I have a client who has fused ankle (no dorsiflexion or plantarflexion). She has a doctor’s release to exercise but no plyometric movements or anything that would “bang” the ankle. She needs to lose weight to fit into the wedding dress she bought for her son’s wedding in August. What type of exercises would you do, specifically cardio?
Tough one Steve. I’ve trained someone with similar. I’d probably try biking (seated stationary inside) and see if that got her CV system taxed enough (in HR/VO2 training zone) for weight loss while allowing the ankle to operate pain free. Sometimes pp can wear a Dr’s approved brace to help protect the area without reducing body awareness. I’m assuming stepping is also out. Otherwise, I’d also do plenty of HIIT/circuit style workouts with exercises like ball throws (partner or wall), battling ropes, TRX, KB & DB: vary a circuit w/one heavier strength move and one HR elevating move for sequences of 30, 60, and ultimately 90 seconds each. All you’d need is 10 each workout. I’d be very careful not to create further body imbalances with exercises chosen.