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The plan
4 WEEKS TO A
STRONGER SPINE
StOP bAcK PAIN FrOM Six areas to address
cOMPrOMISING YOUr Triathletes can reduce the likelihood of
PerFOrMANce WItH experiencing back pain by eliminating the
following six most common causes of it.
tHIS 4-WeeK trAINING Poor postural control/lumbar pelvic stability
Emma Deakin
Deakin works for the English Institute of sport Find your lumbar neutral
as lead physiotherapist
A neutral lumbar spine is where your pelvis is
balanced centrally. To nd your neutral position,
A STRONG, well-conditioned spine is a stand sideways in front of a mirror, with your
priority for any athlete looking to avoid hands on your hips. Roll your pelvis forwards
towards the oor, then roll it backwards,
back pain. But its especially important for directing your tailbone to the oor. Try and pay
triathletes in order to cope with the attention to the amount of movement you have
volume and diversity of demands placed either way, and nd the mid point where your
pelvis is halfway between the forwards and
upon them by training and racing. As a backwards extremes. The halfway point is your
physiotherapist working with triathletes, stroke. On the bike its what allows you to lumbar neutral position. It is the most stable and
Ive noticed many common problems with achieve an aero position and for the run its shock-absorbing position that you can put your
pelvis and lumbar spine in, and is ideal for
specific muscle groups getting weak or key to the biomechanics of running training and injury prevention and how it should
tight. This training plan will give you the economically. Due to the complex nature of be in the exercises described in this plan.
basic requirements to keep your back in the spine, pain can originate from a number
the best condition for the sport. Well go of different structures. If you suffer from any
through some simple stretches, exercises form of back pain (intermittent or ongoing), Your exercises
and drills all aimed at preparing your back its vital you see a GP or physio to get a
to swim, bike and run. The plan has a dual diagnosis and prescriptive rehab These exercises will be referred to throughout
purpose its intended to prevent injury, programme. You should also ensure that the four-week back strengthening plan. You
but also optimise your performance. continuing to train isnt detrimental to your dont need any equipment to do the exercises but
a foam roller and resistance band will be
Your back needs to do different things in recovery. If youve been diagnosed with required to follow the plan.
each of the triathlon disciplines. In the swim mechanical lower back pain or just feel that
Photos Joby Sessions, Artiga Photo/Corbis Illustrations Ben Foxall
your back is needed to help you stay in a your back is your weak spot, the tips in this
streamlined position and balance your plan should help.
Advanced
Advanced
4 WEEKS4TW
O EEKS TO
A STRONG
AEST
R RONGER
Cut out the guide following
the dotted outline
Fold the guide in quarters
using the fold guides
Now carry it with you for
reference while training
SPINE SPIN E
FOLLOW THIS GUIDE FOLLOW THIS GUIDE TO HELP KEEP YOUR
BACK IN TIP TOP RACTO HELP KEEP YOU
BACK IN R
ING CONDITION TIP TOP RACING CONDITION
82 OctOber 2012
Stretching exercise
Fold2
Exercise 1
YOURK hiP FleXOR
4-WEE
PL A N Stand with your feet
shoulder width apart and take
one stride forward so you can
squat down while keeping
your front knee over your foot.
Keep your torso tall and push
your hips forward, until you
can feel a stretch in the hip
flexor of the back leg. to
Advanced increase the stretch reach
your arm on the side of the
A STRONGER
Repeat on the other side.
SPINE
FOLLOW THIS GUIDE TO HELP KEEP YOUR
BACK IN TIP TOP RACING CONDITION
Fold1
OctOber 2012 83
Fold2
Exercise 1 Exercise 2
Clams Quadratus Lumborum
Lie on your side with your and slowly open your Stand with your back to the
hips and shoulders in line knees by rotating your wall, reach your right arm over
and your knees bent at a upper leg from the hip your head and lean to your left.
90 angle. Place a hand on socket. Open your knees as Keep your shoulders, back and
the floor in front of your far as you can without hips flat against the wall. Take
chest if you need extra disturbing the alignment a deep breath in as you do this
support. Stack your hips so around your hips and then and try to gently increase
theyre on top of each return them to the starting the stretch. Repeat on the
other, do the same with position. Progress the other side.
your shoulders and ensure exercise by first holding
you remain in the lumbar your knees open and then
neutral position pulsing them back and
throughout the exercise. forth at their widest.
Keep your heels together Repeat on the other side
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Strengthening
Exercise 3
Single knee dip
Otherwise known as the
Strengthening exercise single leg squat. Squat down
on one leg by dropping your
bottom backwards, as if you
were sitting down.
Concentrate on keeping your
lumbar neutral position
throughout and make sure
the knee your supporting
you remains aligned
Exercise 4 over your foot and
4-point heel press doesnt drift forwards.
Push through your heel to
Get on your hands and start again. Repeat with return to the standing position
knees, then slowly extend the other leg. Once you can and repeat on the other leg.
your heel backwards with extend your leg fully while
your toes pointing down. maintaining a neutral
Ensure you maintain your lumbar position, progress
lumbar neutral position the exercise by extending
throughout this exercise; the opposite arm at the
if you fall out of position, same time.
84 October 2012
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Exercise 1 Exercise 2
Step with knee drive Walking lunge
Step and drive your knee into From a standing position
a high position and briefly take one stride forward.
hold your hip, knee and ankle Lower your hips to the floor,
all at 90 angles. Push bending both knees to around
through your heel on the 90 (the knee on your
standing leg to activate the forward leg should be
glutes on your stabilising leg. directly above your ankle
Repeat with the other leg. while the shin on your rear
leg should be parallel with
the floor). To complete the
exercise, push through your
front heel and bring your
forward leg back to a
standing position. Make
sure your lower back
doesnt arch. Repeat
with the opposite leg.
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Mon
Tue
and your gluteal (bottom) muscles for 5mins. Do all the stretches and run the foam roller Glute activation session, add resistance
Technique session: step with knee drive,
Do 3x quadratus lumborum and 3x piriformis up and down your spine and your gluteal band as needed and perform each exercise
walking lunges, clams (3x 20m walking drills)
stretches, and hold each stretch until you muscles for 5mins for 40secs
feel the muscle relax
Wed
Wed
Repeat Mondays glute activation work. Do all the stretches and run the foam roller
Technique session: step with knee drive,
Do the hamstring and hip flexor stretches Increase the duration of each exercise to up and down your spine and your gluteal
walking lunges, clams
40secs and add 4-point heel press muscles for 5mins
Thur
Thur
Fri
Technique session: step with knee drive, single knee dips. Maintain lumbar control
Massage or soft tissue release add resistance band as needed and perform
walking lunges, clams throughout range (stop if you lose lumbar
each exercise for 40secs
neutral position)
30mins aqua jog (concentrating on lumbar 30mins aqua jog (concentrating on lumbar
Sat
Sat
Have your bike position assessed by a neutral positioning). Do all the stretching Do all your
Have the stretching exercises
bike position and run
assessed by athe neutral positioning).
Glute activation Do alladd
session, theresistance
stretching
qualified fitter (such as Retul or Serotta exercises and run the foam roller up and foam roller
qualified up and
fitter down
(such your or
as Retul spine and your
Serotta exercises and run
band as needed the
and foam roller
perform eachup and
exercise
certified) down your spine and your gluteal muscles gluteal muscles for 5mins
certified). down your
for 40secs spine and your gluteal muscles for
for 5mins 5mins.
Sun
Sun
October 2012 85