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Tuesday, June 6, 2023

Asymmetrical Weight Shift (Left) & the Novice Client

Brent Brookbush

Brent Brookbush


Asymmetrical Weight Shift (Left) & the Novice Client

by Brent Brookbush MS, PES, CES, CSCS, ACSM H/FS

History: 55yo, Female, history of low-back pain and knee pain

Goal: “Feel better and get in shape”

Results of Movement Assessment:

Asymmetrical Weight Shigt Left:

  • Left Lower-leg Dysfunction
  • Right Lumbo-Pelvic-Hip Complex (LPHC) Dysfunction

Flexibility (Tight/Overactive Muscles):

  • Left Calve
  • Left Anterior Adductors
  • Left TFL
  • Left Biceps Femoris
  • Right Psoas (omitted from warm-up in phase 1 for time purposes)
  • Right Piriformis
  • Right Posterior Adductor Magnus (omitted from warm-up in phase 1 for time purposes)
  • Right Biceps Femoris (omitted from warm-up in phase 1 for time purposes)
  • Right Latissimus Dorsi
  • SI Joint Dysfunction - Self Administered Mobilization for SI Joint (Trunk Rotation)

Activation Circuit (Long/Underactive Structures):

  • TVA (Intrinsic Stabilization Subsystem)
  • Left Tibialis Anterior
  • Left Tibialis Posterior (omitted from warm-up in phase 1 for time purposes)
  • Left Gluteus Medius
  • Right Gluteus Maximus

A dedicated client with more time may add release, stretching, and activation exercises for the omitted structures.

Subsystem Integration:

  • Posterior Oblique Subsystem Underactive

Relative Flexibility Resistance Training Progrssions:

  • Upper Body: No Overhead Movements
  • Lower Body: Relative Flexibility Progression
    • Ball Wall Squats à Squats à Step-Ups

Program: 3 Phase Periodization

Integrated Warm-Up: Assymetrical Weight Shift

  • Note: This integrated warm-up looks very long, but keep in mind the client is performing most of these exercises on one side. If equipment is gathered in advance you should progress through the exercises fairly quick, keeping the integrated warm-up to around 20 minutes.
  • Note: Individuals with an asymmetrical weight shift should be reassessed more often than clients who present with bilateral dysfunction (reassess weekly?). When the client no longer presents with an asymmetrical weight shift it is important to adopt a bilateral corrective exercise routine/integrated warm-up. Most often a successful corrective strategy for an asymmetrical weight shift will result in a client that presents with some bilateral lower-leg dysfunction when reassessed. The integrated warm-up should be changed to reflect their progress. It is not uncommon for a client to be left with a some bilateral LPHC dysfunction - in which case the client’s integrated warm-up should reflect this change. (See other case studies for samples of integrated warm-ups addressing these issues.)

Phase 1: (4-6 weeks)

  • Stabilization Endurance Training
  • Reassess

Phase 2: (4-6 weeks)

  • Strength Training
  • Reassess

Phase 3: (4-6 weeks)

  • Strength/Stability Supersets
  • Reassess

See a PDF of the program design template and sample routines by clicking the link below

Asymmetrical Weight Shift and the Novice Client

Not sure how to perform an exercise on the template?

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© 2012 Brent Brookbush

Questions, comments, and criticisms are welcomed and encouraged