One of my clients has a myriad of back problems including herniated discs, spondylolisthesis, low back pain, sciatica, etc. I have been gradually been helping the client to increase hip mobility and back strength to the point where performing certain activities is less painful, but the ultimate goal is to alleviate the pain all together if possible. The client is able to plank for 1 min 30 sec without issue, so I’ve been adding knee tucks to the plank recently, which the client claims is uncomfortable, but doable. I’ve also been working on increasing overall body strength with the use of the weight machine in the client’s home (BodyCraft GL Home Gym). My question is, how can I keep the program from getting stale, while also progressing the client? I like to use the equipment clients have purchased, but there’s only so many things you can do over and over and over again, without the client getting bored (especially when they admit that they only exercise out of necessity, not for enjoymeu)! Any ideas are welcome and appreciated! Side note: the client is also a recreational golfer and would like to incorporate exercises to improve back/hip mobility for that as well.
You can add a lot of interest and variety with bands. They are great for stabilizing exercises that strengthen the core. Attach the bands to a secure spot; have the client stand sideways and hold the bands out front so they have some tension on them. Have her maintain a stable midsection while touching 1 foot at a time back. She should think of lengthening her spine while leading with her hip. You can do a ton of variations on this (keep the lower body stable while moving the upper etc.). I would also hesitate about adding the knee tucks on the planks; that may increase spinal flexion which could be contraindicated with her problems (I assume you have been in touch with her health care providers). I would progress the planks by adding some instability; planks on a ball against the wall, then planks on the ball on the floor when she has mastered the wall.