working with injured clients...working with injured clients as personal trainers, it’s never our...

LIFT THE BAR EDUCATION WORKBOOK

WORKING WITH INJURED CLIENTS


As personal trainers, it’s never our role to diagnose pain. However, when working with the general population we will regularly encounter clients with aches, pains and niggling injuries that require management and exercise modification. Working alongside the relevant medical professional, this course is designed to help you better understand modifiable principles such as volume, intensity, force management and exercise modification to help your clients work around pain (where possible) and continue to move towards their goals whilst staying within our scope of practice. This course is not about rehabilitating clients post-injury, it’s about understanding how we can help clients continue to exercise and do the things they love in the presence of everyday aches and pains.

Not only will we explore these principles, but we have also provided you with a library of POSSIBLY suitable exercises for clients with common aches, pains or injuries. We should note there is rarely, if ever, a “best” exercise for pain management. Sometimes exercises can be modified, and other times they may need to be removed completely. It is therefore important to understand some of the underlying principles before we select the appropriate methods (exercises) from the library.

Before undertaking this course please remember your first duty as a personal trainer is to DO NO HARM. Pain is a complex topic and, to reiterate, your role as a trainer is never to diagnose pain. If pain is persistent in a client do your due diligence and refer out to a trusted medical professional in your network, then work alongside that professional by utilising the principles outlined in this course to help keep your client active despite their pain or niggle.

Working With Injured Clients


Gregg Slater

LIFT THE BAR EDUCATION

03


LESSONS


01 Introduction

02 Envelope of Function

03 Cross-Education 04 Exercise Modification 1

05 Exercise Modification 2 06 Exercise Modification 3 07 Exercise Modification 4

08 Exercise Options: Working Around Lower Back Injuries 09 Exercise Options: Working Around Hip Injuries

10 Exercise Options: Working Around Knee Injuries 11 Exercise Options: Working Around Ankle / Foot Injuries 12 Exercise Options: Working Around Shoulder Injuries

13 Exercise Options: Working Around Elbow Injuries 14 Exercise Options: Working Around Hand / Wrist Injuries


WORKING WITH INJURED CLIENTS04

This workbook will help you get the most out of the course. You will see the book mirrors the courses lesson format. For each lesson there are a number of aims that represent the key learning points for that section of the course. We have provided space to write your notes as you go through and there is spare note space at the end of the workbook in case you need more than we have provided for any of the lessons.

The space for action points is where the magic happens. We all know that learning is only useful if we do something with the knowledge so for each lesson make a note of what you are going to do as a result of what you have learnt. Make the action as specific as possible and set yourself a manageable timeframe. If you have some kind of to do list or schedule of action points make sure you transfer these actions to that and get them done.

Each lesson has 2-3 quiz questions that need to be completed on the members site in order to proceed. We have provided space for you to make a note of your answers to these questions as you go through the content so you are prepared for the questions. Not only will this workbook help you as you complete the course but, if used effectively, it will also provide you with a source of key information you can refer back to.

Good Luck!

How to use this workbook




THE JOURNEY: A GUIDE TO NUTRITIONAL COACHING05

AIMS:

Key Learning Points

ORIENTATE THE MAP

Client consultation and baselines

― Learn how to prepare for a client ― Decide what information you need to know to work with a client ― Consider how best to gather the information

LESSON:

01


THE JOURNEY: A GUIDE TO NUTRITIONAL COACHING06

Action Points

Quiz Questions

1. Name two areas of information we might want to explore from a client’s past (where have they been)

2. What baseline information should we look to Gather?

AimsThis section will highlight the main learning focus for the lesson

Key Learning PointsUse this area to make notes as you go through the lesson

Action PointsSummarise your learning from the lesson. What actions are you going to take as a result of what you’ve learnt? When are you going to complete it?

Quiz QuestionsWrite your answers to the questions here in preparation for completing the online quiz.



AIMS:

Key Learning Points

In this lecture, we outline the aims of the course including the scope of practice of a personal trainer when working with an injured client.

LESSON:

01

Introduction



Action Points

Quiz Questions

1. When do we diagnose pain?

2. When in the rehabilitation process can we try and help fix our clients pain?

3. Once injuries have calmed down, what is the vital next step in the process?



AIMS:

Key Learning Points

In this video we look at the concept of the “envelope of function” and why understanding your client’s activities and habits outside of the gym is important.

LESSON:

02

Envelope of Function



Action Points

Quiz Questions

1. What is the zone above the envelope of function?

2. What is the zone below the envelope of function?

3. What are the three components of the biopsychosocial model?



AIMS:

Key Learning Points

In this video, we explore the “Cross-Education” phenomenon

LESSON:

03

Cross-Education



Quiz Questions

Action Points

1. Every injury is?

2. What does contralateral mean?

3. Can training the non injured limb help with strength in the injured limb?



AIMS:

Key Learning Points

In this lecture, we explore the concept of a “resistance profile” and the importance of understanding moment arms in exercise.

LESSON:

04

Exercise Modification 1



Action Points

Quiz Questions

1. What is the formula for stress?

2. A moment arm is the “............“ distance between the line of force and the axis of rotation?



AIMS:

Key Learning Points

In this lecture, we continue our exploration of moment arms and a “resultant force”.

LESSON:

05




Action Points



AIMS:

Key Learning Points

In this lecture, we look at how we can manipulate exercises to help our clients train around pain with a look into the latest research on high and low load training

LESSON:

06




Action Points

Quiz Questions

Action Points

1. For Hypertrophy what % of 1RM appears to be more beneficial?

2. What might be a major drawback of low load training?

3. According to the 2015 meta-analysis which rep durations are best for hypertrophy?



AIMS:

Key Learning Points

In this final lecture on exercise modification, we discuss the implementation of different contraction types, accommodating resistance and autoregulation

LESSON:

07




Action Points

Quiz Questions

1. In simple terms, what do we mean by accommodating resistance?

2. What does DAPRE, as originally outlined by Knight (1979) stand for?



AIMS:

Key Learning Points

This lesson introduces some example exercise options relating to working with people withlower back injuries

LESSON:

08

Exercise Options:Working Around Lower Back Injuries



Action Points



AIMS:

Key Learning Points

This lesson introduces some example exercise options relating to working with people withhip injuries

LESSON:

09

Exercise Options:Working Around Hip Injuries



Action Points



AIMS:

Key Learning Points

This lesson introduces some example exercise options relating to working with people withknee injuries

LESSON:

10

Exercise Options:Working Around Knee Injuries



Action Points



AIMS:

Key Learning Points

This lesson introduces some example exercise options relating to working with people withankle / foot injuries

LESSON:

11

Exercise Options:Working Around Ankle / Foot Injuries



Action Points



AIMS:

Key Learning Points

This lesson introduces some example exercise options relating to working with people withshoulder injuries

LESSON:

12

Exercise Options:Working Around Shoulder Injuries



Action Points



AIMS:

Key Learning Points

This lesson introduces some example exercise options relating to working with people withelbow injuries

LESSON:

13

Exercise Options:Working Around Elbow Injuries



Action Points



AIMS:

Key Learning Points

This lesson introduces some example exercise options relating to working with people withhand / wrist injuries

LESSON:

14

Exercise Options:Working Around Hand / Wrist Injuries



Action Points



Notes



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Key Learning / Action Date for Completion

Action Plan

Congratulations on completing the course. The key with any education is how you intend to use what you’ve learnt. Take the time to consider the knowledge you have gained during this course and how you are going to implement it or change what you currently do. Use the space below to summarise or to plan and set goals for the implementation or follow up phase.

working with injured clients...working with injured clients as personal trainers, it’s never our...

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