I have a female client who is in her early 50s. She is 40 to 50 pounds overweight and had knee surgery on both knees. She does not have pool access. Any aerobic activity suggestions?
The basic systems of function that react together within the body chain are the nervous, muscular and skeletal systems, supported by the cardiovascular system. With this fact in mind, I would concentrate on functional stability of the knees, followed by stability of the entire kinetic chain, before implementing a cardiovascular program. If the knees are the limiting factor in this case, it is critical to design a program that attacks the problem prior to implementing a repetitive cardiovascular type activity. To clearly understand the programming process, one must understand activities that require cardiovascular endurance ALSO require concurrent muscular endurance, although tasks requiring muscular endurance do not always necessitate cardiovascular endurance.
Design a stabilization limited program! Stabilization limited training refers to the type of strength training that limits force production to the strength and balance of the stabilizing structures, not the isolated force capabilities of prime movers. Review Juan Carlos Santana’s article on Stabilization Limited Training to create not only a stabilization stimulus but also super setting (within your client’s capabilities) a cardiovascular stimulus. Obviously, the exercises will have to be tailored to fit your client’s goals, wants, needs and functional abilities, but the benefits of stabilization limited training far exceed a “band aid” type exercise program.