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Image credit: Kasia Gondek - Selfie taken on one of my 18-mile long runs leading up to Boston Marathon, sporting my Boston Marathon running hat from the last time I did the race in 2014!
Image credit: Kasia Gondek - Selfie taken on one of my 18-mile long runs leading up to Boston Marathon, sporting my Boston Marathon running hat from the last time I did the race in 2014!

Road to Boston Marathon Part 2: Exercising at Home or in the Gym

10 Exercises to Improve Strength, Conditioning, and Balance

Leading up to the Boston Marathon, I have been incorporating these 10 key exercises into my weekly routine (3x/week) to keep my body strong and balanced. Videos of these exercises are posted below. These exercises target the key muscle groups used by runners. These are for educational purposes, not meant to treat medical conditions nor supplement medical advice. 

Mat-based Strength and Conditioning for Boston

  1. Sidelying Clamshell: strengthens your hip external rotators (gluteus maximus, piriformis, obturator internus). Be sure not to let your hips roll backwards!
  2. Single leg bridge with hip abduction isometric: strengthens hip extensors and knee flexors (hamstrings, gluteus maximus, and gluteus medius). Be sure to keep your spine neutral. I use a “roll-up and roll-down” technique here to ensure my back muscles don’t compensate for my hip muscles.
  3. Sidelying hip abduction with hip in slight internal rotation, followed by clockwise and counterclockwise hip circles: strengthens hip abductors, hip extensors, deep core muscles (gluteus medius, maximus, obliques, transverse abdominus). Don’t let your leg move forward as you do this exercise– that allows compensation with your TFL muscle (connects to IT Band) which most runners over-use!
  4. Sidelying Hydrant:  strengthens hip abductors. I use this exercise to build endurance in the already-fatigued glute muscles at this point in my exercise.
  5. Side plank with shoulder circles: Strengthens obliques, transverse abdominus, shoulder stabilizers, and hip abductors. This improves trunk stability as well. Runners need strong core muscles.

Dynamic Balance and Functional strengthening: 

  1. Front plank with reverse crunch: strengthens and builds endurance in transverse abdominis, hip flexors, obliques, shoulder stabilizers. This movement mimics the last part of your running stride which is important for propelling you forward.
  2. 3-way lunges (anterior, lateral, and posterior): improves dynamic hip, knee, ankle, and trunk stability in functional ranges of motion used during running and occasional cutting motions. This helps prevent knee, hip, and ankle injuries! 
  3. Multi-direction standing clamshell with resistance band: improves controlled axis of rotation motion at your hip joint in all ranges of hip extension, abduction, and hip flexion. This keeps your hip joint healthy and teaches you how to control knee motion during your running stride. 
  4. Isometric hip abduction wall squat with resistance band: This improves endurance of hip and knee stabilizers like your gluteus medius, quadriceps, gluteus maximus muscles. You will feel the muscle fatigue in the hip opposite the wall. Hold for 15-30 seconds to fatigue. 
  5. 3-way tree matrix with optional arm positions (sagittal, frontal, and transverse plane balance): this improves dynamic single leg balance and ankle stability to prevent ankle and knee injuries. Because your running stride changes with incline/ decline/ running on an uneven surface, it’s important to improve dynamic balance. It’s use it or lose it! When moving dynamically, you are training your vestibular system to respond to the changes in position and center of gravity throughout the diverse movements of the body. 

Whether you are looking at prepping for a 1 mile run or an ultra-marathon - WE GOT YOU! You can give us a call or contact us here (link to FusionWellnessPT.com Contact form). After we complete a physical exam to identify your areas of strength and weaknesses, we’ll customize a program to get you back to what you love.

Dynamic Balance and Functional strengthening for Marathon Training: 

  1. Front plank with reverse crunch: strengthens and builds endurance in transverse abdominis, hip flexors, obliques, shoulder stabilizers. This movement mimics the last part of your running stride which is important for propelling you forward.
  2. 3-way lunges (anterior, lateral, and posterior): improves dynamic hip, knee, ankle, and trunk stability in functional ranges of motion used during running and occasional cutting motions. This helps prevent knee, hip, and ankle injuries! 
  3. Multi-direction standing clamshell with resistance band: improves controlled axis of rotation motion at your hip joint in all ranges of hip extension, abduction, and hip flexion. This keeps your hip joint healthy and teaches you how to control knee motion during your running stride. 
  4. Isometric hip abduction wall squat with resistance band: This improves endurance of hip and knee stabilizers like your gluteus medius, quadriceps, gluteus maximus muscles. You will feel the muscle fatigue in the hip opposite the wall. Hold for 15-30 seconds to fatigue. 
  5. 3-way tree matrix with optional arm positions (sagittal, frontal, and transverse plane balance): this improves dynamic single leg balance and ankle stability to prevent ankle and knee injuries. Because your running stride changes with incline/ decline/ running on an uneven surface, it’s important to improve dynamic balance. It’s use it or lose it! When moving dynamically, you are training your vestibular system to respond to the changes in position and center of gravity throughout the diverse movements of the body.

Whether you are looking at prepping for a 1 mile run or an ultra-marathon - WE GOT YOU! You can give us a call or contact us here. After we complete a physical exam to identify your areas of strength and weaknesses, we’ll customize a program to get you back to what you love.

What Our Patients Have to Say

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Testimonial by Mary L.

I started seeing Heather to treat my Interstitial Cystitis in November 2016. At this time, I was extremely miserable, in constant pain, and felt as though no one was listening or understood what was going on with my body. I have just finished my last appointment and I can honestly say that my life has completely changed for the better because of Heather and her team of PTs! I live almost completely pain free, and when I do have flare ups, I am able to treat them at home on my own. I am so grateful that this office was recommended to me a honestly cannot recommend them enough!

Read more: Testimonial by Mary L.

Testimonial by A.W., age 32

I wanted to let you know that my pelvic floor held strong and gave me no trouble whatsoever in my trail race this morning (12 miles)! In a way, I felt like I ran better than ever because my core feels so rock solid from all the exercises you have me doing. That was especially valuable on the technical downhill - I just flew down the trail because I had confidence in my balance and form. Thank you for helping me get back to doing what I love.

-- A.W., age 32
(completed Post-partum Renewal Program using the InTone biofeedback/stim unit)

Testimonial by Fritzette H.

I went to Heather after the birth of my third child. It was lucky, really, that I was referred to her, because my doctor had referred me to a surgeon for a possible hysterectomy or pelvic wall rebuild. Thankfully, I went to Heather before undergoing either surgery, she was able to fix the problem. She has studied extensively in women's health--even written a book about it--and was able to diagnose my problem, suggest a course of treatment (6 weeks), and then follow through with said treatment. By the end, as she said, I was as good as gold. Boy, was it worth it! Though uncomfortable to talk about, much less write about, it is worth getting the word out there. If you have painful intercourse, especially after birth or other trauma, the treatment may be as simple as Physical Therapy (with Heather, of course). I highly recommend her.

-- Fritzette H., 3/24/16 via Yelp!

Testimonial by S.P., Age 26

I would like to start off by thanking Heather Jeffcoat for educating me and curing me of Vaginismus. I had been married for almost three years before I was referred to Heather. I never knew about Vaginismus until almost three years into my marriage. I knew something was wrong when I went on my honeymoon and came back a Virgin. I had always imagined how magical my first night would be but boy was I wrong.

Read more: Testimonial by S.P., Age 26

Testimonial by Alexandra B.

Heather is without exaggerating AMAZING! After years of trouble with a certain part of my body, in no time, she made everything change back to equilibrium and to what would be considered normal. She explains everything in detail and therefore gives you a better understanding of why things are the way they are, and how you can work towards turning things around. I would highly recommend Heather for any type of Physical Therapy. She has created her own "Method/Therapy" through years of studying (with some of the greatest practitioners), practice and breaking down the issues of her past patients, enabling her to fine tune her own system. I'm so thankful to have found her, and I'm especially grateful for the quick recovery I've achieved, after years of distress. If you cannot afford her, I recommend you purchase her book. Although it may not be Heather in person, it can still help you to get on the right path to recovery!

-- Alexandra B., 5/20/2015 via Yelp!

Testimonial by M.N., age 28

A personal journey and testimonial from one of my patients:

I was diagnosed with vaginismus 4 years ago. I never heard of such medical condition until after I got married. At first my husband and I didn't know what to do, we didn't know what the issues were or how to overcome it. Being born and raised in Armenia and being Christian I wasn't that open about talking to sex with others and so it wasn't easy to seek help. But eventually I went to an Ob-Gyn and luckily she knew about the medical condition (not many doctors know). She referred me to a physical therapist and I couldn't believe it and thought it's something I can handle myself. I ordered a kit from vaginismus.com and started practicing with dilators. There was some small progress but wasn't much helpful.

Read more: Testimonial by M.N., age 28

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