Applying the "principles of training" to an injured worker.

June 20, 2023

The principles of training are a fundamental aspect that go into the planning and progression of athletes in all stages of their sporting career. They are similarly critical to the way in which we manage the rehabilitation of an injured worker. As Exercise Physiologists at Absolute Balance, we apply these principles daily to ensure our clients best progress their functional rehabilitation. It is also important that these principles are educated thoroughly to the client to ensure they can apply them in an independent manner and seek longevity away from supervised treatment.


Specificity:

When we make a programme for an injured client, it is important to understand the goal/s you are working towards with respect to the injury and the job role they are physically required to fulfil. Specificity outlines the need to programme towards aspects of the client’s job role to ensure they are conditioned to return to their pre-injury status. This will also provide the client with more confidence in their return to work. As workers compensation specialists, Absolute Balance specifically programmes work specific exercises for our clients to track their return-to-work progress.


Frequency:

When programming frequency it is important to consider the wide range of variables which can impact the rehabilitation of a client. This can include the stage the client is at in the rehabilitation, the type of exercise they are required to complete, how much they are currently working and their overall rate of recovery. We want to ensure the client sits comfortably between ‘overdoing it’ and ‘underdoing it’. In saying this, it is a constant learning process between the client and clinician which develops overtime through more experience working cooperatively.


Intensity:

Is another principle that is dependent upon a wide range of variables, particularly the stage in which the client is at in their rehabilitation and the requirements of their job role. Intensity is typically a subjective measure which a clinician can gather through tools such as RPE or rate of perceived exertion. Intensity can generally increase in the later stages of rehabilitation and more so for workers in physically demanding job roles such as in trades or mining.


Duration:

Typically, under the workers compensation scheme we allocate a certain timeframe to undertake an appointment. With this comes the need to identify how much of this time is utilised for work i.e., completing the exercise, rest, and other aspects such as education and general discussion. As clinicians we can modify the duration a client needs to spend completing their exercise per session and collectively in a week, and the size of their rest periods. Rest periods can be effectively tailored to best mimic the job demands which can be progressively changed depending on the stage in the client’s rehabilitation.


Progressive overload:

Is the principle of gradually increasing the stress placed on a specific muscle or muscle groups, joints, and collective structures in the body. This can be implemented through increases in weight, repetitions, duration, frequency etc. The overarching goal is to progressively increase the capacity of the individual by careful modifying a programme in line with their functional improvements. An easy way to identify the need for this is reported reduction in symptom presentation and rate of perceived exertion on a previously difficult programmed exercise.


Reversibility:

Commonly associated with the phrase ‘use it or lose it’, reversibility outlines a reduced functional capacity due to decreases or termination in exercise participation. It is important as clinicians we educate clients to progress them into an independent form of management where they continue their exercise habits far beyond the programme, effectively following the clinical framework.


References:

- Lambert, M.I., Viljoen, W., Bosch, A., Pearce, A.J. and Sayers, M., 2008. General principles of training. Olympic Textbook of Medicine in Sport. Chichester, UK: Blackwell Publishing, pp.1-48.

- Kraemer, W.J. and Ratamess, N.A., 2004. Fundamentals of resistance training: progression and exercise prescription. Medicine & science in sports & exercise, 36(4), pp.674-688.


Daine Richards

Workers Compensation Specialist (AEP, ESSAM)

Exercise Rehabilitation Services – WA

     

June 13, 2025
When it comes to exercise, most people focus on warming up or pushing through the workout itself, but what often gets overlooked is the warm-down which is a period of gentle movement and stretching after your main workout. Though it may feel tempting to skip it, a proper warm-down is crucial for both your physical health and your mental well-being. Here is why this final phase of your workout deserves just as much attention as everything that comes before it: 1. Helps Prevent Injury One of the most important physical benefits of a warm-down is injury prevention (Witvrouw, et al., 2004). After intense activity, your muscles are warm, flexible, and more prone to strain if you suddenly stop moving (Witvrouw, et al., 2004). Gradually slowing down your heart rate and stretching your muscles helps release tension and reduce muscle stiffness, which can significantly lower the risk of cramps, strains, and post-workout soreness (Witvrouw, et al., 2004). 2. Promotes Better Circulation During exercise, your heart rate and blood pressure increases to support your body’s physical demands (Alter, 1998). If you stop abruptly, blood can pool in your limbs, leading to dizziness or even fainting. A warm-down helps maintain healthy blood flow by gradually lowering your heart rate and allowing your body to transition smoothly back to a resting state (Alter, 1998). This improves circulation and helps the body clear out metabolic waste products like lactic acid (Alter, 1998). 3. Supports Mental Clarity and Stress Relief Exercise is a proven mood booster, and warming down can enhance these benefits. Taking time to breathe deeply and reflect during your warm-down allows your nervous system to shift from the high-energy "fight or flight" mode into the calmer "rest and digest" state (Van Hooren & Peake, 2018). This shift reduces stress hormones like cortisol and helps improve mental clarity, calmness, and emotional balance (Van Hooren & Peake, 2018). 4. Enhances Flexibility and Recovery Including dynamic and static stretches during your warm-down helps maintain or even improve flexibility over time (Alter, 1998; Witvrouw, et al., 2004). Muscles are more pliable after a workout, making this the perfect time to gently lengthen and release them (Alter, 1998; Witvrouw, et al., 2004). This not only reduces soreness in the days following exercise but also supports quicker recovery and better performance in future workouts (Alter, 1998; Witvrouw, et al., 2004). 5. Reinforces Healthy Mind-Body Connection Warming down creates a moment of mindfulness—a chance to tune into how your body feels after movement (Van Hooren & Peake, 2018). This reinforces a healthy relationship with exercise that is about more than burning calories or hitting performance goals (Van Hooren & Peake, 2018). It is a time to appreciate what your body can do and to give it the care it deserves (Van Hooren & Peake, 2018). This shift in perspective can be especially helpful in maintaining long-term motivation and preventing burnout (Van Hooren & Peake, 2018). Conclusion A warm-down might seem like a small part of your workout, but its benefits for your physical and mental well-being are significant. From preventing injury and aiding recovery to promoting mental clarity and deepening your connection with your body, those extra 5–10 minutes are well worth your time. So next time you finish a run, gym session, or yoga class, do not rush off, take a couple minutes to wind down. Your body and mind will thank you for it. References: Witvrouw, E., Mahieu, N., Danneels, L., & McNair, P. (2004). Stretching and injury prevention: an obscure relationship. Sports medicine, 34, 443-449. Alter, M. J. (1998). Sport stretch. Human Kinetics. Van Hooren, B., & Peake, J. M. (2018). Do we need a cool-down after exercise? A narrative review of the psychophysiological effects and the effects on performance, injuries, and the long-term adaptive response. Sports Medicine, 48(7), 1575-1595.
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