Physical Fitness Recommendations -- Exercise

Physical Fitness Recommendations -- Exercise Session Session Objectives and Appropriate Needs-Based Exercises The principal objective of the exercise session is to engage the client in an aerobic workout that allows her to reach the highest appropriate percentage of her maximum physiological capacity and for her to maintain that degree of exertion sufficiently long enough to promote positive aerobic conditioning and other physiological adaptations such as soft-tissue repair and strengthening during the rest period in between successive workouts.

A second set of objectives is to help this client minimize the symptoms of ATCS and the discomfort and limitations attributable to them. In that regard, the exercise session is designed to incorporate extensive pre-workout stretching of the area and post-workout treatments to reduce any inflammation associated with the workout. Finally, the workout session is also designed to supplement the running portion of the workout with comparable aerobic exercise to the extent the ATCS symptoms limit her ability to complete a full running workout.

Exercise Timing, Sequence, and Detailed Warm-up Plan In this particular exercise session, the client will begin by statically stretching the hamstring, gluteus, quadriceps, and calves. Next, she will perform specifically prescribed stretches for the anterior tibial compartment I conjunction with light downward longitudinal tissue massage of the area to stimulate blood flow to the low-blood-flow tissues of the tendons and fascia that form the anterior tibial compartment sheath to maximize its capacity to expand to accommodate the expansion of the anterior tibial muscle group within that structure.

The stretch sequence is followed by walking at increasing speeds to further extend the progression to higher stress gaits and speeds. Subsequently, the client will work to be actively aware of the first signs of pressure and discomfort in order to switch to a less stressful aerobic exercise before further inflaming the tibial compartment. The client will work to achieve and maintain the targeted duration of aerobic work for this session by transitioning to an elliptical machine for any time remaining after the running component, if necessary.

Health and Safety Considerations and Specific and Cool-down Concerns This client presents a challenge because the nature of her primary physical limitation and health concern conflicts directly with her primary fitness goal: she suffers from a high level of susceptibility to overtraining but hopes to maximize her performance in a sport that requires extensive running. Without accommodations to enable her to minimize the symptoms of ATCS, it is unlikely that she will be able to sustain exercise to the extent necessary to reach her highest potential aerobic capacity.

This program is expressly designed to allow her to reduce the limitations posed by her physiological idiosyncrasies as much as possible so as to minimize their detrimental effects and limitations on the achievement of her ideal physical conditioning level or ability.