top of page

The Exercise Equation: Balancing Strength, Mobility, and Mindfulness

Updated: Dec 5, 2023

In this article, we delve into some of the pivotal aspects that should be contemplated in every exercise program to reap maximum benefits.

Article Index:


Sets, Repetitions, and Rest Periods

A 'set' encapsulates a sequence of uninterrupted repetitions or 'reps' for a particular exercise, while 'repetitions' designate the count of times an exercise is performed within a set. For instance, undertaking three sets of 10 repetitions signifies performing an exercise 10 times, pausing, and repeating the sequence twice more.

These concepts are pivotal as they structure your workout and gauge its intensity, forming a rational trajectory for your fitness progression. With growing strength, you can elevate the workout's rigor by augmenting reps or sets, or by employing heavier weights.

The adaptability of this framework extends to specialized needs such as injury rehabilitation. A medical expert may advise initiating with more sets but fewer reps, with little or no weight, while emphasizing correct posture and unhurried, precise motions. With healing progression, the reps, sets, or resistance can be cautiously escalated under professional oversight, warranting a secure and potent recovery.

Rest intervals, the pauses between sets, hold significance equal to the exercise itself. These breaks fluctuate based on your particular objectives and physical condition. In a rehabilitation context, extended rest periods (2-3 minutes or more) may be prescribed for ample muscle recuperation and injury prevention. Conversely, for augmenting muscular endurance and conditioning, briefer rest periods (30-60 seconds) might be apt once healing advances and strength resurfaces.

Exercise Illustration

Consider the structured outline of a bicep curl exercise applying the philosophy of sets and repetitions:

Bicep Curls:

  • Set 1: Execute 10 repetitions with a challenging yet manageable weight. Rest for 1-2 minutes.

  • Set 2: Repeat another 10 repetitions with the same weight. Rest for 1-2 minutes.

  • Set 3: Complete a final set of 10 repetitions with the same weight.

Be mindful that your chosen weight should present a challenge in the concluding repetitions without jeopardizing your form. As strength builds, you may elevate the weight or repetition number to persistently stimulate your muscles. In the event of an injury, commence with minimal weight, advancing gradually.


Inverted Pyramid Training

The Inverted Pyramid Structure is an insightful method for structuring your workout, analogous to a descending staircase. Imagine yourself at the peak of this staircase, where every lower step correlates to a successive set in your exercise regimen.

Starting at the top step, signifying your first set, you begin with the maximum number of repetitions. As you traverse down the staircase or advance through your sets, you reduce the repetitions while concurrently increasing the weight or resistance engaged.

Using bicep curls as a specific example, you commence with 12 repetitions in the first set with a 10-pound dumbbell. Transitioning to the second set, the repetitions are decreased to 10, but the weight is elevated to 15 pounds. In the final, third set, you undertake eight repetitions with a 20-pound dumbbell.

This approach ensures a thorough warm-up initially with a generous volume of repetitions, subsequently intensifying the workout by cutting back on the repetitions but boosting the weight. This technique adeptly drives your muscles, encouraging strength development without excessively taxing or exhausting them prematurely.

Inverted Pyramid Example

Here's how you might format a squat exercise employing the Inverted Pyramid Structure:


  • Set 1: Launch at the top of the pyramid with 12 repetitions, using a manageable but challenging weight (such as a 20-pound barbell). Rest for 1-2 minutes.

  • Set 2: Proceed down the pyramid, performing 10 repetitions, but increase the weight (perhaps to a 30-pound barbell). Rest for 1-2 minutes.

  • Set 3: At the pyramid's base, execute 8 repetitions, but this time further increase the weight (possibly to a 40-pound barbell).

This method initiates with an all-inclusive warm-up using a high volume of repetitions, gradually intensifying the exercise by decreasing repetitions but elevating the weight. This process effectively propels your muscles, fostering strength enhancement without overstraining or tiring the muscles too quickly.


Tempo & Breath

The tempo, or pace at which you execute movements during exercise, carries significant weight in your routine. It governs the swiftness or deliberateness of a specific activity, and mastering control over this aspect is pivotal. Regulating tempo enables alterations to both the challenge and efficacy of the exercise, and it lessens the chance of re-aggravating an injury.

Embracing a slower tempo cultivates enhanced muscle command and accuracy, vital components in effectual recovery and the restoration of purposeful movement patterns.

Conversely, a more rapid tempo, although typically avoided during the initial phases of rehabilitation, can be instrumental later on in augmenting muscle strength and cardiovascular vitality. This adaptation becomes advantageous once healing has significantly progressed, and robustness has been restored.

Coordinating your breathing with exercise tempo is paramount as well. A widely accepted practice is to exhale during the portion of the exercise requiring maximal exertion and to inhale during the more relaxed or recuperative phase. Adhering to this breathing rhythm can amplify the rehabilitation's efficacy by optimizing performance, staving off light-headedness due to insufficient oxygen, and assisting in blood pressure regulation. Moreover, it fosters conscious, intentional movement, an essential aspect in the path to recovery.

Key Points:
  • The exercise's tempo, or movement speed, is vital for tailoring exercise challenge and efficiency and for mitigating the risk of re-injury. Slower paces foster muscle mastery and precision, while swifter tempos, appropriate in later rehabilitation stages, enhance muscular vigor and heart health.

  • The coordination of breathing with tempo is equally vital. Exhaling at the exercise's most demanding phase and inhaling during the recovery portion can heighten performance and avert feelings of faintness.

  • The deliberate control of tempo combined with mindful breathing cultivates conscious movement, an indispensable facet of triumphant recovery.


Mobility, Strength, and Balance

The progression of an exercise routine, whether aimed at general fitness or targeted rehabilitation, is a meticulous journey that evolves through carefully planned stages, each laying the foundation for the next.

Initially, the focus is placed on mobility, the capacity of a joint to maneuver through its complete range of motion. Mobility exercises enhance flexibility and serve as preventive shields against potential injuries. They form the groundwork from which the body's functional capabilities can be expanded.

The second phase transitions into strength training. This pivotal stage fortifies muscle and bone density, stimulates a more robust metabolic rate, and conditions the body for intricate and multifaceted movements. Strength training acts as the bridge that connects initial mobility work to the more complex functionalities the body must perform.

The culminating stage of this tripartite approach encompasses balance and proprioception exercises. These specialized activities fine-tune the body's inherent awareness of its spatial positioning, movement coordination, and equilibrium. They function as safeguards against accidental falls and contribute to honing overall bodily control and grace.


Rehabilitation: A Journey of Mindful Progression

Injury rehabilitation is a delicate journey that demands a mindful, gradual approach. Accelerating the recovery process or forcing oneself through pain not only risks exacerbating the current injury but can also prolong the overall healing trajectory. The emphasis must be placed on measured and consistent improvements in mobility, strength, and balance, all under the watchful eye of a trained healthcare professional.

Embracing Exercise with Body Awareness

A cornerstone of any successful exercise regimen is cultivating a profound awareness of one's body and its inherent limitations. This involves attentiveness to the body's cues, such as signals of pain, fatigue, or discomfort. Overlooking these indicators and exceeding physical boundaries can result in injuries and impede progress toward fitness goals. Awareness and respect for one's physical state are vital components of a sustainable and effective exercise routine.

Understanding Central Sensitization: A Crucial Connection Between Pain and Exercise

Central sensitization is a complex phenomenon where the central nervous system undergoes an 'amplification of pain signals', consequently reducing the body's pain threshold. Even typically non-painful stimuli might then be experienced as painful. This condition significantly influences exercise practices, as regular muscular strain may translate into severe pain.

In essence, repeatedly forcing oneself through pain during exercise may lead to central sensitization. This overload of sensory signals can sensitize the nervous system, making it prone to overreact to future stimuli. The insight into this relationship between pain and exercise accentuates the importance of honoring one's pain limits.

Key Takeaways:

  • Respect for Progression: In rehabilitation, the patient and healthcare professional must adopt a slow and systematic progression that enhances mobility, strength, and balance without risking further injury.

  • Body Consciousness: An understanding of one's body limitations, attentiveness to pain, and respect for physical boundaries are essential for avoiding injury and fostering successful rehabilitation.

  • Central Sensitization Insight: Recognizing the link between pushing through pain and the potential for central sensitization emphasizes the necessity for an approach to exercise that is mindful of one's body's pain thresholds. This not only aids in effective rehabilitation but aligns with an evidence-based, holistic approach to health.



Diving into the broad sphere of exercise, we've emphasized the key aspects like sets, repetitions, rest, tempo, and breathing, and the progression from mobility to strength to balance. Smartly tailoring your workouts, considering rep counts, weight increments, and rest, empowers you to enhance your strength and stamina and lay a foundation for injury recovery.

Our approach promotes the steady enhancement of mobility, strength, and balance, focusing on body consciousness in fitness and recovery. Also, our study of central sensitization highlights how exercise and pain perception intertwine, influencing your fitness journey. Overstepping pain thresholds can trigger an 'escalation of pain' response, emphasizing the need for mindful engagement with our body's capacities.

In essence, our exploration of exercise aims to arm you with a nuanced fitness approach, fostering a respectful relationship with your body and encouraging a comprehensive wellness journey. Keep going, embracing the process mindfully.



Dr. Abelson's approach in musculoskeletal health care reflects a deep commitment to evidence-based practices and continuous learning. In his work at Kinetic Health in Calgary, Alberta, he focuses on integrating the latest research with a compassionate understanding of each patient's unique needs. As the developer of the Motion Specific Release (MSR) Treatment Systems, he views his role as both a practitioner and an educator, dedicated to sharing knowledge and techniques that can benefit the wider healthcare community. His ongoing efforts in teaching and practice aim to contribute positively to the field of musculoskeletal health, with a constant emphasis on patient-centered care and the collective advancement of treatment methods.


Revolutionize Your Practice with Motion Specific Release (MSR)!

MSR, a cutting-edge treatment system, uniquely fuses varied therapeutic perspectives to resolve musculoskeletal conditions effectively.

Attend our courses to equip yourself with innovative soft-tissue and osseous techniques that seamlessly integrate into your clinical practice and empower your patients by relieving their pain and restoring function. Our curriculum marries medical science with creative therapeutic approaches and provides a comprehensive understanding of musculoskeletal diagnosis and treatment methods.

Our system offers a blend of orthopedic and neurological assessments, myofascial interventions, osseous manipulations, acupressure techniques, kinetic chain explorations, and functional exercise plans.

With MSR, your practice will flourish, achieve remarkable clinical outcomes, and see patient referrals skyrocket. Step into the future of treatment with MSR courses and membership!



  1. American Council on Exercise. (2019). How to determine the number of repetitions and sets for a strength-training workout. Retrieved from

  2. Mayo Clinic. (2021). Strength training: How many sets to do. Retrieved from

  3. National Health Service. (2022). How to stretch and cool down after exercise. Retrieved from

  4. Harvard Health Publishing. (2021). The importance of stretching. Retrieved from

  5. Woolf, C. J. (2011). Central sensitization: Implications for the diagnosis and treatment of pain. Pain, 152(3 Suppl), S2-15.

  6. McGill, S., & Marshall, L. (2012). Kettlebell swing, snatch, and bottoms-up carry: Back and hip muscle activation, motion, and low back loads. The Journal of Strength & Conditioning Research, 26(1), 16-27.

  7. ACSM. (2018). American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: Guidance for prescribing exercise. Medicine and Science in Sports and Exercise, 43(7), 1334–1359.



The content on the MSR website, including articles and embedded videos, serves educational and informational purposes only. It is not a substitute for professional medical advice; only certified MSR practitioners should practice these techniques. By accessing this content, you assume full responsibility for your use of the information, acknowledging that the authors and contributors are not liable for any damages or claims that may arise.

This website does not establish a physician-patient relationship. If you have a medical concern, consult an appropriately licensed healthcare provider. Users under the age of 18 are not permitted to use the site. The MSR website may also feature links to third-party sites; however, we bear no responsibility for the content or practices of these external websites.

By using the MSR website, you agree to indemnify and hold the authors and contributors harmless from any claims, including legal fees, arising from your use of the site or violating these terms. This disclaimer constitutes part of the understanding between you and the website's authors regarding the use of the MSR website. For more information, read the full disclaimer and policies in this website.

Recent Posts

See All


bottom of page