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CORRECTIVE EXERCISE TRAINING

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NASM ESSENTIALS OF
CORRECTIVE
EXERCISE
TRAINING
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EDITOR
Rich Fahmy, MS, NASM-CPT, CES, PES
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Manager
National Academy of Sports Medicine
Gilbert, Arizona
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essentials
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Other titles: Essentials of corrective exercise training
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Identifiers: LCCN 2020022136©| ISBN
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Subjects: MESH: Athletic Injuries--rehabilitation | Athletic
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Injuries--diagnosis | AthleticNOT
Injuries--prevention
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Movement Techniques | Exercise Therapy--methods | Sports Medicine
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YOUR TEXT
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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
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& Bartlett
Learning,
LLC
© Jones
the
goal
of
helping
the
reader
apply
them
throughout
the
assessment
and
exercise
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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
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cise techniques used by the professional to optimize movement.
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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
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kinetic chain regions. Section 4 also discusses effective recovery and application stratNOT FOR SALE OR DISTRIBUTION
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egies necessary to promote client success.
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iii
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CONTENTS
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Foreword vi
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Program Learning Objectives vii
Contributors viii
User’s Guide ix
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SECTION ONE
1
2
SECTION TWO
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INTRODUCTION TO CORRECTIVE EXERCISE TRAINING
Rationale for Corrective Exercise
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Human Movement Science and Corrective Exercise
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2
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12
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CORRECTIVE EXERCISE TECHNIQUES
©3
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Inhibitory Techniques
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4
Lengthening Techniques
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66
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88
5
Activation Techniques
6
Integration Techniques
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SECTION THREE
7
8
9
10
123
145
CLIENT ASSESSMENT
164
Client Intake and Assessment
Assessments
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Movement
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Mobility Assessments
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SECTION
FOUR& Bartlett Learning,
PROGRAMMING
STRATEGIES
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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
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Corrective Strategies for
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Shoulder
388
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15
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17
18
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Corrective Strategies
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Spine
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426
Self-Care and Recovery
480
Real-World Application of Corrective Exercise Strategies
502
Corrective Strategies for the Wrist and Elbow
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Appendix A CES
Flow 526
NOTAssessment
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Appendix B Templates and Handouts 534
Glossary 557
Index 564
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449
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CONTENTS | v
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FOREWORD
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Congratulations on taking this step in your health and fitness career! Thank you for
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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
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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
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development
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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
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Continuum.
The continuum was created©
byJones
Dr. Mike&
Clark,
DPT, PT,
MS, in his work
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ORexercise
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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
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Essentials
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Exercise Training has been upNOT FOR SALE OR DISTRIBUTION This new edition ofNOT
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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,
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in your Learning, LLC
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professional
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Sincerely,
Rich Fahmy, MS, NASM-CPT, CES, PES
Content
Development and Production
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Managing Editor, NASM Essentials
of Corrective
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Exercise Training
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PROGRAM LEARNING
OBJECTIVES
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Relate fundamental concepts of human movement and anatomy and physiolNOT FOR SALE OR DISTRIBUTION
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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.
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■ Design individualized movement and exercise programs.
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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.
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■ Communicate
effective &
recovery
strategies
for a client’s
overall wellness.
■
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vii
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CONTRIBUTORS
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MANAGING EDITOR
LEAD REVIEWERS
Rich Fahmy
Kyle Stull, Scott W. Cheatham
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AUTHORS
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MS, CSCS, NASM-CPT, CES, PES, NASM Master Instructor
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Adam Annaccone
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Mike Clark
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Special thanks
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Your insight was very beneficial to our process of creating a
relevant and applicable course for today’s professional.
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An additional thanks is owed to Dr. Mike Clark, whose work in
creating the NASM Optimum Performance Training Model and
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Technical Review: Adam Annaccone, Dave Behm, Robert Corrective Exercise Continuum have laid the foundation for
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Lardner, Ed Le Cara, Eric Sorenson, and Emily Splichal
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USER’S GUIDE
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Please take a few moments to look through this User’s Guide, which will introduce you to the
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tools and features that will enhance your learning experience.
Learning Objectives open each chapter and present learning goals to help you focus and retain
the crucial information discussed.
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Key term
sidebars
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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
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and physiology, professional
forms,
and important
concepts.LLC
throughout
the chapter
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and for stronger
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Definitions are also
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glossary.
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Nodule within
taut band
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Contraction
knots
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Normal
fibers
Figure 3-4 Myofascial adhesions
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ix
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The Corrective Exercise Assessment Flow outlines the client intake process, static postural
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LLC movement assessment,
and mobility assessment.
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CES Assessment Flow
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Client
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