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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.

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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!

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I just wanted to thank you for everything you've done for me for the past 19 months. I literally could not have reached my goals without you and your practice. You gave me the courage to keep moving forth with my treatment no matter how afraid and anxious I was. You were always there to answer questions and made this whole process so much easier than I expected it to be.

It's because of you that my marriage is on the right track, that I can get pregnant and that this part of my life is finally over. I really feel that Fusion Wellness is a team of people you can call family and are there to root for you and cheer you on until you reach your goals. There is nothing better than knowing I accomplished this with you guys by my side and as calmly and patiently as I needed. Thank you from the bottom of my heart for always being there and helping me reach my goals.

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Testimonial by M.M.

My husband and I were married for 5 years and unable to have intercourse, but I never knew why. After numerous awful experiences at doctor’s offices (where many doctors told me I “just needed to relax”), a surgery that didn’t fix the problem, and a year of owning dilators that didn’t get me anywhere, someone finally referred me to Heather for Physical Therapy. I finally had answers and information from someone who knew exactly what I was dealing with!

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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.

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Testimonial by Amanda W.

Heather's unique physical therapy program literally changed my life! After years of struggling with vaginismus, a condition that made it impossible for me to have intercourse and very difficult to use tampons without pain, a gynecologist referred me to Heather. I was nervous for my first appointment, but Heather's professional and friendly demeanor put me at ease. She did a great job explaining each technique she was using to help my muscles relax. Heather uses a combination of internal and external stretches and exercises to relax the pelvic floor and build muscle strength. Her specially developed home program helped me quickly recover from an issue that seemed insurmountable before meeting Heather. She was optimistic about my progress and incredibly encouraging. Less than 6 months after my first session, I was able to have pain-free sex for the first time in my life! If you are suffering from vaginismus or any other pelvic floor issues, I highly recommend making an appointment with Heather and reading her book!

-- Amanda W., 2/15/16 via Yelp!

Testimonial by Rosanna R., age 35

Heather has affected my life in the MOST POSITIVE way and I am forever grateful. My husband refers to her as the "sex doctor" so you can only imagine how happy he is with my therapy outcome.

After the birth of my son I suffered from "Vaginismus", however, at the time I just thought I was broken. My "broken vagina" affected me physically but it was an emotional struggle as well. Many women in my life also suffered with pain from sex after their babies were born so I knew I wasn't alone. They told me they "just got used to it" but I couldn't see myself living that way.

Sex wasn't just painful, it was literally impossible - IT DIDNT FIT!

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