Tag: Medicine

During exercise, “injuries happen when you’re fatigued, and your muscles can’t react as quickly,” Dr. Feeley said. Squats help prevent this fatigue by strengthening the large muscles in your lower body while moving multiple joints at once, which improves overall endurance as well as balance and coordination.

Dr. Feeley suggests doing three sets of 10 to 15 squats four times a week. To further challenge your balance, do them with one foot or both feet on a pillow. Or to focus on strength, squat while holding free weights — close to your chest to start or extended in front of you to work your core more.

If you loathe squats, but still want to strengthen the same muscle groups, try climbing stairs, which is adaptable to different fitness levels, said Dr. Maria Fiatarone Singh, a geriatrician at the University of Sydney. Start by walking up and down the stairs, and graduate to sprinting or wearing ankle weights.

For added difficulty, hop up the stairs on one foot or two feet — holding onto the handrail if necessary for safety. “Hopping is a power movement for your hip and knee extensors,” similar to the power training of box-jumping exercises, Dr. Fiatarone Singh said. If you are pressed for time, turn it into a high-intensity exercise, with four four-minute bouts of high-intensity effort, resting three minutes between bouts, four times a week.

Can’t spare even that much time? “Even four minutes, four days a week significantly improves aerobic capacity,” Dr. Fiatarone Singh said.

Get your heart rate up: Take a Nordic walk.

As a cross-country skiing enthusiast, Dr. Michael Schaefer, a rehabilitation physician at University Hospitals in Cleveland, loves Nordic walking — an exercise using ergonomic poles that uses the same movements. No snow required.

“Nordic walking is unparalleled as an aerobic exercise because you’re not just using the major muscle groups of your legs and hips, but your core, shoulders and arms too,” Dr. Schaefer said. The regimen lowers blood pressure and improves the body’s use of oxygen. And when you traverse hills or uneven ground, you’re strengthening your ankles and challenging your vestibular system — a sensory system housed in the inner ear that enhances balance and coordination.

“Start with 15 to 20 minutes three times a week and work up to one hour,” Dr. Schaefer advised.

The basic movement — walking, using poles to propel your movement — can take some getting used to, but online videos or your local Nordic walking group can get you started. The key is to swing your arms as if they’re clock pendulums, keeping the elbows relatively straight and planting your pole behind you and pushing off as your opposing leg strides forward.

Gillian Stewart, the program director for Nordic Walking UK, recommended buying Nordic walking poles, since they’re angled to the position they take during the exercise. In a pinch, Dr. Schaefer said, “regular walking poles would work,” but not ski poles.

Train your upper body: Try hanging around.

If Katy Bowman, a kinesiologist, had her way, everyone’s New Year’s resolution would include a trip across the monkey bars. “It’s such a primal movement, and uses all these parts of our upper body” that otherwise don’t get used very often, said Ms. Bowman, the author of “Rethink Your Position.”

Hanging from a horizontal bar enhances grip strength and shoulder mobility, strengthens the core and stretches the upper body — from the chest to the spine to the forearms.

As with any exercise, it’s best to progress slowly — start by hanging on a bar with your feet supported on a box or chair so that muscles unused to carrying a load can become accustomed to bearing some tension. From there, proceed to an active hang, in which your shoulders blades are retracted and pulled down (as if you’re about to start a pull-up), your core and arms are engaged, and your hands are about shoulder-width apart.

Add a slight swing front to back or right to left to work the core and spine even more. Or mix up your grip — hands facing away from or toward you, or one of each — to emphasize different muscles. An underhand grip, for example, loads the biceps more than an overhand grip, which works the lats.

And you don’t need fancy equipment to hang. Ms. Bowman suggested creating a hanging station in your home with a “$20 doorway chin-up bar that doesn’t take up much of a footprint.” Since she’s installed one, she said, she’s noticed a “radical” increase in her upper body and grip strength — which is linked to a decrease in all-cause and cardiovascular mortality. A little goes a long way too: Begin with 20-second hangs, twice a day, working up to a full minute.

“Frequent, shorter hangs distributed throughout the day are your best bet for making progress,” Ms. Bowman said. Once you feel comfortable with one-minute hangs she recommended eight to 10 of them, with an hour’s rest in between. These breaks also give the skin on your hands some time to adapt.

Strengthen your core and hips: Use a slider.

If you work at an office or a desk, all of that sitting can do a number on your hip flexors, the muscles that help you bend your knees toward your waist and stabilize your spine. And hunching over a desk shortens the muscles in the chest while lengthening those in the back, contributing to text neck, which is muscle strain and weakness of the lower neck, shoulders and upper back.

To counteract this, Nicole Sciacca, a mobility specialist in Los Angeles, pairs mountain climbers with sliders — small disks on which you rest your hands or feet that slide freely on the floor (or, you can use paper plates). Training on an unstable surface increases the intensity of an exercise, forcing you to engage your core — especially the diaphragm, transverse abdominis and pelvic floor — to maintain position.

“It’s great because it asks everything along the front side of the body that’s been sleeping at a desk or in a car to get stronger,” Ms. Sciacca said.

If you’re new to working your upper body and core, Ms. Sciacca suggests holding a simple plank for 30 seconds. Once that’s comfortable, position your feet on the sliders, assume the same position, and work to keep yourself stable.

To progress, move one foot in under your body until your knee reaches your chest. Slide that foot back out while your other foot comes in. Continue alternating your feet for up to three rounds of eight reps, keeping the core strong and the back straight. Or try a timed effort of 60 seconds when you’re ready for more. Variations include bringing your knees in and then out at the same time or sweeping your legs out in a jumping-jack motion.

Improve your flexibility: Foam roll.