Maximizing benefits through personalized exercise for optimal health and wellness

Exercise 0:12 0
“We're going to be doing things now that make you crazy strong, that help your lean muscle mass, that burns your fat, all those health risk things.”

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Exercise 0:54 0
“All of your training should account for that. If we're just doing bicep curls and calf raises, it's like I'm on these railroad tracks, but the minute you make me go sideways or rotate, it's trouble.”

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Exercise 1:13 0
“The pathway back isn't necessarily painfree or injuryfree. It's more of a trajectory that's going to get better. Pain does not always mean injury. Pain is your brain telling you, 'Hey, I don't like what's happening here.' But it doesn't always mean you're broken or busted.”

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Exercise 5:35 0
“Yeah. No, I mean that conversation was one of my favorites because I've done this before where if we know the big picture goal as well as the near-term surgical date and then we reverse engineer, okay, I want to check off a certain amount of things pre-operatively to where that joint is ready.”

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Exercise 5:58 0
“But we need to do so in a way that doesn't make the surgery, you know, more complicated or injure you more, right? And so we did a lot of things where we didn't only use technology like BFR, but we also used very aggressive approaches on your core stability, the way your scapula interacted with your ribs, and all these things have an effect on how my shoulder moves.”

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Exercise 6:57 0
“And that's, you know, anybody who's gone through that type of rehab, which I'm sure many people listening have, uh, it's uncomfortable. I mean, you're burning a little tiny muscle that is not used to working that hard.”

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Exercise 10:12 0
“And very early on, pre-operatively and post, we were able to do very gentle but targeted isometrics where there wasn't complexity in the joint itself, but we were loading the tissues in a very articulate and specific way.”

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Exercise 11:18 0
“I think it occurred to me, um that the more deliberate we can train for that last decade as though we are athletes, the more we can enjoy it.”

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Exercise 14:37 0
“But moreover, it's it's almost like we're set up for failure, right? We're set up with this baseline norm of I could bench press 225 when I was a senior in high school, but then that individual is not accounting for the 20 years of lack of activity, lack of practice.”

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Exercise 15:12 0
“Injury doesn't show up out of nowhere. It it has reasons why it shows up and it's compounded by emotional stress and all these other kind of multiffactorial things.”

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Exercise 15:22 0
“Sometimes that's a physical threat. Like I haven't jumped in a long time and I started jump roping. All of a sudden I wake up, my Achilles is sore.”

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Exercise 16:45 0
“And so, as one example, now something that I do a lot of is um like low-level jumping, right? And you're right, like sometimes I get really worried. I'm like, Oh man, I don't want to have an Achilles rupture.”

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Exercise 20:01 0
“as I age, I want to be able to hang with him as long as I can. So, that means throwing, hitting a baseball as long as possible.”

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Social connection 20:20 0
“But to me, it's all about being able to still play with the grandkids cuz family is one of the most important things out there.”

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Exercise 20:24 0
“And if your grandpa is sitting there and can do cool stuff, I think that serves as a great role model.”

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Exercise 24:42 0
“And these injuries can stack up and cause a lot of trouble and then we get less healthy.”

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Exercise 25:01 0
“Basically, as I'm kind of getting better from the shoulder thing and realizing how fortunate I feel to have had this experience where, you know, I've known Alton for a while, then I met you.”

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Exercise 27:03 0
“So, one example is we have a client who loves to surf. He's got a shoulder issue. So, by default, surfing and swimming on a surfboard is a different position than a traditional freestyle stroke.”

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Exercise 29:30 0
“Typically it's a very cookie cutter approach.”

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Exercise 29:59 0
“I'm not doing anything, right? Like they actually need to recover that day.”

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Exercise 30:20 0
“One service doesn't ever fix anyone and it definitely doesn't increase their capacity over time.”

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Exercise 30:26 0
“Are you building me back to what I want to do?”

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Disease prevention 34:38 0
“So with Jill, we saw some proximal hamstring issues. She's, of course, like you mentioned, endurance athlete, her profile, her demographics, her running history, all pointed to there might be a tendonopathy there.”

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Disease prevention 35:46 0
“So, that story kind of perked my ears up, right? That history. And I saw her for knee pain and brief to get her through London, that kind of stuff.”

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Disease prevention 36:42 0
“But that right knee flaring up told me, 'Okay, there's something going on at either her feet or her pelvis that's not in sync.' because she essentially with her mileage overloaded that right knee and created a repetitive stress injury.”

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Disease prevention 38:51 0
“Jill has a tiny bit of scoliosis which just sets her up for that asymmetry.”

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Body weight 39:33 0
“she weighs the same. This is not like, you know, she's been very fortunate in that regard that her body weight hasn't changed in that period of time, but she says she cannot biomechanically do what she used to be able to do.”

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Hormone balance 41:10 0
“the relaxing hormone creates uh areas of stress and laxity that will shorten up and tighten up over time, but it affects different women differently.”

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Exercise 43:58 0
“it's not just your obliques either, but it's the deep stabilization system that not only pressurizes with our diaphragm, the pelvic floor, but it's also all the small muscles up and down my spine, including like multifidi.”

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Exercise 44:27 0
“Now, can I do that with motion? Right? And that's where you start looking at a someone kicking or running or throwing. like that needs to be a dynamic system, not just a stiff system.”

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Exercise 45:34 0
“What we see all the time in the clinic setting is muscles are meant to be a muscle. My bicep is meant to contract and relax. It's not meant to be a shoulder stabilizer.”

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Exercise 49:13 0
“if I said, 'Hey, do a skater hop where you leap laterally from one side to the other.' How you land and how you or can you stick that landing or are you falling over as you go?”

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Exercise 49:53 0
“a lot of times you see in youth athletes is people rush to put strength on them but a really good strength coach can put strength on a college athlete you know in eight weeks right but do they have speed do they have organized movement are they quick in all planes of motion is their balance really good”

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Exercise 51:20 0
“We should be making them quick, athletic, and coordinated first because that's a platform you want to build an athlete on. You don't want to make a kid really slow but really strong when they're 15, right?”

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Exercise 54:28 0
“So, how does someone do on the double leg versus single leg? Gives us a really nice window to okay, where is the lack? Great example, two leg, really strong, they're solid. We put them on single leg and they're abnormally less functional and weak and don't have the range.”

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Exercise 56:06 0
“So the next step was immediately you have to have a parts approach first, right? If I have a damaged part, we got to make sure does that need intervention or not? How are we going to address that?”

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Exercise 58:21 0
“So that is going to be one of the reasons why we get a lot of success with her. Um, and then back that up with we really did targeted physical therapy for that site to promote the healing.”

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Exercise 58:52 0
“So she swam, so she didn't lose any true cardio, right? Yes, she lost a little bit of running strength, but someone with her background and her base and then keeping everything else really strong, she's going to hit the ground running and she's running now and doing really well.”

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Exercise 1:00:54 0
“I think number one, we got to build the habit. So that's a big part of this is when your coach is basically in contact with you every day as much as you want to help bend and twist and develop that formula so where that person is actually encouraged to do it.”

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Exercise 1:03:31 0
“So, the workout in the gym needs to link up perfectly with those risks and also what is the most important thing for him right now.”

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Exercise 1:04:04 0
“We will change your workout so that you can keep doing it while you're on vacation.”

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Exercise 1:04:49 0
“You get muscle atrophy if you don't work out for two weeks. We go backwards.”

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Exercise 1:06:40 0
“All of your training should account for three-dimensional space. If we're just doing bicep curls and calf raises, it's like I'm on these railroad tracks, but the minute you make me go sideways or rotate, it's trouble.”

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Exercise 1:07:53 0
“But holding that over time, we're now isometrically loading the heck out of my grip. We're loading the heck out of my shoulders. We're getting into my feet, my quads, my hips, and I'm just holding that for time.”

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Exercise 1:08:25 0
“And then the way you bridge that is you start doing de loaded plyometrics. So now maybe we do some sort of like a band assisted pogo where I'm actually pulling on a band overhead.”

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Exercise 1:10:17 0
“So with you, um without getting your foot out, you have a very mobile foot. So, you know, your swimming background, like swimmers have really great mobile feet, right?”

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Exercise 1:12:36 0
“So what we started doing with you is just that. And just to be clear, we are nine or ten weeks ago since my pogo sticking debacle.”

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Exercise 1:12:55 0
“Well, tendons are one of the slowest things to heal. And I guarantee if we really zoomed in and looked at all of it, like you probably have a little tendonopathy in those tendons, a little damage here and there that could be contributing to that irritation.”

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Exercise 1:13:26 0
“So one of the ones we do with you a lot is that front foot hover, but you're actually planter flexing. So where you're driving, you're doing as much of a calf raise as you can in that split squat position.”

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Exercise 1:17:12 0
“But I think having you barefoot makes your foot in mobile and strong.”

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Exercise 1:17:41 0
“So, you know, that foot isn't, you know, our foot has so many bones in and all these articulations where we're supposed to comply to the ground.”

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Exercise 1:18:32 0
“If the foot and ankle isn't up to the task, then my knee's going to take a beating.”

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Mental health 1:20:57 0
“Pain does not always mean injury. Pain is your brain telling you, 'Hey, I don't like what's happening here.'”

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Stress management 1:21:40 0
“The amount of low back like flare-ups, just your traditional back spasm, not a surgical candidate, just like high back pain, but no damage. The amount of those people that have come in when their wife's about to go into labor or they're worried about getting fired from their job where they have like an emotional, mental stress in their life. The amount of those people is infinite.”

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Exercise 1:27:38 0
“So after about a year of rehab, her body was able to scar up and that healed and it was fine. But was really interesting to me was she needed Mackenzie's early, but then we actually had to cease the Mckenzie's because we were jamming that annular tear.”

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Exercise 1:29:20 0
“The human body is meant to move.”

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Exercise 1:31:29 0
“now you know how to trim up that program so I think the AI part of it's going to be more that it's going to be less about oh what degree did it move but more about how did you respond to each drill that's safe and then we go from there, right?”

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Exercise 1:32:04 0
“And then the outcomes are dictated by how do they respond to that exercise.”

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Exercise 1:37:13 0
“You have to be adding strength. That's what makes things stick. That's what optimizes movement. That's what makes people feel empowered and less frail.”

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Exercise 1:37:47 0
“The goal of all of these and the more of them you can utilize the better is to create a window in which the individual is safe and out of pain so that they may do the work to retrain a movement pattern and increase strength.”

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Exercise 1:40:41 0
“And so we can program exercises really effectively in a remote way to kind of probe the fence or test it. And if it responds the right way, we definitely can fix it quickly.”

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Exercise 1:41:14 0
“And a lot of times people are shocked that we can make their neck tension go away with an exercise in the same way that if they traditionally got a massage or something, they'd get that relief.”

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Exercise 1:43:39 0
“And lo and behold, my back is getting better and better and we're doing sets, you know, 10 second, 20 second, 30 second.”

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Exercise 1:46:09 0
“One of the things I say in my private practice all the time, my first 5 years out of school, I was working on the QL. Like my thumb is got scars from it. I don't touch the QL anymore. Like about eight years 10 years ago, I realized you don't even have to beat someone up so much. In a weird way, these kind of exercises are more gentle, they're more therapeutic, and they're more active.”

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Exercise 1:47:46 0
“Exercise needs always be the answer. And you can do therapeutic exercise that actually does a lot for people that drops the pain, too.”

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Exercise 1:50:18 0
“What I'm going to go for first is the foot, the ankle, the hip, and their pelvis in general because if there's a lot of low fruit there, I can enhance the pelvis strength or the foot strength and I can actually buffer that knee to where it doesn't have to work nearly as hard and those people get a reduction in symptoms overnight.”

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Most important takeaways of the video

  1. Exercise is crucial for building strength, lean muscle mass, and burning fat, reducing health risks associated with obesity and sedentary lifestyle.
  2. Training should include exercises that improve functional movements, not just isolated muscle groups, to prepare the body for real-life activities involving different directions and rotations.
  3. Pain during exercise or recovery may not always indicate further injury, but rather a signal from the brain reacting to discomfort or unfamiliar activity, requiring monitoring and adjustment of activities.
  4. Pre-operative exercises can prepare joints for surgery, but they should be carefully managed to avoid complicating the surgery or increasing the risk of injury.
  5. Utilizing technologies like Blood Flow Restriction (BFR) and focusing on core stability and scapular interaction can be beneficial in preparing for

Summary of Exercise Insights and Recommendations

Key Themes and Benefits of Exercise

Exercise is emphasized as essential for promoting strength, endurance, and overall health. It aids in fat burning, increases muscle mass, and reduces health risks associated with a sedentary lifestyle. The discussions revolve around the holistic approach to training that incorporates not just isolated muscle efforts but functional movements that improve daily activities.

Exercise and Rehabilitation

The importance of targeted exercises during the pre-operative and post-operative phases to ensure the joint or specific body parts are prepared for surgery and recovery is highlighted. Techniques like gentle isometrics and using technology like Blood Flow Restriction (BFR) are recommended to prepare muscles and joints without overloading them.

Pain Management in Exercise

Pain during exercise is recognized as a common signal from the brain signaling displeasure or unfamiliarity rather than direct injury. Users are encouraged to monitor their pain and differentiate between normal discomfort and signs of potential injuries needing adjustments in their activity levels.

Training for Specific Needs

Customized training programs are essential, especially for those engaged in specific sports or having unique rehabilitation needs. Exercises should enhance functionality like core stability, overall mobility, and balance to prevent injuries and improve performance in desired activities.

Exercise Across Ages

There is a strong recommendation for maintaining an active lifestyle as one ages, suggesting a deliberate approach to exercise that simulates athletic training to enhance the quality of life in older age. Adjustments in exercise routines to accommodate diminished capabilities are also advised.

Therapeutic Role of Exercise

Exercise is not only for physical conditioning but serves significant therapeutic roles, helping manage conditions like back pain or muscle tension as effectively as traditional treatments like massage. Regular, tailored activities can significantly reduce symptoms and improve well-being.

Remote Monitoring and Adaptive Training

Advancements in remote training allow for detailed monitoring of responses to specific exercises. This method ensures that training programs can be quickly adapted based on effectiveness and individual feedback, highlighting the personalized nature of modern exercise regimens.

Behavioral and Psychological Aspects

Stress management through exercise is noted, with physical activity helping to alleviate symptoms brought on by mental and emotional stressors. Building habits and regular coaching interactions are deemed crucial for consistency and long-term adherence to exercise routines.

In conclusion, exercise is a profoundly beneficial but complex field that overlaps significantly with mental health, physical therapy, and personalized medicine. The integration of various exercise forms, understanding individual responses to physical stress, and adaptive training protocols are crucial for maximizing the benefits of physical activities.