Filed under: Training
The American Academy of Orthopaedic Surgeons defines a stress fracture as a tiny crack in a bone that occurs when fatigued muscles lose their ability to absorb shock and then transfer stresses to the bone. Most stress fractures occur in the lower extremities, and more than half occur in the lower leg and foot.
A stress fracture is an overuse—sometimes referred to as chronic—injury, which means that it develops over a long period of time—from weeks to months. According to a 2011 systematic review published in Military Medicine, stress fracture incidence is high among U.S. military recruits, ranging anywhere from 3% for men to 9.2% for women.
Since it can take several weeks or months for a stress fracture to heal, the best approach is to avoid getting one. Here are some tips for prevention:
- Apply the progression principle of training—gradually increase your training intensity. Slowly incorporate higher-stress activities such as jumping and interval training into your workout. Setting incremental goals can be helpful in carrying out your training routine in a gradual way. And check out HPRC’s Physical Fitness Resources for more information on training and ways to avoid injury.
- Check your footwear and make sure it matches your training. Replace footwear that is old or worn.
- Pay attention to the surface where you train, since some are easier on the bones and joints of the lower extremities. For example, it is better to jog on softer surfaces such as rubber track or grass rather than on concrete. Also, it’s better to begin training on a flat surface and then progress to hills.
- Monitor your diet, specifically calcium and vitamin D intake, and read the National Institute of Health’s Dietary Supplement Fact Sheet on calcium. To learn more about nutrition take a look at HPRC’s Nutrition Resources.
One Shot One Kill: Want to learn how the elite warrior accomplishes optimal performance time after time, under the most challenging conditions? The HPRC now has new program materials for the One Shot One Kill (OSOK) performance enhancement program online for you to use and download—by yourself or with your unit! One Shot One Kill (Integrative Platform version) is a “warrior-centric” performance enhancement program that warriors can set up and manage on their own. OSOK-IP is designed to enhance performance, hardiness, and resilience. By building on the skills that Warfighters already possess, OSOK aims to translate good Warfighter qualities to outstanding ones. OSOK-IP comes in two versions:
OSOK-IP Solo is a step-by-step integrative training plan, with supplemental materials, that enables the individual Warfighter to pursue this method of Total Fitness on his or her own and reach the optimal level of performance in almost all areas of life.
OSOK-IP Train the Trainer enables your unit to train as a group by selecting one member to learn and present OSOK-IP to the rest of the unit. This section of the website has the full curriculum available to download and even customize OSOK-IP content for your own military culture and unit.
We look forward to your feedback, too. Check out OSOK and let us know what you think!
Getting in the best shape of your life requires you to push your training regime to the limit. However, without appropriate rest periods and diet, this can lead to serious conditions known as “non-functional overreaching” (NFO) and “overtraining syndrome” (OTS). What occurs is that your performance begins to decline, even though you are training as hard as ever, and you start to feel tired and “stale.” Read HPRC’s Overview “Overtraining—what happens when you do too much” to learn about the serious implications of these conditions for Warfighters.
When training, an athlete should be specific about methods of training that meet the needs of the activity he or she is training for. To achieve an optimal performance level, a sprinter will train in a different way than, for example, an endurance athlete such as a marathon runner. Make sure that you “stress the physiological systems” right for your type of activity. In other words, if you are going to compete in a race, you need to run to become a better runner. Likewise, if you are going to compete in a cycling or swimming event, you must perform those exercises to become better. Wanna be a better tennis player? Play tennis! Although a well rounded program that includes strength training, aerobic conditioning, and flexibility exercises will improve your general fitness, to improve at a specific activity or sport you must perform that particular exercise.
Overuse injuries are a common risk associated with the rigors of physical training. A healthy tip to implement into your training program is to gradually increase your training workload by just 10% each week. This will help—but not guarantee—to reduce the risk of muscle or joint injury such as tendonitis or stress fractures caused by repetitive trauma. In essence, keep the progressive changes in your activity levels gradual, listen to your body, and make incremental adjustments in time and intensity until you reach your new fitness goals.
Continuing to work out is important because you do not want to lose the strength and endurance you have built up. Reversibility occurs when training stops or decreases. To ensure that you don’t lose your progress, you must “use it,” or else you will “lose it."
In any training program, you should follow a day of hard, intense exercise with one or even two days of “easy” training. This gives the body and mind time to recover before the next “hard” day. In addition, this helps prevent overtraining and encourages variation in your workouts.
There’s probably no other body region people work on so hard to get results than the abs. The common goal of sporting a “six-pack” is why abdominal equipment machines make up the largest part of the commercial fitness industry. People are constantly searching for the key to the washboard stomach they desire, whether it’s the newest fad piece of equipment or traditional bodyweight-driven exercises.
Unfortunately, many of these abdominal exercises provide little improvement to the target musculature and inadvertently place the lumbar spine in a position that could lead to lower back pain and injury. Just a few examples of hip-flexor-dominant exercises that can place the exerciser at risk are supine leg lifts, supine leg lifts with partner-assisted push down (a partner pushes down on the raised legs while the exerciser attempts to decelerate leg movement), hanging leg lifts, leg levers (lying supine while maintaining feet six inches off floor), and leg levers with unilateral or “scissor” kicks are.
To understand why these movements are both inefficient and contraindicated, it’s important to have a basic understanding of the abdominal anatomy. The rectus abdominis, the primary “six-pack” muscle responsible for the flexion that occurs during a curl-up, extends from the pelvis to the lower sternum. It is not involved in moving the legs. The hip flexors are responsible for the leg movements in the exercises mentioned above, while the rectus abdominis and associated muscles attempt to stabilize the spine Without adequate stabilization, the strong pull of the hip flexors leads to a marked anterior tilt of the pelvis. The abs are often unable to maintain stability, and the strong pull of the hip flexors causes the pelvis to tilt, creating an increased curvature in the lower back that compresses the lumbar area. Over time, this can lead to back pain and injury.
As a general rule of thumb, if you’re unable to maintain a stable spine position, or if you have a history of lower back pain or injury, these exercises should not be performed. There are other abdominal exercises that you can use to train more efficiently and more safely.
Even the most novice exerciser will be familiar with this common abdominal exercise: the bent-knee abdominal curl-up, or “crunch.” It has replaced the traditional sit-up as a staple in abdominal training due to its ability to recruit the abs without excessive hip-flexor activity. By varying hand placement—across the chest, behind the head, or extended overhead—the difficulty of the movement can be increased.
Crunches with a stability ball
A popular method to increase the difficulty of crunches is to perform them with a stability ball. Therapists have used stability ball training for years, and they are now becoming a common sight in gyms, as well. By reducing stability, the ball forces the exerciser to use his or her core-stabilizing muscles to maintain position, increasing the challenge to the abs. The result is a significantly greater amount of abdominal activity when compared with regular crunches.
A method of ab training not used often is the standing crunch, in which you flex and rotate your torso in various ways from a standing position. During the high to low “wood-chop,” for example, the rectus abdominis and oblique muscles are active during both the downward and upward phases. With rotation, emphasis is concentrated on the obliques. These exercises also have more “real-world” functional relevance, as they mimic everyday movements. In addition, various types of resistance—such as medicine balls, cables, resistance bands, and cords—can be used to make these exercises more difficult.
It’s important to be aware that many common abdominal exercises are not only ineffective but, more important, can place stress on the lower back. Try one of the safer alternatives above, focusing on correct form. The right abdominal training can benefit your trunk muscle strength and endurance, increase core stability, and improve functional movement—and can also start you on your way towards developing your “six-pack” abs.
In order to reach your optimal performance level and minimize injury, you should incorporate aerobic, anaerobic, and strength training into your training program, and also give your body time to adapt as you work towards your fitness goals. Just last month, the American College of Sports Medicine (ACSM) published its new guidelines for exercise professionals, the first update since 1998. (Warning: ACSM publications tend to be a bit technical, but they have great information for the motivated reader.) Among other things, it emphasizes the need for diversity.
Aerobic exercise strengthens your heart muscles and improves your heart’s ability to pump blood as needed when you are active. Some examples of aerobic exercise are walking, running, cycling, fitness classes, and any other type of activity that requires movement of your large, lower body muscles. This type of exercise can help reduce your risk of cardiovascular diseases, lower your resting heart rate, and improve your breathing, and your tolerance to more vigorous exercise.
With anaerobic training, you will see significant increases in your muscular strength and speed. Basically, anaerobic exercise involves exercising at such a rate that your bloodstream can’t get enough oxygen to your muscles to meet the demands. It can be achieved with any activity that produces brief spurts of high-intensity activity, including sprinting and sports such as football, basketball, and soccer. Weight lifting and interval training can also provide anaerobic exercise. This type of exercise helps your body become better at higher levels of exercise with less fatigue.
The third key component to a complete exercise program is strength training, such as using weights or resistance equipment. Not only can it enable you to increase your strength and muscle size, it can help you build stronger muscles that will enable you to lift heavier loads. However, you need to plan your strength exercises so that they maintain the mobility and stability of your muscles as well as build size and strength. Your muscles need to maintain or increase their range of motion to help prevent injury. The ACSM also has recommendations on how to ramp up your strength training.
The final link in the fitness chain is flexibility. Long debated by the exercise community, flexibility exercises have earned new respect by way of a “Position Stand” just released this year by the American College of Sports Medicine (ACSM). It summarizes the value of flexibility exercises as improving range of motion and stable posture (the ability to keep your body in a stable, balanced position). The report covers the various methods of stretching that can be incorporated into a complete training program. The ACSM’s June 2011 press release includes an excellent summary of these new guidelines—which cover all aspects of exercise—as well as a link to the complete document.
If you incorporate all four of these types of exercise into your training program, you will have a healthy heart and lungs and more endurance (aerobic exercise), speed and power (anaerobic), and range of motion (flexibility training). And by diversifying your exercise regimen, you will feel fresher and be less likely to become bored. Best of all, you will be on your way to Human Performance Optimization!
One review of studies on the effects of plyometric (explosive jump) training, or PT, suggested that plyometric training can enhance vertical jump ability and leg power for healthy individuals. This training can be as simple as drop jumps, counter-movement jumps, alternate leg bounding, and hopping. And there are PT exercises for the upper body, too! The purpose of PT is to improve your athletic performance by increasing the speed or force of muscle contraction that enables you to jump higher, run faster, throw farther, or hit harder during a game. The full article is available online from the British Journal of Sports Medicine.