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Page 1: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques
Page 2: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques
Page 3: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques
Page 4: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

TextCopyright©2014KarlKnopf.DesignandConcept©2014UlyssesPressanditslicensors.Photographscopyright©2014RaptProductions.Allrightsreserved.Anyunauthorizedduplicationinwholeorinpartordisseminationofthiseditionbyanymeans(includingbutnotlimitedtophotocopying,electronicdevices,digitalversions,andtheInternet)willbeprosecutedtothefullestextentofthelaw.

PublishedintheUnitedStatesbyUlyssesPressP.O.Box3440Berkeley,CA94703www.ulyssespress.com

ISBN:978-1-61243-345-5LibraryofCongressControlNumber2013922722

10 9 8 7 6 5 4 3 2 1

Acquisitions:KellyReedManagingeditor:ClaireChunEditor:LilyChouProofreader:ElyceBerrigan-DunlopIndexer:SayreVanYoungProduction:JakeFlahertyCoverdesign:[email protected]:front©OlesyaFeketa/shutterstock.com;back©RaptProductionsInteriorphotographs:©RaptProductionsexceptonpage6©marema/shutterstock.comModels:MichaelCiociola,NadiaVelasquezMake-up:SabrinaFosterDistributedbyPublishersGroupWestPleaseNoteThisbookhasbeenwrittenandpublishedstrictlyforinformationalpurposes,andinnowayshouldbeusedasasubstituteforactualinstructionwithqualifiedprofessionals.Theauthorandpublisherareprovidingyouwithinformationinthisworksothatyoucanhavetheknowledgeandcanchoose,atyourownrisk,toactonthatknowledge.Theauthorandpublisheralsourgeallreaderstobeawareoftheirhealthstatusandtoconsulthealthcareprofessionalsbeforebeginninganyhealthprogram.

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contents

PART1:OVERVIEWIntroductionWhat’saTherapyBall?WhyUseTherapyBalls?TherapyBallsandSelf-MassageSelf-AssessmentofFlexibilityBeforeYouBegin

PART2:PROGRAMSHowtoUseThisBookStart-UpRoutineCoreStabilityWorkoutBackStrengtheningWorkoutTotalTorsoTune-UpTotal-BodyWorkoutStretch&RelaxMuscleReleaseforActiveFolks

PART3:EXERCISESCoreStrengthening

LegExtensionLegCircleHeelSlidePelvicLiftArmSwingArm/LegCombinationCurl-UpSupineStabilityOrientationBack-On-BallCrunchBack-On-BallTwistingCrunchSupineMarchingSupineStability—ArmsSupineStability—Legs

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Back-On-BallLegLiftAlternatingCurl-UpI,Y&TBackExtensionDouble-ArmLiftDouble-LegLiftProneArm&LegLiftSupermanPlankPush-UpBallSwitchPush-UpPlanktoPikePlanktoSideSalutationReverseTrunkCurlArmPointerBirdDogBallSitOrientationSeatedHipMovementBallSitwithFootLiftBallSitwithLegExtensionBallSitwithLegExtension&ArmRaisePelvicLiftPelvicLiftwithArmLiftPelvicLiftwithLegExtensionPelvicLiftwithArmLift&LegExtension

ConditioningInnerThighTonerInnerThighRotationHamstringCurlIsometricHamstringCurlInternal&ExternalShoulderRotationWallSquat

Stretches&PressureReleaseTotal-CoreStretchSpine/NeckLengthenerChestStretchAbStretch

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HipFlexorStretchInnerThighStretchHamstring/HipReleaseFootMassageAnkleMassageHamstringMassageQuadricepsMassageInnerThighMassageKneeReleaseCalfMassageITBandMassagePiriformisReleaseGluteMassageUpperBack&ShoulderMassageLowerBackReleaseLatReleaseDeltoidMassageNeckReleaseChestMassageHandMassageForearmMassageBicepsMassageComboMassage

IndexAcknowledgmentsAbouttheAuthor

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PART1

overview

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introduction

Painisthegreatequalizer,whetherwe’rerichorpoor,fitorunfit,youngorold.Acutepaincancrippleyouwhilechronicpaincandevastateyou.Painisthemaincomplaintfor40percentofvisitstothefamilyphysician.Only50percentofthosevisitshavesatisfactoryoutcomes,leavingpatientswonderingwhatthecauseidandwhattheycando.

Sometimespoorpostureandimproperbodymechanics,alongwithovertrainingspecificmuscles,leadtoincreasedmuscletensionandharmfulbodyalignment.Othertimestraumatoanareacanintensifymuscletension,whichcancontributetomusclespasms.Ifthesedysfunctionsaren’taddressedproperly,theycanleadtoreducedmobilityandchronicphysicalproblems.Frequentlythere’sno“cure”forthepain,onlywaystomanageit.Thekeyistofindamethodthat

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providesthemostbenefitfortheleastamountofrisk.Thetherapyballisconsideredoneofthoseoptions.

Eachofushasourownuniquethresholdforpain.Althoughthere’snouniversalcure-allthatcanridusofthesephysicalannoyancesforgood,therearemanyoptions,suchasmedicationandmassage,thatcaneaseourdiscomfort.Thereareevenmethodswecanapplyourselves.You’veprobablyusedafoamrollertoloosentighthamstrings,releaseyourback,andimproveyourbalance.Didyouknowthattheballsyouplaywith,anythingfromgolfballstobasketballs,canprovidethesamebenefits,inadditiontokeepingyourhearthealthy?

Withtherapyballs,youcanrollyourwaytobetterhealth!TherapyBallWorkbookexplainshowyoucanusepracticallyanyball—largeorsmall,softorhard—asa“therapyball.”Italsopresentsexercisesforphysicalrehab,corestrengthening,posturecorrection,generalconditioning,self-massageandstressrelief—allwaystomaintainaflexible,strongbodyandpreventfutureinjury.

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what’satherapyball?

Thereareafewballsonthemarketearmarkedformassagetherapyandanumberthatactuallycallthemselves“fitness”and“therapy”balls.However,asfarasTherapyBallWorkbookisconcerned,nosingletypeofballisthe“perfect”therapyball.Infact,mostballsusedforgeneralfitnessandrecreationcanberepurposedfortherapy,beitmassage,rehaborconditioning.Thesize,shapeanddensityoftheballyouselectshouldbedeterminedbythegoalofyoursessionand,ifapplicable,theareaofyourbodyyouaimtoaddress.

Ingeneral,smallballs(between1to6inches)withsomegive,suchastennisballsandsoftballs,aregoodcandidatesforself-massageandmusclerelease.Ifyourmusclesrequireafirmertouch,trydenserballssuchasthoseusedingolfandlacrosse.Smallerballshavethebenefitofgettingintoareasthatothertools(pressurepoint

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wand,foamrollers)haveahardtimereaching.Ballswithsomegivecanalsobeusedforcorestrengtheningand

conditioning—thesquishiertheball,themoreunstableitusuallyis.Thestabilityball(alsoknownastheSwissorPilatesball)isapopularcore-strengtheningtoolandperhapsthebestknownofthetherapyballs.Itcomesinseveralsizesandcanbeinflatedtoyourdesiredfirmness.Youmightalsoseeminiversionsofthestabilityball(oftencalled“fitness,”“therapy”and“yoga”balls)usedinPilatesandcore-trainingclasses.Theseballstypicallyrun4to10inchesandareoftenkeptunderinflated.

Somespecializedballshaveknobsandnubstostimulatecirculation,whichworkwellforthehandsandfeet.Othershavebumpysurfacestopromotesensorystimulation,whilethosewithahard,smoothsurfacearedesignedtobeheldinyourhandstoprovidebettertrigger-pointtensionrelief.Thesespecialtyballsmaybefoundatsporting-goods,yoga,Pilatesandphysicaltherapystores.

Thenicethingaboutusingballsfortherapyisthatyouprobablyhaveatleastonelyingaroundthehouse.Ifnot,they’rereasonablypricedorevenfree(say,aroundyourlocaltenniscourtorgolfcourse)andagood,all-purposehealthtool.

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whyusetherapyballs?

Toooftenintheworldoffitness,peoplefocusondevelopingstrongermusclesorimprovingperformanceinasportbutneglectthesubtleraspectsoffitnesssuchasstretchingandflexibility.Mostexerciseprogramsandsportsplaceemphasisononeparticularmusclegroup,thuscausingmuscleimbalancesthatcreatemoreinflexibility.

Thekeytostayinghealthyandfunctionalistounderstandtheinterplaybetweenallthecharacteristicsofthebodythatarecriticaltooptimalfitness,functionandwellness.Beingtoostrongandtightisjustasbadasbeingtooflexible.Ourbodiesarelikeasymphony;eachparthasaspecialrolethatneedstobeplayedatthecorrecttimeandbewelltunedinordertoproduceabeautifulharmony.

It’sverydifficultfortheaveragefitnessbufftounderstandthedelicaterelationshipbetweendoseandresponse.Toomanypeople

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believethatmoreandharderisalwaysbetter.It’stheenlightenedpersonwhounderstandsthebalancebetweenphysicalactivity,restandmindfulmovements.ThelongerIworkwithpeopleofalllevels,themoreIrealizethathavingafirmyetsupplebodyisthekeytoachievingfunctionalfitnessandapain-freelife.Whetheryou’resedentaryorveryactive,adailyroutineofstretchingandmusclerelaxationiscriticalinpreventingjointdysfunctionsandchronicpain.

Therapyballsarewonderful,versatiletoolsthatcanimprovemobilityandflexibility,preventpossibleinjuryandreleasemusculartensionwhilealsoaddingdiversitytoyourstandardexerciseprogram.Tennis,golf,lacrosseandsoftballsareperhapsmostcommonlyusedforself-massage,thegoalofwhichistobreakupinterwovenmusclefibersandhelpmoveoxygenatedbloodintothemuscles.Softer,squishierballs,whenusedduringcommonexerciseslikepush-upsandbackextensions,provideanunstablesurfacethatchallengesthecentralnervoussystemtomaintaincontrol.Simplysqueezingasquishyballbetweenyourkneesduringanabdominalcurl-upengagesmorecoremusclesandreinforcestheinterconnectednessbetweenthemuscles.

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therapyballsandself-massage

Thetherapyballisawonderfulself-helptooltoreducemuscletightnessandprovidedeepmusclemassageandpressurerelease.Theadvantagethatthetherapyballhasoverotherself-massagetoolsisthatitcanprovideamulti-directionalmassagetotheareainneed(similartowhatamassagetherapistwoulddo),orsimplybeheldinplaceuntilatroublespotreleases(likewhatyou’dencounterwithanacupressurist).

Oftentimesasimpleinjurysuchasamusclestrainorcontusioncancontributetomuscleknotsor“triggerpoints”—smallpatchesofsuper-contractedmusclefibersthatcauseachingandstiffness.Thesetriggerpointscanaffecttheperformanceofthewholemuscleandspreadpaintoadjacentareas(called“referredpain”).Inaddition,a

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personwhohasaninjurytypically“guards”thearea/joint,whichoftenleadstoreducedrangeofmotioninthatareaandfurtherdysfunction.

Thereareapproximately620potentialtriggerpointsinourmuscles.Thesetriggerpointsreportedlyshowupinthesameplacesineveryperson(thechartonpage6highlightsthemostcommontriggerpoints).Inanactivetriggerpoint,painortendernesscaneitherbefeltlocallyorinanotherlocation(“referredpain”).Ifyoupayattentiontoyourbody,you’llnoticethatcertainlocationsfeelpainfulwhenpressedwhileothersdon’t.Alatenttriggerpointisonethatexistsbutdoesn’tyetreferpain.However,alatenttriggerpointcaninfluencemuscleactivationpatterns,whichcanresultinpoormusclecoordinationandbalance.

Manypeoplecallactivetriggerpoints“ouch”points,wherebyjustpushingonthepointelicitspain.Whentriggerpointsarepresentinmuscles,there’softenpainandweaknessinareasadistancefromwherethepainis.It’ssuggestedthatapplyingpressuretotriggerpointscanreleasetension,reducestressandpromotewellness.WhilethesemethodsarenotasubstituteforWesternmedicine,theyoftencanbeusedinacomplementarymanner.

Otherfactorsarebelievedtoleadtomusclestiffnessandsoreness.Onetheoryisthatwhensofttissuegetsinjured,thefascia(thinconnectivetissuethatsurroundsmuscles)doesnotslidefreely.Performingmyofascialtechniquesalongwithasystematicstretchingroutinecanfacilitatethebreak-upoftheseadhesions.

Whilethisbookisnotintendedasareplacementforphysicaltherapyoratrainedmassagetherapist,itcanbeagreatcomplementtoahome-basedpost-rehabroutineorpreventiveprogram,usedinconcertwithyourtherapist’sinput.However,sincesomanythingscontributetotightnessandsoreness,it’salwayswisetoconsultwithyourhealthprofessionalbeforeperformingaself-massage.Keepinmindthatpainisyourbody’spanellightlettingyouknowsomethingisn’tperfect,thusalwaysmakesurethere’snosignificanthealthissue

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causingyourpain.

HowtoUseTherapyBallsforSelf-MassageLearningtotuneintothepartsofyourbodythataretightisthefirststepincorrectinganyphysicaldysfunctionstemmingfrommuscleimbalance.Whichactivitiesdoyouparticipateinthatcontributetoyourtightness?Isittoomuchofonekindofexerciseortoomuchtimespenthunchedoveradesk?Aregulartherapyballprogramthataddressesthosetightareas,coupledwithproperbodymechanics,wouldbeawiseinvestment.

Mostballsareplacedunderspecificlocationsandeitherheldinplaceforacertainamountoftimeorrolledoverbackandforth,dependingonyourtolerance.Whileholdingtheballoverthepressurepointmightnotfeelgreat,thereliefthatfollowsafteryou’vebrokenapartthoseadhesionswillpleasantlysurpriseyou.Mosttriggerpointexpertssuggestthefollowing:• Relaxthetargetedmusclespriortoasessioneitherbyusinga

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hold-relaxmusclestretchorawarmshower.• Avoidcirculatorylocationssuchasbehindtheknee,armpitand

neck.• Onlytakethepressureintensitytoa5or6onyourpainscaleof

10.• Applypressuretotheareaforonly8to20seconds,orastolerated.• You’reunique—followyourinstincts.

Thekeytoachievingadesirableoutcomeistoknowwhentopresshard,whentopressgentlyandwhentoavoidanareacompletely.Keepinmindthateachbodypartrequiresdifferentamountsofpressure.Startwithalighttouchandmovetodeeperpressure.Thelowerlegsareoftenverysensitive,whereastheback,buttocksandshouldersoftencantolerateadifferentlevelofpressure.Usecautionwhendoinganythingaroundtheabdominalarea,orifyouhaveanyhealthissues.It’swisetoconsultyourphysicianbeforeengaginginabdominaltherapyballmoves.

Manytimesthemorefitortenseyouare,themoreuncomfortablethe“hold”canbe,soconsiderstartingwithasofterball,ashorterdurationoralighterintensity.Thebottomlineisthatballselectionisapersonalchoice.Ifyoufeelbetterafterthesession,thetypeofballusedwascorrect.Listentoyourbody!Eachofushasadifferentthresholdfordiscomfort.Aimforanexperiencethat“hurtssogood.”Beintuitiveaboutthepositioningandtheamountofpressureyouexert.

Ifyouallowtoomuchtimetolapsebetweensessions,theadhesionsreformandthenyouhavetostartover.Alittlebitofself-massagedoneregularlyisfarmorebeneficialthanalotdoneseldomly.

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self-assessmentofflexibility

Throughtesting,youcanhoneinonyourproblemareasandmaximizeyourabilitytodesignaneffectivetherapyballroutine.Oneeasywayistoasksomeoneyoufeelcomfortablewithtogentlypressvarioustriggerpointsonyourbodywhileyouregisterthelevelofdiscomfortyounotice.Youmighthardlynoticethepressureinsomeareaswhileotherselicitanunexpected“ouch!”

Manyofourchronicmuscleimbalancesarearesultoftighthamstringsandupperbackmusclesaswellashipflexors.Checkingoutyourpostureisasimplewaytoseeifhowyoustandandmoveisapossiblecauseofyourdiscomfort.Thefollowingsimplefitnesstestswillcheckformuscletightnessandpoorflexibilityinthemostproblematicareasofthebodyformostpeople—thelowerback,hamstringsandshoulders.(Tighthamstrings,incidentally,area

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commoncontributortolowerbackpain.)Theseassessmentsaregrossevaluationsandshouldbealaunchingpointfordiscussionwithyourhealthprofessional;they’renotintendedfordiagnosis.

PostureTest

Standinfrontofamirrorand,ifpossible,haveaseriesofhorizontalandverticallinesbehindyou.Thismaysoundsilly,butplacingdotsonyourshoulders,hipsandkneescanhelphighlightanyposturalshifts.

Whilefacingthemirror,checkforthefollowing:• Isoneshoulderhigherthantheother?• Isonehiphigherthantheother?• Isyourchindirectlyoveryoursternum?• Isyoursternumoveryourbellybutton?• Isyourweightevenlydistributedoverbothfeet?

Yourshouldersandhipsshouldbelevel,yourchinshouldbecenteredoveryoursternum,yoursternumshouldbealignedoveryourbellybuttonandyourweightshouldbeevenlydistributedoverbothfeet.Ifthey’renot,consideryourbodymechanics:Doyoualwayscarryyourbag/briefcaseoverthesameshoulder?Doyoufavoronelegoveranother?Youmayneedtochangeyourmovementpatternsorconsultaphysicaltherapisttobringproperalignmentbacktoyourbody.

Nowtakealookatyourselffromthesideandcheckforthefollowing(besuretoassessbothsides):• Areyourearsoverthemiddleofyourshoulders?• Isthereasignificantarchinyourlowerbackorisitflat?• Areyourhipsoveryourkneesandankles?

Yourearsshouldbealignedwithyourshoulders,yourlowerbackshouldhaveaslightarchandyourhipsshouldbeoveryourkneesandankles.Again,ifyouralignmentisoff,youmayneedtochangeyour

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movementpatternsorconsultaphysicaltherapisttobringproperalignmentbacktoyourbody.

AlternatePostureTest

Standwithyourbacktothewallwithyourheels3to5inchesfromthewallandyourrearendagainstthewall.Nowaskyourself:• Aremyshoulderbladesflatagainstthewall?• Isthereasignificantarchinmylowerback?• Isthebackofmyheadcomfortablytouchingthewall?• CanIplacemyhandsonmyshouldersandtouchmyelbowstothe

wall?Ideallyyoushouldbeabletoplaceyourhandsonyourshoulder

andtouchyourelbowstothewall.Mostmencan’tbecausetheirshoulderandchestregionistootight.Thusmeaningtheyneedtostretchthechestarea.Ifyourhipsarepushedsignificantlyforwardorback,creatingasignificantlyarchedorflatback,theycancontributetolowerbackdiscomfort.

Ifyounoticesignificantmisalignment,considerfocusingonimprovingflexibilityintheareasthataretight.Proceedwiththefollowingteststohelpdeterminewherethoseareasare.

HamstringTest

Sitonthefloorwithyourlegsstraightoutinfrontofyouandyourtoespointingup.Whilekeepingyourbackstraight,placeyourhandsontopofeachotherandextendyourarmsforward,reachingforyourtoes.• Ifyoucantouchyourtoes,fair.• Ifyoucanreachpastyourtoes,great.• Ifyoucan’treachyourtoes,youneedtoworkonimproving

flexibilityandmobilityinyourlowerbackandthebacksofyour

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thighs.

ShoulderFlexibilityTest

Standtall,reachyourrighthandtotheceilingandthenbendyourarmtoletyourarmfallbehindyourhead.Reachyourlefthandupyourbackandattempttotouchthefingersofyourrighthand—don’tforceit!Dobothsides.• Ifyourfingerstouch,fair.• Ifyourfingersoverlap,great.• Ifyourfingersdon’ttouch,youneedtoworkonshoulderand

chestflexibility.

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beforeyoubegin

Totheworldyouareonepersonbuttoonepersonyoumaybetheworld.Treatyourselfkindly!Therapyballsareawonderfulwaytoimprovemobilityandreleasemusculartensionwhileaddingdiversityandchallengetoyourexerciseprogram.Still,it’salwaysadvisedtoseekprofessionalinputifyou’repregnant,haveapre-existingcondition,areinpoorhealthorseverepain,haveosteoporosisand/orhavepoorrangeofmotion/flexibility(seetheflexibilityassessmentsonpage11).

Thekeytoeffectiveuseoftherapyballsliesinthefollowingconcepts:• Understandhowlongandhowmuchpressureiscorrectforyou.• Berelaxedandwarm.Dressinclothesthatallowyoufreedomof

movement.• Understandtheinterconnectednessofyourmuscles(e.g.,tight

hamstringsinfluencelowerbackpain).

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• Learnwhichorderofpositionsisbestforyou(e.g.,largemusclegroupsfollowedbyisolatedmuscles).

• Don’tgobeyondmilddiscomfort—paincausestightness.Youshouldfeelbetterwhenyourelease.Neverholdapositiontoolongorhard!

• Bepatient;don’texpectovernightresults.Youdon’tneedtoholdapositiontothepointofpain.

• Avoidanyareathathasbeeninjureduntilclearedbyyourdoctor.• Neverperformtherapyballmovesoveranareawhere

inflammationorswellingispresent.• Don’tperformtherapyballmovesdirectlyoverabonyareaor

areaswhereyoucanfeelyourpulse,likethesidesofyourneck,underyourarmpitandbehindyourknee.

• Ifyouexperiencesorenessthatlastsmorethan24hours,re-evaluatetheroutine.

• Neverself-diagnoseyourself—painisyourbody’swarningsystem.Alwaysseekmedicaladvice.Sometimesreferredpaininyourbackcouldbeaheartattack.

• Neverdotoomuchtoosoon.• Whenlyingonatherapyball,alignyourspinecorrectlyandnever

compromiseyourbalance.

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PART2

programs

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howtousethisbook

Thissectionfeaturesseveralprogramsthataddressavarietyofneeds,fromself-massagetocorestrengtheningtostretching.DetailedinstructionsonhowtoperformthemovementscanbefoundinPart3.Feelfreetochooseoneoftheseprogramsandperformitasnoted,oraddanyexercisesfromPart3asyouseefit.

Keepinmindthatusingatherapyballmaylooklikechild’splaybututilizingitcorrectlytoobtainanidealresponseisnoeasyfeat.Ifyou’vebeendiagnosedwithamedicalcondition,it’shighlyrecommendedthatyouobtainpersonalizedinstructionfromatrainedtherapistpriortoengaginginanyoftheseprogramsorexercises.Thisbookshouldbeusedinconcertwithyourhealthprovidertoassistyoutoabetter-balancedbody.Yourbody,justlikeaspinningtop,functionsbestwhenalltheforcesareinsync.

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FrequentlyAskedQuestions

Ifyouprefertocreateyourownroutine,theseFAQswillhelpyouputtogethertheworkoutthatbestfitsyourneeds.

HowMuchSpaceDoINeed?Youonlyneedtheamountofspaceittakesforyoutostand/sit/liedownwithyourtherapyballandspreadyourarms.Thebeautyofusingtherapyballsisthatthey’reeasytocarryandcanbeusedanywhere:thefloorinfrontofyourTV,outonthelawn,atthegym,evensittingatyourdesk.

WhichBallShouldIUse?Selectingtherightballforyourneedsandgoalsisapersonaldecision,buttherearecertaintipsyoushouldkeepinmind.Ingeneral,firmerballssuchastennisandsoftballsarebestforpressurereleaseandself-massage.Harderballs,likethoseusedingolfandlacrosse,canalsobeusedbutthey’llbemuchmoreintense.Forcorestrengtheningandconditioning,you’lltypicallyuseaballwithsomegive(we’llcallthese“stability”balls),likethepopularlargeballorsmallerfitnessball.Dependingontheexercise,anunderinflatedballmayprovidemorechallengethanafirmlyinflatedone—you’llhaveto(safely)experimenttofindtherightoneforyou.Regardlessofthefirmnessoftheball,makesurethattheballissafeforyourbodyweightandavoidsharpobjects.

THERAPYBALLSUGGESTIONS

InPart3,werecommendthetypesofballstobeusedinthevariousexercises.Herearethecategoriesandthemostcommonballsoftheirtype.Small firm (less than 4” in diameter): tennis, racquetballMediumfirm(4”to10”indiameter):rubberplayground(think“foursquare”)

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Smallhard(lessthan4”indiameter):golf, lacrosseMediumhard(4” to 10” in diameter): medicine, basketball Small stability (lessthan 4” in diameter): soft fitnessMedium stability (4” to 10” indiameter):softfitnessLargestability:standardPilates,Swiss

WhenShouldIDotheExercises/Self-Massage?Aimtoperformyourtherapyballsessionseveraltimesaweekbutavoiddoingitshortlyafterameal.Maketherapyballtimeaspecialtimeforyoutorelax,refreshandrenewyourself!

HowDoISelectWhichExercisestoDo?Anancientphysicianoncetoldhismedicalstudents,“Ifyoulistentoyourpatientstheywilltellyoutheircure,soitiswithyou.”Thatsaid,ifyoutrulylistentoyourbody,itwilltellyouwhichexercisesarecorrectforyou.Forinstance,adifficultdaysittingoveracomputerwillnecessitateadifferentsetofself-massagemovementsthanadayofyardwork.

Ingeneral,trytodoatleastonemovement/exercisethataddressesallthemajormusclegroupsdaily.Spendalittleextratimeontroublespotsasneeded.

Whendoingself-massage,trytostartattheproximal(top)partsofthebodyorlimb.Forexample,startatthetopofyourlegandmovetowardyourfoot.Uselarger,softerballsbeforeprogressingtosmaller,firmerballs.

Donotperformself-massageifyouhaveorareexperiencinganyofthefollowing:• Acutesprain/strainorskinlesions• Skindiseases• Anunhealedfractureorwound• Osteoporosis,fibromyaglia• Edema,ableedingdisorder,oravascularorheartconditionIfyoufeelworseafterasession,considerreducingtheintensityandthedurationofyournextsession.The2-hourruleisagreatsuggestion:Ifyoufeelbetter2hourspost-session,thenwhatyoudidisprobablyrightforyou.However,ifyouwakeupinthemorning

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withmoreachesandpains,re-evaluatethemoves.

HowManyRepsoftheExercisesShouldIDo?Startwithonlyonesetatalightintensityanddurationandseehowyourbodyresponds.Don’tfocusondurationornumberoftimes;trustyourbodytobeyourguide.Bekindtoyourself.Twotofivetimesisgenerallyasafestartingpointforconditioningexercises.Thereareinfinitepossibilities—justlistentoyourbody.

HowLongShouldIApplyPressureduringSelf-MassageSessions?Whenperformingself-massage,keepthemovementssmallandgentleandprogressasappropriate.Don’tapplytoomuchpressureatfirst.Focusonareasoftension;noparticulardirectionoramountofpressureisrightorwrong.Breathedeeplyandexhalethetension:Inhaleslowlyeitherthroughyournoseormouthfullyforacountof4to6andthenexhaleslowlythroughyourlips(asifblowingoutacandle)foracountof8to12.Youmayenjoyaglassofwateraftereachsessiontocleanseouttoxinsreleasedbyyourmuscles.

Toachieveidealresults,trytogiveyourself10to30minutesdailytoquietyourmindandrelaxyourbody.Thinkabouttheareasofyourbodythatfeelliketheyneedattentionandselectmoves/positionsaccordingly.Itmightbebesttoonlydo2or3positionsandholdthemalittlelongerthantrytocrammanymovesintoaroutine.Ialsoliketoblendtrigger-pointholdswithastretch.Performingself-massageseveraltimesadaymightbebetterthanonelongsession.Ifyoufeelworse2hourspost-sessionorthenextday,adjustthevariablesofyournextsession.

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start-uproutine

Thisroutineisdesignedtoacquaintyouwiththeball.Whileperformingthisprogram,evaluatehowyou’reabletomoveaboutandstillmaintainyourbalance.Thisisafineprogramtoaddressoverallcorestability.Ifpossible,performthisseries2to3timesaweek.Remember,thequalityofthemotionismoreimportantthanthetimeorreps.Onceyouaccomplishthesuggestedreps/duration,do2to3sets.

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corestabilityworkout

Thisprogramisdesignedtochallengeyourcorequicklyandcanbeperformedbeforeorafteraworkout,orevenasastand-aloneroutine.Ifyouperformthisroutine,considerdoingtheBackStrengtheningWorkout(page19)thedayafter.Remember,thequalityofthemotionismoreimportantthanthetimeorreps.Onceyouaccomplishthesuggestedreps/duration,do2to3sets.

Page 32: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

backstrengtheningworkout

Thisprogramisdesignedtoaddresstheposteriormusclesofthecorequicklyandcanbeperformedbeforeorafteraworkout,orevenasastand-aloneroutine.Ifyouperformthisroutine,considerdoingtheCoreStabilityWorkout(page18)thedayafter.Remember,thequalityofthemotionismoreimportantthanthetimeorreps.Onceyouaccomplishthesuggestedreps/duration,do2to3sets.

Page 33: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

totaltorsotune-up

Thisprogramfocusesondevelopingastrongandsolidabdominalregion.Ifyou’reverylean,youmayevennoticeasixpackafterawhile.Remember,thequalityofthemotionismoreimportantthanthetimeorreps.Onceyouaccomplishthesuggestedreps/duration,do2to3sets.

Page 34: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

total-bodyworkout

Thisroutinewillgiveyouatotal-bodyworkout,withupper-bodyconditioningandcore-stabilityexercisesaswellaslower-extremitytoning.Remember,thequalityofthemotionismoreimportantthanthetimeorreps.Onceyouaccomplishthesuggestedreps/duration,do2to3sets.

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Page 36: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

stretch&relax

Thisroutineisdesignedtobea“treat,”toallowyoutorelaxyourmindandbody.Tryitafterawarmbathaccompaniedbysoftmusic.Togainthemostfromthisroutine,doasmuchoraslittleasyouwishand,ifyoufallasleep,wonderful.

Page 37: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

musclereleaseforactivefolks

Thisself-massageandmuscle-releaseprogramisperfectafteraharddayofplaying,workinginthegardenorhunchingoveracomputer.Themovesinthisroutinecanbeselectedbasedonwhateverareaisbotheringyou.There’snoneedtodoeverymove—simplyusethislistasamenu.Dothesemovesforaslongorasshortasyourbodytellsyou.Somedaysyourbodywillneedmoreattention,otherdaysless.Somedaysyouhavetoavoidcertainareaswhileotherdaysnothing’sofflimits.

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Page 39: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

PART3

theexercises

Page 40: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

LEGEXTENSION

target:abdominals

SUGGESTEDBALLTYPE(S):smallfirmorstability

Whilethismayappeartobealegexercise,theemphasisisonengagingtheabdominalmuscles.Themovementsshouldbeslowandpurposeful.

1Lieonyourbackwithyourkneesbentandfeetflatonthefloor.Placeasmallballbetweenyourkneesandrestyourarmsalongsideyourbody.

2Whilemaintaininganeutralspine,engagingyourdeepabdominalmusclesandkeepingtheballbetweenyourknees,slowlyextendyourrightlegfromthekneejoint.

Page 41: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

3Slowlyreturntostartingpositionandswitchsides.Makesureyouhaveproperneutralspinepositioneachtime.

Page 42: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

LEGCIRCLE

target:abdominals

SUGGESTEDBALLTYPE(S):smallstability

1Lieonyourbackwithyourkneesbentandfeetflatonthefloor.Placeasmallballunderyourtailbone;adjusttheballsothatyoubalancecomfortablyonit.Extendyourarmsalongyoursidesforsupport.Onceyou’vesettledyourweightintotheball,extendyourrightlegtotheceilingandpointyourtoes.

Page 43: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

2–3Engagingyourdeepabdominalmusclestolimitanyhipmovement,slowlyandmindfullydrawsmallcirclesontheceiling.

Onceyou’veperformedtheprescribednumberofreps,switchsides.

Page 44: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

HEELSLIDE

target:abdominals

SUGGESTEDBALLTYPE(S):smallfirmorstability

Thisexerciseiseasiertoperformifdoneonasmoothfloorsurfacewithstockingedfeet.

1Lieonyourbackwithyourkneesbentandfeetflatonthefloor.Placeasmallballunderyourtailbone;adjustitsothatyoubalancecomfortablyonit.

2Whilemaintaininganeutralspineandengagingyourdeepabdominalmuscles,slowlyandmindfullyslideyourleftheelforwardalongthefloor.Avoidanyside-to-sidehipmovement.Stopwhenyoufeelyourlowerbackbegintoarch.

3Returntostartingpositionandswitchsides.

Page 45: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

PELVICLIFT

target:abdominals,back

SUGGESTEDBALLTYPE(S):smallfirmorstability

1Lieonyourbackwithyourkneesbentandfeetflatonthefloor.Placeasmallballbetweenyourkneesandrestyourarmsalongsideyourbody.

2Startingwithyourtailbone,slowlyrollupyourspine,feelingeachvertebracontactthefloorasyouprogresstowardyourshoulders.Stopwhenyourhipsareoffthegroundandyoumakeastraightlinefromkneestoneck.

Slowlyrollbackdowntostartingposition,onceagainimprintingeachvertebraintotheground.

Page 46: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

ARMSWING

target:abdominals

SUGGESTEDBALLTYPE(S):smallfirmorstability

1Lieonyourbackwithyourkneesbentandfeetflatonthefloor.Placeasmallballbetweenyourkneesandextendbotharmsuptotheceilingwithyourpalmsfacingeachother.Yourhandsshouldbedirectlyaboveyourshoulders.

2Whilemaintaininganeutralspine,engagingyourdeepabdominalmusclesandkeepingtheballbetweenyourknees,slowlymoveonearmforwardtowardyourhipandtheotherstraightbackalongsideyourhead.

Page 47: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

3Slowlyreturntostartingpositionandswitchdirections.

VARIATION:Youmayalsomovebotharmsinthesamedirectionatthesametimeaswellasopenyourarmsouttoyoursides,butbeespeciallymindfultomaintainneutralspine.

Page 48: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

ARM/LEGCOMBINATION

target:abdominals

SUGGESTEDBALLTYPE(S):smallfirmorstability

Pelviccontroliscriticalinthisexercisewhilespeednorquantityofrepsarenotimportant.DonotperformthisexerciseuntilyoucanperformtheLegExtension(page25)andArmSwing(page29)correctly.

CAUTION:Ifyouhaveanincreaseinlowerbackarch,you’renotreadyforthisexercise.

1Lieonyourbackwithyourkneesbentandfeetflatonthefloor.Placeasmallballbetweenyourkneesandextendbotharmsuptotheceilingwithyourpalmsfacingeachother.Yourhandsshouldbedirectlyaboveyourshoulders.

Page 49: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

2Whilemaintaininganeutralspine,engagingyourdeepabdominalmusclesandkeepingtheballbetweenyourknees,slowlymoveyourrightarmbacktowardyourheadandleftarmtowardyourhipwhilesimultaneouslyextendingyourleftleg.

3Returntostartingposition.Repeatwiththeoppositeside.

Page 50: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

CURL-UP

target:abdominals

SUGGESTEDBALLTYPE(S):smallfirmorstability

Thesecanalsobeconsideredhalfsit-ups.Focusonpressingyourlowerbackintothefloor,notonseeinghowmanyrepsyoucando.

1Lieonyourbackwithyourkneesbentandfeetflatonthefloor.Placeasmallballbetweenyourkneesandplaceyourhandsbehindyourheadinordertocradleandsupportyourneck.

2Whilecontractingyourabdominalmuscles,inhale,tuckyourchintoyourchestandexhalewhileslowlyliftingyourshoulderbladesoffthefloor.Holdfor1–3seconds.

Inhalewhileslowlyreturningtostartingposition.

Page 51: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

SUPINESTABILITYORIENTATION

target:core

SUGGESTEDBALLTYPE(S):largestability

Thisteachesyouhowtoengageyourcoremusclesandgetusedtoperformingmovementsonanunstablesurface.

1Sitonastabilityballandthenslowlyrollittowardyourfeet,movingyourfeetforwarduntiltheballiscomfortablybeneathyourupperbackandhead(youmayalsosupportyourheadwithyourhands).Yourfeetshouldbeshoulder-widthapartandkneesbent90degrees.

Page 52: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

2–3Onceyoufeelstable,gentlyrollleftandrightandrecoveryourbalance.

MODIFICATION:Holdyourarmsouttothesidesforadditionalstability.

Page 53: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

BACK-ON-BALLCRUNCH

target:abdominals

SUGGESTEDBALLTYPE(S):largestability

1Sitonastabilityballandthenslowlyrollittowardyourfeet,movingyourfeetforwarduntiltheballiscomfortablybeneathyourmid-back.Placeyourhandsbehindyourheadtosupportyourneck.Yourfeetshouldbeshoulder-widthapartandbent90degrees.

2Keepingyourelbowswideandwithoutpullingonyourneck,slowlyperforma

Page 54: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

halfsit-up.

Slowlylowertostartingposition.

Page 55: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

BACK-ON-BALLTWISTINGCRUNCH

target:internalandexternalobliques

SUGGESTEDBALLTYPE(S):largestability

1Sitonastabilityballandthenslowlyrollittowardyourfeet,movingyourfeetforwarduntiltheballiscomfortablybeneathyourmid-back.Placeyourhandsbehindyourheadtosupportyourneck.Yourfeetshouldbeshoulder-widthapartandbent90degrees;alwayskeepyourkneesalignedoveryourankles.

2Withoutpullingonyourneck,curlupgentlyandattempttobringyourrightelbowtowardyourleftside.

Page 56: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

3Returntostartingpositionandrepeattotheotherside.

Page 57: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

SUPINEMARCHING

target:abdominals

SUGGESTEDBALLTYPE(S):largestability

1Sitonastabilityballandthenslowlyrollittowardyourfeet,movingyourfeetforwarduntiltheballiscomfortablybeneathyourupperbackandhead(youmayalsosupportyourheadwithyourhands).Yourfeetshouldbeshoulder-widthapartandkneesbent90degrees.

2Oncestable,slowlyliftyourleftfoot1–2inchesoffthefloorandholdfor15seconds.

Page 58: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

3Returntostartingpositionandlifttheotherfoot.

Continuealternating.

Page 59: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

SUPINESTABILITY—ARMS

target:core

SUGGESTEDBALLTYPE(S):largestability

1Sitonastabilityballandthenslowlyrollittowardyourfeet,movingyourfeetforwarduntiltheballiscomfortablybeneathyourupperbackandhead.Yourfeetshouldbeshoulder-widthapartandkneesbent90degrees.Oncestable,raiseyourarmsuptotheceilingsothatyourhandsaredirectlyaboveyourchest.

2Engagingyourcoremuscles,slowlymoveonearmdowntowardyourhipandtheotheralongsideyourhead.

Page 60: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

3Switchsides.

Page 61: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

SUPINESTABILITY—LEGS

target:core

SUGGESTEDBALLTYPE(S):largestabilitywithsmallfirmorstability

1Sitonastabilityballandthenslowlyrollittowardyourfeet,movingyourfeetforwarduntiltheballiscomfortablybeneathyourupperbackandhead(youmayalsosupportyourheadwithyourhands).Yourfeetshouldbeshoulder-widthapartandkneesbent90degrees;placeasmallballbetweenyourknees.

2Engagingyourcoremusclesandkeepingthesmallballinplace,slowlyextendyourrightleg.

Page 62: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

3Carefullyreturntostartingpositionandswitchsides.

Page 63: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

BACK-ON-BALLLEGLIFT

target:abdominals

SUGGESTEDBALLTYPE(S):largestabilityThisisachallengingmove.

1Sitonastabilityballandthenslowlyrollittowardyourfeet,movingyourfeetforwarduntiltheballiscomfortablybeneathyourmid-toupperback.Placeyourhandsbehindyourheadtosupportyourneck.Yourfeetshouldbeshoulder-widthapartandbent90degrees.

2Oncestable,liftandextendoneleguntilit’sparalleltothefloor.

Slowlylowertostartingpositionandrepeatwiththeotherleg.

Page 64: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

ALTERNATINGCURL-UP

target:abdominals

SUGGESTEDBALLTYPE(S):smallfirmorstabilityFocusonpressingyourlowerbackintothefloor,notonseeinghowmanyrepsyoucando.

1Lieonyourbackwithyourkneesbentandfeetflatonthefloor.Placeasmallballbetweenyourkneesandplaceyourhandsbehindyourheadinordertocradleandsupportyourneck.

2Whilecontractingyourabdominalmuscles,inhale,tuckyourchintoyourchestandexhalewhileslowlyliftingyourshoulderbladesoffthefloorandtwistingyourtorsotobringyourleftelbowtowardyourrightknee.Holdfor1–3seconds.

Page 65: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

3Inhalewhileslowlyreturningtostartingposition,andthenrepeattotheotherside.

Continuealternating.

ADVANCEDVARIATION:Bringyourkneesupuntilyourlegsforma90-degreeangle.

Page 66: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

I,Y&T

target:core,shoulders

SUGGESTEDBALLTYPE(S):largestability

1Sitonastabilityballandthenslowlyrollittowardyourfeet,movingyourfeetforwarduntiltheballiscomfortablysupportingyourupperback,neckandhead.Yourfeetshouldbeshoulder-widthapartandbent90degrees.Extendyourarmstowardtheceilingwithpalmsfacingeachother.

Page 67: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

2Whileengagingyourcoremuscles,slowlyanddeliberatelytakebotharmsbackbyyourears,makingyourbodylooklikean“I”fromabird’seyeview.

3Returntostartingpositionandthenslightlytakeyourarmsbackandtothesides,asifmakinga“Y.”

4Returntostartingpositionandthenopenyourarmsouttothesidestomakea“T.”

Page 68: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

BACKEXTENSION

target:back,chest

SUGGESTEDBALLTYPE(S):largestability

1Kneelinfrontofastabilityballandplaceyourbellybuttonontheballsothattheballsupportsyourmidsection.Placeyourhandsbehindyourheadandextendyourlegsbehindyou,makingastraightlinefromheadtoheels.

2Keepingyourheadandneckneutral,squeezeyourglutesandraiseyourchestofftheball.Don’tcomeuptoohigh.

Returntostartingposition.

ADVANCEDVARIATION:Thiscanalsobedonefromyourknees.

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Page 70: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

DOUBLE-ARMLIFT

target:shoulders,upperback

SUGGESTEDBALLTYPE(S):largestability

1Liefacedownwithyourbellybuttononthemiddleoftheballandhandsontheballoronthegroundinfrontofyou.Extendyourlegsbehindyouwithtoesontheground.

2Whilemaintainingneutralspine,slowlyraisebotharmsandhold.Keepthemotionsmoothandavoidtwistingyourbody.

Returntostartingposition.

MODIFICATION:Thiscanalsobedonewithonearmatatime.

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Page 72: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

DOUBLE-LEGLIFT

target:abdominals,butt,lowerback

SUGGESTEDBALLTYPE(S):largestability

1Liefacedownwithyourbellybuttononthemiddleoftheballandhandsonthegroundinfrontofyou.Extendyourlegsbehindyouwithtoesontheground.

2Whilemaintainingneutralspine,slowlyraisebothlegsandhold.Keepthemotionsmoothandavoidtwistingyourbody.

Returntostartingposition.

VARIATION:Thiscanalsobedonewithonelegatatime.

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Page 74: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

PRONEARM&LEGLIFT

target:shoulders,upperback,butt

SUGGESTEDBALLTYPE(S):largestability

1Liefacedownwithyourbellybuttononthemiddleoftheballandhandsonthegroundinfrontofyou.Extendyourlegsbehindyouwithtoesontheground.

2Whilemaintainingneutralspine,slowlyraiseyourrightarmandleftleg.Keepthemotionsmoothandavoidtwistingyourbody.Hold.

Page 75: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

3Returntostartingpositionandrepeattotheotherside.

Continuealternating.

Page 76: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

SUPERMAN

target:shoulders,back,butt

SUGGESTEDBALLTYPE(S):largestability

Thisisaverychallengingexercise.Theareaaroundyoushouldbefreeofobjectstoavoidhittingthem.

1Liefacedownwithyourbellybuttononthemiddleoftheballandhandsonthegroundinfrontofyou.Extendyourlegsbehindyouwithtoesontheground.

2Whilemaintainingneutralspine,slowlyraisebotharmsandlegsandholdforupto1minute.Keepthemotionsmoothandavoidtwistingyourbody.

Returntostartingposition.

MODIFICATION:Ifyouhaveshoulderissues,youmaytakeyourarmsouttothesidesina“T.”

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Page 78: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

PLANK

target:completekineticchain

SUGGESTEDBALLTYPE(S):mediumorlargestability

Thisexerciseisaboutmaintainingproperalignment.Makesureyourballisrelativelyfirm.

THEPOSITION:Placeyourhandsontopoftheballandstepyourfeetbackuntilyou’reformingastraightlinefromheadtoheels.Engagingtheglutealmusclesaswellastheabdominalanduppertorsomuscles,holdfortheprescribedamountoftime.Lowertoyourkneestorest.

MODIFICATION:Thiscanalsobedonewithyourkneesonthefloor.

VARIATION:Placeyourfeetontheballinstead.

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Page 80: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

PUSH-UP

target:completekineticchain

SUGGESTEDBALLTYPE(S):mediumorlargestability

Thisexerciseisaboutmaintainingproperalignment,nothowmanypush-upsyoucando.Makesureyourballisrelativelyfirm.

1Placeyourhandsontopoftheballandstepyourfeetbackuntilyou’reinaplank,formingastraightlinefromheadtoheels.

2Engagingtheglutealmusclesaswellastheabdominalanduppertorso

Page 81: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

muscles,loweryourchesttowardtheball.

Pressyourselfbackuptostartingposition.

MODIFICATION:Ifthisistoochallenging,performthepush-upfromyourknees.

VARIATION:Placeyourfeetontheballinstead.

Page 82: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

BALLSWITCHPUSH-UP

target:completekineticchain

SUGGESTEDBALLTYPE(S):mediumstabilityorfirm

1Placeyourrighthandontopofamediumballandstepyourfeetbackuntilyou’reinaplank,formingastraightlinefromheadtoheels.

2Engagingtheglutealmusclesaswellastheabdominalanduppertorsomuscles,loweryourchesttowardtheground.

Page 83: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

3Pressyourselfbackuptostartingpositionandrolltheballtoyourlefthand.

4Performapush-upwithyourrighthandontheball.

MODIFICATION:Ifthisistoochallenging,performtheentireexercisefromyourknees.

Page 84: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

PLANKTOPIKE

target:upperbody,core

SUGGESTEDBALLTYPE(S):largestability

Makesureyourballisrelativelyfirm.

1Placeyourhandsonthefloorandfeetcarefullyontheball,formingastraightlinefromheadtoheels.

2Liftyourrearendupintoapikeposition(inverted“V”).Holdfor15seconds.

Returntostartingposition.

Page 85: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

PLANKTOSIDESALUTATION

target:upperbody,core

SUGGESTEDBALLTYPE(S):largestability

Thisisanextremelychallengingexercise.Makesureyourballisrelativelyfirm.

1Placeyourhandsonthefloorandfeetcarefullyontheball,formingastraightlinefromheadtoheels.

2Relyingonyourrightarmtosupportyou,slowlyrotateyourbodytotheleftandextendyourleftarmtotheceiling.

Returntostartingpositionandrepeattotheotherside.

Page 86: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

REVERSETRUNKCURL

target:abdominals

SUGGESTEDBALLTYPE(S):largestabilityThisisaveryadvancedexercise.Proceedwithcaution.

1Lieonyourbackwithyourarmsalongsideyourbodyandlowerlegsrestingontheball.

2Digyourheelsintotheball,grippingtheballbetweenthebacksofyourthighsandyourheels,andslowlypullyourkneestoyourchest,allowingyourtailbonetocomeoffthefloor.

Returntostartingposition.

VARIATION:Placeyourarmsacrossyourchestandperformthemovement.

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Page 88: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

ARMPOINTER

target:core

SUGGESTEDBALLTYPE(S):mediumfirm,hardorstability

CAUTION:Avoidthismoveifyouhavewristorelbowissues

1Assumethehandandkneeposition(handsunderyourshoulders,kneesunderyourhips,backneutral)andplaceamedium-sizedballunderyourlefthand.

2Engagingyourcoremuscles,slowlyraiseyourrightarmuntilit’salongsideyourear.Makesurenottotwistyourbody.Hold.

Page 89: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

3Slowlyreturntostartingposition.Repeat,thenswitchsides.

Page 90: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

BIRDDOG

target:core

SUGGESTEDBALLTYPE(S):mediumfirm,hardorstability

CAUTION:Avoidthismoveifyouhavewristorelbowissues

1Assumethehandandkneeposition(handsunderyourshoulders,kneesunderyourhips,backneutral)andplaceamedium-sizedballunderyourlefthand.

2Engagingyourcoremuscles,slowlyraiseyourrightarmuntilit’salongsideyourearandextendyourleftlegbehindyou;keepyourhipsleveltotheground.Hold.

Page 91: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

3Slowlyreturntostartingpositionandswitchsides.

Page 92: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

BALLSITORIENTATION

target:abdominals

SUGGESTEDBALLTYPE(S):largestability

Thismoveteachesyouhowtocontracttheabdominalwallandmaintainneutralspineonanunstablesurface.

THEPOSITION:Sitontheballandgentlyengageyourabdominalmuscles,locatingneutrallumbarspineposition.Focusonpropersittingalignment,withyourheadbeingliftedupbyastring,chestupandout,andshoulderbladestogether.

Page 93: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

SEATEDHIPMOVEMENT

target:pelvis

SUGGESTEDBALLTYPE(S):largestability

1Sitontheballandgentlyengageyourabdominalmuscles,locatingneutrallumbarspinepositionandfocusingonpropersittingalignment.

Page 94: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

2–3Gentlyrollyourhipsfromsidetoside.

Page 95: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

4–5Nowmovetheballforwardandbackwardbyrollingyourtailboneunderyouandthenbackward.Curvingandarchingofthelowerbackistoleratedinthissituation.

Page 96: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

Nowmoveyourhipsinaclockwisedirection.Afterafewclockwiserotations,moveyourhipscounterclockwise.

Page 97: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

BALLSITWITHFOOTLIFT

target:abdominals

SUGGESTEDBALLTYPE(S):largestability

Thisexercisewillprogressivelychallengeyournervoussystem,teachingyouhowtocontracttheabdominalwallandmaintainneutralspineonanunstablesurface.

1Sitontheballandgentlyengageyourabdominalmuscles,locatingneutrallumbarspineposition.Focusonpropersittingalignment,withyourheadbeingliftedupbyastring,chestupandout,andshoulderbladestogether.

Page 98: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

2Engagingyourabdominalmusclestominimizemovement,slowlyliftyourrightfootoffthefloorapproximately3–5inchesandhold3–5seconds.

3Slowlylowerthefootandrepeatwiththeotherleg.

Page 99: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

BALLSITWITHLEGEXTENSION

target:abdominals

SUGGESTEDBALLTYPE(S):largestability

Thisexercisewillprogressivelychallengeyournervoussystem,teachingyouhowtocontracttheabdominalwallandmaintainneutralspineonanunstablesurface.

1Sitontheballandgentlyengageyourabdominalmuscles,locatingneutrallumbarspineposition.Focusonpropersittingalignment,withyourheadbeingliftedupbyastring,chestupandout,andshoulderbladestogether.

Page 100: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

2Slowlyliftyourrightfootoffthefloorandextendyourlegfromthekneejoint.Hold3–5seconds.

3Slowlylowerthefootandrepeatwiththeotherleg.

ADVANCEDVARIATION:Placeasmallballbetweenyourknees.

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Page 102: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

BALLSITWITHLEGEXTENSION&ARMRAISE

target:abdominals

SUGGESTEDBALLTYPE(S):largestability

Thisexercisewillprogressivelychallengeyournervoussystem,teachingyouhowtocontracttheabdominalwallandmaintainneutralspineonanunstablesurface.

1Sitontheballandgentlyengageyourabdominalmuscles,locatingneutrallumbarspineposition.Focusonpropersittingalignment,withyourheadbeingliftedupbyastring,chestupandout,andshoulderbladestogether.

Page 103: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

2Slowlyliftyourrightfootoffthefloorandextendyourlegfromthekneejoint.Simultaneouslyraiseyourleftarmuptotheceiling.Hold3–5seconds.

3Slowlyloweryourarmandfootandrepeatwiththeotherside.

Page 104: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

ADVANCEDVARIATION:Placeasmallballbetweenyourknees.

Page 105: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

PELVICLIFT

target:abdominals,butt,lowerback

SUGGESTEDBALLTYPE(S):mediumfirm,hardorstability

CAUTION:Becarefulnottoperformsomanyrepsastotriggerahamstringcramp.

1Lieonyourbackwithyourkneesbentandfeetrestingonamedium-sizedball.Placeyourarmsalongsideyourbody.

2Pressyourfeetintotheballtoliftyourpelvisoffthefloor;don’tliftyourbuttsohighastoarchyourback.Hold10–15seconds.

Slowlylowertostartingpositionandrealignyourspinebeforeperformingthenextrep.

Page 106: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

PELVICLIFTWITHARMLIFT

target:abdominals,butt,lowerback

SUGGESTEDBALLTYPE(S):mediumfirm,hardorstability

CAUTION:Becarefulnottoperformsomanyrepsastotriggerahamstringcramp.

1Lieonyourbackwithyourkneesbentandfeetrestingonamedium-sizedball.Placeyourarmsalongsideyourbody.

2Pressyourfeetintotheballtoliftyourpelvisoffthefloor;don’tliftyourbuttsohighastoarchyourback.Hold3–5secondswhileextendingbotharmstotheceiling,directlyaboveyourshoulderswithpalmsfacingeachother.

Page 107: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

3Slowlymoveonearmforwardtowardyourhipandtheotherbackalongsideyourhead.

4Slowlyreturnbotharmstotheceilingandthenswitchdirections.

Continuealternating.

Page 108: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

PELVICLIFTWITHLEGEXTENSION

target:abdominals,butt,lowerback

SUGGESTEDBALLTYPE(S):mediumfirm,hardorstability

Whilethismayappeartobealegexercise,theemphasisisonengagingthemusclesofthecore.Themovementsshouldbeslowandpurposeful—avoidrapidlegmotions.

CAUTION:Becarefulnottoperformsomanyrepsastotriggerahamstringcramp.

1Lieonyourbackwithyourkneesbentandfeetrestingonamedium-sizedball.Placeyourarmsalongsideyourbody.

2Pressyourfeetintotheballtoliftyourpelvisoffthefloor;don’tliftyourbuttsohighastoarchyourback.

Page 109: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

3Whileengagingyourabdominalmusclesandmaintainingneutralspine,slowlyextendyourrightlegfromthekneejoint.

4Slowlyreturnyourfoottotheballandrepeatwiththeotherleg.

VARIATION:Foranadditionalchallenge,placeasmallballbetweenyourknees.

Page 110: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

PELVICLIFTWITHARMLIFT&LEGEXTENSION

target:abdominals,butt,lowerback

SUGGESTEDBALLTYPE(S):mediumfirm,hardorstability

Thisisachallengingexercise.DonotperformthisuntilyoucandoPelvicLiftwithArmLift(page68)andStabilityBallPelvicLiftwithLegExtension(page69)withperfectform.

CAUTION:Becarefulnottoperformsomanyrepsastotriggerahamstringcramp.

1Lieonyourbackwithyourkneesbentandfeetrestingonamedium-sizedball.Raiseyourarmsuptotheceiling,directlyaboveyourshoulderswithyourpalmsfacingeachother.

2Pressyourfeetintotheballtoliftyourpelvisoffthefloor;don’tliftyourbutt

Page 111: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

sohighastoarchyourback.

3Whileengagingyourabdominalmusclesandmaintainingneutralspine,slowlyextendyourrightlegfromthekneejointwhiletakingyourleftarmbackalongsideyourheadandyourrightarmforwardtowardyourhip.

Slowlyreturntocenterandrepeattotheotherside.

VARIATION:Foranadditionalchallenge,placeasmallballbetweenyourknees.

Page 112: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

INNERTHIGHTONER

target:innerthighs

SUGGESTEDBALLTYPE(S):smallfirmorstability

1Lieonyourbackwithyourkneesbentandfeetflatonthefloor.Placeaballbetweenyourthighsandrestyourarmsalongyoursides.

Page 113: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

2–3Engagingyourabdominalmuscles,quicklysqueezeyourlegstogetherandthenrelease,notallowingtheballtodropuntilyou’redonewithyourreps.

Page 114: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

INNERTHIGHROTATION

target:innerthighs

SUGGESTEDBALLTYPE(S):smallfirmorstability

Thismovementrequires2balls.Itstrengthenstheinnerthighmusclesandrelieveshiptightness.

1Lieonyourbackwithyourkneesbentandfeetflatonthefloor.Placeamedium-sizedballunderyourtailbone.Adjusttheballsothatyoubalancecomfortablyonit.Onceyou’vesettledyourweightintotheball,bringyourkneestoyourchestandextendyourlegstotheceiling.Placeasecondballbetweenyourthighs.

Page 115: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

2–3Engagingyourcoremuscles,slowlyrotateyourthighsaroundtheball,firstinwardandthenoutward.

Page 116: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

HAMSTRINGCURL

target:hamstrings,glutes

SUGGESTEDBALLTYPE(S):largestability

1Lieonyourbackwithyourkneesbentandfeetrestingonalargeball.Placeyourarmsalongsideyourbody.

2Pressyourheelsintotheballwhilesimultaneouslyrollingtheballtowardyourbutt.Hold.

Extendyourlegsbacktostartingposition.Makesuretoreturntoneutralalignmentbeforecontinuing.

ADVANCEDVARIATION:Performthemovementbyliftingyourhipsoffthefloorandperformingthecurlwithoutlettingyourbuttreturntothefloorbetweenreps.

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Page 118: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

ISOMETRICHAMSTRINGCURL

target:hamstrings,uppertorso

SUGGESTEDBALLTYPE(S):largestability

Thisisanisometricexercisetotonethehamstrings.

1Placeyourlegsontopoftheballandrestyourarmsalongsideyourbody.

2Digyourheelsintotheballandholdfor10seconds,feelingthebacksofyourlegscontract.Remembertobreathe!

Slowlyrelease.

Page 119: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

INTERNAL&EXTERNALSHOULDERROTATION

target:rotatorcuff

SUGGESTEDBALLTYPE(S):smallfirmorstability

Thiscanbedonewillstandingorsitting.

CAUTION:Donotperformthisexercisequicklyasyoumayharmyourself.

1Tuckaballbetweenyourribsandleftupperarm,bendyourelbow90degreesandturnyourpalmup.Staymindfulofengagingthedeepmusclesoftheshoulderarea.

Page 120: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

2Movingonlyyourforearm,slowlybringyourlefthandtowardyourbellybutton.

3Nowslowlymoveyourhandawayfromyourbodytotheside.Donotforcethemovementpastyourcomfortzone.

Repeat,thenswitchsides.

Page 121: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

WALLSQUAT

target:core,legs

SUGGESTEDBALLTYPE(S):largestability

1Placealargeballbetweenyourupperbackandawall.

Page 122: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

2Bendyourkneesandloweryourselfuntilyourthighsareparalleltothefloor(ifpossible).Hold.

Slowlyreturntostartingposition.

Page 123: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

TOTAL-CORESTRETCH

target:abs,chest,back

SUGGESTEDBALLTYPE(S):largestability

Thisisaveryadvancedstretchandrequiresalotofback,chestandshoulderflexibility.Mostpeoplewon’teverbeasflexibleasourmodel.Ifyoudecidetoperformthismove,proceedgentlyandslowly;avoidextremes.

CAUTION:Beforedoingthisexercise,standupandarchyourback.Ifthisfeelsuncomfortable,avoidthismove.

THEPOSITION:Sitonastabilityballandthenslowlyrollittowardyourfeet,movingyourfeetforwarduntiltheballiscomfortablybeneathyourmid-back.Yourfeetshouldbeshoulder-widthapartandbent90degrees.Startwithaslightarchandmoveonlywithincomfortablezones.Ifyoufeelcomfortable,youmayplaceyourhandsbehindyourheadorextendyourarmstothegroundbehindyou;letyourheadbesupportedbytheball.Gentlysettleyourweightintotheball,allowingyourbacktorelax.Breatheslowlyandfully.

GETTINGOFFTHEBALL:Togetofftheball,supportyourheadwithyourhandsandslowlyrolltheballtowardyourfeetsothatyoumaysitontheground;moveyourfeetforwardaccordingly.

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Page 125: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

SPINE/NECKLENGTHENER

target:back,spine,neck

SUGGESTEDBALLTYPE(S):largestability

Thisreleasesbacktensionandlengthensthespineandneck.

CAUTION:Ifyou’repregnantorhavestomachissues,speaktoyourhealthprofessionalbeforedoingthismovement.

THEPOSITION:Kneelinfrontofastabilityball.Drapeyourupperbodyovertheball,huggingtheballorplacingyourhandsonthefloorinfrontofyouasnecessary.Breatheslowlyandfully.

Togetofftheball,shiftyourweightbacktowardyourhipssothatyoureturntokneeling.

VARIATION:Straightenyourlegstoallowawiderrangeofrelease.

Page 126: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

CHESTSTRETCH

target:chest

SUGGESTEDBALLTYPE(S):largestability

CAUTION:Becarefulnottoextendbacktoofar;stayinyourcomfortzone.

1Kneelinfrontofastabilityballandplaceyourbellyandchestontheball.Restyourhandsandforearmsonthefrontoftheball.Extendyourlegsbehindyou,makingastraightlinefromheadtoheels.

2Keepingyourheadandneckneutral,gentlyraiseyourchestofftheball.Don’tcomeuptoohigh.

Returntostartingposition.

Page 127: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

MODIFICATION:Thiscanbedonefromyourknees.

VARIATION:Youmayextendyourarmsbackalongsideyourbodytoincreasethestretch.

Page 128: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

ABSTRETCH

target:abdominals,uppertorso

SUGGESTEDBALLTYPE(S):largestabilityand2smallfirmorhardThisstretchesthemusclesoftheabdominalareasimultaneouslyalongwithuppertorso.

THEPOSITION:Lieonyourbackandplaceyourlegsontopofalargeball.Ifyoucantolerateit,place2smallballsinasockunderyourlowerback.Placeyourhandsanywherethey’recomfortable(alongyoursides,underyourhead).Breatheandrelax,allowingyourabdominalareatoelongate.

Page 129: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

HIPFLEXORSTRETCH

target:hipflexors

SUGGESTEDBALLTYPE(S):smallfirmorstability

1Lieonyourbackwithyourkneesbentandfeetflatonthefloor.Placeamedium-sizedballunderyourtailbone.Adjusttheballsothatyoubalancecomfortablyonit.

2Onceyou’vesettledyourweightintotheball,inhaleandbringyourrightkneetoyourchestandclaspyourhandsbeneathyourknee.Exhaleandstraightenyourleftlegasfarasiscomfortable.Hold,breathingslowlyandfully,feelingthestretchinyourextendedleg.

3Slowlyswitchsides.

Page 130: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

INNERTHIGHSTRETCH

target:innerthighs

SUGGESTEDBALLTYPE(S):smallfirmorstability

1Lieonyourbackwithyourkneesbentandfeetflatonthefloor.Placeamedium-sizedballunderyourtailbone.Adjusttheballsothatyoubalancecomfortablyonit.

2Onceyou’vesettledyourweightintotheball,exhaleandslowlyletyourkneesdropopentothesides.Hold,breathingslowlyandfully,feelingthestretchinyourinnerthighs.

Page 131: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

HAMSTRING/HIPRELEASE

target:hamstrings,lowerback,hips

SUGGESTEDBALLTYPE(S):smallfirmorstability

1Lieonyourbackwithyourkneesbentandfeetflatonthefloor.Placeamedium-sizedballunderyourtailbone.Adjusttheballsothatyoubalancecomfortablyonit.

Page 132: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

2Inhaleandbringyourkneestoyourchestandthenexhaleandextendyourlegsuptotheceiling,asifslidingyourlegsupanimaginarywall.

3Keepingyourlegstogether,gentlyshiftyourweighttoyourrighthip.Hold,feelingthestretchinyourhip.

4Nowgentlyshiftyourweighttoyourlefthipandhold.

Page 133: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

Repeatasnecessary.

MODIFICATION:Thiscanalsobedoneagainstanactualwall.

Page 134: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

FOOTMASSAGE

target:foot

SUGGESTEDBALLTYPE(S):smallfirmorhardThiscanbedonewhilestandingorsitting.Ifyouhavebalanceissues,standingbyawallorsittingisrecommended.

1Placeafirm,smallballundertheballofyourfoot.

2Rolltheballaroundunderyourentirefootandalongthesides.Useyourintuitiontoguideyouonhowhardtopressandwhere/howlongtoroll.Breatheslowlyandfully.

Page 135: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

Switchsides.

MODIFICATION:Ifrollingtheballunderfootistoopainful,youcansimplyapplytherightamountofpressureandhold,slowlymovingtheballtoanotherpartofthefootoncetightnesshasreleased.

Page 136: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

ANKLEMASSAGE

target:ankle

SUGGESTEDBALLTYPE(S):smallfirmorstability

1Sitonyourlefthipandpositionaballunderyouranklebone.

2Gentlyrolltheballunderyourankle.Breatheslowlyandfully.

Switchsides.

Page 137: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

HAMSTRINGMASSAGE

target:hamstrings

SUGGESTEDBALLTYPE(S):smallfirmorhard

1Situprightinachairandplace1or2firmballs(inasock)underthebackofoneleg.

Page 138: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

2Rolltheball(s)aroundunderyourthigh,fromaboveyourkneetounderyourbuttock,controllingthepressurebyshiftingyourweight.Useyourintuitiontoguideyouonhowhardtopressandwhere/howlongtoroll.Breatheslowlyandfully.

Switchsides.

MODIFICATION:Ifrollingtheballistoopainful,tryslowlyextendingtheleg,stayingmindfulofthepressure.

VARIATION:Sitonthefloorwithoneorbothlegsextended.Tomakerollingeasier,supportyourselfwithyourhandsand/orbentlegtoliftyourbuttoffthefloor.

Page 139: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

QUADRICEPSMASSAGE

target:quadriceps

SUGGESTEDBALLTYPE(S):smallfirmorhardCAUTION:Avoidarchingyourlowerbacktoomuch.

1Liefacedownwithyourarmsplacedinacomfortablepositiontoprovidesupport.Place2small,firmballs(inasock)underyourthighandjustaboveyourkneecap.

2Rolltheballsaroundunderyourthigh,controllingthepressurebyshiftingyourweight.Useyourintuitiontoguideyouonhowhardtopressandwhere/howlongtoroll.Breatheslowlyandfully.

Switchsides.

Page 140: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

INNERTHIGHMASSAGE

target:innerthightension

SUGGESTEDBALLTYPE(S):smallfirmorhard

THEPOSITION:Restingonyourforearms,liefacedownwithbothlegsextended.Bendyourleftlegandtakeyourkneetotheleftside,openingupyourhip.Place1or2firmballs(inasock)undertheinsideofyourleftthigh.Gentlyrolltheball(s)aroundunderyourthigh,controllingthepressurebyshiftingyourweight.Breatheslowlyandfully.

Switchsides.

MODIFICATION:Sitcomfortablyinachairandplaceasmallballbetweenyourthighs.Findatenderspotortriggerpointandpressyourlegstogethertoapplytheidealamountofpressure.

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Page 142: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

KNEERELEASE

target:knee

SUGGESTEDBALLTYPE(S):smallstability

Thiscanbedonewithbothkneesoronekneeatatime.Makesuretouseasoft,underinflatedball.

1Lieonyourbackandplaceasmallballunderoneknee.Letyourhiprotateifnecessary.

2Keepingyourkneeontheball,letyourkneerolloutward.Relaxandsinkintotheballfor1minute.

Page 143: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

3Nowslowlyrotateyourkneeinward.Relaxandsinkintotheballfor1minute.

Removetheballandletyourlegrestonthefloorbeforeswitchingsides.

Page 144: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

CALFMASSAGE

target:calves

SUGGESTEDBALLTYPE(S):smallfirmorhard

1Sitonthefloorwithyourlegsextendedandplaceyourleftankleontopofyourright.Placeeither1or2smallballs(inasock)underyourcalfmuscles.

2Applygentlepressureintotheball,repositioningtheball(s)asneeded.Breatheslowlyandfully.

Switchsides.

MODIFICATION:Ifcrossingyouranklesistoouncomfortable,uncrossthem.

Page 145: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

SIDECALFVARIATION:Tocoverthesidesofyourcalves,youmayneedtorollontoyourside,usingyourarmstoadjustyourweightasnecessary.

VARIATION:Tomakerollingeasier,supportyourselfwithyourhandsand/orbentlegtoliftyourbuttoffthefloor.

Page 146: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

ITBANDMASSAGE

target:outerthigh

SUGGESTEDBALLTYPE(S):smallfirmorhard

1Sitonyourlefthip.Positioneither1or2smallballs(inasock)underyourleftthigh.

2Supportingyourweightasnecessarywithyourhands/forearms,rolltheball(s)alongyourouterthigh,fromjustaboveyourkneetoyourhip.Breatheslowlyandfully.

Switchsides.

Page 147: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

PIRIFORMISRELEASE

target:upperbuttocks

SUGGESTEDBALLTYPE(S):smallfirmorhard

1Lieonyourrightside.Place2ballsinasockandpositionthemunderyourrightbuttock.

2Usingyourarmtoadjustyourweight,applythedesiredpressure.Breatheslowlyandfully.

Switchsides.

Page 148: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

GLUTEMASSAGE

target:glutes

SUGGESTEDBALLTYPE(S):smallfirmorhardThiscanbedonewhilesittinginafirmchairoronthefloor.

1Whilesitting,placeaballunderonebuttock.Youmaywanttosupportyourselfwithyourarmsonthefloorbehindyou.

2Rolltheballaroundunderyourbuttock,controllingthepressurebyshiftingyourweight.Useyourintuitiontoguideyouonhowhardtopressandwhere/howlongtoroll.Breatheslowlyandfully.

Switchsides.

VARIATION:Toincreasepressure,placeoneankleontheoppositethigh.

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Page 150: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

UPPERBACK&SHOULDERMASSAGE

target:back,shoulders

SUGGESTEDBALLTYPE(S):smallfirmorhard

1Standwithyourbacktoawall.Placeeither1or2smallballs(inasock)behindyourback.

2Gentlymoveyourtorsoaroundsothattheball(s)rollupanddownyourbackalongyourshoulderbladesandunderyourshoulders.Useyourintuitiontoguideyouonhowhardtopressandwhere/howlongtoroll;however,avoidrolling

Page 151: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

alongyourspine.Breatheslowlyandfully.

MODIFICATION:Ifrollingtheballsistooawkwardorpainful,simplypressyourweightintotheball(s).

VARIATION:Performthiswhilesittinginachairwithahigh,solidbackorwhilelyingonthefloorwithyourkneesbentandfeetonthefloor.

Page 152: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

LOWERBACKRELEASE

target:lowerback

SUGGESTEDBALLTYPE(S):smallstability

1Lieonyourbackwithyourkneesbentandfeetflatonthefloor.Placeamedium-sizedballunderyourtailbone.Adjusttheballsothatyoubalancecomfortablyonit.

2Gentlysettleyourweightintotheball,allowingyourbacktorelax.Breatheslowlyandfully.

VARIATION:Youmayalsorockyourhipsfromsidetoside,allowingyourlowerbacktoreleasemore.

Page 153: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

LATRELEASE

target:sides

SUGGESTEDBALLTYPE(S):smallfirmorhard

1Lieonyourrightsidewithyourheadcradledbyyourrightarm.Position1ballunderyourarmpit.

2Settleyourweightontotheball,adjustingthepositionoftheballwithyourotherhandasnecessary.Breatheslowlyandfully.

Switchsides.

Page 154: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

DELTOIDMASSAGE

target:shoulder

SUGGESTEDBALLTYPE(S):smallfirmorhard

THEPOSITION:Lieonyourrightsideandpositionasmallballslightlytotherearofyourshoulder.Settleyourweightontotheballandslowlyrolltheballaroundyourshoulderarea.Useyourrightupperarmtoadjustyourweightasnecessary.Breatheslowlyandfully.

Switchsides.

Page 155: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

NECKRELEASE

target:neck

SUGGESTEDBALLTYPE(S):smallfirmorhard

Thisworksbestwith2smallballsinasock.

THEPOSITION:Standwithyourbacktoawall.Placetheballsatthebaseofyourneck.Gentlypressyourneckintotheballsandholdasdesired.Breatheslowlyandfully.

VARIATION:Performthiswhilesittinginachairwithahigh,solidbackorwhilelyingonthefloorwithyourkneesbentandfeetonthefloor.Ifyou’reonyourback,youmayalsogentlyturnyourheadleftandright.

Page 156: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

CHESTMASSAGE

target:shoulders,chest

SUGGESTEDBALLTYPE(S):smallfirmorhard

THEPOSITION:Positionaballattheintersectionofyourshoulderjointandchestandthenliefacedownonthefloor.Liftyourbodywithyourarmstocontrolthepressure.Gentlymoveyourtorsotorolltheballaroundthathalfofyourchest.Useyourintuitiontoguideyouonhowhardtopressandwhere/howlongtoroll.Breatheslowlyandfully.

Switchsides.

MODIFICATION:Thiscanalsobedonewhilestandingagainstawall.

Page 157: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

HANDMASSAGE

target:hands

SUGGESTEDBALLTYPE(S):smallfirmorhard

Thiscanbedonewhilestanding,sittingorkneeling.

THEPOSITION:Placeasmallballonaflatsurface.Rolltheballaroundunderyourhand,alongthesidesandonthebackofyourhand.Useyourintuitiontoguideyouonhowhardtopressandwhere/howlongtoroll.Breatheslowlyandfully.

Switchsides.

VARIATION:Whilesittingorstanding,youcanrolltheballbetweenyourhands,pressingyourhandstogethertoincreasethepressure.

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Page 159: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

FOREARMMASSAGE

target:forearms

SUGGESTEDBALLTYPE(S):smallfirmorhard

1Whileseated,placeasmallballonaflatsurface.

2Rolltheballaroundusingyourforearm—upanddownaswellasleftandright.Useyourintuitiontoguideyouonhowhardtopressandwhere/howlongtoroll.Breatheslowlyandfully.

Switchsides.

Page 160: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

VARIATION:Thiscanalsobedonewhilesittingorstanding.Simplyuseyouroppositehandtomassageyourforearmwiththeball.

Page 161: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques
Page 162: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

BICEPSMASSAGE

target:upperarms

SUGGESTEDBALLTYPE(S):smallfirmorhard

1Liefacedownwithyourrightarmextendedtothesideandleftarmpositionedinacomfortablelocationtooffersupport.Placeasmallballunderyourbicepsmuscle.

2Rolltheballaroundunderyourbiceps,controllingthepressurebyshiftingyourweight.Useyourintuitiontoguideyouonhowhardtopressandwhere/howlongtoroll.Breatheslowlyandfully.

Switchsides.

VARIATION:Thiscanalsobedonewhilesittingorstanding.Simplyuseyouroppositehandtomassageyourbicepswiththeball.

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Page 164: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

COMBOMASSAGE

target:overallrelaxation

SUGGESTEDBALLTYPE(S):smallfirm

You’llneedseveralballstoenjoythisone.Also,youmayneedahelpertoplacealltheballsinthecorrectlocations.Aimfor10minutesofuninterruptedrelaxationseveraltimesaweek.Expertssuggestthatmindfulrelaxationisgoodforloweringbloodpressure,reducingstressandencouragingcreativethinking.

THEPOSITION:Grabseveralballs.Dimthelights,turnonrelaxingmusicand/orturnoffalldistractionsthenlieonyourback.Placeaballundereachcalfmuscle;place2balls(inasock)underyourhamstrings,1ballunderyourlowerbackarea,1betweenyourshoulderbladesand2ballsunderyourneck.Ifathoughtcomestomind,acknowledgeandreleaseitwithabreath.

VARIATION:Toincreaserelaxation,youmaytenseamusclefor5seconds,inhalingslowlyandexhalingevenmoreslowly.

Page 165: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

Index

aAbStretch,70Adhesions,6,7AlternatingCurl-Up,36AnkleMassage,75Arm/LegCombination,27ArmPointer,49ArmSwing,26

bBackExtension,38Back-on-BallCrunch,30Back-on-BallLegLift,35Back-on-BallTwistingCrunch,31Backstrengtheningprogram,16Balance,infitness,4BallSitOrientation,51BallSitwithFootLift,54BallSitwithLegExtension,55BallSitwithLegExtension&ArmRaise,56BallSwitchPush-Up,45Balls.SeeTherapyballsBicepsMassage,92BirdDog,50

cCalfMassage,80ChestMassage,89

Page 166: Therapy ball workbook : illustrated step-by-step guide to stretching, strengthening, and rehabilitative techniques

ChestStretch,69ComboMassage,93Conditioningexercises,61–66Connectivetissue,6Corestabilityprogram,15Corestrengtheningexercises,22–66Curl-Up,28

dDeltoidMassage,87Discomfort,andtriggerpoints,7Double-ArmLift,39Double-LegLift,40

eExercises,22–93;corestrengthening,22–66;FAQs,12–13;repetitions,13;selecting,13;stretching,67–93

fFAQs,12–13Fascia,6Flexibility,self-assessmenttests,8–9FootMassage,74ForearmMassage,91

gGluteMassage,83

hHamstringCurl,63Hamstringflexibilitytest,9

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Hamstring/HipRelease,73HamstringMassage,76HandMassage,90HeelSlide,24HipFlexorStretch,71

iI,Y&T,37InnerThighMassage,78InnerThighRotation,62InnerThighStretch,72InnerThighToner,61Internal&ExternalShoulderRotation,65IsometricHamstringCurl,64ITBandMassage,81

kKneeRelease,79

lLatRelease,86Latenttriggerpoints,5LegCircle,23LegExtension,22LowerBackRelease,85

mMassage.SeeSelf-massageMedicalclearance,6,7,10Muscleknots.SeeTriggerpointsMusclereleaseprogram,20

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nNeckRelease,88

pPain,5–7;management,2;prevention,4;referred,5,10;andtriggerpoints,5–7PelvicLiftwithArmLift&LegExtension,60PelvicLiftwithArmLift,58PelvicLiftwithLegExtension,59PelvicLift,25PelvicLift,57PiriformisRelease,82Plank,43PlanktoPike,46PlanktoSideSalutation,47Posturetests,8–9Pressureintensity,7Pressurereleaseexercises,67–93Programs,14–20;FAQs,12–13ProneArm&LegLift,41Push-Up,44

qQuadricepsMassage,77

rReferredpain,5,10ReverseTrunkCurl,48

sSeatedHipMovement,52–53

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Self-massage,5–7;corestrengtheningexercises,22–66;programs,14–20;stretchingexercises,67–93;andtherapyballs,5–7Shoulderflexibilitytest,9Spine/NeckLengthener,68Stabilityballs,3,12Start-uproutineprogram,14Stretchandrelaxprogram,19Stretchingexercises,67–93Superman,42SupineStability—Arms,33SupineStability—Legs,34SupineStabilityOrientation,29SupineMarching,32

tTherapyballs,3–7,10,12;benefits,4,5;andself-massage,5–7;types,3,4,12,13;usage,4,10,12–13Totaltorsotune-upprogram,17Total-bodyworkoutprogram,18Total-CoreStretch,67Triggerpoints,5–7;chart,6;andpain,5–7

uUpperBack&ShoulderMassage,84

wWallSquat,66

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Acknowledgments

AgiantappreciationgoesouttoLilyChou,whohasthroughtheyearsbeenabletotakemymumblejumbleandturnitintosimpleandconciseinstructions.Lily,you’reawonderfulpartner!SpecialthanksalsogoesouttoClaireChunandKeithRiegertfortheirsupportandcreativegenius.Ofcourse,thisbookcouldneverhavehappenedwithouttheendlesshoursofworkdonebehindthescenesbytheproductionandmarketingteams.Needlesstosay,myappreciationgoesouttothestaffatRaptProductionsandtheskillandpatienceofmodelsMichaelCiociolaandNadiaVelasquez.ThankyoutoallatUlyssesPressforbelievinginmetowriteallthebookswehavedonetogether—you’reagreatorganizationandIappreciateallyouhavedoneforme.Lastly,thankstomywifeMargaretforallowingmequiettimetoworkonthisbook—Ioweyoubigtime.

AbouttheAuthor

KarlKnopf,hasauthorednumerousbooks(includingFoamRollerWorkbook,HealthyHipsHandbook,HealthyShoulderHandbook,Stretchingfor50+,Weightsfor50+andTotalSportsConditioningforAthletes50+)thatpresentsafeandsanewaystoimprovethefitnessofadultsofalllevelsandages.Duringhis40yearsofteaching,hehasservedinmanycapacitieswiththefitnessindustry,fromconsultantonNationalInstitutesofHealthgrantstoadvisortotheseriesSitandBeFitandtotheStateofCaliforniaondisabilityissues.Hehasevenworkedwithlargehealthinsurancecompaniestobringfitnessprogramstotheirmembers.KnopfhasbeenfeaturedintheWallStreetJournalandothernationalpublications.HerecentlyretiredfromFoothillCollegeinLosAltos,California,wherehetaughtadaptivefitnessclassesanddirectedthefitnesstherapyprogram.

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KnopfnowservesasadirectoroffitnesstherapyandseniorfitnessprogramsfortheInternationalSportsScienceAssociation.