Achieve Performance Lab

Achieve Performance Lab One-on-one physical therapy aimed at getting active people back to the activities they love.

Super excited about this webinar coming up on strength training for females with myself, Dr Ellie Somers, Dr Stephanie M...
01/13/2021

Super excited about this webinar coming up on strength training for females with myself, Dr Ellie Somers, Dr Stephanie Mundt, and Dr Renee Hodges.

Across four sessions we will be discussing programming strength training, and how strength training can look different across the lifespan from adolescence to menopause.

If you are wondering how to program strength for yourself or other female runners, this is for you!

First session begins Monday, February 8 and will include live instruction + Q&A each week for four weeks. Registration will also include access to recordings, so you can go back and listen later.

Register here: https://us02web.zoom.us/webinar/register/WN_LsXglzZBR3ukJkrvLMKshw

I heard this statement on a podcast recently, and it has become my new mantra.⁣⁣"Consistency over intensity."⁣⁣This is t...
10/27/2020

I heard this statement on a podcast recently, and it has become my new mantra.⁣

"Consistency over intensity."⁣

This is true in many areas of life including rehab and training. I will have clients come to me performing extreme exercise plans, diets, and lifestyles because they are looking for significant changes in their current status. The truth is, these intense plans can leave people feeling frustrated, under recovered, and further away from their goals.⁣

Small changes and habits compound into larger changes in the long run and are often more sustainable than complex, demanding routines. It can also be helpful to only change one variable at a time to see what is truly beneficial.⁣

This mantra has been extremely helpful in my current health and entrepreneurial journey. With the current environment, I have needed to adjust many of my expectations. Being a goal oriented person, I need to remember that 110% intensity at all times is not sustainable. Instead, making small steps each day keeps me from burning out and losing traction.⁣

In what areas of life have you seen consistency pay off over intensity?

10/16/2020

Lateral step down with weight⁣

This is a staple exercise of mine with runners. It is often low hanging fruit after a lower extremity injury. I am checking for altered movement patterns in the ankle, knee, and hip. Often I will see changes in trunk position or with the knee collapsing inward, so it can be helpful to view from both the side and front.⁣

It is a great addition to a strength routine and incorporates rhythm and coordination for runners. Aim for fluid, controlled motion. Only the heel should tap down onto the ground to ensure the leg on the step is doing more of the work. ⁣

09/11/2020

We often talk about the importance of hip abduction strength, but forget to talk about the muscles on the other side of the hip- the adductors! I will have clients complain of tightness or soreness in their groin (adductor) muscles. This is often a neurological response due to weakness in the muscles. The muscles will tighten to avoid becoming overstretched when fatigued. By strengthening, we can reduce this sensation of tightness.

I often find these muscles are low hanging fruit for those with knee, hip, or low back pain. Anecdotally, I found adductor strengthening was a key in my low back rehab due to the attachment of the muscles at the pelvis.

Performing a “short lever” Copenhagen plank with the knee supported by a chair, bench, or step can be a good starting point for many. The exercise can be progressed to a “long lever” Copenhagen plank where only the foot is supported to work the adductors more. The goal is to keep the hips elevated for the duration of the exercise. When the hips drop, we lose adductor engagement and trunk stiffness.

Runners have firm beliefs on what they should be doing to prevent injuries.  What if I told you many of these treatments...
09/04/2020

Runners have firm beliefs on what they should be doing to prevent injuries. What if I told you many of these treatments and modalities are not as effective as once thought? 🤔⁣

In this study, 720 runners answered a questionnaire after an organized running event. They were asked their beliefs on injury prevention strategies. Their responses included stretching, appropriate shoes, strength training, balance training, insoles, massage, kinesiotaping, and orthoses. Of these runners, 21.9% were dealing with an injury prior to the event. Clearly their strategies were not working 🙊⁣


So, what DOES reduce injury risk?⁣

💎 Training load management- Are you monitoring frequency, duration, intensity of workouts to ensure you are not progressing too quickly? Are you factoring in other life stressors that may be limiting your body’s capacity to take on physical stress from workouts?⁣

💎 Sleep- Are you getting at least 7-8 hours of sleep each night? Our bodies need sleep to adequately recover from our training loads. Without enough sleep, we are slower to recover and this heightens our risk of injury.⁣

💎 Nutrition- Are you fueling your body for the activities you are performing? Athletes need to ensure their caloric intake is at least what they are burning during the day to avoid a caloric deficit. This leads to low energy availability and results in compromised physiological processes which can affect recovery, performance, and increase injury risk.⁣

💎 Strength training- Are you lifting weights? Stronger athletes get injured less. The stronger you are, the greater capacity your body has for physical activity.⁣


Not sure where to start or how to piece these areas together? Reach out to a running coach.⁣

Wilke J, Vogel O, Vogt L. Why Are You Running and Does It Hurt? Pain, Motivations and Beliefs about Injury Prevention among Participants of a Large-Scale Public Running Event. Int J Environ Res Public Health. 2019;16(19):3766. Published 2019 Oct 7. doi:10.3390/ijerph16193766

08/27/2020

Split Squat with Isometric Heel Raise⁣

When programming strength exercises for runners, I like to emphasize quads, hamstrings, glutes, calf complex and core. This exercise hits all of those areas. Take note of how the front heel is elevated and held in this position. Not only does this work the calf complex, but also requires more frontal plane (side to side) control to maintain upright posture.⁣

Grab some weights and give it a try

🏃‍♀️ Step Rate Manipulation 🏃‍♀️⁣⁣Heiderscheit (2011) found that increasing step rate by 5-10% can reduce mechanical ene...
08/21/2020

🏃‍♀️ Step Rate Manipulation 🏃‍♀️⁣

Heiderscheit (2011) found that increasing step rate by 5-10% can reduce mechanical energy absorbed at the knees by 20-34%. This is important to note as approximately 50% of running injuries occur at the level of the knee. An increase in step rate was also found to reduce step length, vertical center of mass excursion, braking impulse, hip adduction angle, and hip internal rotation moments. ⁣

What is the practical implication of this? 🤔⁣

Manipulating the step rate can have an impact on many variables of running gait. Changing step rate can be an alternative to changing foot strike when gait retraining. Increasing preferred step rate by 5-10% can be helpful in runners who overstride as well as those dealing with a running related injury to the knee. ⁣

Using a metronome can be an easy way to get runners to increase their cadence. There are many different apps that can be downloaded for this. Weav Run is an example of one that changes the beat of songs to your specified cadence.⁣

Now this does not mean every person needs to change their cadence. Having a running evaluation performed by a physical therapist or running coach can be helpful to determine if any individual changes should be made. Have you ever had your running gait analyzed?⁣


Heiderscheit, Bryan C et al. “Effects of step rate manipulation on joint mechanics during running.” Medicine and science in sports and exercise vol. 43,2 (2011): 296-302. doi:10.1249/MSS.0b013e3181ebedf4⁣




📢  New Blog Post 📢 To Stretch or Strengthen?⁣⁣I don't know about you, but I don't feel like there is enough time in the ...
07/06/2020

📢 New Blog Post 📢 To Stretch or Strengthen?⁣

I don't know about you, but I don't feel like there is enough time in the day! I want to make the best use of my time. Check out this new blog post to learn what the most efficient use of your time is with training. ⁣

https://www.achieveperform.com/post/to-stretch-or-strengthen

Is your healthcare provider (HCP) taking the time to LISTEN to you?  The current healthcare model in the US means rushed...
06/26/2020

Is your healthcare provider (HCP) taking the time to LISTEN to you? The current healthcare model in the US means rushed appointments and double bookings. If I only had 5-10 minutes to gain a history from someone this would NOT be long enough for me to get a lens into their story. If I take the time to listen and UNDERSTAND, the patient will more often than not tell me exactly what they need.⁣

A relationship with a HCP should be an alliance. Teamwork to reach your goals. Not just the HCP telling you what to do. Or offering a quick fix to mask the symptoms. This is your health and we should be looking for long term, sustainable solutions. If you need assistance finding a HCP that will take the time to listen to your needs to give you the best possible care please reach out to me. It’s time for us to advocate for ourselves and stop accepting the current healthcare model.⁣

We are so excited to start the 𝐒𝐡𝐞 𝐑𝐮𝐧𝐬 group. Stephanie Mundt and I are going to kick off the group with a Facebook Liv...
06/23/2020

We are so excited to start the 𝐒𝐡𝐞 𝐑𝐮𝐧𝐬 group. Stephanie Mundt and I are going to kick off the group with a Facebook Live this Thursday at 6pm PST/8pm CST discussing our personal experiences with running and stress fractures and how our food intake played a role in our injuries. We both feel this is a topic that is not discussed enough for females. We will share what to look for with your own running and when you should reach out for support. Our goal is to keep females running healthy and happy.

Sign up for free https://www.facebook.com/groups/3178730412177348/?ref=share

See you Thursday!⁣


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