The Importance of a “Personal Trainer” Movement Screening and Proper Exercise Josh Hogan, DPT

Benefits of Exercise Increase strength and endurance Improve balance and coordination Prevention of Diseases: Heart Disease, Diabetes, Osteoporosis, etc (1).

What type of exercise should I do? First: What are my goals?...weight loss, strength, etc.. Second: What physical barriers/ risk factors, if any, do I have? Third: Who can help me figure it all out and make it work?

Goals Should be realistic and achievable in certain time frames. Should be geared to what will help you function better in your life.

Barriers/ Risk Factors Do I have any chronic systemic conditions that need to be considered? Do I have appropriate support from friends and family? Have I realistically set out time to exercise? Do I have any orthopedic issues that need to be considered?

Orthopedic Issues What makes us go to the doctor?

PAIN!!!! Pain is the number one reason we see a doctor. For: Diagnosis Treatment Options

What if I feel OK? Can there be a problem if I don’t feel any pain?... Much of the population has muscle imbalances, orthopedic and postural abnormalities, yet undiagnosed arthritic joints. These could create a problem once a new exercise program is started.(2)

Latest Trends Study showing that 70% of people taking up Crossfit report injuries from it. 7% of which needed surgical intervention. Running Clubs: Throw on some old sneakers and hit the road. Military Style races/ events Pain and limitations start to arise.

Who can help me figure this all out? I want to start moving! “Personal Trainers” are certified and trained to help guide you with certain exercise programs but do not have the training in diagnosing and intervening where pathology or mechanical dysfunction exist. PT’s are trained in exactly that and more are starting to include movement screening / interventions based off that.

Do you have to hire a “Personal Trainer” There are many newer programs out there which help screen for muscle imbalances and postural dysfunctions and give you guidance in correcting them. Addressing these issues first will help ensure that whatever exercise program you start, you will better able to perform and likely at a reduced risk for injuries (3,4).

Example: -Used in many Division I and professional sports. -Scores body movement through a series of functional tests. -Evaluates scores and areas of deficiency and produces an exercise program for participant to address them. -PT/ Trainer could customize program and is able to communicate with the participant whenever desired. -75%-100% is considered GOOD -50%-74.9% Moderate Deficiency (Consult w/ Pro.) -0%-49.9% Poor (Medical Pro w/ detailed plan)

Other Considerations Footwear based off of foot posture Running Shoes: Good ones are now made for specific types of feet…Flat foot vs. High Arch (5)

References 1) The Effectiveness of Combined Exercise Interventions for Preventing Postmenopausal Bone Loss: A Systematic Review and Meta-analysis RENQING ZHAO, PhD1,2 • MENGYI ZHANG, MS2 • QI ZHANG, MS2 2) Scapular dyskinesis increases the risk of future shoulder pain by 43% in asymptomatic athletes: a systematic review and meta-analysis Darren Hickey, Veronica Solvig, Vinicius Cavalheri, Meg Harrold, Leanda Mckenna 3) INVITED CLINICAL COMMENTARY FUNCTIONAL MOVEMENT SCREENING: THE USE OF FUNDAMENTAL MOVEMENTS AS AN ASSESSMENT OF FUNCTION  PART 1 Gray Cook, PT, OCS1 Lee Burton, MS, ATC2 Barbara J. Hoogenboom, PT, EdD, SCS, ATC3 Michael Voight, PT, DHsc, OCS, SCS, ATC, FAPTA4 4) ACL- Play it safe Prevention….movement screens to check at risk athletes Myers et al AJSM 2012). 5) The effects of shoe-worn insoles on gait biomechanics in people with knee osteoarthritis: a systematic review and meta-analysis Kathryn E Shaw, Jesse M Charlton, Christina K L Perry, Courtney M de Vries, Matthew J Redekopp, Jordan A White, Michael A Hunt