{"id":9377,"date":"2022-08-25T14:10:05","date_gmt":"2022-08-25T14:10:05","guid":{"rendered":"https:\/\/www.fitpro.com\/blog\/?p=9377"},"modified":"2023-04-24T15:54:08","modified_gmt":"2023-04-24T15:54:08","slug":"healthy-spine-and-shoulders","status":"publish","type":"post","link":"https:\/\/www.fitpro.com\/blog\/healthy-spine-and-shoulders\/","title":{"rendered":"The quest for a healthy spine and shoulders"},"content":{"rendered":"<h2 style=\"font-weight: 400;\">Paul Edmondson encourages us to rethink the balance principle when devising programmes for clients, in order to combat the impact of our sedentary culture on musculoskeletal health. Join us in our quest for a healthy spine and shoulders.<\/h2>\n<p style=\"font-weight: 400;\">Every good story has a quest \u2013 the quest in this story is that of healthy spines\/shoulders in training, as well as life in general. With every good quest, there is a hero and a villain. The villain in this story is our sedentary, desk-based, Zoom and iPhone culture of 21st century industrialisation. This has amplified significantly during lockdowns, where most have been sitting at home for 12 hours a day. Fear not though trainers, for your programming is the hero. You can rethink the balance principle in your training regimens!<\/p>\n<p style=\"font-weight: 400;\">For years, writing programmes for clients to achieve health and fitness was all about balance for symmetry, joint health and promoting an optimal posture environment \u2013 the use of equal \u2018push vs pull\u2019 exercises were considered ideal and, 20 years ago, spot on.<\/p>\n<p style=\"font-weight: 400;\">Today\u2019s western culture, though, is drastically different \u2013 dare I say even more sedentary \u2013 and, with the influx of devices, computers, tablets and phones dominating our day-to-day work\/social\/play lives, things have taken a drastic turn.<\/p>\n<p style=\"font-weight: 400;\">Those 12 hours made up of endless Zoom meetings, an addiction to scrolling on phones and watching TV are impacting on musculoskeletal health significantly, particularly that of shoulder\/spinal health.<\/p>\n<p style=\"font-weight: 400;\">It\u2019s all too easy to say, \u201cGet up and break the sitting cycle\u201d and \u201cPut your phones down\u201d (which invariably lasts five minutes max) but, barring a few stand up and stretch breaks and the odd 5\u201310-minute walking meeting, the desk culture is with us to stay. As for the phone, many have an addiction to it, so we must accept that it is part of our culture and, as such, better programme to defend against the negative health impacts. A few 30-second stretches here and there are not going to unwind the 60-70 hours a week of stagnant seated postures.<\/p>\n<p style=\"font-weight: 400;\">To give some context and some stats, neck, upper back and shoulder pain episodes have risen uncontrollably in the past 18 months, rising to equal the prevalence of low back pain (where almost four in five adults suffer from aches\/pain\/tension, as opposed to 2.5 in every five adults prior to lockdown one).<\/p>\n<p style=\"font-weight: 400;\">The hours spent with gravity beating the spine into a flexed position negatively impact on the position and motions of the spine\/shoulder and scapula \u2013 all of which narrows the \u2018space\u2019 in which the shoulder joint can operate and function day to day. If there is less space, there is less freedom of motion and, if the joint has fewer \u2018freedoms\u2019, mobility, stability and strength inevitably decline.<\/p>\n<p style=\"font-weight: 400;\">So, to alter the newly adapted postures above, first and foremost we must engage in daily rituals of low-level shoulder and spinal 3D mobilisations to maintain the health of these structures \u2013 remember, ONLY MOVEMENT maintains the health of a joint and defends against arthritis. No pills, supplements or foods will suffice, for the joints and bony\/ligamentous tissues do not have a direct connection with our circulatory (blood) system to \u2018pump\u2019 nutrients to those tissues; instead, it must be \u2018pushed\u2019 through osmotic pressures (movement). Don\u2019t move a joint and it will rot and die away. Try <em>not<\/em> brushing your teeth for two to three years and see what happens.<\/p>\n<p style=\"font-weight: 400;\">So, engage in mobility to <em>maintain<\/em> health of the joints, but the long-lasting \u2018secret sauce\u2019 is to put force through these required ranges of motion, teaching the body\u2019s nervous system how to own, control and be resilient in movement.<\/p>\n<p style=\"font-weight: 400;\">Before we get into my top five exercises, remember this: the recipe for change is to perform twice as many \u2018pull\u2019 movements for every \u2018push\u2019 (2:1 pull to push) in your programming.<sup>1<\/sup> Prioritise \u2018horizontal push movements\u2019 as opposed to vertical pulls, as these directly influence the anterior shoulder capsule, which is what we need\/want to open up more.<\/p>\n<p style=\"font-weight: 400;\">So, without further ado, my top five exercises to combat the decline of spinal\/shoulder health and to build good-quality, mobile, resilient joints\/muscles are listed below.<\/p>\n<h3 style=\"font-weight: 400;\"><strong>1. TRX low row <\/strong><\/h3>\n<p style=\"font-weight: 400;\">This is my number one due to its brilliant simplicity, with myriad benefits, that is easily adaptable for any demographic \u2013 young, old, fit, not-so-fit and anyone in between.<\/p>\n<p style=\"font-weight: 400;\">The TRX low row utilises bodyweight as resistance (which is \u2018life\/sport\u2019 \u2013 aka \u2018functional\u2019) and a quick change of foot starting position changes the demand for the user to work within the confines of their own strength\/fitness abilities.<\/p>\n<p style=\"font-weight: 400;\">While it hits the necessary motions required here to train \u2013 T-spine extension, scapula depression and retraction, and shoulder external rotation \u2013 perhaps the most advantageous benefit that makes it number one is that research has found this exercise to have the highest amount of back musculature recruited\/activated, while at the same time having minimal compression forces directed at the spine.<\/p>\n<p style=\"font-weight: 400;\">Dr Stuart McGill compared this exercise to three commonly used back exercises (the barbell bent over row, cable row and machine seated row) and the motor unit activation was significantly higher \u2013 meaning maximal \u2018bang for buck\u2019 with minimal spine risk\/effort.<sup>2<\/sup><\/p>\n<p style=\"font-weight: 400;\">When executing the exercise, maintain a tall \u2018active plank\u2019 position and imagine the handles as a steel bar. Bend the bar downwards as you initiate the pull for maximum effect.<sup>3<\/sup><\/p>\n<p><iframe loading=\"lazy\" title=\"Video 1 TRX Low Row.MP4\" src=\"https:\/\/player.vimeo.com\/video\/743035962?h=a19b378f0e&amp;dnt=1&amp;app_id=122963\" width=\"720\" height=\"720\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<h3 style=\"font-weight: 400;\"><strong>2. ViPR shovel drill<\/strong><\/h3>\n<p style=\"font-weight: 400;\">This awesome exercise utilises whole-body motion, in an upright stance, with the inclusivity of triplanar motion of the spine\/scapula\/shoulder \u2013 particularly \u2018picking on\u2019 T-spine extension and rotation. The T-spine is the foundation for movement accessibility for both the scapula and shoulder combined; the better the T-spine can move, the more efficient and effective the health\/motion is at the shoulder complex. Desk-based posture will inhibit the spine first and shoulder dysfunction is a direct result thereafter, so attacking the primary joint is a must and extension\/rotation are the motions that will be \u2018lost\u2019 first.<\/p>\n<p style=\"font-weight: 400;\">When executing this exercise, maintain a tall body position and allow the hips and scapula to \u2018drive\u2019 the rotation \u2013 not the arms. This will ensure motion will impact on the spine\/scapula\/shoulder in integration, rather than isolating stress to the shoulder with too much arm motion.<sup>4<\/sup><\/p>\n<p><iframe loading=\"lazy\" title=\"Video 2 ViPR Shovel Drill\" src=\"https:\/\/player.vimeo.com\/video\/743036015?h=8dbcf90809&amp;dnt=1&amp;app_id=122963\" width=\"480\" height=\"848\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<h3 style=\"font-weight: 400;\"><strong>3. Dumbbell prone T-row<\/strong><\/h3>\n<p style=\"font-weight: 400;\">This third offering utilises a different beginning position and offers the choice to move in a variety of situations, giving the body \u2018choice\u2019 to move well in all aspects of life, which is good for effective\/efficient movement mastery.<\/p>\n<p style=\"font-weight: 400;\">Prone allows gravity to feed\/drive more extension to the T-spine \u2013 in our desk-based environment, gravity does the opposite and \u2018beats\u2019 the spine into flexion. When the single arm reach drives the rotation, the entire arm\/shoulder\/scapula\/T-spine\/core to hip have to \u2018control\u2019 the driving\/moving arm, strengthening all components in all three planes of motion. A great \u2018bang for your buck\u2019 exercise.<\/p>\n<p style=\"font-weight: 400;\">Ensure a tall body, active plank position as you reach the arm long, following the fingertips with your eyes.<\/p>\n<p><iframe loading=\"lazy\" title=\"Video 3 Dumbbell Prone T Row\" src=\"https:\/\/player.vimeo.com\/video\/743036068?h=6c11bb0fd4&amp;dnt=1&amp;app_id=122963\" width=\"720\" height=\"900\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<h3 style=\"font-weight: 400;\"><strong>4. Barbell bent over row<\/strong><\/h3>\n<p style=\"font-weight: 400;\">Even though it fell short of the TRX low row for muscle activation and \u2018lesser\u2019 spinal compression, this old-school exercise still has tremendous benefits when included in a training regimen.<\/p>\n<p style=\"font-weight: 400;\">This compound \u2018big lift\u2019 challenges body-wide strength in the sagittal plane and, because of the bent forward standing position and the barbell hanging down at the legs, the \u2018pull\u2019 of gravity challenges each of the 17 muscles at the scapula, which focuses and teaches strength\/stability of the delicate rotator cuff (prone to weakness and dysfunction)<sup>5<\/sup>, but also links this local shoulder strength to integrate with the rest of the body, laddering up to whole-body global strength in one fell swoop. Plus, we can\u2019t play down the effects of big compound barbell movements on aesthetic benefits, such as increasing muscle mass and driving down body fat due to secretion in anabolic hormones. Again, lots of benefits for health and fitness!<\/p>\n<p><iframe loading=\"lazy\" title=\"Video 4 Barbell Bent Over Row\" src=\"https:\/\/player.vimeo.com\/video\/743036174?h=58f0b81c14&amp;dnt=1&amp;app_id=122963\" width=\"563\" height=\"1000\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<h3 style=\"font-weight: 400;\"><strong>5. 3D plank variation<\/strong><\/h3>\n<p style=\"font-weight: 400;\">Although NOT a horizontal pull \u2013 which would be the main staples for healthy spine\/shoulder programming \u2013 I wanted to include this \u2018core\u2019 exercise because of its wonderful simplicity, packed full of health benefits for all the regions of the body we are focusing on.<\/p>\n<p style=\"font-weight: 400;\">This exercise uses only bodyweight, with three progressive levels of challenge, each level incorporating the primary joints of target in all three planes of motion.<\/p>\n<p style=\"font-weight: 400;\">The first level has four points of contact with the ground, using a hip driver in all six angulations. The second level has less contact with the ground using a leg driver, increasing leverage and dynamic stability\/strength to the spine\/shoulder regions. Level 3 now switches to an arm driver, increasing more local leverage and strength in motion to the spine\/shoulder. Think of each level as progressions that you must earn to go to the next level \u2013 keeping you and your clients safe, as well as slowly and incrementally increasing their strength in the spine\/shoulders.<sup>6<\/sup><\/p>\n<p><iframe loading=\"lazy\" title=\"3D plank variation.MOV\" src=\"https:\/\/player.vimeo.com\/video\/743036252?h=3fdc9abe9a&amp;dnt=1&amp;app_id=122963\" width=\"1080\" height=\"608\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<p style=\"font-weight: 400;\">These are my five favourite spine\/shoulder exercises but feel free to select and implement your own. Try the 2:1 pull to push balance in your programmes and watch the pains and dysfunctions begin to disappear. Enjoy!<\/p>\n<p><strong>Want to learn more from Paul?<\/strong> Check out his blog on\u00a0<a href=\"https:\/\/www.fitpro.com\/blog\/functional-hypertrophy-theory-and-practical-application\/\" target=\"_blank\" rel=\"noopener\">Functional hypertrophy \u2013 theory and practical application<\/a>.<\/p>\n<p><strong>Author Bio:<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-10471 size-thumbnail\" src=\"https:\/\/www.fitpro.com\/blog\/wp-content\/uploads\/2021\/11\/Paul-Edmondson-cropped-150x150.png\" alt=\"Paul Edmondson headshot\" width=\"150\" height=\"150\" \/><\/p>\n<p><strong>Paul Edmondson<\/strong> is a dedicated leader within the fitness industry, having worked with, and for some of the leading pioneers and biggest\u00a0brands in the world both nationally and globally. Paul has presented in 24 countries, over 5 continents on behalf of Gray Institute,\u00a0<a href=\"https:\/\/www.viprfit.com\/\" target=\"_blank\" rel=\"noopener\">ViPR<\/a>, TRX, Anatomy Trains, Trigger Point, SKLZ, institute of Motion and at the IDEA World conference. His thought-provoking sessions are designed to bridge the gap between the traditional and new sciences to better equip trainers to serve their unique and individual clients. Paul takes pride in delivering complex content in a simplified and application specific manner that is perfect for trainers wanting to learn more, and is determined to drive forward those he works with to help them become \u201cbetter versions of themselves\u201d<\/p>\n<h5><strong>References<\/strong><\/h5>\n<ol>\n<li>Rusin J, Shoulder\/Pulling Health, https:\/\/drjohnrusin.com, accessed on 14 September 2021.<\/li>\n<li>McGill S, Low Back Performance \u2013 https:\/\/pubmed.ncbi.nim.nih.gov, accessed on 14 September 2021.<\/li>\n<li>TRX Suspension Training instructor education \u2013 5 TRX exercises to build a stronger back, https:\/\/sg.eastcoasttrainingzone.com, accessed on 14 September 2021.<\/li>\n<li>ViPR Global LMT 1 online\/live course (whole-body strength using myofascial lines).<\/li>\n<li>Siff M and Verhoshansky Y, http:\/\/educ.jmu.edu (Conjugate Strength Training \u2013 James Madison University), accessed on 14 September 2021.<\/li>\n<li>Gray Institute, Matrices (Functional video digest series), V45 \u2018Matrix system functioning\u2019.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Paul Edmondson encourages us to rethink the balance principle when devising programmes for clients, in&#8230;<\/p>\n","protected":false},"author":3,"featured_media":9379,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[35,2980],"tags":[3086,3087],"class_list":{"0":"post-9377","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-personal-training","8":"category-exercise-video-library","9":"tag-health-spine","10":"tag-healthy-shoulders"},"acf":[],"_links":{"self":[{"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/posts\/9377"}],"collection":[{"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/comments?post=9377"}],"version-history":[{"count":1,"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/posts\/9377\/revisions"}],"predecessor-version":[{"id":9378,"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/posts\/9377\/revisions\/9378"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/media\/9379"}],"wp:attachment":[{"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/media?parent=9377"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/categories?post=9377"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/tags?post=9377"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}