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Healthy-Lifestyle-Nutrition-Exercise-Medicine

Natural Prescription – An Alternative Approach

/18 March 2022/ All MFN blog/

One of the best things we can do for our bodies is to “get out of the way”! Believe it or not, our body can actually do a great job of healing itself, or functioning quite optimally when it’s allowed to do so. The body does this by reacting to what “stresses” are put upon it and finding homeostasis through temporary changes or more permanent adaptations. Even the brain will make quick reactions to things in the form of neurotransmitters and neural firing or long term adaptations in adopting new ways of perceiving things or hard-wiring changes.

A statement capturing the above sentiment is from Goodheart (1989) on healing, “People are healed by many different kinds of healers and systems because the real healer is within. The various healing modalities are merely different ways of activating the inner healer.”

Are you of the Mechanist (Rationalist) or Vitalist (Empirical) Approach?

The standard or “orthodox” medical practice in the U.S. follows a mechanist approach, where symptoms are perceived as bad and should be minimized or suppressed through surgical or pharmaceutical means. This seems great at the surface level. If something is causing me pain or discomfort let me do something to relieve or eliminate that pain. If I am having nausea or diarrhea because of something in my gut, let me take something to stop the vomiting or diarrhea. Underlying this “quick fix” of symptom alleviation is THE PROBLEM. The body is trying to rid itself of the “problem” by expelling if forwards or backwards! There are many medical conditions for which it is okay to consider treating symptoms, and for some this is vital. However, it is preferable for this to be done in conjunction with identifying the source of the problem, so a long-term fix can be explored.

A Vitalist approach views symptoms as part of the healing process, not a problem that should be hidden. Many branches of health care use this philosophy including: chiropractors, osteopaths, naturopaths, and practitioners of Chinese or Indian medicine advocate this Vitalist approach. By suppressing the symptoms, the practitioner may actually be extending the illness or exacerbating the problem. Researchers at the University of Maryland found taking aspirin for the flu may prolong the illness up to 3 days. Acetaminophen (Tylenol) or aspirin interferes with the normal fever response that fights the infection (Burke, 2000).

Listening to the Symptoms tell you Where the Problem Lies

Rather than reducing or eliminating the symptoms, what if we tried to increase our sensitivity to it. For example, if we took antibiotics to fight a bacteria, are we enhancing the body’s immune response to this foreign agent or “giving it” something to help, much like a crutch. A quote from unknown origin:

Give a man a fish, and you feed him for a day. Teach a man to fish, and you feed him for a lifetime.

This is at the heart of the Vitalist approach. The body is great at adaptation but we have to let it “learn” to adapt- not “feed” it some drug that forces it to do something. A quote from the Nobel Prize winner, Rene Dubos, Ph.D. remarks, “Good health is a process of continuous adaptation to the myriad of microbes, irritants, pressures and problems which daily challenge man.” This is also at the heart of exercise training. You must “overload” a system in order to get an improvement in function. You literally must stress it, and let it endure that strain in order to get the adaptation. Likewise, by putting your body in destabilized environments, you will gain a better sense of balance, in order to stabilize yourself. Recent evidence has found that anti-inflammatory agents actually weaken the endurance training effect.

Fortunately, medical advances have allowed us to treat many illnesses effectively and safely, and it is always advisable to follow the advice of your doctor. Allowing your body to adapt to certain stresses can be very positive in certain scenarios, but it is important to recognize when this doesn’t come at a risk of increasing morbidity, mortality, or increasing the likelihood of illness complications.

To Drug or Not to Drug: that is the Question

No one likes being depressed. About one in 10 Americans takes some sort of antidepressant medication. It is the most commonly prescribed drug in the U.S. according to a report published in the Archives of General Psychiatry (2009). While the U.S. may not be a Prozac Nation, as popularized in 1994 by the author Elizabeth Wurtzel, the rates almost doubled from 1996 to 2005 (5.84% to 10.12%). A report in the Journal of the American Medical Association found it to work best in only severe cases of depression and exercise had similar effects in the short term treatment and better effects in long term treatment! The difficulty lies in getting someone to exercise when they are depressed. Thus, an integrated approach is often the best, and this includes psychological counseling as well .

Sometimes Less is More

A take away from this article should not be that standard medical care is bad. Far from it. Many M.D.s are very knowledgeable in areas outside of their standard practice and advocate expressive, rather than suppressive therapies. The take away should be to not rush for a drug to hide or mask your symptoms, but focus on what is the root of the cause, and take action to address this. The term iatrogenic is used for the inadvertent problem caused by a medical treatment. In fact, reports estimate it to be the third leading cause of death in the U.S. with 225,000 to 250,000 dying from iatrogenic diseases annually! While it is hard to say how many of these deaths could have been avoided, it is quite obvious that minimizing invasive treatments until they are necessary is the best plan of action.

Complementary or Integrated Medicine can possibly have the answer to a majority of the health issues presented. The MedFit Network believes those professionals are the future of health care.

Free Webinar with Dr. Mark Kelly

There are a ton of misconceptions surrounding obesity and being overweight. Join Dr. Kelly for this webinar to learn what is actually dangerous about obesity, and how to rethink and reprogram your brain and life toward fun and re-creation, not fitness.

Dr. Mark Kelly Ph.D., CSCS, FAS, CPT has been actively involved in the fitness industry spanning 30 years as a teacher of exercise physiology at academic institutions such as California State University, Fullerton, Louisiana State University, Health Science Center, Tulane University and Biola. He was an exercise physiologist for the American Council on Exercise, a corporate wellness director, boot camp company owner and master fitness trainer.

Seniors-on-bikes

Why is a Bike So Good for your Knees?

/14 March 2022/ All MFN blog/

Why is a bike so good for your knees?

When it comes to knee pain, it is hard to know what activities will help them feel better

While…

It is pretty easy to know what makes your knees feel worse:  jumping, running, quick changes in direction, even going up or down stairs.

Why some activities make your knees feel worse

Let’s explore the WHY of knee pain before we get in to how to make your knees feel better.

WEIGHT BEARING

If you have knee pain, it could be caused by an injury (typically torn ligaments, cartilage, bursitis, dislocation) or maybe you are suffering from something like osteoarthritis where there is inflammation and bony changes inside the joint.

When you are on your feet, your knees are weight-bearing joints.  That means your body weight is going through them.  If you have knee pain and you are overweight, those extra pounds will likely make your knees hurt worse.

Your knee is especially vulnerable because of its wide range of motion.  There are many positions in which your knee can be damaged.  Note: For cardio activity, where you are doing a many-times repeated motion, you may want to exclude weight-bearing exercises.  This, of course, is not the rule for strength training since weight-bearing is actually GOOD to strengthen your bones.

IMPACT FORCES

“Impact” refers to the force that goes through the knee joint caused by your foot striking the ground.  As you walk, run, or jump, the forces transmitted are multiplied by your body weight:

  • Walking 2-3 X Body Weight [1]
  • Running 4-14 X body weight [2]
  • Jumping 9+ X body weight

There are also sheer forces through the knee caused by gravity and resistance, like when you slow down, walk down a hill, or come to a sudden stop.

If you have knee pain, you can see why walking, running, or jumping may exacerbate the pain.  Again, if you are carrying extra body weight this creates more force on every step through your knee and is a good reason that doctors want you to be a healthy weight before a knee surgery.

LATERAL MOVEMENT

For some people, moving side to side causes pain.  Think basketball shuffle or doing a carioca side line step in your athletic training class (not to be confused with Karaoke which usually involves drunken singing).   Pain here may be caused by collateral ligament issues, meniscus cartilage issues, or joint changes.

I know in my case because of my arthritic changes to the lateral (outsides) of my knees, side to side movement was excruciating.

Is moving your knee actually good for it?

Your knee is the largest joint in the body and it is made to move.  When you stop bending it so much, it may start to feel like a rusty hinge.  That may be due to the joint’s synovial fluid (think lubricant) has gotten thin.  Thin synovial fluid can be caused by many factors, including dehydration, poor diet, or lack of movement, to name a few.

The right kind of movement will stimulate your joint to produce thick and healthy synovial fluid that can do its job of reducing friction and nourishing cartilage.  Healthy synovial fluid may reduce your pain – and that is good.

If impact movement, like running, causes you pain, it’s time to find a way to reduce impact. Try these options:

  • Elliptical Machine
  • Swimming
  • Rowing
  • Biking

If weight-bearing movement, (when you are standing up) like using an elliptical machine bothers your knees, try one of these:

  • Swimming
  • Rowing
  • Biking

If Lateral movement also bothers you, you may have to eliminate swimming because if your knee joint is “loose” (like mine was), kicking during swimming may not feel so good.

So that leaves us with

  • Rowing
  • Biking

While I row on an indoor ergometer, my tool of choice is a BIKE.  You can do it indoors on your own or in a class. You can ride a bike outside for exercise, commuting, for adventure touring.  Riding a bike is simply fun.

Article originally printed on HealthyKneesCoach.com. Reprinted with permission.

Robin Robertson is the international best selling author of “Healthy Knees Cycling”, “Healthy Knees Strength”, and “Healthy Knees Total Knee Replacement”. She has owned and operated the Bellingham Training & Tennis Club since 2000. Robin is accomplished in a variety of training methods including Functional Aging Specialist, ACE-certified personal trainer, USA Cycling Coach, and founder of Healthy Knees Coach.

 

References

[1] PMC US National Library of Medicine, National Institutes of Health. (2013). Knee Joint Forces:  Prediction, Measurement, and Significance.  Retrieved on 12/6/19 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3324308

[2] Medscape.com (2015) Joint Loading in Runners Does Not Initiate Knee Osteoarthritis.  Retrieved on 12/6/19 from: http://www.azisks.com/wp-content/uploads/2017/04/Joint-Loading-in-Runners-Does-Not-Initiate-Knee-Osteoarthritis.pdf

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The Essential Ingredient to Sticking With It…

/11 March 2022/ All MFN blog/

If you’ve got this “special sauce,” you’ll overcome any obstacles placed in your way to perform your best…anytime!  Regardless of whether it’s sticking with lifestyle change to improve your health, a nutrition plan, cutting back on smoking or drinking, adhering to a medication regimen, following through with physical therapy appointments, or adhering to an exercise program, this essential ingredient will make all of the difference.

Trainer-with-senior-client-using-machine

The Roles of a Medical Fitness Specialist: Scope of practice, prevention and interprofessional collaboration

/9 March 2022/ All MFN blog/

Physical activity has been demonstrated to positively affect over 30 chronic conditions and is considered the best deterrent of chronic disease in primary and secondary prevention. The main goal of a Medical Fitness Specialist (MFS) in the healthcare continuum is to prevent the onset of chronic disease and bridge the gap between clinical intervention and conventional fitness programs. This is achieved by developing exercise programs for those who have or are at risk for chronic disease or dysfunction, have health conditions that may be mitigated or managed by exercise and activity, are newly diagnosed with a disease and need exercise guidance, or have completed a medically supervised rehabilitation program and need to continue to progress. A fitness professional versed in medical fitness protocols, such as an MFS, can work with those who are at risk for chronic disease.

Scope of Practice

Scope of practice refers to boundaries set by knowledge, skills, and abilities (KSAs), as well as education, experience, and demonstrated competency, such as a program of study, or an exam to measure proficiency. A basic personal training certification suggests the holder can develop exercise programs for apparently healthy clients. Unfortunately, considering the overweight and obesity rate is near 70%, and 50%-60% of the adult U.S. population has at least one chronic disease, adhering to scope of practice becomes increasingly important, yet at the same time many fitness professionals may be providing services outside their scope of practice, and beyond their level of certification. By accepting a client, the trainer is proposing a safe workout will be developed and implemented, and the client will not be at risk of injury. If advice is given that is not within the trainer’s scope of practice, the trainer and the facility may be subjected to a lawsuit.

An MFS who integrates medical fitness into practice has the KSAs, based on education, experience, and demonstrated competency to conduct pre-participation interviews, perform fitness assessments, and design and implement health and fitness programs for disease management to avoid future injury and to improve activities of daily living. Unlike an MFS, unless otherwise educated, a fitness trainer who promotes medical fitness is not a licensed healthcare provider and does not possess the KSAs to diagnose an unknown condition, suggest supplements, design meal plans, physically touch a client or provide behavioral counseling.

Prevention

In the United States, medical care tends to focus on treatment rather than prevention. Whereas treatment is given for a diagnosed disease or injury, the goal of prevention is to avoid, improve or slow down the progression of a probable or possible disease or injury. Prevention can be categorized as primary, secondary, or tertiary. The goal of primary prevention is to foster a life of wellness and therefore avoid or reduce the chance of disease or dysfunction. Primary prevention includes immunizations, targeted types of exercise, balanced nutrition and wellness, and education programs. Secondary prevention is managing a symptomatic disease in the hopes of slowing down or reversing the progression. Examples include treatment for hypertension, asthma, and some cancer treatments. Tertiary prevention involves the management and treatment of symptomatic disease with the goal of slowing progression and severity, as well as reducing disease-related complications. Tertiary prevention includes treatment for late-stage cancer, coronary heart disease, and some types of rehabilitation to include orthopedic, cardiac, and pulmonary. Physical activity has been demonstrated to effectively treat over 30 chronic conditions, mostly in primary prevention but also in secondary and tertiary, making it the number one intervention against chronic disease.

Interprofessional Collaboration

Due to the growing incidence of obesity and chronic disease, leveraging the skills of various providers who can collaborate to deliver the best possible care, based on clinical needs, is necessary to manage the complex health care demands of a population with an increasing incidence of comorbidities. Due to a worldwide shortage of health workers, in 2010, the World Health Organization (WHO) recognized interprofessional collaboration as means to mitigate the global clinician shortage, strengthen health systems and improve outcomes. Interprofessional collaboration refers to health care teams, made up of trained professionals with various backgrounds, who work alongside patients and their families to provide high-quality care, based on the needs of the patient. Consequently, as medical providers begin to recognize the need to prescribe evidence-based exercise as an intervention in the management of chronic disease, MFSs, who are on the front line of health care, are trained and educated to be part of a clinical team that complements and leverages the strengths of each team member to improve population health. As health science and technology advance, it is imperative for fitness professionals who work with clients who have one or more chronic diseases to remain up-to-date on emerging fitness protocols. An MFS is required to participate in continuing education in areas including cardiopulmonary disease, metabolic disorders, and orthopedic dysfunction.

Although the scope of practice of many allied healthcare fields overlaps, the role of the MFS is to work with the client’s team of other healthcare providers, while staying within the scope of practice, based on KSAs. Regardless of the collaborative health team, the client’s physician is always the center, and as such should be provided regular updates as to the client’s progress.

An MFS is uniquely qualified to work with individuals within the healthcare continuum. Some KSAs associated with MFSs are:

  • Knowledge of basic chronic disease pathophysiology
  • The use and side effects of common medications taken by someone suffering from a chronic disease
  • The knowledge to perform and analyze basic assessments related to movement and anthropometry
  • The knowledge to design a safe and effective workout based on information received via assessment results, and the clinical recommendations from other healthcare providers
  • FITT protocols, exercise progressions, and regressions
  • The implications of exercise and activity for individuals with chronic disease
  • Contraindications of chronic disease, and signs and symptoms of distress related to chronic disease
  • Knowledge of signs and symptoms that require expertise outside of the scope of practice for medical exercise
  • The ability to recognize a medical emergency
  • Current CPR and adult AED are required

Personal Trainers & Fitness Professionals: Prevent & Manage Chronic Disease and Collaborate with Clinicians

Check out MedFit Classroom’s 20-hour online course, Medical Fitness Specialist. This course is designed for fitness and health professionals who want to learn more about using exercise as medicine with clients who suffer from one or more chronic diseases. As a Medical Fitness Specialist, you will be able to prevent and/or manage numerous chronic diseases and collaborate with clinicians.

For a limited time, save 40% on this course by entering coupon code MFNBLOG40 at checkout.

This article was featured in MedFit Professional Magazine. 

Dan Mikeska has a doctorate degree in Health Science and a master’s degree in Human Movement, as well as certifications from NASM, ACE, the Cancer Exercise Training Institute and the Exercise Is Medicine credential from ACSM. He currently owns NOVA Medical Exercise and Medical Exercise Academy and is adjunct faculty for A.T. Still University’s Master of Kinesiology program. 

aging-hands

The “Dark Side” of Parkinson’s Disease: Why Parkinson’s Changed The Way We See, Part 1

/4 March 2022/ All MFN blog/

The dark side of the moon is not considered a particularly exciting topic unless you are an astronomer or a Pink Floyd fan.  However, the dark side of the moon exists and is just as important as the front of it.

So, what are the conditions of the dark side of the moon? Does it ever see the light of the sun?  Why is it called the dark side?  These are interesting questions with answers that I will leave to space experts, BUT what I will say is that the moon is similar to Parkinson’s Disease (PD).  Yes, you read that correctly — the moon and Parkinson’s Disease are similar.

Parkinson’s Disease is most often characterized by a tremor and/or gait issues.  Just as the moon has a dark side, unseen but present, Parkinson’s Disease has a “dark side”.  As a fitness professional, understanding the “dark side” of Parkinson’s Disease and how it affects your “fighters” will enhance your program design skills, increase your confidence when counseling a “fighter” or care-partner and help build your relationship with other medical and fitness professionals.

The goal of this article series is to shed light on the “dark side” of PD. By incorporating the knowledge of medical professionals on my Bridges For Parkinson’s team, you will learn about research discoveries, resources for program design, useful tools for “fighters” and care-partners and ultimately, hope! 

Vision impairments in those with PD is our first topic in this series. People living with Parkinson’s Disease experience changes in their vision as they age. These changes may include cataracts, macular degeneration, dry eyes, floaters, glaucoma, diabetic retinopathy, detached retina, trichiasis, and blepharitis. NOW, People living with PD may experience one or several of these issues due to normal aging. However, due to the depletion of dopamine neurons in the substantia nigra, those with PD may also experience the following vision issues and/or impairments.

  1. Blepharospasm: uncontrollable eye twitching
  2. Blepharitis: Lack of blinking. On average, we blink 12-14x per minute. A person with PD may only blink 3-5x per minute. The result is inflammation on the edge of the eyelid. Eyelids may become irritated or itchy and appear greasy or crusty.
  3. Apraxia: “oculomotor apraxia” –  the absence of or defect in voluntary eye movement. This may result in trouble initiating movement and moving the eyes in a desired direction
  4. Diplopia (Double Vision): when a single object becomes two objects.
  5. Dry Eyes: eyes may feel sandy or gritty.
  6. Blurry Vision: MAY be related to dopamine depletion in back of the eye and within  the visual connections throughout the eye (Davis Phinney)
  7. Eye movement issues:
  8. Pursuit Movement: eyes are unable to work together to follow an object such as a plane flying across the sky.
  9. Saccadic Movement: unable to move eyes rapidly from one object to another such as completing a line in a book and going to the other side to the beginning of  the next line.
  10. Vergence Movement: as the target or object draws closer to the person with PD, the eyes are unable to converge to maintain focus on the object causing double vision. Approximately 30% of people living with PD suffer from Vergence Eye Movement problems.
  11. Depth/Distance Perception
  12. Photophobia (also known as Light Sensitivity): may wear sunglasses indoors due to bright lights.

Fitness Professionals should inquire about vision impairments before a “fighter” begins an exercise program and obtain specific information about the vision impairment. Each symptom listed above can potentially compromise gait/balance, increase difficulty with Activities of Daily Living (ADL) and cause those with PD to isolate or become depressed due to lack of independence. 

How We See 

When we use our vision, we’re doing a lot of simultaneous tasks. We have to sense and process the stimuli, perceive and make sense of the stimuli in the context of the situation, and translate those signals into a response (i.e. movement, bringing up memories, emotions) to the initial stimuli. 

For example, a stimulus such as a car passing by causes numerous neurological responses to take place in the visual system. First, that stimulus passes through the lens into rod and cone cells that make up light/shadows and colors to put the image together, which then reaches axons in the retina that extend through the optic nerve. Once that signal travels through the optic nerve, it reaches the optic chiasm, where the stimulus passes over to the opposite side of the brain from the visual field and eye. Interestingly, this car is not visually processed right-side up! Instead, it goes into your brain upside-down as the eye lens flips the image. That image then travels through the thalamus (our “sensory relay system”), and to the primary visual cortex, where the image gets processed and relayed to other sensory systems to prepare for a response.The Role of Dopamine in the Eye

You wouldn’t think that dopamine is involved in vision. We think of it relative to its impact on motor control and behavior reinforcement. However, even in ocular movement, lack of dopamine can impact a person with PD significantly, possibly resulting in apraxia. Dopamine also regulates light sensitivity in our retinas that helps to modulate our circadian rhythm, known as our “internal clock”. As dopamine decreases with disease progression, the sensitivity of the visual system decreases as well, hindering the ability to differentiate between light conditions such as day and night, potentially leading to other problems in circadian rhythm (Witkovsky, 2003). Over time, we see a loss of dopamine projections into the eye worsening vision such as blurry vision, light sensitivity, or even color vision deficiency as listed above. Unfortunately, there is not enough research on the involvement of dopamine in PD vision to give a clear-cut role of dopamine, but current research points to dopamine as a larger part of vision problems experienced by those with PD.  

Physicians

It is crucial to understand the connection between the brain and PD vision related issues.  Knowing when to refer a “fighter” to a vision specialist is critical to building your team of advisors and establishing a strong medical-fitness program in your community.

I highly recommend finding a neuro-ophthalmologist or a neuro-rehab optometrist to join your team. A neuro-ophthalmologist specializes in both fields of neurology and ophthalmology.  They complete a residency in either neurology or ophthalmology then continue to complete a fellowship in the complementary field.

Dr. Jamie Ho, OD, FAAO, FCOVD of Nashville, TN is a member of my advisory board and she is a neuro-rehab optometrist. Dr. Ho addresses the functional deficits that result from the neurologic changes.  You can learn more about Dr Ho’s practice at www.hovisiongroup.com.

To find a neuro-optometrist or neuro-ophthalmologist in your area go to www.noravisionrehab.org 

Medication

Medication for PD certainly improves PD symptoms however, visual side-effects can occur.

For example, according to www.healio.com, Anticholinergic meds such as Artane are used to address tremors but can also cause dry or blurry vision. The Journal of Parkinson’s Disease notes that dopamine agonists cause hallucinations, Levodopa may lead to ocular dyskinesia (involuntary eye movements), and MAO inhibitors to blurry vision. 

Fitness Professionals need to record all medications during the initial assessment and update any medication changes quarterly, at minimum

Click to read Part Two of this article, which offers some tips for fitness professionals working with PD clients with vision challenges.

Co-authored by Colleen Bridges, M. Ed, NSCA-CPT; Renee Rouleau-B.S., PhD student, Jacobs School of Biomedical Sciences, University at Buffalo; Kristi Ramsey, OTD, OTR/L.

Reviewed By: Dr. Jamie Ho, OD, FAAO, FCOVD

 

References

  1. Berliner JM, Kluger BM, Corcos DM, Pelak VS, Gisbert R, McRae C, Atkinson CC, Schenkman M (2018) Patient perceptions of visual, vestibular, and oculomotor deficits in people with Parkinson’s disease. Physiother Theory Pract. doi: 10.1080/09593985.2018.1492055 [PubMed].
  2. Borm, C., Smilowska, K., de Vries, N. M., Bloem, B. R., & Theelen, T. (2019). How I do it: The Neuro-Ophthalmological Assessment in Parkinson’s Disease. Journal of Parkinson’s disease, 9(2), 427–435. https://doi.org/10.3233/JPD-181523
  3. www.DavidPhinneyFoundation.org.
  4. Mayo Clinic, (2020)“Parkinson’s Disease Symptoms and Causes.” http://wwwmayoclinic.org20376055. 
  5. Nowacka B, Lubinski W, Honczarenko K, Potemkowski A, Safranow K (2014) Ophthalmological features of Parkinson disease. Med Sci Monit 20, 2243–2249.
  6. Witkovsky, P. Dopamine and retinal function. Doc Ophthalmol 108, 17–39 (2004). https://doi.org/10.1023/B:DOOP.0000019487.88486.0a.
trainer-resistance-band-senior-woman-client

So, your doctor told you to start exercising! Now what?

/2 March 2022/ All MFN blog/

Have you ever been given this very simple, yet incredibly complicated advice from your doctor? 

“You could really benefit from starting an exercise program.” 

If so, you are lucky to have a doctor who understands the power of exercise! In fact, exercise has been proven to help prevent diseases, reduce pain, decrease dependency on medications and improve overall quality of life. (1) The benefits are seemingly endless. However, are you someone who hasn’t the slightest clue as to what to do next? Where should you go? Who should you ask for help? Fear not, because you are not alone! Take a deep breath and follow these simple steps to begin a safe, effective and lasting exercise program today. 

Identify the Why! 

If a medical professional suggests you begin an exercise program, what is their reasoning behind it? While “obesity is linked to more than 60 chronic diseases”, your doctor may not be suggesting that you need to lose weight, but instead, suggesting that you need to address a specific weakness. (2) Do you have a medical condition where weight loss or improved cardiovascular health could add more quality years to your life or reduce your dependency on medications? Asking your doctor to fully explain these questions will help you understand how specific exercises can improve your physical and mental wellbeing. 

For example, if you have a heightened risk for falls, improving strength and balance is of utmost importance. However, if you are overly dependent on high blood pressure medications, your goal may be to improve cardiovascular health through aerobic activities. If you suffer from chronic pain or various forms of arthritis, the objective of your exercise routine will be more focused on enhancing mobility and flexibility, improving muscle imbalances and strength, as well as assisting with pain management through mindfulness techniques. Knowing your “why” is the first step towards clarifying your “how”. 

Invest in Yourself 

The most important things in life are NOT things. -Anthony D’Angelo 

It is rumored that Tom Brady, better known as the G.O.A.T. and the winningest quarterback in the NFL, spends over a million dollars a year on his health. Odell Beckham Jr., another famous NFL star, says that “I take care of my body each and every day. I put, probably, over $300,000 in my body in the offseason… It’s a lot to upkeep. I don’t ever want to decline.” (3) In all honesty, do you blame these athletes for spending so much money on their health when their health is their livelihood? 

When a medical professional suggests that you begin an exercise program, it is because they believe it will help your overall mental and physical well-being. While you may not be a professional athlete, you may be someone who wishes to remain active and independent for the remainder of your life. Therefore, it is paramount to invest in a certified fitness professional or medical fitness trainer to help create a program that meets your individual needs. 

Think about it like this, when your car needs to be fixed, do you try to fix it yourself or do you seek a certified specialist who will make an educated assessment, create a game plan and implement the necessary changes? I think it is safe to say that you will spend money on your car, but may scoff at the thought of hiring a trainer. What is more important? Things can be replaced, but people are irreplaceable. There are certified fitness professionals in your area you can find via a simple internet search or by posing a question on social media to your local chamber of commerce. With that being said, don’t be afraid to shop around and interview various trainers to make sure they are a good fit for you! 

Find a Match 

Find a job that you enjoy doing, and you will never have to work a day in your life. -Mark Twain 

Mark Twain was onto something when he spoke about the importance of enjoying what you do! This same principle applies when you set out on an exercise journey. If swimming scares you or you have nightmares about running, then pick exercises that you enjoy. Do you love to dance? Try taking some dance classes! Do you enjoy riding your bike? Let that be a part of your new exercise routine. If you dread your exercise sessions, loathe your trainer or hate every minute of your workout, then it is not going to last. If it feels like work, it’s not going to work! Exercise should be an enjoyable, yet challenging, part of your day! 

In addition, be sure that you take the time to assess how you are feeling and clearly communicate this to your trainer. If you are feeling run down, overly sore, or under-the-weather, your body is trying to tell you something. All of these signs are extremely important when it comes to enjoying the endless benefits of making exercise a part of your life. Now, let’s take action and begin to take control of your health. 

Christine M. Conti, BA, M.Ed, is an international fitness educator and presenter. She currently serves as the Director of Membership for MedFit Network, sits on the MedFit Education Advisory Board and is a course author for MedFit Classroom. She is also CEO and founder of ContiFit.com and Let’s FACE It Together™ Facial Fitness & Rehabilitation and co-host of Two Fit Crazies & A Microphone Podcast. 

References

1 Roy-Britt. “How Diet and Exercise Can Prevent Disease. January 8th, 2020. www.elemental.medium.com How Diet and Exercise Can Prevent Disease | Elemental (medium.com)

2 Holland, Kimberly. “Obesity Facts in America.” Healthline. January 18th, 2022. www.healthline.com 

3 Zeegers, Madilyn. Tom Brady Inspired Odell Beckham Jr. to Invest in his Body. April 6th, 2020. Tom Brady Inspired Odell Beckham Jr. to Invest in His Body (sportscasting.com)

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Power Up Your Planks!

/21 February 2022/ All MFN blog/

You know the importance of core strength — tone abdominals, obliques, and glutes. Thanks to spinal health, gone are jerky sit-ups. Ab crunches increase the “C” curve we have from sitting. New research says isometric planks are not effective. How can we improve our functional core stability? The answer is power! 

Power = Work X Speed 

We need power to avoid a fall. We use power to stand gracefully. What is a power plank? Consider Yoga — unison of breathing with posture and mental focus. Let’s skip the Sanskrit. Simply focus only on the exhale phase, to drive each outgoing breath with an abdominal contraction, about once or twice per second.

Plank Basics

Depending on comfort, support yourself on hands or forearms, and on knees or toes. Plank means straight hips. To protect your lumbar, lengthen it. Our sedentary lifestyle puts extra curve in the back. For neutral pelvis, slightly tuck your tail. Then, tuck your lower ribs. Don’t reference online photos. Society likes a curvy look, but it hurts your back. 

Your upper back should neither be rounded nor collapsed. Tuck your chin slightly and draw back to align your head with the spine.

A Power Plank

In your well-aligned plank pose, add quick, punchy exhales, like blowing out a candle. Use your nostrils or mouth but make a sound. As you draw your abdominals toward the spine, your hips may lift.

Once confident with the power plank, add a stability ball under the hands or forearms. Or place it under your shins or toes! This adds bounce to those abdominal punches.

To progress, add balance disks under your knees or toes, while the ball supports your hands or forearms. Nothing touches the floor! Use the disks under your hands or forearms, while the ball supports your knees or toes.

With a suspension trainer, start with ankles in the loops and hands or forearms on the mat. Progress to balance disks under hands or forearms.

Side Planks Anyone?

For obliques, do power side planks. Start on one forearm with the other hand on the mat, knees and feet on the mat. Hips straight, stacked vertically, with top foot in front. As you lengthen, slightly tuck the lower rib toward your lower hip. Use this action to power your exhales. 

Add a stability ball under the forearm or under the lower legs. If the big ball rolls, tuck it into a corner. Ready? Put the balance disk under your knees or feet while your arm is on the ball. Or place the disks under your forearm, while your legs are on the ball. Your top foot goes in front, to prevent rolling backwards!

Power planks are intense, so shorten your usual time. Then repeat. Of course, your simplest ab move is extended, deep, belly laughter! Either way, have fun and do these often. The abs “live in the pantry,” so they won’t tire easily. Keep it up!

ACE-certified Medical Exercise Specialist and ERYT-500, Emma Spanda Johnson designs fitness solutions for clients of all abilities. Watch her video demonstration of these techniques during a free trial at https://well.burnalong.com/pss/class/16318 . With an Orthopedic Specialty, Emma offers online personal training via www.FlightLive.US and your first 60 minutes are free.

 

References

  1.  James W, Kendra C, Erin E, Stephanie D, Nicole L. John H. Hollman. Magnitudes of muscle activation of spine stabilizers in healthy adults during prone on elbow planking exercises with and without a fitness ball. Physiotherapy Theory and Practice.2018:34:
  2. Escamilla RF, Lewis C, Pecson A, Imamura R, Andrews JR. Muscle Activation Among Supine, Prone, and Side Position Exercises With and Without a Swiss Ball. Sports Health. 2016 Jul;8(4):372-9. doi: 10.1177/1941738116653931. Epub 2016 Jun 14. PMID: 27302152; PMCID: PMC4922527.
  3. Badau D, Badau A, Manolache G, Ene MI, Neofit A, Grosu VT, Tudor V, Sasu R, Moraru R, Moraru L. The Motor Impact of the Static Balance in the Up Plank Position on Three Different Balls in Physical Activities of Physical Education Students. Int J Environ Res Public Health. 2021 Feb 19;18(4):2043. doi: 10.3390/ijerph18042043. PMID: 33669792; PMCID: PMC7922917.