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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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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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My last appointment with Heather was over 6 years ago but I still think of her every day. I don’t take for granted that I can easily get out of bed, care for my two active and busy young boys, run, play tennis, clean my house, or sit at a desk for several hours at a time. None of these tasks were easy for me before meeting Heather. Eight years ago my car was struck from behind by a tractor trailer that was estimated to have been speeding. I spent 3 years working with different PTs and Drs trying to heal and move on with my life. When I became pregnant and the hormone relaxin that “relaxes” all the joints of the body and the additional weight gain erased all my progress and I was suddenly in a lot of pain again. My OB sent me to Heather for one last try.

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After having my second baby via C-section I searched for months to try to find help for my lower back pain and separated abdominal muscles. I finally came across Heather Jeffcoat via a mommy blog. I reached out to her via email and set my first appointment. My first appointment went amazing … she listened to what my symptoms, check my separation and explained to me in detail what the next steps would be. Not only did my abdominal separation go from 3 to about 1 -1/2 but my back has pain has significantly reduced. I’m personally recommending all my mommy friends to Heather!

Y.L. (mom of 2)

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.S., age 54

Heather is the best! I saw her today for terrible hip/groin pain. I was so impressed with the safety measures in place and felt completely safe . Thanks for the healing hands.

S.S., age 54

Testimonial by R.M., Age 40

I can’t speak highly enough of the theapists at Femina Physical Therapy and how much they have helped me grow, discover, and love my body. I had had painful sex for my entire life, and didn’t know that there was anything that could be done about it. It was at the point where my husband and I were not having sex for MONTHs, because it was just too frustrating, and I hated feeling like I was the ONLY woman out there who had this problem, especially at my age. I finally brought it up to my doctor because I was turning 40 and my husband and I were barely having enough sex to conceive. And she brought up pelvic floor, PT. I didn’t even know this was a “thing”.

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