Advice required

[hjm291185]

Hi everyone,

I am a newly qualified personal trainer just in the process of building up my business. I have client who I need some advice on and hoped that some of you who are more experienced might have some good ideas! :)

The lady is very overweight and needs to lose this weight in order to be allowed knee replacement surgery. She also has high blood pressure. Obviously the amount of cardio training we can do is limited due to her knee problem? I will of course do lots of resistance work with her which will be fine, remembering to take into consideration the hypertension of course!

Any ideas of what I can do with this lady??

Thank You

[3dpt]

Hello mate, it sound to me like you a little out of your field of expertise.
the best advice i can give you about something like this is to refer to a trainer that specialise in injurie rehab.

non the less here are some simple ideas:

Use alot of closed chain exercises
always do your exercises in this order- back, legs, core, chest and arms.
working the bigger muscles first facillitates weight loss and also it wil improve the posture that is usually associated with obesity.

pay close attention to breathing!!!
use rowing as your cardio bit and try to do intervals on a ration or 1 fast to 3 slow.

i have found with some of my clients with knee problems that they are often able to squat, aslong as their technique is perfect!! any deviation will cause strain and pain.

Multi joint movements are best for weightloss. you can also intergrate stabillity work into the resistance work to make it more calorie effecient.
the more muscles you can keep active the better.

Please think carefully before training this client as she falls into a special populations catagory by the sounds of things. It is best to refer if you dont know how to treat as a bad case will haunt you and hurt your rep. start small, learn and build big!!

hope this helps. if you need any more advice please pm

[Kingsleyy]

I am not a professional trainer and i think that i am not in a position to advise you regarding your matters. I don't like to provide you the fake information to all of you.

[Flashpoint]

She needs to address her diet. Swimming is potentially a good option as there is no real load bearing.

[wakee456]

Lot of problem with this lady . A single advice can take a big change in her life may be in negative or in positive . So be careful about this matter I only suggest you for normal exercise and walk minimum 2 miles in 24 hours.

[Johnhill.inspiringfitness]

Hi mate, I would take it steady and allow the client time to adjust. Getting her used to movement patterns and big exercises is always a good bet.

Keep it simple and fun and remember the mental challenges that may arise

JH :)

[Heath Covered Moorland]

Hi dear,
I am not a professional trainer, so I cannot give you a wise advise.
I don't want give you a fake advise.

[Andrzej]

well...
me too not a trainer, so i cant give all of you fake advises.....

[BreakingBoundariesPT]

Hi mate

Just to add

Nothing lifted overhead

No Isometric exercises

You can do exercises on a stability ball to keep the core engaged.

Get her to wear a HRM too so you can keep a proper eye on it.

Make sure she has done a thorough PAR-Q and work inline with her doctor/physio

I agree with 3DPT though, I'd refer if you aren't 100% confident

Take Care

Rich