How bad is step aerobics for your knees?
The Australian Bureau of
Statistics states that in 2007-08, a higher proportion
of males aged 18 years and over was overweight or obese (63%) than were females
(48%). These overweight/obesity rates were both up five percentage points on
the 2001 results. These estimates are based on people's self-reported height
and weight.
In general, rates of
overweight/obesity are higher in older age groups, although males and females
in the oldest age group (75 years and over) had lower rates. Adult male
overweight/obesity rates are higher than female rates across all age groups. In
2007-08, 73% of males in the 65-74 year age group were overweight or obese
compared to 39% in the 18-24 year age group. There has been a 10 percentage
point increase in the 65-74 year age group male overweight/obesity rate since
2001 when 63% of males in this age group were overweight or obese.
The highest overweight/obesity
rate for females in 2007-08 was in the 55-64 year age group (61%), while the
lowest rate was in the 18-24 year age group (29%). Since 2001 the proportion
of females who were overweight or obese increased for all age groups, with the
highest increases occurring in the 18-24, 25-34 and 35-44 year age groups (each
up by seven percentage points).
Exercising is one of the most effective ways to curve these statistics
into a more healthy line. By doing the typical stepping movement, either by
attending one of the fun filled freestyle step classes at the local gym, using
the gym’s machines known as “the stepper” or “the climber”, or simply by going
up and down a flight of stairs, you can achieve the suggested exercise
requirements. Though, don’t forget the impact that this may have on your
joints, specially your knees.
What is the relation between exercise and knee issues?
Any sort of pain can dull your
exercise, in particular if the pain comes from joints such the knees. There are
a few health issues that may cause more problems than others when trying to
participate on a step orientated exercise. You need to talk to your doctor
before you perform any sort of stepping exercise, or any exercise that depends
on the knee joint, and you suffer some of these health issues, such as arthritis,
gout, chondromalacia (AKA “runner’s knee”), plica syndrome (also known as “Synovial Plica
Syndrome”), tendon Injuries, ligament injuries and meniscal Injuries.
What action is achieved by Stepping?
Gym equipment like “the stepper” or “the climber” imitates
the same moves as done when going up a set of stairs. Every time your leg is
lifted, your quadriceps, your hamstrings, your calves, your glutes, adductors
and hip flexors all get a bit of a workout. Gym’s steppers or climbers concentrate
on quadriceps femoris muscle which with the help of a tendon, and the vastus
intermedialis muscale is attached at the base of the kneecap. Both, the
quadriceps femoris and the vastus intermedialis muscale are in charge for lengthening
the leg at the knee and alleviating the knee respectively.
How can knee pain be caused by stepping?
In a single word…. “stress”. Knees endure stress when
exercising them in a step up movement.
This is caused when the foot hits the step, a combination of gravity and
the weight of one’s body channel down onto your legs and concentrate on the
joints, with a greater concentration on knees and ankles. This is why If you
already suffer from knee swelling, pain or general joint issues, this can make
you feel increased knee pain, or worse still, worsen you already existing
condition if you over do it.
Then….. what can we do about it?
Loosing a few kilos if overweight will always help. Keeping
your raisers low also decreases the intensity of the workout. Proper landing
and foot placement on the step will decrease the risk of injury. Other gym
equipment and tools can also assist in getting to your exercise goals without
adding unnecessary stress on the knees. These gym equipment include elliptical
trainers which remove the impact you experience when stepping up by directing
your body movement in a circular motion instead of up and down. Water aerobics is
another option for those with severe knee problems, as the buoyancy of the
water naturally helps lift your weight off the knee joint.
References
- Australian Bureau of Statistics, 2010, Measures of
Australia's Progress, 2010 (cat. no. 1370.0) <www.abs.gov.au>.
- Access Economics, 2008, The Growing
Cost of Obesity in 2008: Three Years On, Diabetes Australia, Canberra.
- Australian Bureau of Statistics, 2009, Australian
Social Trends, Dec 2009 (cat. no. 4102.0) <www.abs.gov.au>.
- Australian Bureau of Statistics, 2009, Australian
Social Trends, Sep 2009 (cat. no. 4102.0) <www.abs.gov.au>.
- National Institute of Arthritis and Musculoskeletal and Skin Diseases:
Knee Problems
- Southern California Orthopedic Institute: Anatomy of the Knee
- American College of Sports Medicine: Selecting
and Efficiently Using Stair Stepper/Climber