Network Magazine Summer 2018 | 页面 63

1 2 3b 4 3a STATIC BALANCE TESTING Perform these four tests in order, only progressing to the next stage if the client can hold the position for 15 seconds minimum without holding on. Stand with feet close together, insides of feet touching (photo 1). Stand in a semi-tandem stance, one foot forward of the other, but still to the side (photo 2). Stand in tandem stance, heel to toe, as though going to walk along a straight line (photos 3a & 3b). Stand on one leg (stork stance), with the other bent. The raised leg shouldn’t touch the support leg (photo 4). close attention to technique; watch for raised, hunched shoulders and forward head. Swiss ball wall squat This allows clients who struggle with unsupported squats to perform a squat with support, thereby using the large muscle groups in the legs while decreasing pressure on the knees. Balance test exercises All the stages in the balance test can be used as exercises as well as assessment tools. Have the client hold the position for up to 30 seconds. Once they master one level, without needing to hold on, they can move to the next one. General guidelines for senior training • Ensure your client can perform an exercise on a stable surface before moving to an unstable one. While Swiss balls, BOSUs and unstable surfaces are fantastic for some clients, ensure your client is ready for an unstable surface – by showing proficiency performing the action on a stable one – before you introduce them. • Don’t make the common mistake of believing that to do core exercises your client needs to get on the floor. For some older clients, getting up and down off the floor can be awkward, time consuming and embarrassing. If this is the case, use another mode of core exercise. • Try to incorporate some balance, stability and agility work into each session. Try, for example, exercises that involve weight shifting, such as sideways cable pulls; standing on one leg if your client has adequate balance (many upper body exercises can be performed on one leg); and unilateral movements (one arm bicep curls, for example) to challenge stability. Specific balance exercises, such as heel to toe walking can also be part of a session – just be mindful of trip hazards, and ensure clients have something nearby for support if needed. • Enlist the support of other health professionals, particularly if clients present with significant health issues such as severe osteoporosis or heart problems, have had major surgeries or have health conditions that may affect their exercise. Asking others for advice will not only keep your clients safe, it will enhance your own credibility as a professional. • Remember that whether your clients are 19 or 90, they are first and foremost individuals – so keep the personal in personal training! Our ageing population means there’s a growing market for training older adults. By assessing older clients’ abilities and training them according to their stage, not their age, you can help them reduce their falls risk and maintain their independence, while also growing your business. Kate DeMayo of Extra Mile PT has been a personal trainer and group fitness instructor since 2004. She is a franchised personal trainer at a major gym, teaches group fitness and has recently launched a new balance-oriented group fitness program ‘Steady, Stable and Able’. NETWORK SUMMER 2018 | 63