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Smiling elderly woman training in a group

Minimize the risk of falling in the elderly with this simple balance exercises

The mortality rate of seniors after an unintentional fall increases significantly. Among the elderly with 38-47% of those who fall will eventually have a fatal outcome [3]. Furthermore, one-half of those who fall are likely to fall again [4]. To minimize falls, exercise and staying physically active is extremely important to ensure that the mind and body is constantly optimized. Unfortunately, not all exercises are created equally for fall prevention. Therefore, here are some simple but effective balance exercises that you, or an elder under your care, can do at home.


Why Yoga Professionals Should Join the MedFit Network

It is safe to assume that not everyone a yoga professional works with is injury or disease free. As a yoga professional, it is your responsibility to ensure that you provide your clientele with safe and effective programming. The question you have to ask yourself is: are you truly qualified and up to date on the latest information to work with your current (and future)? A second question to ask is are you marketing yourself to those who need you most in this healthcare crisis?  If you’re honest, you should at least say that perhaps you are not. 

Well, this is where the MedFit Network (MFN) can help! MedFit Network (MFN) is both a professional membership organization for yoga, fitness and allied healthcare professionals, and a free online resource directory for the community to locate professionals with a background in prevention, treatment, and rehabilitation in working with those with chronic disease or medical conditions. As a yoga professional, here are three reasons why you should join the MedFit Network

Senior woman doing curl-ups

5 Key Strengthening Exercises for People with Diabetes

Although stay-at-home restrictions are loosening around the USA and summer is coming, you may still need to get some of your activities indoors at home for a variety of reasons. If you aren’t doing resistance workouts already, you should really consider adding some resistance exercises to your normal regimens. 

In fact, if you do nothing else, doing these 5 key exercises is critical for people with diabetes who may have weak core muscles, altered gait and balance, and central and peripheral nerve damage.  If you lose your core strength, it will affect your ability to do all activities of daily living, including walking and living independently.

Do at least one set of 8-15 reps of each one, but work up to doing 2-3 sets of each one per workout.  For best results, do these exercises at least 2 or 3 nonconsecutive days per week — muscles need a day or two off to fully recover and get stronger — but just don’t do them right before you go do another physical activity (as a fatigued core increases your risk of injury).  

These and many more exercises are available on Diabetes Motion Academy for free download.

  • Exercise 1: Crunches with waist worker
  • Exercise 2: Chair sit-ups OR Low back strengthener
  • Exercise 3: Modified push-ups
  • Exercise 4: Squats OR Suitcase lifts
  • Exercise 5: Sit-to-Stand exercise

#1: Crunches with waist worker


Crunch Example


  • Lie down on your back with your knees bent. 
  • Place your hands on your head right behind your ears. 
  • While breathing out, contract your abdominal muscles to lift your head, neck, and shoulders off the floor and curl forward no more than 45 degrees. 
  • Hold for a moment before returning to the starting position, then repeat. 

Waist worker:


  • Lie on your back on the mat with your legs bent, your feet flat on the floor, and your left hand behind your head. 
  • Stretch your right hand across your body toward your opposite (left) knee and circle your hand three times around your knee in a counterclockwise direction; your right shoulder blade will lift off the mat. 
  • Repeat the circular movement around the right knee using your left arm, but in a clockwise motion. 
  • Keep your head in a neutral position and relax your neck to ensure that the contraction is in your abdomen area only. 

#2: Chair sit-ups OR Low back strengthener

Chair sit-ups:


  • Sit up straight in a chair with your feet on the floor, hands to your sides for support.
  • Bend forward, keeping your lower back as straight as possible, moving your chest down toward your thighs.
  • Slowly straighten back up, using your lower back muscles to raise your torso.
  • For added resistance, put a resistance band under both feet before you start and hold one end in each hand during the movement. 


Low back strengthener (Superman exercise):


  • Lie on your stomach with your arms straight over your head, your chin resting on the floor between your arms. 
  • Keeping your arms and legs straight, simultaneously lift your feet and your hands as high off the floor as you can (aim for at least three inches off the floor).
  • Hold that position (sort of a Superman flying position) for 10 seconds if possible, and then relax your arms and legs back onto the floor.
  • If this exercise is too difficult to start, try lifting just your legs or arms off the floor separately–or even just one limb at a time. 

#3: Modified push-ups


  • Get on your hands and knees on the floor or mat. 
  • If using a band for extra resistance, position it across your back and hold one end of it in each hand so that it is somewhat tight when your elbows are straight. 
  • Place your hands shoulder-width apart on the mat. 
  • Tighten your abdominal muscles to straighten your lower back and lower yourself (from your knees, not your feet) down toward the mat as far as you can without touching it. 
  • Push yourself back up until your arms are extended, but without locking your elbows. 
  • If this exercise is too hard, stand facing a wall and place your arms on it at shoulder height and your feet about a foot away; then, do your push-ups off the wall (with or without a resistance band).


#4: Squats OR Suitcase Lifts



  • Stand with a dumbbell (or household item, like water bottles) in each hand and your feet shoulder-width apart, with your toes pointing slightly out to the side.
  • If you’re using a resistance band, tie both ends of your band onto a straight bar or broom handle, which is placed squarely across your shoulders with the loop of the tied band placed under your feet. 
  • Keep your body weight over the back portion of your foot rather than your toes; if needed, lift your arms out in front of you to shoulder height to balance yourself.
  • Begin squatting down but stop before your thighs are parallel to the floor (at about a 70-degree bend), keeping your back flat and your abdominal muscles firm at all times. 
  • Hold that position for a few seconds before pushing up from your legs until your body is upright in the starting position. 
  • Do squats with your back against a smooth wall if needed to maintain your balance.


Suitcase lift:


  • After placing dumbbells (or household items) slightly forward and between your feet on the floor, stand in an upright position with your back straight. 
  • Keep your arms straight, with your hands in front of your abdomen.
  • With your back straight, bend only your knees and reach down to pick up the dumbbells. 
  • Pick up the dumbbells or items in both hands, then push up with your legs and stand upright, keeping your back straight.

#5: Sit-to-Stand exercise     



  • Sit toward the front of a sturdy chair and fold your arms across your chest.
  • Keep your back and shoulders straight while you lean forward slightly and practice using only your legs to stand up slowly and to sit back down.
  • To assist you initially, place pillows on the chair behind your low back.

From Diabetes Motion Academy Resources, “Basic Core Exercises,” Sheri R. Colberg © 2017.

Sheri R. Colberg, PhD, FACSM, is the author of The Athlete’s Guide to Diabetes: Expert Advice for 165 Sports and Activities (the newest edition of Diabetic Athlete’s Handbook), available through Human KineticsAmazon, Barnes & Noble, and elsewhere. She is also the author of Diabetes & Keeping Fit for Dummies. A professor emerita of exercise science from Old Dominion University and an internationally recognized diabetes motion expert, she is the author of 12 books, 30 book chapters, and over 420  articles. She was honored with the 2016 American Diabetes Association Outstanding Educator in Diabetes Award. Contact her via her websites, SheriColberg.com and DiabetesMotion.com.


COVID-19 New Normal in Fitness

The Challenges

We all know Darwin’s theory of survival of the fittest. During these COVID times, fitness professionals desperately need to evolve – for our own fiscal survival, a great deal of population health depends on us. 

A study released in June 2020 surveyed 10,824 people worldwide. Results showed 46.67% of gym members said they will not continue their gym membership after COVID. The number of people in the US not continuing membership is over 50%. 

We can encourage people to Zumba on Zoom, online exercise… but let’s have a reality check on what is really going on.

Forbes: “Americans Are Excessively Eating, Drinking, Smoking Pot, Playing Video Games And Watching Porn While Quarantined”

Obesity is associated with a more violent reaction to coronavirus – which is no surprise as fat cells are like millions of little endocrine engines spewing inflammatory factors. Smokers and vapers are at higher risk of serious illness and complications if they get COVID-19.

Everyone knows smoking tobacco, pot-smoking, and vaping affects the lungs. The damage done by smoke makes it easier to get many lung illnesses. People who smoke and vape – even younger people – are at higher risk of more severe illness and complications from COVID-19.

Isn’t it amazing alcohol sales were deemed as an essential service? According to Nielsen, studies show that “alcohol sales were up 55% in the week ending March 21.” Nielsen also found that amount of spirits sold, such as tequila, gin and pre-mixed cocktails, skyrocketed 75% compared to March 2019. Wine sales rose 66%, beer sales popped 42% and online alcohol sales grew by an astounding 243% from last year at this time. 

COVID Calamities

  • eating more junk
  • drinking more alcohol
  • exercising less
  • more stress
  • more TV/Screen time
  • Grand Canyon University Arizona study showed 22% of people surveyed reported weight gain during COVID crisis. That is just of those surveyed, and those who admitted to it! 

Their response to the findings:

“Get the recommended amount of sleep, do not snack after dinner, practice dietary restraint, alter stress coping mechanisms, and maintain an exercise regime.” People know this. They need help implementing these suggestions. 

The Balance of Exercise During COVID-19

If you haven’t read it yet – please refer to my article here on MFN on exercise and chronic inflammation. Reducing chronic inflammation and balancing our immune response is key during this pandemic.

Reducing chronic inflammation and balancing our immune response is key during this pandemic. 

In a number of studies, exercise has an important role in immune balance.

A large study showed that mild to moderate exercise, performed about three times a week, reduced the risk of dying during the Hong Kong flu outbreak in 1998. The Hong Kong study was performed on 24,656 Chinese adults who died during this outbreak. This study showed that people who did no exercise at all, or too much exercise — over five days of exercise per week — were at the greatest risk of dying compared with people who exercised moderately.

It is clear that both too much exercise, overexertion during exercise and exercising while sick increases the risk of medical complications and death. These cause excess production of inflammatory cytokines. In the COVID-19 pandemic, research is showing those who get very ill or succumb to the virus – a massive cytokine storm overwhelms the body. 

Secretory immunoglobulin A, or “sIgA” is an antibody protein used by the immune system to neutralize pathogens, including viruses. sigA has proven to be vital in upper respiratory tract infections. Over-exercising without adequate recovery has been shown to lower sigA, increasing susceptibility to respiratory tract infections. These infections are often what cause severe illness in COVID cases. 

Remember Physical Activity

Of course, physical activity is a necessity to keep all of us healthy. Even if it’s not an “exercise” day – we all must remind people to be vigilant about physical activity. 

Unfortunately “stay at home” was interpreted as sit on the couch and watch TV, or more screen time. 

According to the data from Comcast, the average household is watching TV at least 8 hours more per week. That’s a full workday more. The data shows a 40% increase in viewing during the late-night hours. Comcast says it has seen the largest increases happening between 11 p.m. and 2 a.m.

Netflix has added 16 million global customers since the pandemic started. 

Physical activity and moderate exercise are vital to our mental health, physical health & immune function. The immune system has no pump of its own. It depends on our pumping muscles for flow. 

There is no question this pandemic is increasing our stress levels. The psychological stress from feeling isolated, fear of catching the virus, the many unknowns, how long we will live like this, the hysteria.

It is our gift to be able to help people make better choices to deal with their stress levels. 

The increased stress, screen time, changed schedules are all contributing to sleep issues. Sleep is vital to immune balance and the control of inflammatory responses. 

We should encourage more passive exercise closer to bedtime, rather than trying to fall asleep to Netflix. Meditation, deep breathing, Tai Chi, yoga stretches, more passive exercise – incredible for stress reduction and muscle strength. Encourage some Pilates intermittently throughout the day for activity, calorie burn, muscle strength. And of course, walking. Remember there really isn’t a place now for the “no-time whine”. 

With our guidance as fit pros, we truly can make a massive contribution to how we come out of this pandemic. There is a new normal. This COVID crisis could be here for a while. Let’s take this as an opportunity to offer newer more innovative services. And yes – always welcome to contact me to brainstorm. We need to expand our services as health consultants. You are a wealth of information and creativity, and we can help calm the calamities. And please… educate all on wearing a mask!

Shira Litwack has been in chronic care management and prevention for 30 years, specializing in lifestyle habits including holistic nutrition, medical fitness and oxidative stress reduction. She is frequently called upon by the media, has her own podcast bringing current research to the public. She has created and provided oxidative stress assessments, to help clients identify potential health risks. From these, she provides guidance to lower inflammation. Shira is now a product specialist with a major COVID-19 test kit supplier, working with epidemiologists educating people on COVID testing, and setting up and designing protocol for COVID testing clinics


Evolution of the Foot: How the Senses Shape the Foot

Everyone has had flat feet, and probably will again – and that’s normal!

While working in a biomechanics lab, part of my job was to read nearly 500 papers on childhood foot development. In doing so, I learned something extraordinary: we all had flat feet at one time and as we get older, we likely will again. This makes so much sense if you see the foot as a sensory organ and not just a mechanical part of the human machine.

Fat Flat Feet

Most babies have cute, pudgy, fat, flat feet!  As the child grows, the foot develops and an arch becomes more and more evident, keeping pace with the child’s physical abilities. Evolutionarily this makes sense.  Before birth we are water dwellers and do not need a well-developed vestibular system.

Only a few months after birth babies begin learning to roll, then crawl, eventually sit upright, and then “find their feet”. They begin to stand and squat and the vestibular system starts to adapt to gravity. Babies’ fat flat feet give them a broad surface to sense the effects of gravity, which allows the vestibular system to orient and develop.

As balance improves, the foot becomes stronger and the arch develops.  The effect is a decrease in the amount of sensory surface area dedicated to gravity, making baby less structurally stable but providing a biomechanical environment for increased speed and agility.  However, now the individual must rely on a very well developed and active vestibular system, supported by the mobile proprioceptive system of the foot joints.

The twilight of the arch

Understanding how and why the arch develops should then clarify the changes we experience as we grow older. The vestibular system slowly becomes less active and balance becomes more difficult. This leads to a natural decline of arch height as an attempt to increase proprioceptive input, like we needed when we were babies.

Gait tells us so much

The reality is, gait assessment is a window into your clients’ nervous system and, utilized properly, it informs how we help our clients improve, at every stage. Now that you know how the arches and vestibular system relate, help your clients rediscover their feet!

Coach Pat Marques & I will host a live webinar, focusing on gait assessment, for MedFit practitioners and trainers.


Dr. Grove Higgins is a chiropractor, rehabilitationist, soft tissue injury expert, researcher, anatomy instructor, biomechanist, human performance expert, speaker, and corporate health consultant. In 2015, Dr. Higgins cofounded Neuroathlete with Coach Patrick Marques (LTC, US Army Ret.) and Peter Hoversten. Neuroathlete’s goal is to more broadly deliver neurological training to a global audience.

Interesting studies and articles:

Does My Kid Need Arch Support: March 2020: Blog. (n.d.). Retrieved from https://www.vivobarefoot.com/nz/blog/march-2020/does-my-kid-need-arch-support

Gray, H., Carter, H. V., Pick, P. T., Holden, L., & Keen, W. W. (1887). Anatomy, descriptive and surgical / the drawings by H.V. Carter with additional drawings in later editions edited by T. Pickering Pick ; to which is added Landmarks, medical and surgical by Luther Holden with additions by William W. Keen. Philadelphia: Lea Brothers &.

Li, F., Harmer, P., Wilson, N. L., & Fisher, K. J. (2003). Health Benefits of Cobblestone-Mat Walking: Preliminary Findings. Journal of Aging and Physical Activity, 11(4), 487-501. doi:10.1123/japa.11.4.487

Rock Walking for Healthful & Graceful Aging. (2018, December 13). Retrieved from https://www.integrativehealthcare.org/mt/walking-on-rocks-benefits/

Tubbs, R. S., Mortazavi, M. M., Loukas, M., Dantoni, A. V., Shoja, M. M., & Cohen-Gadol, A. A. (2011). Cruveilhier plexus: An anatomical study and a potential cause of failed treatments for occipital neuralgia and muscular and facet denervation procedures. Journal of Neurosurgery, 115(5), 929-933. doi:10.3171/2011.5.jns102058


GETTING TO “YES!”: Marketing Strategies to Help People Invest in Their Health

Bill walked into my client’s fitness studio clutching two things: a book and a small piece of paper.

With a sheepish look, he revealed, “My doctor gave me your book and this script to contact you. That was almost a year ago, and I haven’t gotten it done. Until now.”

After discussing his fitness goals and health concerns, Bill pulled out a pen and inked a check for a full year of private training.

It took months to get him in the door … and just 15 minutes to close the sale.

What happened?

The Long Game

Good marketing is about helping people invest in something they’ll be glad they did. If you are selling a $40 product, the sale is relatively easy. But when you’re offering a lifestyle change, complex emotions are involved.

Bill delayed, but when he was ready, he knew exactly where to go and what to do. My client understood marketing for the long game.

Since our ideal prospects often encounter our message before they’re ready to buy, marketing for the long game focuses on two key strategies:

  • Helping prospects make a decision sooner.
  • Ensuring they choose you.

Inspire: Lead with Story

One of the most powerful devices in your marketing toolkit should be storytelling.

Specifically, storytelling that creates the emotions you want your prospects to feel and associate with your offer: joy, hope, urgency, victory, etc.

It’s these emotions that drive our powerful unconscious mind to make conscious decisions that make us feel good.

What goes into a good inspiring story?

My two favorite books on this topic are Michael Hauge’s Storytelling Made Easy and Donald Miller’s Building a StoryBrand.

The most critical elements shared in these books come down to four key points:

  1. Show your character is a normal person.
  2. Share the crisis that changed their thinking.
  3. Describe their journey with you as their guide.
  4. Show the reward of their victory.

Even a short 5-sentence testimonial can cover all four of these elements and drive your prospects’ desire to get started.

The more you share stories, the more you can inspire your audience with emotions they will associate with your brand for the long-term.

Encourage: Build Their Confidence

As a publisher, I encounter a lot of business authors who are anxious to write a 200-page book filled with overwhelming details.

Features and facts great for a small portion of the population, but the vast majority of buyers get overwhelmed by analysis paralysis and walk away “to think about it for a little longer”.

Good marketing is educating your prospect to the point they’ve got the confidence to begin your process… but not so much that they gain a false confidence they should be able to do a version of it on their own.

If you truly believe your services offer value they can’t achieve without you, then make sure your marketing doesn’t imply they should try.

Build their confidence in the benefits of your proven process, not the details or the data.

Equip: Help Them Start Simple

Overwhelmed people don’t buy, and confused people don’t start so if you want to make getting started easier, make it simple.

My team and I have been doing this for years within the fitness industry, using 100-page books explicitly designed to convert prospects into clients.

The books are lead magnets, turning the authors into fitness authorities and local celebrities.

They educate without overwhelming; giving readers an idea of who they’ll meet at the studio, what to wear, what to take with them, what to eat (or not eat), and what to expect in their workout sessions (and why). Vital details that can close a sale faster.

Now, think about your company.

Remove the fear-of-the-unknown obstacle by showing potential customers exactly what to expect in their first few visits.

If you’re marketing online, demonstrate – screen by screen – the buying and login process before they click the “buy now” button.

When you clarify exactly what to expect and what to do first, you make the process easier.

And that matters.

Take the Lead

When you understand that marketing is a long game, it transforms your marketing strategy.

Spend time developing assets that stand the test of time; particularly those you can build once and reuse over and over.

An inspirational talk (or webinar), a compelling book, and a thoughtful email onboarding campaign are all reusable assets that give you time to inspire, encourage, and equip people to say yes to life-changing decisions.

Join Nicole for an upcoming webinar to learn more, Get Published! Share Your Message & Change More Lives

Nicole Gebhardt loves marketing, books, and key lime pie. She is the CEO of Niche Pressworks, a consulting and publishing services company for experts, speakers, coaches, consultants, and business leaders. Learn more about her 3-book strategies inside “The Ultimate Book Plan” at NichePressworks.com


Fitness: Readiness Assessment & Setting Priorities

My biggest concern as a personal trainer was always the safety of my clients – both physically and medically. Over the years a common theme emerged with each new client relationship that I developed and that was how unprepared people were to really engage in a significant training program and what skills and knowledge they would be required to develop for success. Physicians were often unprepared to advise their patients on what to do, how to proceed, or what limitations and issues needed to be acknowledged by their patients before engaging a trainer to help them “get to the next level”.


“Tell Me What You Don’t Like About Yourself”

A potential client nervously sits down before a very handsome LA plastic surgeon at the beginning of each episode of this extremely popular television show in the early 2000s. The surgeon asks the same question to each patient he meets.,“Tell me what you don’t like about yourself?” The potential client, slightly taken back by the magnitude and depth of this question, details what it is he or she wishes the doctor to change about them.

As a MedFit fitness professional and educator, this particular scenario really resonated with me. In fact, I have spent multiple decades trying to figure out the “WHY” behind the behaviors and mindsets adopted by my clients. What external or internal factors are positively or negatively affecting their ability to make healthy decisions, their ability to feel confident, or their ability to love themselves or others. This is exactly why we all must keep asking, why?

While designing fitness programs to support physical well-being is extremely important, are we providing enough positive reinforcement to encourage clients that “they are enough”? Are we building their confidence and self-worth? Are we empowering their mind and believing in them so hard until they start believing in themselves?

These are the questions we should be asking ourselves when we design fitness programs for the “whole person.”

The Why

Why do people feel the need to drastically change their appearance?

Where do these ideas come from and how will it have a positive effect on their future?

Why is outer appearance still considered more important than overall health when considering recent research to support longevity?

These are just a few questions to consider as a fitness or medical fitness professional as you begin to assess clients and “peel back the onion” to fully understand how you can best support their goals.

The How

If your client suffers from what I refer to as “negative self-talk,” those incessant self-deprecating statements act as a personal bully and obstacle to achieve true happiness — ask them why they feel this way?

Then, continue those “Why” questions until you find out the answers. This may take one whole session, or it may take months of shorter conversations. However, a medical fitness professional has the power to change lives, not only through physical fitness, but mental fitness. Mindset matters!


1. Is this negative thinking a result of a negative experience or is it being projected on them by others?

2. Ask questions and listen. Only when the fitness professional has developed a trusting, supportive, comfortable, and communicative relationship with their client can the fitness professional begin to understand their “why.”

3. “The way you make your muscles grow is through resistance training, where you work them until your muscle fibers are fatigued and break apart. With proper rest, recovery, and nutrition, those same muscle fibers grow back stronger than they were before. And you grow. The mind and your mindset work the same way.” –Dr. Bryan Price

Christine M. Conti, M.Ed, BA is and international fitness educator and presenter. She currently sits on the MedFit Education Advisory Board and has been nominated to be the 2020 MedFit Network Professional of the Year. She is currently writing the MedFit Network Arthritis Fitness Specialist Course and is the CEO and founder of ContiFit.com and Let’s FACE It Together™ Facial Fitness & Rehabilitation. Christine is also the co-host of Two Fit Crazies & A Microphone Podcast and the co-owner of TFC Podcast Production Co.