Fitness
Try 5 exercises to fix knee pain and offset the damage of sitting all day, according to a physical therapist
- If you get knee pain or injuries in the gym, that could be from sitting all day.
- Exercises that strengthen and stretch the leg muscles effectively will help protect knees.
- For healthier joints, aim to move regularly and work on your balance and stability.
Simple exercises can help prevent knee pain from derailing your routine, according to a physical therapist.
Andrey Simeonovski, a physical therapy doctor, recently spent a week in Kathmandu as part of Operation Walk, helping rehabilitate patients who’d had knee replacement surgeries.
He said a major takeaway from the experience is that consistently putting your body through the same motions can cause problems, whether you’re sitting all day or doing repetitive physical tasks.
“It’s a variety of movements that are important for your health in your body,” Simeonovski said.
Here are some exercises that offer your joints a range of motion to strengthen the surrounding muscles. As always, it’s best to work with a qualified trainer, or talk to a doctor first if you have existing injuries.
Lateral “monster walks” can relieve knee and back pain
Milan Markovic/Getty Images
Resistance bands are a great tool for strengthening muscles that help stabilize the knee joint.
Simeonovski said a common exercise he uses for the knees, hips, and back is the “monster walk,” taking steps from side to side with a band around the legs or feet.
The band provide tension to engage the glutes, which can be underdeveloped from sitting all day, so firing them up helps to stabilize the rest of the body.
“It reduces strain on the low back,” Simeonovski said.
Quad stretches help take pressure off your knees
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Knee pain can often result from tightness in the quads, which then pull on the knee and create problems, according to Simeonovski.
A couch stretch can help lengthen and loosen up the quads while opening up the hip flexors.
Simeonovski typically recommends an elevated version of the stretch, which is easier on the knee:
Rest one knee on a bench or box near the wall. Bend that knee while moving the shin and top of the foot to rest flat up against the wall.
If it’s painful, ease up on the stretch, especially if you have an injury.
Simeonovski said the best way to avoid injury is pay attention — if something is painful enough that it’s distracting, or if you stop the exercise and the pain persists, don’t continue.
“Pain that lingers is a red flag,” he said.
Hamstring curls can protect your knees from injury
Simeonovski said the hamstrings, the muscles on the back of the leg, are often overlooked. We tend to focus on the quads on the front of the leg. But that can increase the risk of damaging ligaments in the knee because the quads can put too much pressure on the ACL without the hamstrings to counteract them.
To strengthen the hamstrings, try Nordic hamstring curls.
Start in a kneeling position with your feet secured (you can use a special mat or bench, tuck them under a couch or other furniture, or have someone hold them). Keeping your torso, hips, and shoulders in a straight line, slowly lower yourself to the ground, landing on your hands as if in the bottom of push-up.
This exercise can be challenging. If you feel like you don’t have control, use a resistance band secured behind you to help offset some of your body weight. That will make the movement easier.
Step-ups strengthen the knee and help fix imbalances
Zinkevych/Getty Images
One of Simeonovski’s go-to exercises for improving lower body strength and joint health is the step-up.
Stand in front of a stool, bench, box, or stairs, and place one foot on the elevated surface. Pressing through that foot, lift your body up onto the step, and then return to the starting position. Repeat, alternating the starting foot.
Step-ups are low-impact and work the glutes, hamstrings, and quads as well as the core muscles. Alternating sides can also help improve your balance.
Go slow and gradually increase weight, height, or intensity as you get comfortable with the exercise. Squats and lunges offer similar benefits, but may need modifications if you have an existing injury.
Simeonovski said he prefers these movements to exercises like knee extensions, which aren’t necessarily bad for your joints, but don’t offer as much stability.
Rotational exercise helps to offset damage from sitting
SimpleImages/Getty Images
Tightness in one area can cause a chain reaction and create aches and issues elsewhere.
For instance, back problems can worsen strain and pressure on the knees.
That’s why Simeonovski recommends the open book exercise for patients who have knee pain and spend lots of time sitting. It doesn’t directly involve the knees but can improve overall mobility.
Lie on a mat or the floor with your knees and hips bent at 90 degrees and your arms extended in front of you. Slowly rotate the top arm up and across your body as far as you comfortably can, gently twisting your spine. Return to the starting position and repeat, being sure to perform the exercise on both sides.
You can also do a similar rotation from a half-kneeling position.
Take breaks for movement throughout the day
The key to strengthening and protecting your joints is consistency, especially if you sit all day, according to Simeonovski.
Find opportunities to get up and move around at regular intervals, setting an alarm if needed to remind yourself to take a stretch break, go for a short walk, or otherwise give your body a rest from repetition.
“Staying in one position is a problem long-term,” he said.
Fitness
Study finds 5 more minutes of exercise could reduce your risk of death by 10%
The universal quest for immortality continues, and new research has hinted at a small lifestyle change that could reduce overall death rates in countries if we start taking our movement more seriously.
Conducted by a global research team, the study named ‘Deaths potentially averted by small changes in physical activity and sedentary time: an individual participant data meta-analysis of prospective cohort studies’ was published in The Lancet and suggested that adding five more minutes of physical exercise a day to your life could reduce death rates by 6 per cent.
Conducted on cohorts wearing on-person devices from Norway, Sweden and the USA, scientists analysed activity and sedentary levels to deduce what was causing higher death rates and found that a little change could go a long way.
With the help of the study’s author and additional experts from the field, we delved into the details and uncovered exactly what we need to do to make sure we are maximising our health before it’s too late.
A little change makes all the difference
We already know that we should all be getting out and exercising to ensure everything in our bodies is running smoothly, but just how important is that daily movement and could it be contributing to national mortality rates?
Professor Ulf Ekelund works in the Physical Activity and Health department at the Norwegian School of Sport Sciences and was one of the authors of the study. He broke down the data for HELLO!.
The professor explained: “We estimated the number of deaths potentially prevented by five and ten-minute increases in moderate intensity physical activity if all individuals in the population adhered to this increase.
“We analysed the data using two different approaches:
- ‘High-risk approach’ comprising the least active 20 per cent of the population
- ‘Population approach’ comprising 80 per cent of the population (excluding the most active 20 per cent).
He continued: “We found that six per cent and ten per cent of all deaths might be prevented in the two different scenarios, respectively, if all individuals made these changes.
“If an individual is completely inactive, every little move counts. For example, the least active 20 per cent in our study sample were only active for an average of about two minutes per day of moderate intensity. If all these individuals increased their activity by five minutes per day, it might reduce the number of deaths by six per cent annually.”
Dr Darren Player, a professor in Musculoskeletal Bioengineering at University College London, who was not involved in the study, shared his interpretation of the data with us and added: “The key finding was that an increase in Moderate-to-Vigorous Physical Activity (MVPA) by only five minutes per day for the least active individuals prevented 6 per cent of all deaths. This effect could extend to as much as 10 per cent in all individuals, except for those who are already very active.”
Exercise versus moderate intensity
In terms of how to achieve the correct level of activity and movement, we have to understand the difference between physical activity and moderately intense movement. They are different and will yield different results.
Professor Ulf explained: “There is a clear distinction between moderate intensity activity and exercise. Brisk walking is an excellent type of moderate intensity, whereas exercise is defined as something people do with the purpose to enhance fitness and/or health. It is structured and repetitive. Exercise is only a small proportion of all the physical activity people do.
“Physical activity [PA] is any bodily movement that increases energy expenditure above resting levels. It can be conducted with different intensities from very low to very strenuous. Exercise is a subset of PA which is planned, structured and done with a specific purpose.”
Could any of this add years onto our lives?
While this study was specifically about reducing death rates through exercise and movement, it made us wonder how it would affect the number of years we could all expect to live. Would incorporating an extra five minutes of movement add any time to the general life expectancy?
Dr Darren referred to data from the UK Biobank to share his estimations. He said: “This is quite a difficult question to answer, but there is some evidence. The following paper suggests that there could be an increase in life expectancy of 0.9 years for inactive women and up to 1.4 years for inactive men.
“The increases are dependent on the nature of physical activity, with higher intensity and greater volume (total amount of exercise) being the key factors. This is a large UK Biobank study, which does have some strengths for the analyses.”
He continued: “However, the factors that contribute to life expectancy and mortality are complex and varied, with further studies required to understand the picture fully. Particularly, the effect of resistance training combined with other forms of physical activity is likely to have a greater effect than one type of activity alone. Further research is required in this area to provide suitable evidence.”
What type of exercises can I do during my five extra minutes a day?
According to the NHS, there are a variety of movements that you can incorporate into your routine to make sure you are hitting the target of five extra minutes of exercise per day to increase your longevity.
These range from simple activities like making a cup of tea to pushing a lawnmower and dancing around your living room for fitness, depending on the intensity you are able for. While the study suggested five minutes of moderate intensity exercise, the health service broke down its recommendations into sections based on vigour:
Light activity:
- Getting up to make a cup of tea
- Moving around your home
- Walking at a slow pace
- Cleaning and dusting
- Vacuuming
Moderate activity:
- Walking for health
- Water aerobics
- Riding a bike
- Dance for fitness
- Pushing a lawnmower
- Hiking
Intense activity:
- Running
- Swimming
- Football
- Hiking uphill
- Martial arts
It also suggested some easy-to-do strength exercises that involve using a kitchen chair or filled bottles of water as props:
- Sit-to-stand
- Mini squats
- Calf raises
- Standing sideways leg lift
- Standing leg extension
- Wall press-up
- Bicep curls
Fitness
Fitness Class Volume Tied to Exercise Intensity Perception
About The Study: In this comparative effectiveness study, reducing music volume in group fitness classes did not lead to meaningful reductions in perceived exertion and may reduce the risk of noise-induced hearing loss. These findings support implementing safer sound practices in fitness environments and underscore the need for increased awareness and education on hearing protection.
Fitness
Reward yourself by exercising regularly at One to One Fitness | CWRU Newsroom | Case Western Reserve University
Now is the time to recommit to your health in time to feel your best for all your summer activities! One to One Fitness Center offers several ways to save in March.
Members of the Case Western Reserve University community can take advantage of sign-up specials designed to reward themselves for creating healthy habits.
Individuals can get 50% off the initiation fee (regularly $50 plus tax) and earn back what they do pay by exercising eight or more days in both April and May. Learn more online about this deal on initiation fees.
Students also can get additional savings:
- Graduate students who are enrolled for the spring semester receive summer membership free.
- With Spartan Shape Up memberships, affiliate students pay just $40 per month for membership from now through May, and no initiation fee or security deposit is required.
- Students also can pay $44 plus tax per month with a month-to-month, ongoing plan. No initiation fee or security deposit required.
One to One Fitness Center, owned and operated by CWRU, is known for offering personal, professional, friendly and clean services. Memberships include full access to the 28,000-square-foot fitness center, group exercise classes, validated parking in Lot 53, towel and locker service, and member discounts on programs and services.
Members also can add their spouse or partner to their account for $30 plus tax per month. The center also offers personal training, Pilates Reformer, massage therapy and sound bath therapy, swim lessons, and more.
Visit the One to One Fitness Center website, email onetoone@case.edu or call 216.368.1121 for more information.
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