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Archive for the ‘Sports’ Category

Peak to Valley Ski Fitness Program

Tuesday, December 27th, 2011

Welcome to the Peak to Valley training program – a comprehensive pre-season fitness program that will help you become a stronger skier or snowboarder and prevent injury this year on the slopes.  Every month, we will post new programs for you to follow so please stay tuned at the start of each month for your new programs.  The training plan is well thought out, starting with simpler exercises at lower intensities and progressing toward more complex activities at higher intensities at the start of winter.

This is called the Peak to Valley Training (PTV) Program because it peaks in February at the same time as the annual Peak to Valley ski race on Whistler’s Creekside.  You don’t have to be competitive to use this program – everyone should use it to get into shape for the ski season!  For the competitive types, we will be posting a special power training program for the 6 weeks leading up to the PTV ski race – we highly recommend you check back to the website for these workouts, because they are extremely effective at helping you make large, last minute fitness improvements that can help you take your ski fitness to a much higher level for a short period of time.  The Peak to Valley Power Training program will be posted the final week of December!

Training Program FAQ’s

Should I see a doctor before performing these workouts?

Everyone who participates in this program should see his or her Medical Doctor first because the workout intensities are vigorous, and will likely push your heart and lungs to their upper capacities.

How do I decide how many sets I should do of each exercise?

You will notice a range of sets for each exercise.  For example:

- 1-4 Sets of:  4(30 sec hard: 30 sec easy)

People who are relatively unfit and are not used to the type of workout that is assigned, should do the smallest amount of sets on the first week of the month, and then they can slowly increase the number of sets of they perform up until the mid range range of the recommended sets near the month’s end.  In the above example, a person who is 60 years old, and only works out 1-2 times per week already should start with one set of each for the first 2 weeks, then do 2 sets of each on the last 2 weeks.

People who are very fit can start at the mid range of the recommended sets and then slowly work up to the maximum recommended sets by the month’s end.  In the above example, you would start with 2-3 sets of each and progress to doing 4 sets on the 3rd or 4th week.

How do I decide how hard I should push myself/ what intensity I should do?

Your suggested intensities are included for your aerobic workouts.  For example, 7/10 intensity is a fairly hard intensity – you could only go for about 20-30 minutes at that pace, whereas 5/ 10 you could probably go for almost all day, and 10/10 you could only go for about 10 seconds.  The heart rate zones are also included for those who are familiar with them.  Come in and get a lactate with us if you want to learn more about them!

For your Anaerobic workouts, your pace is generally all-out.  If you don’t have much experience pushing yourself this hard, then you should be very careful not to push too hard at first.  You should warm up dynamically (Lunges, Squats, Twists, Leg swings, etc) and break a sweat before any of these workouts.

If the workouts don’t make sense…

Come on in for a session and we will teach you what everything means and how you should be doing the workouts!

January Weekly Schedule

  - 1 / Week:  Aerobic Power Workout

  - 1 / Week:  Anaerobic Threshold Workout

 - 1-2/ week:  Plyometric/ Ski Specific Prep

 - 1-2/ week:  Strength

 - 1 / Week:  Recovery

- 1-2 / Week:  Ski (For those that ski more, you don’t need to subtract workouts, but you should do less volume/ less sets of all exercises to avoid overtraining)

- Try the once per week peak to valley progression listed in a separate blog entry!

* Don’t Forget to only do 1/2 of the recommended exercises for the last week in January!  Your fitness will peak in the start of February!

 

 Workout Summaries

Aerobic Power Workout (Bike or Run)

- Warm Up – 20 minutes (Include submaximal sprints)

- Main Set:

- 2-4 Sets of:  6 X (30 sec hard: 15 off), Rest 3 minutes before repeating each giant set.

- HR Zone 4 or 8-9/ 10 effort

- Progress rest from 15 seconds to 0 seconds by your 6th week.

- Do your most number of sets on the 2nd or 3rd week in January.

- Last week of January, perform only 1-2 sets.

- 10 minutes passive rest / with or without stretching.

- 1-3 Sets of:  6 X (60 sec hard: 30 off), Rest 3 minutes

- HR Zone 4 or 8/ 10 effort

- Do your most number of sets on the 2nd or 3rd week in January.

- Last week of January, perform only 1-2 sets.

- Cool Down – 10 minutes

 

Anaerobic Threshold Workout (Bike or Run)

- Warm Up – 15-20 minutes

- Main Set – 1-3 X 15 minutes at 7-8/ 10 intensity (HR Zone 3a)

- Cool Down – 10 minutes

- Stretch – 10-20 minutes

 

Recovery Workout (Bike, Run, Hike, Swim, Stability Workout, other)

- 30-60 minutes at easy pace

- 5-6 / 10 intensity or heart rate zone 1.

- Okay to add short sprints of 10-20 seconds every 5 minutes.

- No warm up or cool down necessary.

 

 

 

 

 

 

 

Plyometric/ Ski Specific Prep:

- Warm Up 20 minutes (Dynamic Warm Up – Squats, Lunges, Quick Drops, Submaximal Jumps)

- Main Set:

- 1-4 sets, Rest 2-3 minutes between each:

- Lateral Tuck Steps – 1 minute (rest only 1 minute between sets)

- Knees above the toes at all times – start high position, progress to low.

- Single Leg Square drill (3-5 laps), with speed followed by 1 minute of balance

- Lateral 2 Foot hops over 2 lines – 10/side.

- 2 lines, .6-1 meter apart.  Jump over one single line twice then your third jump is long over top of 2 lines to the other side.

- Count only the long jumps.

- Single Leg Lateral Jump (Skater’s Jump) – 16

- Be sure to be balanced and have good form before you take off for a new jump.

- Forward bounding tuck jumps – 10

- Lateral-Vertical Jumps with limited ground contact – 10

- Jump Laterally as far as you can, then jump vertically as high as you can with limited ground contact.

 

- Tuck Progression:

- Without taking any rest, do one large set of the following exercises (each exercise is 30 seconds):

- Tuck

- Lateral Tuck Steps

- Tuck

- Single Leg Tuck (30 sec./ leg)

- Tuck

- Tuck Jump – 10 jumps

- Tuck

- Quick steps in low tuck

- Tuck

- Tuck Up/ Downs

- Tuck

Strength Workouts 

- We offer weekly supervised strength sessions that are of high quality and great value.  At an entry cost of $100/ month, these sessions allow us to:

- Ensure you are performing your exercises and stretches correctly

- Make sure you are following the weekly program correctly

- Offer extra guidance that is specific to you (stretches, therapeutic exercises, diet tips, etc)

- Motivate you and help to make exercise a fun and social experience.

- In General, January’s strength sessions should emphasize lower repetitions (6-8/ set) with ample rest periods (>60 seconds) between sets to allow for full recovery.  Do anywhere from 2-4 sets of each exercise – more experienced trainees should perform more sets with heavier weights.  Try to do more sets per workout as the month progresses, then take it easy for the last week of the month.  In general, exercises should be full body in nature, performed quickly

Have Fun!

Dr. O

Plyometrics are not just for elite athletes

Tuesday, December 6th, 2011

 

Lynn demonstrates how a jumping or plyometric exercise doesn’t have to be overly intense or aggressive. A nice low step like this one allows most moderate to advanced trainees to safely strengthen their fast twitch muscles, joints and connective tissue to prepare for winter sports.

Dr.O

Speed and Agility: July Fitness Theme

Friday, July 1st, 2011

Monthly Theme:  Speed

July’s theme is speed and agility.  Almost all of us need speed and agility whether we realize it or not; even the elderly sometimes need to move quickly in order to stop themselves from falling or to catch something quickly.  Most sports require significant amounts of quickness in order to execute perfect shots, run really fast, change direction, dodge another person, or to maintain their balance.  Strength training allows an athlete to develop more muscle mass and create more force in the muscle, but speed and agility training helps to make that force into something an athlete can use to do their sport better.   “Train slow, be slow” is a good catch phrase to keep in mind for training, and that is why it is good to stress quickness at certain times of the year.

So how often should people train for speed and agility, and what types of exercises should you choose?  At minimum, most people would benefit from doing basic footwork agility once per week.  This could be as simple as stepping forwards and backwards over a single line as quickly as you can for 20 seconds X 3 sets.   The type of exercises you choose should vary based on the demands of your lifestyle and sports that you choose.   Some athletes will have 3-4 workouts per week that are dedicated to combinations of jumps and sprinting, while some people may only need to do a couple of agility exercises in their garage once per week.  Some speed/ agility drills can also put significant loads on the joints of the body, and so anyone who has arthritis or any other medical problem that could be worsened by exercise should be careful what exercises they choose.

The following is a list of various speed and agility drills that you can try.  Be careful to choose only exercises that are similar to exercises that you have done in the last 2 months – if they are new to you, you should do the minimum amounts of sets and make sure your quality is good before progressing toward to going 100% with your efforts.  Start with the low impact ones and slowly progress (over 3-6 months) toward the higher impact ones.

Sample Speed/ Agility Drills

Perform between 3-6 of the following drills in any given workout, for 1-3 sets per exercise.  Keep the time for each set to less than 20 seconds.  You should stop before the body starts to feel fatigued, and always allow lots of rest (1-2 minutes) between sets if you want to make the most improvement possible.

Low Impact

- Stepping over a single line

- Side to side

- Forward and back

- Stepping in a ladder

- Various patterns that involve side to side, diagonals, forward and backward movements.

- Stepping over a low hurdle or another low obstacle

- Forward and back, side to side, crossing over.

- Eccentric drops

- Dropping quickly into a squat, one leg or two legs.

- Catching balls

- Medicine balls – dropping to catch them.

- Tennis balls – having to move short distances to reach the ball

- Throwing balls – side to side, single arm, double arm, against a wall or mini tramp.

- Any core drills that involve quick movements with the upper body and or lower body.

Medium Impact

- Quick contacts, 2 feet on the spot.

- Hopping over a single line

- 2 feet first

- Progress to one foot over time.

- various directions/ patterns.

- Hopping in a ladder

- Various patterns.

- Running drills (keep intensity low and sets long at first, then progress to higher intensities for shorter amounts of time)

- Side to side shuffle touching cones

- Slalom around cones or set 90 degree turn patterns.

- Forward and back around cones in figure 8 pattern – moderate intensity.

- Low intensity squat jumps and step jumps

High Impact

- Sprints – 100 meters and less

- Hops over hurdles of various heights

- 2 footed hops over low hurdle

- Change of direction running drills

- 5-yard line touching drills

- Slalom cone drills.

- 5-10-5 pro agility drill.

- T agility drills

- 3 cone shuttle/ L drills.

-  Vertical Jumps, tuck jumps, standing broad jumps, lateral bounding jumps, S foot jumps, S leg penta jumps.

Lactate Testing: Not Just for Athletes

Tuesday, January 5th, 2010

Lactate Testing is quickly becoming the preferred test for people that want to assess their aerobic capacity and determine how to make the most of their exercise program. I began to offer lactate testing to all of my patients in 2009 and I have found it effective not only for athletes but also for anyone that wants to take a more precise, deliberate approach to their exercise program.

Testing blood lactates is a relatively new practice in sport that has become popular in the last 10-20 years, especially in sports such as swimming, rowing, speed skating and endurance sports like marathons, triathalons, cycling, etc. At first, even the best trainers in the world were often confused with the use of lactate testing, but over the last 10 years, some consensus seems to have been reached on some topics and experts agree that lactate testing is a superior tool for 3 key purposes:

1 – Measurement of Endurance Performance:

Traditionally the preferred performance test for endurance activities has been the VO2 max test. A drawback to the VO2 max test is that it assesses aerobic power at a maximal intensity over a short period of time – this is not reflective of a true endurance activity which requires a longer duration of activity at a submaximal effort. Other downsides to VO2 max testing is that it can be very expensive (good equipment is very costly) and the devices used to breath in and out of can cause anxiety and discomfort in for the athlete. Aside from the minor discomfort of finger tip blood sampling, lactate testing suffers from none of these drawbacks, and is probably a better performance indicator at submaximal efforts.

2 – Assessment of changes in aerobic fitness over time:

The lactate test measures your lactate levels at many different levels of exertion. As you become more fit, your lactate levels will be lower at each of these individual exertion points; the test demonstrates that you are doing the same amount of work at lower intesities than before. This shift in lactate levels over time is a very sensitive indicator of training adaptation.

3 – A tool to opimize training intensities:

Because lactates can be used to estimate your intensity levels during exercise, it is probably the best method to determine and prescribe future training intensities or ‘training zones’. This is especially useful for fitness professionals so they can avoid overtraining or undertraining an athlete. Learning your ‘Lactate Thresholds’ can essentially make your training more specific to your goals. Whatever your goals, lactates can be used to help get reach them quicker; you can more precisely improve your endurance, your V02 max, your ability to heal and recover, or your ability to burn fat during a workout.

In his book, “The Science of Winning”, Jan Olbrecht talks about how he uses the lactate tests with elite athletes prior to big events in order to properly balance their aerobic and anaerobic systems. Although this use is less popular, it is very enticing; it is hard to argue with the 40 olympic medals that Olbrecht was part of in the Athens Olympics!

Understanding Blood Lactate

Lactate is a byproduct of glucose, or ‘sugar’ in your body. As lactate accumulates during exercise, we can assume that you are using glucose as an energy source. As the intensity of an activity increases, the percentage of energy that comes from glucose will increase, and you will produce more lactate, which can be measured in the blood. At low intensities of exercise, your body uses its aerobic energy systems (using oxygen for energy) which spares glucose and keeps lactate levels low. The more aerobically fit you are, the harder you can push yourself without accumulating lactate. Over time, as you become more aerobically fit, you will be able to achieve higher levels of intensity and keep your lactate levels the same. If we graphed this over time, your lactate curve would shift downwards, and to the right.

As you increase your intensity during exercise, you will eventually overwhelm your body’s ability to recycle or remove lactate from the blood. The highest intensity at which you can create lactate in the body and still remove it from your blood is called your lactate balance point. This is an important intensity to learn, and it has many other names; ‘anaerobic threshold’, ‘lactate threshold’, or just ‘threshold’ are the other most common names used. As you push yourself beyond this intensity, your body’s energy systems will actually become inhibited and your performance will suffer if you hope to perform much longer than 5-8 minutes. Getting to know this balance point is critical for everyone, not just athletes, exceeding your balance point in training could have negative effects to your health, your performance or even your ability to lose body fat.

How Lactate Testing is Done

So what does a blood lactate test look like? The most widely used method involves an endurance test that has incremental increases in intensity. Each stage can be anywhere from 2-5 minutes, and at the end of each stage a small blood sample is taken by a fingerprick and placed into an analyzer. The total test length can vary anywhere from 20-60 minutes, depending on the fitness of the athlete and the length or increments of the stages. Testing is usually performed on a bicycle ergometer or a treadmill.  As stated previously, the test is approximating intensity at all stages, and so it does not require the participant to go ‘all out’, but it does require the participant to go up to at least an 8 or a 9/10 on the exertion scale.

Becoming more popular is the FACT method, which involves an initial staged performance test as outlined above and then follows that up with a another staged approach that is thought to better isolate the balance point between lactate production and removal from the body. I utilize both methods, as I find the traditional method effectively demonstrates fitness adaptations over time and the FACT method is excellent for determining future training intensities or ‘training zones’.

Set Your Targets and Optimize Your Training Time

After your lactate test, you will have objective information from which you can set future targets for improvements. You will also have an outline of your individualized training zones that you can use to effectively target your weaknesses and make the most of your limited training time.

Prehabilitation – A Pro-active Approach to your Physical Health

Sunday, November 30th, 2008

During my athletic career, I was impressed by the knowledge and understanding of the physical therapists that helped me.  Unfortunately, I almost always had to be injured before I would benefit from their expertise.  It made no sense to me to wait until I was hurt before addressing my physical weaknesses ; I wanted something more pro-active.  Prehabilitation (prehab) is the act of applying rehab principles to healthy individuals in order to prevent injury and enhance physical performance.

Rehabilitative principles are applied in a step-by-step fashion, to ensure that the body is not forced to do anything that it is not ready for.  I will outline some of these steps, and give you examples of why each could be important to you:

Reduce Pain and Inflammation

Pain or inflammation in a joint causes key muscles to be deactivated, as well leads to patterns of avoidance.  Running with a sore back for instance can train key stabilizing muscles not to work, leading to instability of the back long term, and can cause you to adopt habits that could make you a slower runner in the long term.

Ensure Proper Joint Motion and Stability

Tight ankles, especially one sided, can cause rotation through the entire body, cause unequal wear and tear of joints, overuse of other joints, and poor balance.  Weak hamstring muscles can increase your likelihood of tearing ligaments in your knee.

Efficient Movement and Posture

Your technique when you exercise determines which muscles get strong, which ones stay long and supple, which joints get stressed, and how tired you get.  Anti-inflammatory herbs or medications may help for your knee pain, but if the cause of the knee pain is the way you walk or run, then your pain will always recur.

Notice that none of the above steps have much to do with general fitness; someone can be very strong or fit, and still fail some of these steps.  Every day, people are exercising or performing simple daily tasks with limitations in the above categories, and those seemingly healthy activities can be making them unhealthy.  Don’t wait until you are unsatisfied with your physical health; learn about your physical limitations and what you can do about them right now.

Dr Oughtred’s Adjunctive Exercise for Mike Janyk

Friday, October 31st, 2008



Take a look at this clip which highlights some of the exercises that Mike did during his recent visit with Dr Oughtred, in Vancouver, BC.

Whistler World Cup Weekend

Saturday, March 1st, 2008

Last weekend, Whistler hosted four world cup alpine ski races. The weather was fantastic, the snow conditions were fast, and the Canadian Alpine Ski Team athletes performed very well. I found the giant slalom race on Saturday particularly entertaining, and John Kucera’s performance down the final pitch entering the finish arena was very impressive. Our Canadian ski team is looking strong going into the 2010 Winter Olympics. 

That weekend, I also enjoyed doing some work for my friend and former teammate, Dana Williams. His company, Best of Both (www.bestofboth.ca), brings former World Cup ski racers together with ski enthusiasts of all kind. I enjoyed sharing some of my old ski racing stories and offering some helpful ski-tips to a great group of people from San Francisco. Thanks to Dana and Tim for a great experience!

An Integrative Approach to Chronic Pain: Headaches

Sunday, February 17th, 2008

During my 7 years of competition with the Canadian alpine ski team, I experienced several injuries, the most frustrating of which were the insidious injuries that seemed to appear out of nowhere. These injuries could last for months to years, and usually required multiple treatments to heal. Because one treatment alone was rarely effective, I began to think that there was more than one cause for these problems. It was for this reason that I decided to become an integrated health care professional, utilizing expertise from several different areas to help people experience better health.

Many chronic problems have more than one cause: type 2 diabetes, heart disease, autoimmune disease, asthma, headaches, overuse injuries, back and neck pain, irritable bowel, PMS, and psoriasis, are all examples of problems that have more than one cause or contributing factor. Common sense dictates that the assessment and treatment of such problems should be multifactoral. For example, an integrative assessment of the patient with chronic headaches would consider the following factors:

• Inactivity or obesity

• Overweight individuals that don’t exercise experience more health problems, including headaches

• Blood pressure

• High blood pressure or sudden changes in blood pressure can increase your likelihood of head pain

• Hormonal imbalance

• Migraines occur more in women, and they will often notice their pain fluctuates with menses

• Blood sugar imbalance

• Fluctuations in blood sugar can lead to the vascular constriction or dilation that is often associated with headaches

• Stress and cognitive influences

• Those who experience anxiety or depression, experience more headaches

• Neck problems

• The upper two vertebrae in your neck can cause an increase in head pain when they are dysfunctional

• TMJ problems or dental problems

• Food sensitivities

• Environmental sensitivities

• Poor posture and work position

• Poor vision or eye problems

• Infection or cancer

• Drug interactions

• Inflammatory disease

• Past trauma/ accidents

A multifactoral assessment allows the health provider to look at your health from a ‘bird’s eye view’, and focus treatments on the areas of your health that might contribute to your pain. Treatments could include physical therapies, supplements, therapeutic exercise, specific herbs, a special diet, or cognitive behaviour therapies. However, without an integrated assessment of your health, your treatment may be one sided, and may fail to address weaknesses in your complete health picture. It is for this reason that I recommend an integrated approach for your chronic problems, the prevention of disease, and for the pursuit of your optimum health status.

Ryan Oughtred

5 Ways to Prevent Low Back Problems in the Alpine Skier

Friday, February 15th, 2008

Injury to the lower back is one of the more common injuries incurred by the alpine skier. Waiting for back problems to happen before doing anything about them is probably a bad idea; the discs and bones of the spine generally only have nerves on their outermost portions, which means that damage to the inner portions of the vertebrae and discs can occur without experiencing any pain at all. The spine can degenerate ‘from the inside out’ for many years without any warning signals, and by the time an athlete is 26 years old-in the peak of a career-the spine can have significant amounts of permanent wear-and-tear. Here are the 5 most important preventive measures I think athletes and support staff can take to prevent back problems:

Build progressions in training schedules:

1. The risky forces for the spine are flexion, rotation, compression, and sheer; all of which are involved in skiing. Because avoidance of these risky forces is not possible, the athlete must be exposed to them gradually over time. Both on-snow and dry-land training should gradually involve progressions in both volume and intensity of activities that involve bending forward, twisting, weight lifting, and eccentric loading.

2. The adolescent spine may be especially vulnerable because the growth plates of the vertebrae are softer than in an adult, making them more prone to injury from compression and sheer forces.

Sit less, and never lift heavy after sitting:

1. Any time the spine is flexed forward for a period of time, such as with sitting, a phenomenon called ‘creep’ occurs in the tissues. The tissues are melded toward a shape that is different than normal. Heavy lifting or other compressive activity (such as ski racing) should be avoided immediately following a prolonged period of sitting or forward bending.

2. To combat the effects of creep from sitting on planes, in cars, or on chairlifts, athletes can perform extension exercises like McKenzie press-ups or other extension movements any time they have been prolonged to excess flexion.

3. When traveling – I would never allow athletes to lift heavy bags immediately after riding in a van or on a plane for hours. Stand up, walk around, and maybe bend the spine back a couple of times before lifting anything heavy.

4. When riding the chair lift – athletes should take time after every chair lift ride to stand up, bend back a little, and warm up before diving into another race run. While riding the chair, a relaxed upright posture is probably best.

Compress and twist the spine judiciously:

1. Twisting while you lift heavy weight doubles the load through the back. Athletes should be taught to never twist while they are lifting, unless it is an exercise specifically designed to prepare them for skiing.

2. Discourage athletes from packing heavy bags, and encourage them to share the work of lifting with other people.

Keep your spine neutral and stable:

We know that stability of the spine will prevent injury, but applying that to practice is not a simple task.

1. Maintain a neutral spine as much as possible when training, especially when lifting heavy weights or twisting.

2. Focus on endurance of the spinal related muscles, not just strength.

3. Integrate components of instability, unpredictability and precision into dry land training.

4. Full body exercises are probably better than isolated muscular activities. Even if the athlete feels like the exercise is too easy, it is still doing something for them.

5. Make sure athletes can breathe evenly throughout entire exercises.

6. Encouraging the athlete to lightly draw in their tummy, or ‘feel like they are stopping a pee’ while working out, might add to their spinal stability. Train everything. All the muscles of the core probably contribute to injury prevention in some way, as does the lower body and upper body. Search for balance, find weaknesses and eliminate them.

Proper biomechanics-the earlier better:

1. Taking the time to consult with someone who understands normal spinal mechanics and how to assess it could be a valuable investment.

2. If one area of the spine is not moving well, other spinal regions may be forced to work too hard, or in an unbalanced fashion. Detecting these kinds of imbalances early in a career may prevent future injury or even enhance athletic performance.

The field of low back problems is a difficult area. I have done my best to consider some of the evidence so far, and apply it to the ski racing athlete. I hope it was helpful!

Ryan Oughtred

More to read:

• Panjabi MM. The stabilizing system of the spine. Part 1. Function, dysfunction, adaptation, and enhancement. J Spinal Disord 1992; 5(4):383-9

• Richardson CA, Jull GA, Hodges PW, Hides JA. Therapeutic exercise for spinal segmental stabilization in LBP: scientific basis and clinical approach, Edinburgh: Churchill Livingstone; 1999

• McGill S. Low back disorders: evidence based prevention and rehabilitation, Champaign, IL: Human Kinetics Publishers, Inc.; 2002

• N. Bogduk, B. McGuirk. Medical Management of Acute and Chronic Low Back Pain. An Evidence Based Approach. Elsevier Science. 2002