What are the best strength exercises for someone (54 year old male) with low back pain and knee pain? This person is pre-hypertensive and has a BMIi of 39. Wants to lose quite a bit of weight and has never lifted weights before. Any suggestions on some exercises to be prescribed? (legs, core, back….). I don’t want to overwhelm him with too much.. since he has never lifted. How many reps and sets are appropriate for this client?… (8-12, obviously low weight… perhaps 2 sets? Thanks so much!
I would consider quite the opposite approach. It’s probable that both his lower back pain and knee pain are related, in that there is probably dysfunction in the lumbo-pelvic-hip girdle. You’ll want to have a multi-faceted approach to working with him, since he has limitations and is obviously larger than most clients. Sounds like things he’ll need are cardiovascular conditioning (best from a seated position since he is large or treadmill walking) and core stabilization exercises. You may need to determine which areas may have dysfunction before implementing a strength training program, to ensure that things may not be contraindicated. A couple exercises that may benefit this client are planks (probably modified), balance exercises (single leg stance), and a ball squat, curl to press (maybe start with a quarter squat, or wherever the client breaks form). Hope this helps.