I have to do an assessment and workout plan for a 54 year male client who has never lifted weights and has low back pain, knee pain and is pre-hypertensive… what exercises should I initially assess him on for our first session, and what was are best to avoid? this is for a full body strength training assessment……? Thank You
I thought this information would be helpful. It comes from ACSM Exercise Management for Persons with Chronic Disease and Disabilities.
“Little is known about the level of aerobic fitness in patients with chronic LBP, although many rehabilitation programs focus on muscle strength, muscle coordination, or flexibility, especially of core trunk muscles, or some combination of these, as key components of rehabilitation. A number of studies and systematic reviews have shown that exercise is significantly more effective than rest for LBP. There is also a strong evidence that one one specific exercise regimen is superior. Exercise guidelines for individuals with LBP are therefore similar to the guidelines established by ACSM for apparently healthy populations, with appropriate adjustments.
The goals for exercise programming in individuals with LBP are to improve health and well-being increase exercise tolerance and prevent debilitation caused by inactivity. Exercise guidelines that minimize stress to the lower back should be started during the first two weeks of acute LBP. During the acute stage of severe LBP only, exercises for hip and back muscles could be delayed for at least two weeks and the intensity should be low, with gradual increases in intensity and duration. For those with chronic LBP, exercise intensity and duration should also be graded, gradual in progression, and time rather than pain contingent. This is particularly important in individuals who are debilitated or fearful of reinjury. Finally, given that adherence to any exercise or activity regimen is essential if benefits are to accrue, and given that on one exercise regimen is superior, it is essential that exercise or activity prescriptions consider client preference.”
Hope this is helpful.