mxdame
Likes Dirt
Haha I know, but this is the most on topic of all the off topic threads. You defiantly are a wealth of knowledge MWI & DK.It's rotorburn, everything gets off topic on here!
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Haha I know, but this is the most on topic of all the off topic threads. You defiantly are a wealth of knowledge MWI & DK.It's rotorburn, everything gets off topic on here!
Physiotherapy isnt the only form of rehab she is doing, also does hydrotherapy. and if only the body was as good as you say it is at healing itself, because its been a long 3 years waiting for it to heal.Well I certainly don't doubt the fact that your wife is doing core stability, but that does not mean its safe to say it is worth her time at all over other forms of training and rehab.
Core stability training more often than not will focus on co contraction of the trunk musculature, this creates greater intervebral disc pressure, for many people this does not help symptoms. Secondly medically she would get a reduction in symptoms regardless of seeing a physio, as the body is quite amazing at healing it's self.
Thirdly, peer reviewed scientific evidence, not my opinion, but evidence from some fairly reputable researchers is showing that is not a particularly efficacious approach and actually may be detrimental.
Maybe you should ask your wife's physio for their evidence and rationale, I think you might find it lacking, the average physio has a bachelors degree, they aren't exactly trained to understand something as complex as the vertebral column (very few people are) or have the ability to disseminate complex medical research. All the best for her surgery, L5/S1 replacements can be nasty.
The myth of core stability.
http://www.ncbi.nlm.nih.gov/pubmed/?term=the+myth+of+core+stability
Despite a decade of extensive research in this area, it is difficult to see what contribution CS had to the understanding and care of patients suffering from back pain
Systematic review of core muscle activity during physical fitness exercises
http://www.ncbi.nlm.nih.gov/pubmed/23542879
The available evidence suggests that strength and conditioning specialists should focus on implementing multijoint free weight exercises, rather than core-specific exercises, to adequately train the core muscles in their athletes and clients.
A meta-analysis of core stability exercise versus general exercise for chronic low back pain.
http://www.ncbi.nlm.nih.gov/pubmed/23284879
Compared to general exercise, core stability exercise is more effective in decreasing pain and may improve physical function in patients with chronic LBP in the short term. However, no significant long-term differences in pain severity were observed between patients who engaged in core stability exercise versus those who engaged in general exercise.
Core stability exercises in individuals with and without chronic nonspecific low back pain.
http://www.ncbi.nlm.nih.gov/pubmed/22080309
The widespread use of abdominal bracing in clinical practice, whether it be for patients with LBP or healthy individuals, may not be justified unless symptoms of spinal instability are identified.
Acute effect of labile surfaces during core stability exercises in people with and without low back pain.
http://www.ncbi.nlm.nih.gov/pubmed/20801670
Individuals with LBP exhibited adaptive trunk muscle activity levels while maintaining similar levels of balance and lumbar movement to healthy controls. Since research suggests no one mode of exercise is more beneficial in LBP rehabilitation, the practicality and safety of labile surfaces for LBP exercise rehabilitation must be questioned from this study.
If you'd like a read of my personal and educated opinion... it's more performance orientated than clinical.
http://www.rotorburn.com/forums/showthread.php?246702-Core-Stability-a-neuroscience-approach
Show them the meta analysis and the systematic review, they tally up to just over 200 studies included, with many discarded due to lack of quality. The results are of these are reasonably robust.
It's good that she is doing more than physio, some of the research I posted strongly shows that a broad range of activities is the best approach for LBP asyompomatic or diagnosed.Physiotherapy isnt the only form of rehab she is doing, also does hydrotherapy. and if only the body was as good as you say it is at healing itself, because its been a long 3 years waiting for it to heal.
I had a look at your links, and I also did a search on that website and found articles stating core stability/strength is good for you. (everything has its pros and cons and you state it in your personal opinion your anti core)
http://www.mayoclinic.org/core-exercises/ART-20044751?p=1 I found this link in your first link myth of core stability.
also found this
http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0062321/
And I was with her when she went to see the neurosurgeon who told her to do core exercises to strengthen the muscles so they are strong during the recovery phase.
I can see this going on forever and just want to leave it at this, i'm pro core stability/strength your anti core stability/strength and were not going to change each others mind.
This could potentially be a very long answer.MWI - these exercises all appear to be targeting a strength phase, what's the best approach in terms of periodised training between strength, power, endurance?
I would think you would build your base/endurance, then work strength, power, strength, power etc in periods of 8-10weeks (tapered around key events obviously). Is this correct?
Muscular endurance and power would both be important for mountain biking.
Yeah, I tend to avoid overhead presses, the clinician in me tends to be concerned about shoulder impingement. While it's certainly a good exercise for deltoid development, any form or press or row works the rotator cuff as good if not better, providing a more effective stimulus for shoulder stability. Same goes for dips, great exercise, but brutal if shoulders are not 100%. That was my rationale, as i don't know the age or quality of mxdame's shoulders.Also, even though shoulder press movements may not be specific to cycling technique, I'd definitely recommend incorporating them into any program purely to provide shoulder joint strength/stability for injury prevention in crashes etc.
Interesting thing with power I have a dynamometer in the laB i can attach to any apparutus, so we can measure power and more importantly it's decline due to fatigue. Seems to what we have experience for power training lower reps 4-6 is best as the power tends to drop of rapidly after this piont, but well trained people seem to take a few more reps even at the same relative effort level.While this was directed at MWI ill throw my 2cents in.
Whether or not you in a strength, power or endurance phase comes down to your reps, sets and load.
strength is going to be done before power primarily as speed power uses about 40% of your 1RM. So the obvious is maximizing strength allows you to use more load for power workouts.
The routine MWI gave 5-6 reps sits very much towards strength based workouts, pure strength tends to be lower about 1-3 reps.
You would usually start power workout as a build up to the event as you said. I think its only a small 4-6 week period for power. MWI?
All sent, downloaded remotely from work, I'll work out whats a quality read and send it through one once I get some more time... really needing a 32 hour day at the moment.MWI
Do you happen to have the pfd or the full article for the two following
http://www.ncbi.nlm.nih.gov/pubmed/20801670
http://www.ncbi.nlm.nih.gov/pubmed/22080309
additional one
http://www.ncbi.nlm.nih.gov/pubmed/22784233
I managed to find the other 3.
I am just saving them all into the computer for later use. As you know I am looking at moving into similar area of study. I figured I should gather some information while you are throwing it out.
Any others you feel like giving me would be welcome.
I did read that, Im interested in MWI response.http://www.rotorburn.com/forums/showthread.php?246702-Core-Stability-a-neuroscience-approach/page4
I put this up last night but I didn't realise it was in the Off Topic thread. It's an interesting article about core training from Stuart McGill for those who have more than a passing interest.
Oh man, will MWI reply to this one or not. We shall see.In a similar style to Ryno's power gym that you mentioned, www.bikejames.com is a good source of information for me
I wasn't! :rant:Oh man, will MWI reply to this one or not. We shall see.
I take it you didn't read this thread And all the core debate on here.
I think its just a requirement of any PT courses (I have no idea what he has studied) but it does surprise me how many courses still teach trainers aspects of training without the scientific support to back it up.I wasn't! :rant:
I'm not a fan of bike james, some of the good stuff he has, which isn't much, is outweighed by the pseudoscience crap, the stuff that's completely wrong, or so obvious its a space filler. Maybe it's just of requirement of giving out fitness advice in a commercial environment?