It is a common source of "hanger-shaped" pain across the shoulders. This pain is also common when sitting at the desk, and is usually caused by the same forward head positioning.
Fixing Upper Back and Neck Pain shows how to stretch the tight chest muscles that prevent bringing the chin inward comfortably - many people are too tight to stand straight. They get more pain trying to hold straight position in strained unhealthy ways.
You can easily stop the bad positioning and the pain. Don't yank or force. Forcing straight position when you are too tight causes as much pain as bad positioning. Keeping comfortable straight head position gives free upper back and posterior shoulder muscle workout. Easy fitness as a lifestyle.
If you would like to strengthen legs and reduce knee pain while going up stairs:
Don't lean forward (photo 1 above)
Stand upright (photo 2 below)
Keep your heel down on the foot that steps up.
Push off the whole foot, feeling the push-off through the heel. Do not push off the ball of the foot.
When you raise one leg to step up, don't let the other leg pull and bend forward. Keep the standing leg straight (not locked straight).
Many patients who come to me, previously unable to step up a curb without pain, can climb flights without knee pain using this repositioning. Stairs become not only accessible, but a source of the exercise their legs need to strengthen and regain function.
Keep your weight back toward your heel to use leg muscles instead of putting your weight on the front of your knee. You will get knee pain relief and a built-in Achilles tendon stretch with each step. Done right, you will feel a more muscular and strong push off, making stairs easier to climb and better leg exercise. Even if you have big feet and your heel is off the step, keep your heel down instead of going up "tip-toe."
Notice if you bend forward. Instead, stand straight. The post Common Exercises Teach Hip Tightness When Kicking, Stretching, and on the Stairs explains how hip tightness increases bent forward posture when raising one leg for kicks and activities like stairs, and shows how to hold straight body position instead, to stop tightness, and get a built-in hip and body stretch.
When descending stairs or hills, bend your knees when landing for soft shock absorption. Don't step down on a straight, locked, knee. Future posts will cover more about stairs. Have fun improving leg strength and knee function by taking the stairs during daily life in a healthy way. Send photos of your successes.
Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from fun ones. Before asking more in the comments, see if your answers are already here by clicking labels under posts, for example "stairs," links in posts, archives at right, or in the Fitness Fixer Index.
Subscribe, free by using "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books. Get certified - DrBookspan.com/Academy.
In a hospital, Grand Rounds is a lecture for doctors about a patient or topic. On the Internet, the weekly Grand Rounds is a medical web post that lists "the best medical posts of the week."
For the next two weeks, I'll have uncertain access to Internet, mail, or messages, to read or answer comments. I stored some fun posts for you. New Healthline staffer Leigh is scheduled to put them online while we make our way 'out West' during the week before the meeting. Thank you Leigh.
With each trip out to this part of the US, we work to document and preserve various martial arts systems of Native American Indians, as much as they want us to have. Will also make our way through the Rocky Mountains.
For going off-trail, we don't carry a tent or sleeping bag, let alone a computer. Simpler. There are still things to carry. The post Healthier Backpack Carrying to Get Better Exercise and Stop Back Pain explained the role of using abdominal muscles to prevent one kind of back pain from carrying backpacks. It is not by tightening the ab muscles, but using them to position the lower spine forward enough to reduce an overly large lower back arch, and stand with neutral spine. Strengthening exercises, whether for abdominal or back muscles do not make the spine attain neutral position in place of overarching. That is why strengthening core muscles does not stop this kind of pain. You get better and more functional core exercise by preventing overarching when carrying loads than by doing crunches or exercises for any specific back muscles. When you hold neutral spine, a small inward curve remains, just not the large one with the "backside-stuck-out-in-back" tilt that damages the lower back.
The post Throw a Stronger Punch (or Push a Car or Stroller) Using This Back Pain Reduction Technique gives a quick effective way to feel how to move your hip and lower spine using your abs away from arching to neutral. This Friday's post should cover preventing upper back and neck pain when carrying backpacks. In pretty much any terrain, we don't wear hiking boots or fancy cross-training shoes. I wear roomy, cheap (ten or fifteen dollar range), discount store sneakers (usually in tatters). A shoe should not be what holds your foot in position - it is better when your own ankle, leg, and foot muscles do that. For me, shoes are more to avoid hookworm, other parasites, tetanus, and bites. The posts Arch Support Is Not From Shoes and Which Shoes Help Exercise, Fall Prevention, and Ankles? show how to hold healthy foot and arch position, and give ideas for better gait and balance. In technical climbs, tight shoes are often worn. I'm not much of a climber, but decline tight climbing shoes for bare feet, and enjoy feeling the rocks. For daily wear, tight shoes are not healthful: See, Are Your Shoes Too Tight? My near-seven-foot-tall husband Paul does the same, in his size 17 sneakers or flip-flops (approx size 52+ European).
We don't bring "sports food," commercial hydration drinks, or energy bars and drinks. Refined sugar is not health food. Unfermented soy in many of these products is increasingly documented to promote unhealthy over-estrogenic effects for both men and women. The post Is Your Health Food Unhealthful tells hidden dangers to avoid. The posts Healthy Mother's Day and Independence Day for Fitness give a few quick, good-tasting, healthy foods and drinks to try instead. If you don't have a blender, mash ingredients by hand for arm exercise. Dehydration is important to prevent, and can be done with healthy food and drink.
We hope to arrive in Snowmass by Saturday for the toxicology symposium before the meeting. Then interesting lectures, my two workshops (come take them) and other workshops. The WMS will present the first Fellows of the Academy of Wilderness Medicine. I have been advanced to Fellow, along with Wilderness expert and Medicine for the Outdoors blogger Paul Auerbach, and others in the field. Dr. Auerbach could have easily been "grandfathered" to Fellow status for his stack of achievements, but he went through the exacting point system along with the rest of us. You set the bar high Boss, wow, thank you.
I will try to get to the conference Internet café during the meeting. For the week after, will again be outback without access. If you comment or e-mail, I may not have access to reply. Check existing replies to posts for answers already there. Look for fun posts until then. Hope to see you at the meeting.
"Utility is when you have one telephone; luxury is when you have two, and paradise is when you have none."
The previous post Altitude Sickness During Flights told how certain symptoms occurring during air travel are from exposure to altitude.
If a craft were not pressurized, air pressure inside would be equivalent to air pressure outside. At high altitude, there would not be enough air pressure inside the craft for crew to be functional enough to fly. Crew in unpressurized craft wear oxygen-delivery equipment. This was one of my areas of study with the Navy.
Passenger planes are pressurized. The inside is kept at higher pressure than actual flight altitude (equivalent to lower altitude). The pressure inside is still not as much as at sea level. Keeping that much air pressure inside would create extreme metal fatigue on the craft and huge fuel costs. Regular passenger aircraft keep interior pressure equivalent to mild altitude exposure.
In the last few years, Viagra (sildenafil citrate) has been tested by various groups, including the military, as intervention against altitude sickness. Recently, it was also found that the drug reduced symptoms, thought to be jet lag, after flights. My guess is that it was effective for symptoms from flights because of the same properties that may help reduce symptoms, in some, of altitude sickness.
Another component that I discovered many years ago in my work in altitude sickness, was a bubble component - an altogether new dimension to the altitude sickness puzzle. Decompression sickness bubbles can form in the body when coming up after a scuba dive. I found the same kind of bubbles can form in your body when going to elevations encountered in aircraft and mountain travel, with no prior scuba diving. More of this in future posts.
Decompression sickness is also an issue when going into space during extra-vehicular activities. Click Space Walks.
Altitude sickness in flight is different from (or in addition to) the motion sickness of flight motion, or being stiff after not moving enough during long flights. The post Exercise and Stretch for Long Travel Sitting covers some exercises and stretches to relieve those problems.
Altitude exposure is not always a bad thing - certain athletes use altitude training to expose their body to conditions that make it work harder and develop greater oxygen carrying capacity. Future posts will cover different kinds of athletic training at altitude, and training to perform better physically at altitude.
It has made recent news that certain symptoms during air travel are due to altitude sickness. This seems simple enough. Air pressure inside common passenger aircraft is equivalent to mild altitude exposure.
People who get symptoms when going to the mountains may get the same headache, tiredness, achyness, and other symptoms of altitude in flight. Drinking alcohol adds to symptoms. Severity of symptoms depends on several things, mainly how high the altitude, and how fast you reach it.
Cabin pressure varies with cruising altitude and type of aircraft. During a flight, the inside of a large commercial passenger air flights may range between 5000 to 9000 feet (~1525-2743 meters), occasionally higher or lower. Small lower planes flying may be able to maintain pressures closer to (or equal to) ground pressures.
How fast aircraft reach these altitudes depends on the flight path, final cruising altitude, type of aircraft, and other factors. Some of my commercial pilot friends say they will pressurize the cabin far more gradually when they see babies onboard, so that they (the babies) cry less as pressure changes around their ears. Pressure change on the ears is not altitude sickness, just simple air volume change. Earplugs do not prevent this problem, and can make it worse in some situations. Future posts can cover why.
Susceptibility to altitude sickness does not seem to be affected by better or lesser physical conditioning, or any kind of fitness or physical training. It is still a hugely interesting topic to understanding how the body reacts to and works at altitude, why certain interventions work or don't, and how soon you can fly after going scuba diving - important to risk of decompression sickness.
Reader Bill, athlete and pilot, writes, "Regulations require no more than a 10,000 foot cabin altitude (3048m) be maintained for commercial passenger flights. Anyone not acclimatized to altitudes between 7 to 10 thousand feet (~2-3 thousand meters) will feel some symptoms of a mild hypoxia, surely after several hours or/and a couple stiff drinks."
Thank you to the Aetiology blog for including my post Independence Day for Fitness in Grand Rounds this week, and saying that the post is "making us healthier along the way."
In a hospital, Grand Rounds is a lecture for doctors about a patient or topic. On the Internet, the weekly Grand Rounds is a medical web post that lists "the best medical posts of the week."
I am still getting caught up with work from the sports medicine meeting I attended in late May.
An interesting study was presented at the pulmonary and respiratory physiology session - "Effects of a High-Fat Meal on Pulmonary Function in Healthy Subjects." It is known that high fat meals negatively affect people with asthma and other pulmonary problems. It is also known that a high-fat diet increases internal inflammation, which is associated with higher risk of heart disease, diabetes, rheumatoid arthritis (possibly other forms of arthritis such as osteoarthritis), and several other chronic illnesses. What about effects on your lungs and breathing?
The study looked at the effect of a high-fat meal on airway inflammation and pulmonary function. The researchers tested subjects for total cholesterol and triglycerides, then fed them a high fat meal. Subjects were tested after the meal for cholesterol and triglycerides, various pulmonary functions, markers of airway inflammation (exhaled nitric oxide), and C-reactive protein, which is a marker of systemic inflammation. The researchers found that the high fat meal increased total cholesterol, triglycerides, and exhaled nitric oxide. They concluded that the results suggest that high-fat meals may contribute to inflammatory diseases of the airway and lung (in addition to other health consequences).
Just as smoking or taking amphetamines are not healthy, but help weight loss, popular weight loss diets "work" but have health drawbacks. Check your meals to see if you eat high fat, whether for a diet, or just from unhealthful eating habits.
A diet may help weight loss, but be unhealthy. An exercise may work a muscle but be bad for your joints. A medicine may fix a disease but harm the patient. You don't have to choose. Many fun healthy ways to exercise and control weight that don't harm the body are given throughout this Fitness Fixer blog.
Click the labels under this post for related posts that give information about breathing exercises and healthier nutrition.
--- I make posts from fun mail and success stories. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Why not try fun stuff, then contribute! Read success stories of these methods and send your own. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certified - DrBookspan.com/Academy. ---
Respiratory Muscle Training for Swimming, Diving, and Running
Friday, July 06, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
At the diving and hyperbaric conference three weeks ago, I attended sessions on respiratory muscle training for underwater operations. It is a topic of interest for those in charge of combat swimmers, and anyone doing physical training.
In one study, Researchers at the State University of Buffalo at New York found that respiratory muscle training improves swimming and respiratory performance at depth. As you go deeper, the work of breathing can increase, even using high performance breathing devices, because of higher gas density and other factors. They tested the effect of resistance respiratory muscle training on respiratory function and swimming endurance in divers at 55 fsw (~16 m). They found that respiratory muscles were less fatigued following training, breathing rate was lower during the swims, and that the training increased the duration they could swim by about 60%. They concluded that respiratory muscle fatigue limits swimming endurance at depth, and the increase in swimming endurance may result from reduced work of breathing or improved respiratory muscle ability.
The second study by the same group looked at the different benefits of training the endurance and strength of the respiratory muscles. Eighteen SCUBA-certified swimmers were randomly assigned to a placebo group who didn't train their breathing muscles, a respiratory endurance training group, or a respiratory strength training group. Each group used a breathing resistance device five days a week for 30 min over four weeks. The endurance trained group decreased heart rate and ventilation during underwater swims. Both the endurance and strength groups improved fin swimming endurance. The placebo group experienced no changes.
The researchers concluded that respiratory muscle training is effective in improving swimming endurance. They told me they found it is also effective for endurance running, but perhaps not as effective. They are working on finding out why. My friends who do long stints in submarines mentioned they like to use respiratory muscle training to help keep them in shape since they can't go out for a run while on sub duty.
The book Healthy Martial Arts gives more for breathing health in daily life and training.
--- Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
In a hospital, Grand Rounds is a lecture for doctors about a patient or topic. On the web, the weekly Grand Rounds is an electronic post that lists "the best medical posts of the week." Grand Rounds 3.41 called the lunge, "the new Pink" (I think that means it's good) and said they figured that not using the lunge and bending wrong "accounts for most of the lower back pain in the world."
The lunge does prevent one major cause of back pain - from bad forward bending. A second major source of lower back pain, that comes after standing, walking, or running, comes from allowing the lower spine to increase the inward arch, shown in the left-hand photo of the post, Using Abdominal Muscles is Not Tightening or Pressing Navel to Spine. The bad overarch can be easily stopped by tilting the hip to reduce the lower spine arch (right drawing, same post). If you use the lunge for bending, and stop spine over-arching (uses core muscles better than doing crunches), you will stop two of the biggest sources of back pain while you get a free workout and fitness as a lifestyle
Today is Independence Day in the United States. The Declaration of Independence was drafted in June of 1776. Signing began by July. The paper itself didn't grant independence - work continued until independence came a few years later. After getting the idea to do something, the next thing is to take action. Here are ideas for a life free from things that are unhealthy - pain, unhealthful food, and exercises that reinforce bad habits:
Freedom from junk food:
Instead of soda, put a red sweet pepper in a food grinder. Cut about an inch of fresh ginger root and add through the grinder. In about 30 seconds preparation time you will have a sweet, cool, red, slushy drink with an exotic tang of ginger. Healthy and good tasting.
Instead of refined sugar sports drinks, put a peeled whole cucumber into the food grinder or low speed blender with a whole kiwi fruit. It will make a sweet, cool, slushy, green drink.
Instead of processed peanut butter and refined sugar jelly, put fresh raw nuts and apple slices into a grinder, mill, or chopper. In less than a minute of preparation time, you have a sweet nut butter that you can spread on fruit slices, carrots, and other good foods. Try walnuts, almonds, other fresh raw nuts, and experiment with different fruit combination to make different sweet creamy fresh nut butters.
Masses of products crowding store shelves claim to fix this and cure that. Millions of dollars are spent. The products seem dazzling, but much is hype and many produce unhealthy effects. Then more dollars are spent on more pills and products for the new problems caused by the medicines. Many prescribed medicines cause new problems that can be avoided. Stop the cycle and save yourself time, money, and unhappiness. If it is not healthy, it is not health care: Teen Dies After Using Muscle Soreness Rub Human Growth Hormone Is Your Health Food Unhealthful? Stomach Acid Drugs Increase Osteoporosis and Hip Fractures
Freedom from physical pain and injuries:
At the Special Operations Medical Association conference two years ago, it was released that 62% of our American injuries in Iraq are "Disease Non-Battle Injuries"(DNBI) - not from combat or supporting operations, but occurring in the gym. At the ACSM conference last month, a research study reported that their American military units had 17% DNBI injuries. I asked them how they kept their numbers so low. They replied that the number was for evacuations - injuries so serious they required removal from the base. Some of the most common exercise and stretching practices are not healthy. It is not that they are not good for some people or that they are overuse or done "wrong" - they are inherently bad movements. The same high injury rate is happening to fitness and yoga and Pilates instructors and students. I wrote about this in Welcome to the Fitness Fixer. Here are some specifics on why and what to do instead: Why So Many Aerobics Injuries? The Stretch You Need The Least Sitting Badly Isn't Magically Healthy by Calling It a Hamstring Stretch Safer Overhead Military Press Are You Making Your Exercise Unhealthy?
Abdominal crunches are a popular exercise, but they are not healthy. This is new and different information, I know. Crunches "work" your abdominal muscles, but not in a healthful or beneficial way, whether done sitting or standing or using a machine. Crunches also train rounded bad posture that you know is unneeded and unhealthy when sitting or standing that way in real life.
The idea that strengthening the abdominal muscles stops back pain is a myth. Many muscular people have pain. They do their crunches, then stand and move in the overly-arched spinal posture that is the hallmark sign that the abs are not even being used, and which creates one major kind of chronic pain: Fixing the Commonest Source of Mystery Lower Back Pain
The simple act of standing and doing all your activities and exercise without letting your lower spine overly arch, and instead keeping neutral spine, uses more abdominal muscle involvement than doing crunches:Using Abdominal Muscles is Not Tightening or Pressing Navel to Spine.
The book No More Crunches No More Back Pain The Ab Revolution explains a healthier better way to use and exercise your abs (114 illustrations 124 pages). I have a number of copies of the new 3rd edition expanded to give to military personnel as gifts. Contact me to send one (free) to someone you know, to keep our guys healthy.
Independence is Healthy: This post included links to a few past posts about being free of unhealthy things. Click the labels below each post for more related posts. Keep the things you do, eat, and think healthy. If a medicine is not healthy, it is not health care. If an exercise trains injurious body mechanics, use the time for healthier exercises that are more fun. There are better, healthier ways. Be free.
Respiratory Muscle Training for Better Health and Exercise
Monday, July 02, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
At the American College of Sports Medicine conference last month, I attended an entire session on effects of training respiratory muscle function. Back when I was in school, we learned that the ability to breathe harder, better, faster, could not be trained with exercise or other modality, that it was fixed from person to person, like eye color, except that it got worse with aging, and that it didn't matter much, since ventilation did not do much to limit exercise potential anyway.
Even though the lungs don't have any muscles of their own, it didn't seem right to me, as the diaphragm and muscles that move the rib cage to voluntarily breath in and out are muscles like any other. What if there are people whose respiratory muscles are not trained to work hard enough and add to the metabolic cost of exercise, increasing fatigue and so, limit exercise? It is also true that many people are not in good enough shape to use more oxygen, so breathe most of the oxygen back out with each breath, even when exercising strenuously. What about someone in great athletic shape who could use that oxygen. Why couldn't they be trained to move more air faster if they needed some?
Exercising the muscles that you use to breath in (inspiratory muscle training) is known to improve the endurance of the respiratory muscles in people with spinal cord injury and cystic fibrosis, and is shown to improve exercise capacity in patients with heart failure. What about for people without these conditions or for athletes?
Combat swimmers have long used various breathing training to get in shape for swims and other strenuous work. The diving medicine conference I attended two weeks ago had several studies that showed interesting and promising results with breathing training.
Respiratory muscle training in the above studies did not involve popping corks from your lips, as in the photo. To improve your breathing capacity and do training at home without respiratory training devices, see the Fitness Fixer post Do Breathing Exercises Work? and the book Healthy Martial Arts.
--- I make posts from fun mail and success stories. See if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Read success stories of these methods and send your own. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
