Thursday, February 28, 2008 

Lower Back Pain- Thigh Abduction

Patients with lower back pain often secondary to irritation of the L5 and S1 nerve roots will have difficulty not only due to the pain but due to weakness of the hip abductor muscles.

The most powerful hip abductor is the gluteus medius. It is supplied by the superior gluteal nerve (L4, L5 and S1). The L5 nerve root has the strongest representation in this muscle. The other hip abductors are the other muscles are tensor fascia latae and gluteus minimus which are also supplied by the superior gluteal nerve.

Hip abduction can be tested with the patient supine with the thighs spread apart. The examiner then pushes the thigh inward to the midline. The hip abductors can also be tested with the patient lying on his side with the tested side uppermost. The patient then lifts the thigh up against gravity.

The most functional way of testing for hip abduction is to have the patient stand on one limb. If he is standing on his right leg and if he has weakness in his right hip abductor muscles his opposite hip will drop. This testing is called the Trendelenburg testing. To prevent the left hip from dropping in the case of a right hip abductor weakness, the patient may lean over to the right. This is also an indicator of weakness of the hip abductors on the right side..

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Jennifer Chu, M.D., founder of eToims Soft Tissue Comfort Center is also President and CEO of eToims Medical Technology LLC, a medical device company with training programs in eToims Twitch Relief Method. She is an Emeritus Associate Professor in the Department of Physical Medicine and Rehabilitation at the University of Pennsylvania, where has been on faculty for more than 30 years. http://www.stopmusclepain.comHealth Care
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Plyometrics

Plyometric training is the enhancement of explosive power. Explosive power is the ability of the muscle to produce maximum strength in the shortest period of time. Since there is seldom time to produce this kind of maximum strength in most sporting events (apart from perhaps powerlifting), it's obviously a benefit to be able to do so - and particularly for bodybuilders.

Plyometric training combines speed, strength, and change of direction to allow the muscle to react quickly and with maximum power. Most weightlifting is fairly static and isolative. Imagine taking that power and effort, and pushing it out into an enhanced, total body range of motion to harness more power! This is how to picture plyometrics.

Plyometrics are becoming more and more popular as a means to enhance an already strenuous workout in the gym with resistance exercise. Go into any Gold's or World or Powerhouse Gym and see at least 2 or 3 trainers putting their clients through the paces with balance disks, steps, stairs, and medicine balls, as a supplement to the weights.

Whether you're a bodybuilder who needs more detail or you also compete in a sport such as boxing or soccer, plyometrics can create strength, agility and elasticity through the promotion and practice of balance. Working with weights in a static manner can only accomplish so much. Working with dynamic exercises, movements and equipment that can expand a range of motion in many different directions, will greatly enhance the scope and potential of any physique.

Plyometrics is also a means by which any bodybuilder can unleash explosive power. This is of particular benefit during an off season phase where squats and other powerlifting basics are what is driving a mass cycle.

A lot of plyometrics incorporate balance oriented movements or exercises that work the proprioceptors within the length of the body. Proprioception is what keeps our bodies balanced. Throw the body off balance and it will find its perfect balance. That's because proprioceptors within the spinal column and back of the legs, are constantly seeking balance as you walk, run, lift, or just stand.

Here's a great beginning Plyometric workout, focusing on the legs, that you can combine with your regular resistance workout. You'll need a partner for some of it:

Squats (without weight) in squat cage holding side bars 1 x 75

Squat-Leaps 1 x 15

Instructions: Keeping a good squat position, get down to a parallel-to-the-floor squat frame and keep legs tight during the full 75 reps. Believe us when we tell you, that you will NOT need weight here. We doubt you could make it to 100 - which is the number you should target prior to the squat-leaps. Immediately following this leg wobbling set of squats, do as many squat-leaps up to 15 as possible.

Hamstring curls or Stiff-legged deadlifts 1 x 50

Lateral Box Leaps 1 x 20

Stair run 2 x 30 steps sprint

Instructions: If doing hamstring curls, use enough weight to keep a light resistance on the legs. If stiff-legged, use just a light pre-loaded bar of 15-20 pounds for 50 reps. Keep tight form throughout sets of either of these.

Immediately run stairs up 30 steps, and down (many gyms have stairs) - if not use an aerobic step apparatus and go up down up down up down up down, alternating feet as quickly as possible. Then immediately go to box leaps. Make sure your first try is using an 8-12 inch step that is about as wide as it is tall. With both feet together, leap from side to side to side to side for 20 reps.

You may think to yourself... I'm not sure this will increase my mass. Well, just wait! It not only can increase mass, but it can reshape the mass you have and make you more functional, explosive and dynamic in the gym. When you become quicker and more explosive, you'll be able to turn the heat up on your workouts and your intensity will bring you enhanced development.

Dane Fletcher is the world's foremost training authority. He writes exclusively for GetAnabolics.com, a leading online provider of Bodybuilding Supplements. For more information, please visit http://www.GetAnabolics.comHealth Issue
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Regulation of Trans Fats

Should we regulate the amount of trans fats contained in the food we eat? A Canadian government task force on trans fats is recommending that all vegetable oils and spreadable margarines have the trans fat content limited to 2% of the total fat content and all other foods be limited to a maximum of 5% of total fat content. These new regulations would decrease the average trans fat intake by at least 55%.

What are trans fats? Fatty acids in foods are made up of polyunsaturated (like safflower oil, sunflower oil and corn oil), monounsaturated (like olive oil, peanuts, and avocados), saturated (like coconut oil, palm oil, butter and cheese) and trans fats (like margarine and shortening). Saturated and trans fats are linked to coronary heart disease. The majority of trans fats are produced by the food industry when it uses a process called hydrogenation to turn liquid vegetable oils into semi-solid products. This process hardens and stabilizes the oils, enhances the flavor and extends the shelf life of food products. These trans fats also break down less easily which makes them more suitable for frying. The majority of trans fats are found in foods made with shortening, margarine or partially-hydrogenated oils and in baked goods like crackers, cookies and donuts and in fried foods like french fries and fried chicken. The trans fat content of some of these foods can be as high as 45% of the total fat in the food product. Trans fats also occur naturally at fairly low levels in ruminant-based foods like dairy products and beef and lamb.

Are trans fats worse than saturated fats? There is a lot of evidence linking both trans fats and saturated fats to coronary heart disease. Trans fats appear much more dangerous because metabolic studies have shown that they increase the blood levels of our bad cholesterol (LDL) and decrease the levels of our good cholesterol (HDL). Saturated fats appear less damaging because they elevate the total cholesterol levels - both bad (LDL) and good (HDL). The Harvard School of Public Health found that removing trans fats from the industrial food supply could prevent tens of thousands of heart attacks and cardiac deaths each year in the US. The findings are published in the April 13, 2006 issue of the New England Journal of Medicine. Government organizations around the world have started to act to resolve the problem. In 2002, the US National Academies of Science recommended that trans fat consumption be kept as low as possible. In 2003 the World Health Organization recommended that trans fat intake be limited to less than 1% of overall energy intake. Also in 2003, Denmark set an upper limit on industrially produced trans fats in foods, limiting them to just 2% of the total fats in foods. They excluded meat and dairy products. In 2005 Canada required mandatory labeling of trans fats in packaged foods. The US followed in 2006 with a mandatory labeling for any foods containing 0.5 grams or more of trans fats per serving.

Is mandatory labeling sufficient? Shouldn't we let informed consumers self-regulate the amount of trans fats they consume? Once the consumer understands how harmful trans fats are and that as little as 5 grams per day can lead to heart disease, then mandatory labeling will force the food industry to reduce the amounts contained in food products much faster than a bunch of government regulations, However what about restaurants and the fast food industry? Here is where the Canadian government task force recommendations are probably a good thing. Consumers do not know how much trans fats there are in french fries, deep fried chicken and baked goods. Therefore we should adopt the recommendation from the June 27th, 2006 final report of the Trans Fat Task Force that states - For all vegetable oils and soft, spreadable (tub-type) margarines sold to consumers or for use as an ingredient in the preparation of foods on site by retailers or food service establishments, the total trans fat content be limited by regulation to 2% of total fat content. This will allow us to eat restaurant and fast food industry foods with the knowledge that the trans fat content is limited to 2% or less.

Mark Ransome is a contributing editor and writer for the popular new website Benefits of Antioxidants. Visitors to http://www.benefits-of-antioxidants.com will have access to a new free diet and weight loss program The Psychiatrists Weight Loss Program. Quit Smoking Programs
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