Sports Specific Training

For individuals trying to get into a regular fitness regimen, could using the FITT Principle help structure exercise, track progress, and achieve fitness goals?

FITT Principle

The FITT principle is a set of guidelines for adjusting, revising, and improving exercise workouts. FITT is an acronym for:

• Frequency
• Intensity
• Time
• Type of exercise
• Individuals take these elements to create and adjust workouts that fit their goals and fitness levels.

For example, this could be a workout of 3 to 5 days combined with low, medium, and high-intensity exercises for 30 to 60 minutes each session that incorporates cardio and strength training. Focusing on these details and progressing over time helps create an effective program.

Frequency

Workout frequency and how often the individual is going to exercise is the first thing to look at.

• Frequency depends on various factors, including the type of workout being done, how hard the workout is, fitness levels, and exercise goals.
• General exercise guidelines developed by the American College of Sports Medicine offer recommendations. (Carol Ewing Garber, et al., 2011)

Cardiovascular Workouts

• Cardio workouts are usually scheduled more often.
• Depending on goals, guidelines recommend moderate cardio exercise five or more days a week or intense cardio three days a week to improve health.
• Individuals can adjust the exercise intensity level easily on a treadmill to provide excellent and convenient cardiovascular workouts.
• Individuals who want to lose weight may want to work up to more workouts gradually.
• However, more is not always better, and recovery time is essential. (Pete McCall. 2018)

Strength Training

• The recommended frequency for strength training is two to three non-consecutive days a week. (National Strength and Conditioning Association. 2017)
• Individuals should have at least one to two days of rest and recovery between sessions.
• Workout frequency will often depend on the type of training sessions being performed as well as health goals.
• For example, individuals want to work on each muscle group at least two times a week if their goal is to build muscle. (Brad J. Schoenfeld, Dan Ogborn, James W. Krieger. 2016)
• For individuals following a split routine, like upper body one day and lower body the next, workouts can be more frequent than total body workouts.

Intensity

Workout intensity involves how hard the individual is pushing themselves during exercise. How it is increased or decreased depends on the type of workout. (Carol Ewing Garber, et al., 2011)

Cardiovascular Workouts

For cardio, individuals will monitor workout intensity by:

• Heart rate
• Perceived exertion
• Talk test
• Heart rate monitor
• A combination of these measures.

1. The general recommendation is to work at a moderate intensity for steady workouts.
2. Interval training is done at a higher intensity for a shorter period.
3. It's recommended to mix up low, medium, and high-intensity cardio exercises to stimulate different energy systems and prevent overtraining. (Nathan Cardoos. 2015)

Strength Training

• Individual intensity comprises the amount of weight being lifted and the number of reps and sets done.
• The intensity can change based on health goals.

1. Beginners looking to build stability, endurance, and muscle are recommended to use a lighter weight and do fewer sets with high repetitions - for example, two or three sets of 12 to 20 reps.
2. Individuals wanting to grow muscle are recommended to do more sets with a moderate amount of reps - for example, four sets of 10 to 12 reps each.
3. Individuals who want to build strength are recommended to use heavy weights and do more sets with fewer reps - for example, five sets of three reps each.
4. Building muscle can be done with a wide range of repetitions and weights. (Brad J. Schoenfeld, Dan Ogborn, James W. Krieger. 2016)

Time

The next element of the plan is how long the exercise will be during each session. Exercise length depends on individual fitness level and the type of workout being done.

Cardiovascular Workouts

The exercise guidelines suggest 30 to 60 minutes of cardio, but workout duration will depend on fitness level and type of exercise. ((Carol Ewing Garber, et al., 2011)

• Beginners are recommended to start with a 15- to 20-minute workout.
• Individuals with some workout experience and are doing steady-state cardio, like jogging or using a cardio machine, might exercise for 30 to 60 minutes.
• For individuals doing interval training and working at very high intensity, the workout will be shorter, around 10 to 15 minutes of high-intensity interval training.
• Having a variety of workouts of different intensities and durations will provide a solid, balanced cardiovascular program.

Strength Training

• How long an individual strength trains will depend on the type of workout and schedule.
• A total body workout can take over an hour.
• A split routine can take less time by working fewer muscle groups in one session.

Type

The type of exercise you do is the last part of the FIIT principle.
It is easy to manipulate to avoid overuse injuries or weight loss plateaus.

Cardiovascular Workouts

• Cardio is easy to adjust and change because any activity that increases heart rate counts.

1. Walking, dancing, running, cycling, swimming, and using an elliptical trainer are a few activities that can be incorporated.
2. Having multiple cardio activities is recommended to reduce burnout and keep workouts fresh.

Strength Training

• Strength training workouts can also be varied.
• They include any exercise where some type of resistance  -  bands, dumbbells, machines, etc. are used to work the muscles.
• Bodyweight exercises can also be considered a form of strength training.
• Strength workouts can be changed from total body training to adding, for example, supersets or pyramid training.
• Incorporating new exercises for each body area is another way to vary the type of workouts.
• Spending a few weeks working on functional strength movements, then switching to hypertrophy or strength-based training.
• Each modality includes various alternative types of strength-based exercises.

Using FITT

The FITT principle outlines how to adjust workout programs to achieve better results. It also helps figure out how to change workouts to avoid burnout, overuse injuries, and plateaus.

For example, walking three times a week for 30 minutes at a moderate pace is recommended for a beginner to start out with. After a few weeks, the body adapts to the workout. This results in burning fewer calories, burnout, or weight management efforts, and goals are put on hold. This is where the FITT principles come in. For example, a change-up could include:

• Changing frequency by adding another day of walking or jogging.
• Changing intensity by walking faster, adding more challenging terrain like a hill, or jogging at certain intervals.
• Walking for a longer time each workout day.
• Changing the type of workout by swapping one or more of the walk sessions for cycling or aerobics.

1. Even just changing one element can make a big difference in the workout and how the body responds to exercise.
2. It's important to change things up regularly to keep the body healthy and mind engaged.

Injury Prevention

One of the best things about using FITT is that it allows individuals to monitor the length and intensity of their workouts. When individuals work out too frequently or don't get enough rest, they run the risk of overuse injuries, burnout, and muscle strains. The FITT principle encourages adding variety to workouts. When following this practice, it allows the body to rest and recover properly. Because individuals are not working the same muscle groups over and over again, better results are achieved.

Fighting Inflammation Naturally

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to get in touch with Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Garber, C. E., Blissmer, B., Deschenes, M. R., Franklin, B. A., Lamonte, M. J., Lee, I. M., Nieman, D. C., Swain, D. P., & American College of Sports Medicine (2011). American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Medicine and science in sports and exercise, 43(7), 1334–1359. https://doi.org/10.1249/MSS.0b013e318213fefb

McCall Pete. 8 reasons to take a rest day. (2018) American Council on Exercise.

National Strength and Conditioning Association. (2017) Determination of resistance training frequency.

Schoenfeld, B. J., Ogborn, D., & Krieger, J. W. (2016). Effects of Resistance Training Frequency on Measures of Muscle Hypertrophy: A Systematic Review and Meta-Analysis. Sports medicine (Auckland, N.Z.), 46(11), 1689–1697. https://doi.org/10.1007/s40279-016-0543-8

Cardoos, Nathan MD. Overtraining Syndrome. (May/June 2015). Current Sports Medicine Reports 14(3):p 157-158. DOI: 10.1249/JSR.0000000000000145

Here are a few recommended stretches and exercises for relieving herniated disc symptoms. The vertebrae are the small bones that make up the spine. They have cushion discs between each one. These are the intervertebral discs and are the body’s shock absorbers. The discs can be thought of as small balloons that are filled with an elastic gel-type material. There are twenty-three of these cushions.

Functioning as the body’s shock absorbers transferring various forces, weight, and stress from vertebra to vertebra, so that no one is overburdened taking on all the impact the body goes through. But like any machine, the discs can wear down over time, and sustain injury. When this happens the cushioning gel can leak out and press on the nerve roots emerging from the spine. This type of injury is a herniated disc.

Herniated Disc Treatment

A herniated disc can lose its height because of fluid and water loss. This loss affects the bone structures bringing them closer together affecting the ligaments that connect each segment. The ligaments become loose and do not provide the same stability. Ligaments cannot be strengthened with exercise making it more important to strengthen the muscles around the spine to make up for this stability loss. 

Depending on the severity of the injury, the displaced disc can cause pressure to build upon the nerves, resulting in pain and other discomforts. This comes from the loss of the disc's cushion causing the vertebrae to rub against each other. Stretches and exercises designed for herniated discs can work in conjunction with conservative treatment to relieve the pain and discomfort.

Stretches and Exercises for Pain Relief

Consult a medical spine specialist/chiropractor before beginning a stretch and exercise regimen. This is because the herniation can become worse or additional injury/s can occur without proper instruction. Once the injury and clinical considerations have been addressed, gentle stretches and exercises can help reduce the pain and other symptoms. Strengthening the back and hamstring muscles reduces pressure on the spinal column helping to prevent pain and promotes healing by:

• Increasing blood flow to the spine
• Building strength to support the spinal muscles
• Decreases stress on the spine
• Helps relieve the pain
• Improves abnormal postures and awkward body positions

Equipment is not necessary but there are few items that can help the process.

• Yoga mat for hard floors
• A resistance band, a towel will work
• Yoga blocks
• Stable upright chair
• Stopwatch/Timer a phone timer will work

Cervical/Neck Stretches and Exercises

A herniated disc in the neck is usually caused by a forward head posture and a swayback or excessive curvature of the spine.

Isometric hold

• Sit straight
• Relax the shoulders
• Place one hand on the forehead
• Push head into the hand without moving the head
• Hold for 5 to 15 seconds.
• Repeat 15 times

Chin tuck

• Lie on your back on a flat surface
• Place arms at sides
• Tuck the chin in and down toward the chest until a stretch is felt
• Hold for 5 to 10 seconds
• Repeat 15 to 20 times

Lumbar/Low Back Stretches and Exercises

Back flexion stretch

This stretch extends the back muscles to relieve low back pain.

• Lie flat on your back
• Pull the knees toward the chest and wrap your arms around the knees
• Lift head straight up off the floor until there is a stretch across the mid and low back
• Hold for 10 seconds
• Repeat 5 to 10 times

Piriformis stretch

This stretches the small muscle in the buttocks helping to relieve low back pain and helps with sciatica.

• Lie flat on your back on the floor or yoga mat
• Bend the knees
• Plant feet on the floor
• Pick up one leg and rest the ankle on the other leg’s bent knee
• Reach one arm through the leg and use both hands to grasp the bent leg
• Pull the leg toward the chest until there is a stretch in the buttock
• Hold for 30 seconds
• Repeat on the other leg

Prone extension stretch

This stretch helps reposition the disc back to its proper position, expediting the healing process. Start slowly and if pain presents, stop immediately.

• Lie face down on the floor or yoga mat
• Place the forearms on the floor next to the body
• The elbows should be at a 45- degree angle
• Slowly prop the body up, being sure to keep the hips on the floor
• Keep pressing upward until the elbows are at a 90-degree angle
• Hold the position for 10-15 seconds
• Return to  starting position
• Repeat the stretch 10 times
• Gradually increase the upward position hold time until it can be maintained for 30 seconds

Performing these stretches and exercises or similar types will help with herniated injury recovery and prevent worsening or creating new injuries.

Body Composition

Benefits of yoga

Yoga benefits mental and physical health. Yoga helps improve individual physical health. Specific poses can help:

• Improve balance
• Flexibility
• Build/Tone muscle
• Prevent injury
• Improve sense of well-being

Yoga stretches the muscles while relieving physical and emotional stress. Practicing yoga regularly can prevent obesity, and reduce the risk of developing metabolic syndrome. Yoga can help decrease leptin which is a hormone that helps control appetite. This is important for individuals going through chronic stress who are twice as likely to develop metabolic syndrome. 

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

Reaching, twisting, walking, and driving are everyday activities that require upper and lower back strength. An aching back can easily affect daily activities, generate frustration, anger, and affect all-around health. The more back muscle strength an individual has, the more they can accomplish far more without injury. Immense power is not required to protect the body from a back injury. All that is needed is regular, consistent physical activity and exercise. A balance of body strength is vital for preventing injury. However, overdoing one fitness exercise or physical activity can imbalance musculature, leading to injury. Because the back/spine is the central part of the body, complete and proper care is necessary for optimal health and wellness. For individuals experiencing sore, aching, and tired muscles, here are some exercises that will help in the process.

Alternating Arm and Leg Extensions

Alternating extensions help build strength and coordination in the core areas. The back muscles increase their efficiency by creating muscle memory that supports the work shared by all the torso muscles. Upper and lower back muscles must work together to maintain a healthy balance and not overwork each other, causing strain and fatigue.

• Start by placing hands and knees on the floor with the head directly between shoulders and facing toward the floor.
• Feet are directly in line behind the buttocks and resting on the floor.
• Hips and shoulders rest above the knees and hands.
• Raise the right hand straight ahead with the arm at full length.
• At the time same time, raise the left leg straight behind the body.
• Try to keep the arm and leg as straight as possible.
• Hold for 10 seconds.
• Switch sides.
• Repeat three to eight times, depending on strength level.
• If it is difficult, a modified option is to raise the arm and leg separately.

Plank Hold

These can help build back muscles and strengthen the arms, legs, and the front torso area. Plank holds are a recommended starting point. Plank holds can be done on the elbows, palms of the hands, or closed fist hands. The key is to keep the shoulders, hips, and ankles straight like a wood plank parallel to the floor.

• Place hands and feet directly on the floor like doing a push–up.
• Toes should be on the floor.
• Keep the abdominals tight and buttocks lifted to prevent straining the lower back.
• Face straight down.
• Hold for a count of 10.
• Repeat three times.
• For those with an aching back, keeping the hips level with the shoulders could be challenging at the beginning.
• With practice, it will become easier; then, the individual is recommended to increase the length of time until 30 seconds is achieved.
• Then increase the challenge to try more than three repetitions.
• A modification for beginners is to start with the body resting on the floor, stomach down.
• Then raise the body into the start position from the floor.

Hip Raises

Hip raises help to strengthen the lower back muscles to unite and support the lower half of the body. Training the body to work cooperatively is critical for reducing the aching and pain from muscle imbalance.

• Rest the body flat on the floor, facing upward.
• Place the hands flat at the body's sides.
• Knees should be about shoulder-width apart.
• Keep the feet flat on the floor
• Pull the feet toward the buttocks.
• Look straight up.
• Raise the hips as high as possible while pressing down with the hands.
• Hold for 10 seconds.
• Complete five to eight reps.

Cross Body Standing Lateral Arm Raises

Lateral raises or side lateral raises help strengthen and tone the shoulder muscles and the upper back muscles.

• Begin with a single one-pound weight.
• Face forward.
• Stand with the feet shoulder-width apart.
• Bring the weight to rest near the left hip bone.
• Gently raise the weight across the body to arrive just above the right side with the arm at full length.
• Make sure that shoulders and hips are stationary and that only the arms move. Do not twist.
• Hold for 10 seconds.
• Repeat three to eight times.
• Switch sides.
• Modification can be done by sitting in a comfortable chair with proper posture in a chair instead of standing.
• If weights are too challenging to work with initially, complete the exercise with only the hands placed with the palms flat and together.

Aerobic Activity

This helps circulate blood throughout the body, helping to reduce muscle soreness. A few gentle and aerobic activities can include:

• Brisk walking.
• Stair climbing.
• Bicycling, elliptical, or rowing machine workout.
• Physical activity that keeps blood moving throughout the body. Examples include yoga, gardening, and dancing.

While the back is healing, go at a gentle even pace for any activity. Jerking and quickly stopping can be hard on joints and discs. When injured, the other muscles try to compensate to avoid causing a flare-up that could worsen the injury and/or create a new injury.

Aching Back Muscles

Strength-building exercises are great for preventing injury and avoiding re-injury. However, avoid overreaching or overstretching with any of the activities. Continuous aching or painful back muscles could indicate something else is occurring that could be:

• A pinched nerve.
• Shifted/misaligned discs.
• Disc herniation.
• The beginning of an arthritic condition causing inflammation.
• Back muscle tear/s.
• Pregnancy.

Body Composition

Sarcopenia - Loss of Skeletal Muscle Mass and Strenght Causes

Decreased Physical Activity

• Physical inactivity is one of the primary contributors to sarcopenia.
• Sedentariness can exacerbate the effects of sarcopenia.
• Regular resistance exercise can help maintain muscle mass and build muscular strength.

Decrease in motor neurons

• Aging is accompanied by a loss of motor neurons caused by cell death. 
• This can lead to a decrease in muscle fibers and size.
• This decrease leads to:
• Impaired performance
• Reduced functional capacity
• Decreased ability to perform everyday tasks.

Increase in Pro-inflammatory Cytokines

• Poor diet and exercise also promote the storage of visceral fat.
• This type of fat tissue produces pro-inflammatory cytokines.
• This can accelerate muscle breakdown.
• Obesity and muscle weakness are associated with high levels of pro-inflammatory cytokines.

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Alfuth, M, and D Cornely. “Chronischer lumbaler Rückenschmerz : Vergleich zwischen Mobilisationstraining und Training der rumpfstabilisierenden Muskulatur” [Chronic low back pain : Comparison of mobilization and core stability exercises]. Der Orthopade vol. 45,7 (2016): 579-90. doi:10.1007/s00132-016-3233-1

Kim, Beomryong, and Jongeun Yim. "Core Stability and Hip Exercises Improve Physical Function and Activity in Patients with Non-Specific Low Back Pain: A Randomized Controlled Trial." The Tohoku journal of experimental medicine vol. 251,3 (2020): 193-206. doi:10.1620/tjem.251.193

Smith, Benjamin E et al. "An update of stabilization exercises for low back pain: a systematic review with meta-analysis." BMC musculoskeletal disorders vol. 15 416. 9 Dec. 2014, doi:10.1186/1471-2474-15-416

Suh, Jee Hyun et al. "The effect of lumbar stabilization and walking exercises on chronic low back pain: A randomized controlled trial." Medicine vol. 98,26 (2019): e16173. doi:10.1097/MD.0000000000016173