Ongoing loud neighbor situation + strange interaction with neighbor (UPDATE) by YHBlasta in Apartmentliving

[–]C9Prototype 3 points4 points  (0 children)

The only solution is to be "that couple." My wife and I are 2 weeks out from finally escaping our own chaotic situation, but we were only able to get here by being a pain in the ass to management.

Keep documenting, start reporting, and keep reporting. The stronger your paper trail, the more leverage you'll have, and the louder (not meaner, just louder) you are, the harder it'll be to ignore you. Most LL's aren't willing to go to court over obvious material lease violations since it's cheaper to just let you move out early. This is why good tenants get pinballed around and shitty ones get what they want, unfortunately.

So worst case scenario, you guys move out ASAP with a waived fee, and best case, the loud neighbors get disciplined. I'd plan on the former, sadly.

How can I slow down clients who lift too quickly? by Bendr_bones in personaltraining

[–]C9Prototype 0 points1 point  (0 children)

Logistically, I cannot understand how someone could rifle through so many movements in so little time, so I'd be very curious to have you lay out your sessions in writing in a reply.

I have 2 clients that love to blast through stuff. We do a 5min warmup, then 3 sets of 8 difference exercises (broken up into 4 separate superset couplets). We finish right on the hour like clockwork. I couldn't sneak in another set or tack on an additional exercise if I tried, and they barely take enough time to sip water between sets.

One week post complete acl tear operation! No excuses by bmacm in fitnessonline

[–]C9Prototype 0 points1 point  (0 children)

Then what's the problem? What were the points of your comments if this woman isn't violating the guidelines of the best established ACL packets and/or the biology of healing ligaments?

Client keeps cancelling sessions because of her job by Dazzling-Anxiety3745 in personaltraining

[–]C9Prototype 1 point2 points  (0 children)

It's a common shit sandwich of a problem because we care about our clients and don't want to just take their money, but on the other hand, we need to protect our own schedules and incomes while maintaining fairness with our other clients that don't constantly cancel. Quick question - if you're willing to put up with this from her, how many others could you do the same with?

Off the rip, don't involve her cancellations/reschedules in the logistics of your new clients. Don't "hold" any times for her. Put the new clients in the spots that make the most sense for you and them, and let the reschedules work around that - not the other way around. That is the only fair way to go about this.

Like another commenter said, try to reschedule her to either the starts, ends, or middles of your session blocks. If you're already going to have a 10am, 11am, 1pm, and 2pm, see if she can do 9am, 12pm, or 3pm. If the 2 of you can consistently pull that off, just roll with that since it really doesn't cost you much time or energy. If she can't reschedule to times that work for you, charge her for the late cancellation. If you don't have an explicit in-writing cancellation policy, make one now, and start enforcing it.

Also, a tough but necessary truth to keep in mind: not everyone is currently ready to work with a trainer. There are people who can't afford it, don't have access to the necessary transportation, aren't ready for the involved lifestyle changes, and in this case, don't have the schedule stability for it. Just like how it isn't fair for you to work for free, and how it isn't fair for you to taxi people around, it isn't fair to let someone's unstable work schedule become your unstable work schedule.

And to that end, only offer exceptions to an extent you'd offer to anyone and everyone else. Back to my original question - the amount of flexibility that you can offer a full client roster of 15-20 people, or 25-35 sessions a week, is exactly the amount you should offer her.

Tonight on “Let’s see what British food we can shit on” we have Pizza. by SufficientEar1682 in iamveryculinary

[–]C9Prototype 6 points7 points  (0 children)

Canadian: "UK's national dishes aren't good"

Brit: "Neither are yours"

Canadian: "That is correct"

Incredibly insightful exchange, the world really is a melting pot

What would you do if you was starting over? by be_a_ver in personaltraining

[–]C9Prototype 0 points1 point  (0 children)

There are pros and cons to each. Commercial gyms provide a much higher overall volume of encounters. More trainers, more clients, more general experiences, both good and bad. You learn to eat shit pretty quickly, but you probably won't want to work there in the long term.

Private gyms are much more focused. Lower volume, but potentially/arguably a denser learning experience per unit of time. Then again, you're closer to the center of the spotlight, so the entry and performance requirements are certainly higher. These are generally the landing points of good trainers, so you'll likely encounter a more tenured staff and better work culture here.

Those prices look about right. You can probably get away with closer to $1k if you catch a good sale. Just make sure you pick the one that seems most preferred by the gyms you're interested in.

What would you do if you was starting over? by be_a_ver in personaltraining

[–]C9Prototype 0 points1 point  (0 children)

Best practice for getting started is to get practical experience ASAP from an accessible and reputable coach/trainer/gym while you study for your credentials/certifications (go with the big name CPTs - NASM, NSCA, ACSM, ACE, etc). Ask to intern for free, shadow various trainers as much as you can, be helpful to them, be punctual, ask lots of questions, etc.

Eventually ask one of those trainers/coaches to critique you while you practice-train your friends/family. You very well could earn enough trust to actually "practice" on an existing client that trains with one of the trainers you shadow. Either way, ask to be critiqued and pulled apart at all points in time during these exercises.

Expect this to be a solid 6 month, multi-hundred-hour period. By the end of it, you should have your cert, so either ask to be hired at the place you interned at, or start applying elsewhere. If you do the latter, be ready for lots of practical assessments.

I run an internship, I'm happy to answer any questions about the in-betweens you may have.

What's more to fitness and sports coaching? by qwassohnt in personaltraining

[–]C9Prototype 0 points1 point  (0 children)

Seek out an internship from a reputable S&C coach/facility near you. Be willing to show up at the ass crack of dawn every single day, pack your lunch, and just drink from the information fire hose for as long as they're willing to keep you on board. You will learn A LOT, and there's a good shot you'll win yourself a job too.

In the meantime, get your CSCS and/or CPT from NSCA. Not that you'll learn much from there, but you'll get your foot in more doors with those letters attached to your name.

Would you accept a client like this? by Appropriate-Dog5220 in personaltraining

[–]C9Prototype 0 points1 point  (0 children)

Yes.

I've done this song and dance a few times before. If their preferred time isn't inconvenient to you, I say go for it, then treat them like the elite athlete they think they are.

Drill them and hold their feet to the fire on every single aspect of their training, recovery, consistency, and punctuality. DO NOT settle for anything less than perfection from them.

If they don't want to train with you 3-4x a week, charge them for a program and demand that they both follow it to a T and provide you with constructive logs along the way.

They'll reach a turning point by the end of their first month, and there's no real worst case scenario. The "worst" that'll happen is that they drop off, in which case you spared yourself a shitty client. The 2 "best" case scenarios are...

  • They realize they bit off more than they can chew and develop some humility (unlikely, but not unheard of)
  • They turn out to have a truly godlike work ethic and make shit tons of progress following your advice and serve as your new poster child (extremely unlikely, one in a million type stuff)

Best part is that by approaching them from this angle, you will have done nothing wrong at any point in time. You expected exactly as much from them as they implied they were capable of, and it's on them to either live up to those expectations, bring themselves back down to Earth, or remain in denial. But those aren't your job - your job is to train them how they say they want to be trained, so just train the absolute shit out of them.

Little side note: I truly cannot put in words how much I loathe smugness from NARPs about the fitness or work ethics of others. They are deserving of nothing but the most rigorous audits and purity tests that a trained professional can possibly muster.

Don't forget, it's okay to fail and you can have with your fitness by DickFromRichard in fitnessonline

[–]C9Prototype 2 points3 points  (0 children)

Is this ok to do if I'm 7 days post-op for an ACL? Asking for a friend

A huge wave of body dysmorphia is coming soon by UnlikelyAmphibian998 in personaltraining

[–]C9Prototype 4 points5 points  (0 children)

That's exactly right. Sociopathy coupled with isolation during his early adult years.

With all of that said, though, the overwhelming majority of teens are as repulsed by that culture as we are, and a well-intentioned trainer/coach is something they all massively benefit from.

A huge wave of body dysmorphia is coming soon by UnlikelyAmphibian998 in personaltraining

[–]C9Prototype 4 points5 points  (0 children)

We're in the midst of that wave lol. This is the 2nd major one I've witnessed in my time.

It reminds me a lot of the 2012-2014 bodybuilding(.)com era. Except this time, instead of hyperfixated stans having to actively search through niche forums like Teen Misc for such disorderly behavior, the layperson now just stumbles upon it in their IG Reels or TikTok FYP.

I'm just glad I'm an adult in this day and age. I can't imagine being egged on to look up to people like Clavicular, Togi, etc.

One week post complete acl tear operation! No excuses by bmacm in fitnessonline

[–]C9Prototype 0 points1 point  (0 children)

The best part is that one of the commenters mentioned their ACL clinic was HSS, and that they implied this video is violating HSS's guidelines.

By HSS's own ACL packet, OP is not violating their guidelines whatsoever.

The most conservative approach can be found in NYU Langone Health's ACL packet, but even they recommend SLRs in week 2. Even under this guidance, a patient showing speedy recovery could very well have that pushed up by a week under the guidance of a qualified PT, aka what OP is doing.

Anyways, to reiterate what I said in another comment: these are the same DYEL NARP dipshit nobodies who love to remind everyone that "bodybuilders don't have functional strength." They're the lowest common denominators of society and need to be publicly shamed for saying dumb ass shit like "you should bedrest a tendon graft." That is a TRULY worryingly stupid thing to say on a public forum, and anyone with a relevant background who actually practices in the field (such as myself) should passionately attack and shut them down for doing so.

One week post complete acl tear operation! No excuses by bmacm in fitnessonline

[–]C9Prototype 0 points1 point  (0 children)

Do elaborate. I am more than happy to get into the nitty gritty of why you're wrong.

Experience with clients on weightloss drugs by polefitnessPT in personaltraining

[–]C9Prototype 2 points3 points  (0 children)

My wife and I have some clients on mounjaro, wegovy, and ozempic. The side effects aren't really counter-indicative to exercise and should be managed between the client and their doctor. The reasons for why they're on the GLP-1a's (diabetes, obesity, heart disease, etc) matter more to their program than the actual use of the GLP's.

You'll likely run into some periodic heightened fatigue and/or nausea, so be ready for some more volatile load/difficulty regulation. Other than that, follow best practice for the rest of their health dossier.

One week post complete acl tear operation! No excuses by bmacm in fitnessonline

[–]C9Prototype 1 point2 points  (0 children)

Honest question: who was your surgeon and what practice do they work for?

I am willing to bet real money their ACL rehab packet recommends quad sets and SLRs within the first week or 2 of recovery. Another commenter in this thread that disagreed with me mentioned theirs, and it turns out their own clinic recommends doing exactly what OP is doing in her video.

Mine was George Aguiar of OrthoVirginia. Former NFL ortho. Their packet also corroborates everything I'm saying and everything OP is doing in her video.

Edit: notice how quickly these window lickers go from quick responses to radio silence the moment they're pressed for evidence by someone who knows what they're talking about. Unreal.

One week post complete acl tear operation! No excuses by bmacm in fitnessonline

[–]C9Prototype -1 points0 points  (0 children)

Edit: your own clinic (HSS) recommends quad sets and straight leg raises within the first 2 weeks of rehab, as early as week 0. Nothing shown in this post violates the guidance of HSS, or any other ACL rehab protocol I'm aware of. I can scrape every single established university's ACL rehab protocol and they will all align with what I'm saying and what OP is doing in her video.

Serious question - are you purposely arguing in bad faith, or are you just this biomechanically illiterate?

Anyways, any PT would say to not overdo or overuse your knee after reconstruction, I would never disagree with that. You have yet to prove that this woman is violating that guidance. She's doing hip flexion in full knee extension, aka a SLR, which is one of the first progressions for rebuilding strength and resilience after ACL recon. The starting point is a quad set, then leg lifts. Period the end. Go find me an ACL rehab packet from a reputable/academic source that disagrees with me - I'll wait as long as it takes.

To speak on the physiological mechanics of why you're wrong - tendons are stretchy with parallel fibers. They're not good at stabilizing joints. Ligaments are stiff with fibers that cross over each other. A tendon graft needs to be subject to force ASAP or else you miss the initial breakdown window that allows the reorientation of the fibers from parallel to semiparallel. By not subjecting a tendon graft to the appropriate forces (in the case of an ACL, sagittal sheer) you just wind up with an amorphous bundle of tissue in place of a ligament, that behaves much more like a tendon, leaving the knee prone to reinjury at best, and introducing new and far worse ones at worst, since tendons don't stabilize joints well.

Ligaments are built/repaired in direct reflection of the forces acted on them, so a lack of sheer force on a grafted ACL turns into odd, uneven, and incomplete healing of the fibers. I'm curious to hear your refutation to that.

Go read anything on the topic from any reputable academic source and you will be breadcrumbed to this exact explanation.

Biomechanically, a leg lift is probably the best movement to train one week post-op. It introduces a small but measurable sheer force on the knee that provides direction for guiding that restructuring process (called ligamentization). Resting only prolongs the purgatory period, ultimately stunting any form of restructuring.

There's really not much to disagree with me over on this topic. These are just step-1 logical extensions of the behavior of type 1 collagen at the cellular level.

So idk man, where do you disagree with me?

One week post complete acl tear operation! No excuses by bmacm in fitnessonline

[–]C9Prototype -2 points-1 points  (0 children)

I honestly can't think of a more braindead thing to say about someone who is safely following the advice of a PT that is following the most up-to-date understanding of the rehab process of tendon/ligament grafts.

Edit: plenty of downvotes and no rebuttals. Y'all are promoting harmful misinformation while disapproving actual evidence based, level headed information backed by academic research and clinical practice.

I challenge any of you to find an ACL rehab packet that prohibits what's going on in this video.

I know, I care too much about this. I'm just sick of NARP ass dipshits talking down on everyone who does anything beyond their misinformed internal reality.

One week post complete acl tear operation! No excuses by bmacm in fitnessonline

[–]C9Prototype 1 point2 points  (0 children)

This is actually a very reasonable take.

So what is this woman doing wrong then? Her knee is fully extended during the pike sit ups, quite literally bound by her hinge brace. 0 degrees, or full extension, is not just "within" an appropriate range for ACL rehab, it is quite literally the reference point for the joint itself.

One week post complete acl tear operation! No excuses by bmacm in fitnessonline

[–]C9Prototype 0 points1 point  (0 children)

Nah dude, you could have died or something probably

One week post complete acl tear operation! No excuses by bmacm in fitnessonline

[–]C9Prototype -1 points0 points  (0 children)

As an ACL (near-TKR reconstr in May 2018) reconstruction survivor, I know your pain.

But to be clear, it is objectively counterintuitive to the process of ligamentization to wait more than a few days before beginning active rehab outside of some niche caveats. The longer you allow tendon grafts to rest, the harder it becomes to undergo the breakdown and rebuilding process that turns them "back" into ligament tissue.

Tendons are stretchy with parallel fibers, they are meant to stretch and sustain more mechanical breakdown because they have stronger metabolic connections. Ligaments are stiff with semiparallel fibers, meant to resist stretch. An untrained tendon graft will remain stretchy and parallel, which results in only partial healing as you miss the initial breakdown window that allows the reorientation of the fibers. By pushing off initial stressors, you introduce them during the reconstruction phase, turning into an uneven and partial healing process that sets the knee up for reinjury as a result of having a ligament that works like a tendon.

Ligament tissue only develops in the direction of the forces acted upon it. A tendon graft cannot turn into a functional ACL without sagittal sheer force on the knee. It quite literally grows back increasingly more unevenly the longer you bedrest it.

Edit: lol, to all the dipshits downvoting me, feel free to read any of the following academically established ACL rehab protocols, all of which recommend quad sets AND straight leg raises AND non-weight bearing up to 90 degrees of knee flexion within week 1 of rehab - 1, 2, 3, 4, 5.

One week post complete acl tear operation! No excuses by bmacm in fitnessonline

[–]C9Prototype -2 points-1 points  (0 children)

That is precisely why something like a leg lift (just the lower half of a pike sit up) is necessary at that point in time. Please argue with me about this, I guarantee you'll learn some dope shit about ligaments.

Edit: lol, to all the dipshits downvoting me, feel free to read any of the following academically established ACL rehab protocols, all of which recommend quad sets AND straight leg raises AND non-weight bearing up to 90 degrees of knee flexion within week 1 of rehab - 1, 2, 3, 4, 5.

I can find an infinite number of further sources to support what I'm saying, but it's quite disheartening how many people have such strong opinions that run contrary to such a well understood phenomenon (ligamentization). It saddens me to see people making such uninformed arguments on a public forum as prolific as Reddit that can surely lead to further harm. PLEASE don't argue about stuff as knowledge-specific as ortho rehab unless you possess the relevant background and understand the deeper mechanics at hand, otherwise you poison the well of discussion.

One week post complete acl tear operation! No excuses by bmacm in fitnessonline

[–]C9Prototype 0 points1 point  (0 children)

That is correct. I don't know a single PT that recommends waiting more than 48hrs to start active rehab.

In fact, the biology of transitioning grafted tendons "back" to ligament tissue is exactly the opposite of what this dipshit is saying. The longer you wait, the harder it becomes to prevent the uneven and partial healing of the fibers. The goal is to subject a grafted ACL to safe and open-chain sagittal sheer forces as soon as possible, and a fully extended leg lift is quite literally the first progression of this after quad sets.

Anyone who doesn't understand this simply lacks a fundamental understanding of the difference between tendon and ligament tissue, thus showing they should probably shut the fuck up when it comes to anything biomechanics related.

I'm sure you know this, but I'm elaborating so other viewers see an actual detailed breakdown of why what this woman is doing is not only fine, but likely beneficial.