So How's Your General Physical Preparedness?
When a patient is released from an active treatment after having achieved restoration of joint motion, attained adequate range of motion, and understands the concepts of core activation and stability, it’s time to start building fitness so they can be capable of doing life at a high level.
Each person’s base level of readiness to perform a task is different. And that level of readiness is what we can refer to as General Physical Preparedness or GPP. Your level of GPP is what determines if you can unexpectedly shovel snow for an hour, take on a hike to a mountain lake and still be able to move the next day, or lift lots of boxes to clean out the garage. If your GPP is very low, going up stairs can be daunting, getting the dog food out of the trunk might be impossible and raking leaves would leave you feeling wrecked for several days. And really, these are tasks that we should be prepared to do without too much trouble, yet I see people everyday that have this low of a GPP. My aim is to improve everyone's GPP so they are ready for whatever they need and want to do.
Let's Break It Down
A person’s capacity or GPP (general physical preparedness) can be placed into two categories. Let's start by looking at strength as one category and cardiovascular fitness or aerobic capacity as a second. In this article, we are going to discuss Strength.
By definition, strength is the ability of an individual to withstand force or pressure. This definition is obviously a bit general and can refer to one’s strength of character or mental fortitude, and while that is important, I am talking about a person’s physical capacity to manage forces or pressure (loads).
So, to talk about strength, we need to go over six foundational movement patterns of our activities of daily living. It is these six foundational movement patterns that every person should train to develop and maintain: squatting, hip hinging, lunging, pushing, pulling, and carrying. These are the movements that are needed to climb up stairs, shovel snow, rake leaves, lift boxes, carry the groceries out of the car into the house....we need to be excellent at these movements to carry on our daily lives. And all of us need to at least maintain the ability to do these foundational movements to stay in the game. Better yet, we should endeavor to raise our individual fitness bar to maintain our ability to do life well by excelling at these foundational movements.
Let's look at these 6 movement patterns.
Squat: squatting is a crouch or sit with the knees bent and your heels close to or touching your buttocks or the back of your thighs.
Hip Hinge: A hip hinge is somewhat similar to a squat in that both actions can allow us to get low or pick something up from the ground. Although a hip hinge is a more ‘hip-centric’ move that does not approximate the feet to the buttocks or the thighs to the lower legs. The spine will remain more straight than a squat as well.
Many sports like basketball and dancing require hip hinging. Sitting into a chair should also be a hip hinge type of activity. And a safe and easy way to pick-up heavy objects can be with the use of a hip hinge.
Lunge: A Lunge can refer to any position of the human body where one leg is positioned forward with the knee bent and the foot flat on the ground while the other leg is positioned behind. It is important to keep the forward knee behind it's own toes and to keep a straight back or neural spine. You need to be able to lunge to go up stairs.
Pushing: Pushing is a common movement utilizing our arms. But pushing really is best done with the whole body especially with a strong core. Most people have done at least a couple of push ups in gym class or a bench press in the gym. And even more likely, you have used a shopping cart at the grocery store or opened a door outward. We rarely think of shoveling snow as a pushing action, but we need to be able to push to pull off this feat. These are all pushing activities.