When I was in Orlando at the Fitness Info Summit, I ran into a Fitness Professional that had taken some of my courses.
His name is Belton Lubas and he is from Seattle. In the fall of 2008 he came up to Vancouver and attended a series of courses that I had.
Belton did a quick interview with me on exercise programs for clients recovering from injuries and what to do with a client with a shoulder injury.
Enjoy the interview. There is a mix of a transcript of the interview and video.
Interview with Belton Lubas
Rick Kaselj: I’m doing great.
Where Do Fitness Professionals Fit In When Working with Clients with Injuries?
Belton: Rick and I originally met in Canada. I took a few courses Rick hosted. Pretty cool thing is that Rick has become an authority when it comes to transitioning from rehab and working with special populations.
A lot of us trainers want to jump right into performance or fat loss, which is often too much for most clients.
Many fitness professionals shy away from injuries and special populations but that is what Rick focuses on.
So Rick, if I was a trainer, and I don’t know where to start with Mrs. Jones. What are some of the things that you are able to help her out with?
Rick: The first step is you want to make sure that there’s nothing serious going on.
If you feel like you’re outside of your scope, or you might be taking on too much. Get the person to go see their doctor or physical therapist to make sure there’s nothing serious going on. If they’ve been approved to begin an exercise program, you need some more tools and education when it comes to addressing that injury.
A lot of times what it relates to is knee, back, and shoulder. Those tend to be the most common injuries that I come across.
You need a little bit more information and education, and experience, working with those injuries.
I am not talking about someone that’s completely acute. They have just ripped their ACL and broken a bone, and now the next day they’re going to jump in the gym and start an exercise program. I’m talking about someone that’s had surgery. They’ve gone through physical therapy. The swelling has decreased; they have nearly got full range of motion.
They’ve done everything they can in physical therapy; now they need to move onto the gym and continue on with their rehabilitation back to health.
What’s needed is trainers that can handle that transition. A trainer that can help the client progress, and not irritate or make that injury worse.
Rick Kaselj Interviewed about Exercise Rehabilitation & Shoulder Injuries
What Can a Fitness Professional Do With a Client with a Shoulder Injury?
Belton: Rick, let’s talk about shoulders, for example. I’ve got a client that has some shoulder issues. I don’t want lag time. I don’t want to not see them for four months. They may lose interest. What are ways that maybe you and I can work together?
Rick: There’s a number of things you can do with the shoulder. If you start off with the lower body, they’re completely clear to do everything when it comes to the lower body. If you’re getting them to do squats or lunges, you just limit the upper body movement.
Now when they get to the shoulder, you can go back to the start when it comes to the shoulder. You can start working on scapular stabilizers. Which is super important, and it’s very much like the core in the low back. The core in the abdominal area, when you get a back injury, stops working properly. The same thing happens in the shoulder. When you get an injury, the scapular stabilizing muscles stop working. So you need to work on those muscles.
Then the second thing is you can modify the exercise that you get them to do. And a big part of it is just limiting range of motion. So you can get them to do movements that limit abduction. Because that puts a lot of stress on the shoulder, especially when it’s injured. And you can minimize flexion.
I hope you enjoyed the interview!
We will talk to you very soon.
Rick Kaselj, MS