SECOND EDITION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NASM ESSENTIALS OF CORRECTIVE EXERCISE TRAINING © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION EDITOR Rich Fahmy, MS, NASM-CPT, CES, PES © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Manager National Academy of Sports Medicine Gilbert, Arizona © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Content Development and Production © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning LLC, an Ascend Learning Company. 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Other titles: Essentials of corrective exercise training Description: Second edition. | Burlington, Massachusetts : Jones & Bartlett Learning, 2020. | Includes bibliographical references and index. | Identifiers: LCCN 2020022136©| ISBN 9781284200898 (hardcover) Jones & Bartlett Learning, LLC Subjects: MESH: Athletic Injuries--rehabilitation | Athletic FOR SALE OR DISTRIBUTION Injuries--diagnosis | AthleticNOT Injuries--prevention & control | Exercise Movement Techniques | Exercise Therapy--methods | Sports Medicine Classification: LCC RD97 | NLM QT 261 | DDC 617.1/027--dc23 LC record available at https://lccn.loc.gov/2020022136 6048 & Bartlett Printed©inJones the United States of America Learning, LLC 24 23 NOT 22 21 20 10 9SALE 8 7 6 5 OR 4 3 2 DISTRIBUTION 1 FOR © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning LLC, an Ascend Learning Company. NOT FOR SALE OR DISTRIBUTION. 9781284200898_FMxx_i_xii.indd 2 02/11/20 4:47 PM YOUR TEXT © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION The following is the framework for the Corrective Exercise Specialist learning experience. This edition has been updated with the latest evidence and techniques, all with & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC © Jones the goal of helping the reader apply them throughout the assessment and exercise NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION program design processes. The text is divided into four sections. Section 1 provides the rationale for and purpose of corrective exercise, along with the underpinning applied sciences. Section 2 reviews the scientific rationale for and application variables of the exer© Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC cise techniques used by the professional to optimize movement. NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Section 3 outlines the assessment process that will be carried out by the professional to observe an individual’s preferred movement strategies. The results of that assessment process will inform the individual’s program design. Section 4 focuses on putting it all together with programming detail for multiple © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC kinetic chain regions. Section 4 also discusses effective recovery and application stratNOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION egies necessary to promote client success. © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION iii © Jones & Bartlett Learning LLC, an Ascend Learning Company. NOT FOR SALE OR DISTRIBUTION. 9781284200898_FMxx_i_xii.indd 3 02/11/20 4:47 PM CONTENTS © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Foreword vi NOT FOR SALE OR DISTRIBUTION Program Learning Objectives vii Contributors viii User’s Guide ix © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION SECTION ONE 1 2 SECTION TWO © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION INTRODUCTION TO CORRECTIVE EXERCISE TRAINING Rationale for Corrective Exercise © Jones & Bartlett Learning, LLC Human Movement Science and Corrective Exercise NOT FOR SALE OR DISTRIBUTION 2 © Jones & Bartlett Learning, LLC 12 NOT FOR SALE OR DISTRIBUTION CORRECTIVE EXERCISE TECHNIQUES ©3 Jones & Bartlett Learning, LLC Inhibitory Techniques NOT FOR SALE OR DISTRIBUTION 4 Lengthening Techniques © Jones & Bartlett Learning, LLC 66 NOT FOR SALE OR DISTRIBUTION 88 5 Activation Techniques 6 Integration Techniques © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION SECTION THREE 7 8 9 10 123 145 CLIENT ASSESSMENT 164 Client Intake and Assessment Assessments © JonesStatic & Bartlett Learning, LLC NOT FOR SALE Assessments OR DISTRIBUTION Movement 184 Learning, LLC © Jones & Bartlett NOT FOR SALE211 OR DISTRIBUTION Mobility Assessments 261 © Jones LLC SECTION FOUR& Bartlett Learning, PROGRAMMING STRATEGIES © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION 11 Corrective Strategies for the Foot and Ankle 288 12 Corrective Strategies for the Knee 320 13 Corrective Strategies for the Lumbo-Pelvic-Hip Complex 350 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC 14 OR DISTRIBUTION Corrective Strategies for the Thoracic Spine OR and DISTRIBUTION Shoulder 388 NOT FOR SALE NOT FOR SALE iv © Jones & Bartlett Learning LLC, an Ascend Learning Company. NOT FOR SALE OR DISTRIBUTION. 9781284200898_FMxx_i_xii.indd 4 02/11/20 4:47 PM 15 © Jones & Bartlett Learning, LLC NOT FOR SALE OR 16 DISTRIBUTION 17 18 © Jones & Bartlett Learning, LLC Corrective Strategies for theSALE Cervical Spine NOT FOR OR DISTRIBUTION 426 Self-Care and Recovery 480 Real-World Application of Corrective Exercise Strategies 502 Corrective Strategies for the Wrist and Elbow © Jones & Bartlett Learning, LLC Appendix A CES Flow 526 NOTAssessment FOR SALE OR DISTRIBUTION Appendix B Templates and Handouts 534 Glossary 557 Index 564 © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION 449 © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION CONTENTS | v © Jones & Bartlett Learning LLC, an Ascend Learning Company. NOT FOR SALE OR DISTRIBUTION. 9781284200898_FMxx_i_xii.indd 5 02/11/20 4:47 PM FOREWORD © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC Congratulations on taking this step in your health and fitness career! Thank you for NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION entrusting us to provide the education and tools to improve your skill sets and enhance the services you provide to your clients and athletes. Now more than ever, we are witnessing an increased reliance on technology and the prevalence of sedentary lifestyles. On the other end of the movement spectrum © Jones & Bartlett Learning, LLC are overuse patterns and © overtraining, Jones & Bartlett LLCmovement stratwhich also Learning, lead to suboptimal NOT FOR SALE OR DISTRIBUTION egies and musculoskeletal NOT FOR SALE OR DISTRIBUTION dysfunction. Focusing on quality of movement, movement efficiency, injury resistance, and recovery is vital to your clients’ success and to you as a professional. NASM is the world leader in fitness certification, continuing education, and pro© Jones &fessional Bartlett Learning, LLC and fitness and sports performance © Jones & Bartlett Learning, LLC development for health professionals. NOT FOR SALE OR DISTRIBUTION NOT FOR Our SALE OR DISTRIBUTION evidence-based approach to creating applicable strategies has created what many consider to be the current standard in professional education in the health and fitness industry. The backbone of the corrective exercise process is the NASM Corrective Exercise © Jones & Bartlett Learning, LLC Bartlett Learning, LLC Continuum. The continuum was created© byJones Dr. Mike& Clark, DPT, PT, MS, in his work NOT FOR SALE OR DISTRIBUTION FORinSALE ORexercise DISTRIBUTION with elite athletes and has since become NOT the standard corrective programming in the health and fitness industry. It has been applied successfully with clients and athletes of all backgrounds, abilities, and goals. The NASM Corrective Exercise Continuum is a simple, straightforward approach to designing customized programs the ability of your clients to move LLC freely and move well. © Jones & Bartlett Learning, LLC that will enhance and improve © Jones & Bartlett Learning, NASMFOR Essentials of Corrective Exercise Training has been upNOT FOR SALE OR DISTRIBUTION This new edition ofNOT SALE OR DISTRIBUTION dated with the current evidence, strategies, and training techniques designed to equip health and fitness professionals with the necessary skills to optimize the movement performance of their clients and athletes. WelcomeLearning, to a select group of professionals; we wish you much success in your Learning, LLC © Jones & Bartlett LLC © Jones & Bartlett professional pursuits. NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Sincerely, Rich Fahmy, MS, NASM-CPT, CES, PES Content Development and Production © Jones & Bartlett Learning, LLC © Jones &Manager Bartlett Learning, LLC Managing Editor, NASM Essentials of Corrective NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Exercise Training © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION vi © Jones & Bartlett Learning LLC, an Ascend Learning Company. NOT FOR SALE OR DISTRIBUTION. 9781284200898_FMxx_i_xii.indd 6 02/11/20 4:47 PM © Jones & Bartlett Learning, LLC PROGRAM LEARNING OBJECTIVES NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © ■Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC Relate fundamental concepts of human movement and anatomy and physiolNOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION ogy to corrective exercise. Identify attributes of and rationale for corrective exercise programming. ■ Identify scope of practice and referral strategies for allied health professionals. ■ Evaluate proficiency of movement using various assessment methodologies. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC ■ Design individualized movement and exercise programs. NOT FOR SALE■ OR DISTRIBUTION NOT SALE ORtoDISTRIBUTION Apply a spectrum of corrective tools, protocols, and FOR modalities aligned client needs and goals. ■ Demonstrate effective coaching and communication techniques to maximize adherence and engagement. © Jones Bartlett Learning, LLC © Jones & ■ Communicate effective & recovery strategies for a client’s overall wellness. ■ NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION vii © Jones & Bartlett Learning LLC, an Ascend Learning Company. NOT FOR SALE OR DISTRIBUTION. 9781284200898_FMxx_i_xii.indd 7 02/11/20 4:47 PM CONTRIBUTORS © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION MANAGING EDITOR LEAD REVIEWERS Rich Fahmy Kyle Stull, Scott W. Cheatham © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION AUTHORS Tony Ambler-Wright MS, CSCS, NASM-CPT, CES, PES, NASM Master Instructor © Jones & Bartlett Learning, LLC Adam Annaccone NOT FOR SALE OR DISTRIBUTION EdD, LAT, ATC, NASM-CES, PES © Jones & Bartlett Learning, LLC Ken Miller NOT FOR SALE MS, NASM-CPT, CES,OR PES,DISTRIBUTION NASM Master Instructor Rick Richey DHSc, NASM Faculty Instructor David G. Behm PhD Allison Brager PhD Ed Le Cara DC, PhD, MBA, ATC, CSCS, NASM-CES © Jones & Bartlett Learning, Eric LLC Sorenson PhD, ATC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Scott W. Cheatham PhD, DPT, PT, OCS, ATC, CSCS Emily Splichal DPM, MS, NSCA-CPT, NASM-CES, PES Mike Clark © Jones & Bartlett DPT, PT, MS, NASM-CES, PES Kyle Stull © Jones & Bartlett Learning, LLC DHSc, MS, LMT, CSCS, NASM-CPT, CES, PES, NASM Faculty InstructorNOT FOR SALE OR DISTRIBUTION Learning, LLC NOT FOR SALE OR DISTRIBUTION Rich Fahmy MS, NASM-CPT, CES, PES, NASM Master Instructor Chris Frederick PT, NASM-CPT © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION David A. 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Your insight was very beneficial to our process of creating a relevant and applicable course for today’s professional. © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Product Manager © Jones & Bartlett Learning, LLC NOTGeorgia FOR SALE Consumer Review: Fischer, OR AdamDISTRIBUTION Ortman, and Theresa Peasley An additional thanks is owed to Dr. Mike Clark, whose work in creating the NASM Optimum Performance Training Model and © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC Technical Review: Adam Annaccone, Dave Behm, Robert Corrective Exercise Continuum have laid the foundation for NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Lardner, Ed Le Cara, Eric Sorenson, and Emily Splichal NASM’s legacy of excellence in education and practical application. viii © Jones & Bartlett Learning LLC, an Ascend Learning Company. 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Learning Objectives open each chapter and present learning goals to help you focus and retain the crucial information discussed. © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Key term sidebars © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Key term sidebars Key terms will appear bold within the text and be defined in the margin. provide the definitions of key terms presented in the chapter. The Extensive full-color art and photographs illustrate n ­ umerous exercise techniques, anatomy key terms are bolded © Jones & Bartlett Learning, © Jones & Bartlett Learning, LLC and physiology, professional forms, and important concepts.LLC throughout the chapter for easy reference NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION and for stronger comprehension of the material presented. Definitions are also in the © Jones & Bartlett Learning, LLC © Jones & Bartlett presented Learning, LLC glossary. NOT FOR SALE OR DISTRIBUTION Nodule within taut band NOT FOR SALE OR DISTRIBUTION Contraction knots © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Normal fibers Figure 3-4 Myofascial adhesions © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION ix © Jones & Bartlett Learning LLC, an Ascend Learning Company. NOT FOR SALE OR DISTRIBUTION. 9781284200898_FMxx_i_xii.indd 9 02/11/20 4:47 PM The Corrective Exercise Assessment Flow outlines the client intake process, static postural © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning,assessment, LLC movement assessment, and mobility assessment. 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