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aging

The Exorbitant Costs of Single-Minded Identity Construct of Old Age

 

When you read the words “young-person” in a sentence, what is the image that comes to mind? What about when you hear the words “old-person?” Do you readily form an opinion or do your initial thoughts come in the form of questions: “I don’t know. I need more information? What do you think?” If a clear image comes to mind, then one line informing these socially constructed ideas of aging can be traced to our education system, one that rewards outcome over process.

With such a strict adherence to outcome, we mindlessly develop a world view that we rarely, if ever, question. Freud suggests that although our initial interpretations of the world may be later refuted, we tend to cling steadfastly to these original views.[1] Possibly damaging views are what serve as a lens through which all future information passes.

In childhood we develop ideas of old age. At the time, the way in which we construct this concept may be rather irrelevant information. Old age doesn’t pertain to youth. Or does it?

Our most prominent images of old age can be described by what psychologists refer to as “premature cognitive commitment.” These original concepts of old age become the foundation on which we identify as we age. We live to fulfill these ideas and uphold these images. As Ellen J. Langer suggests, “premature cognitive commitments are like photographs in which meaning rather than motion is frozen.”[2] In other words, in our youth, we hear words such as stodgy, grumpy and crabby to describe old people. Later, as adults, as old people ourselves (if we are so fortunate) we do not question this image. We may act in these ways even if we don’t genuinely feel this way because, well, we’re old and this is what old people do. Unquestioned. This stunted potential is yet another cost of the mindlessness of aging.

Similar to the views promoted by physicists James Jeans and Sir Arthur Eddington who thought the universe to be best understood as a great idea, we can think of old age in the same light. Aging exists to be interacted with. The idea of old age is incomplete. As you age, you get to inform the structure and meaning of old age. Your identity adds a uniqueness to what it means to be old.

Our orientation to the world directly informs our identity. In the U.S., success is so strictly tied to outcome. A self-image that is based on outcome fails to recognize the value of process. As we age, we could greatly benefit from regarding process as perhaps even more valuable than outcome. Furthermore, if we adopt a mindful approach to aging, then we can conceive of the possibility of new categories, a constant recreating or reorganizing of information that defines and interprets our understanding of our world and of old age.

St. Augustine said, “The present, therefore, has several dimensions. The present of this past, the present of things present, and the present of things future.” If we take into consider the process of living, one that is as varied as there are dialects in this world, and use this to inform a construct of old age, then we can see where different processes of old age can occur.  It is possible for many images of old age to exist.

By adopting a coherent mindful approach to aging, we may not only reduce the costs of mindlessness we may also extend the quality and years of our life. I don’t know. I need more information. What do you think?


Adrienne Ione is a dynamic, mindful, high-fiving, cognitive behavioral therapist, certified dementia specialist and senior personal trainer. Founder of Silver Linings Integrative Health, a company with an aim of promoting health, fitness and wellbeing opportunities for people to thrive across the lifespan.

[1] Sigmund Freud, “Analysis terminable and Interminable.”

[2] Ellen J. Langer, Mindfulness.

vision-scrabble

Have You Recruited Yourself?

If You Are Making Excuses, You Are Not Sold Out On Reaching Your Goals! Don’t Be A Quitter!

Do you know someone who sets a goal and runs after it with massive action? I have friends who act like androids continually crushing their goals and rising to the top at whatever they set out to do. I realize they are rare, however far too many give up too easily on their dreams.

A select few give their dreams their all. They are in the minority.

So what’s the difference between making excuses and quitting versus putting your head down and being fully sold out and attached to reaching the most excellent outcome?

You need to sell yourself. You need to sign yourself up fully for what ever it is that you want to do, be, have or give. Your belief in the outcome must be unshakable.

If you were Thomas Edison, would you have invented the lightbulb? Would you have failed over 1,000 times and kept believing it was possible and putting all of your resources into making it a reality?

The truth is that some of you already quit on your 2018 goals because you never fully believed it was possible. You might say that you want to lose weight or quit smoking or pay off debt or take that dream vacation, but do you know that you know that you know, deep in your soul that you will make it happen? Are you willing to invest the resources and do what ever is necessary to achieve it?

How can you increase your chances of achieving your 2018 goals?

  • Write them down, read them daily, make them public.
  • Build EXTRAORDINARY belief in yourself, your product or service and your ability to make it happen.
  • Recruit others to share the vision, advise, hold accountable, support and mentor you.
  • STOP making excuses. Once you complain or make excuses you have one foot on the breaks and are close to quitting.
  • Find someone doing what you want to do (or be or have or give) and duplicate their success.
  • Set up rewards along the way and have a celebration planned for when you achieve your goal. Recognition, fun and celebration make the hardness in transforming, stretching and growing more manageable.
  • Have a daily method of thinking and acting that moves you closer to your goal each day.
  • If someone quits after a month or 2 or 6 they weren’t truly committed. They didn’t even give the seeds of their work time to grow.

How could you expect someone else to commit and follow you when you weren’t TRULY committed?

The moment you recruit yourself is the moment when everything changes. It won’t typically happen right away but it will happen!

When your goals are achieved you will enjoy the sweet spot of your passion, purpose and profit coming together! It’s priceless.

Reprinted with permission from Kelli Calabrese. Visit her website, kellicalabrese.com


Kelli Calabrese MS, is a 32 year fitness, nutrition and lifestyle professional who is a clinical exercise physiologist, former health club owner, corporate fitness manager and she founded a school that prepared over 3,000 people to become certified fitness pro’s. She was the lead fitness expert for eDiets, Montel Williams and was interviewed for Jillian Michael’s position on the biggest loser.

a trainer helping a senior woman doing fitness

Exercise and Multiple Sclerosis

A study published by researchers at the University of Utah in 1996 was the first to demonstrate clearly the benefits of exercise for people with MS. Those patients who participated in an aerobic exercise program had better cardiovascular fitness, improved strength, better bladder and bowel function, less fatigue and depression, a more positive attitude, and increased participation in social activities.

multiple-SclerosisMS is the most common neuromuscular disease affecting young adults. The onset of symptoms usually occurs between the ages of 20 and 40. The disease is twice as prevalent in woman as in men.

The National MS society provides the following parameterof different functional levels of people with MS:

Level 1 – Mild: People with this level of MS may be walking independently but may also walk with a cane. They may have some visual and coordination issues.

Level 2– Moderate: People with this level of MS may be dependent on a walker or a wheelchair. They may be able to transfer themselves or they may require assistance.

Level 3 – Progressive: People with this level of MS may be paralyzed primarily in the lower extremities. They will spend most of their time in a wheel chair.

Associated Impairments

Fatigue: Usually mid-afternoon after waking up feeling reasonably rested
Spasticity: Most common areas of the body to be affected are the legs and postural muscles.
Weakness: May be present all the time or only during times of acute flare-up. Pain leads to disuse and disuse leads to even greater weakness and los of functional fitness.
Tremors: These are not predictable as exhibited with Parkinson’s disease. They tend to vary widely in intensity and oscillation.
Balance, Coordination, and Gait: Often the first symptom of MS is the great mental effort it takes to perform movements that previously were automatic. They may observe foot dragging and shuffling or a foot that turns in while walking. They may exhibit shaking and jerky movements know as ataxia.
Muscle Cramps and Spasms: Flexor spasms in muscles that increase flexion of a muscle may occur.
Numbness and Tingling: Most often sensed toward the periphery of the extremities such as fingers and toes.
Heat Sensitivity: High ambient temperature and humidity can exacerbate the symptoms and lead to fatigue, loss of balance, visual changes and general worsening of symptoms.
Vision: people may experience optic neuritis in one eye where vision may be blurred for minutes. Response of the pupils to light is slowed.
Hearing: Changes in hearing are rare.
Cognition: 50% of people experience some degree of mild cognitive disfunction.
Cardiovascular Dysautonomia: Irregular function of the autonomic nervous system leads to blunted heart rate and decreased blood pressure in response to exercise.

Benefits of Physical Activity for People with MS
Sclerosis-exercise

Research shows that the proper dose of exercise can provide people with MS with beneficial results.Loss of muscle strength resulting from the onset of neurological damage cannot be improved through exercise. However, muscle atrophy as a result of disuse can be.

Regular exercise can counteract muscle weakness, lower the risk of bone fracture, improve the efficiency of the respiratory system, increase bone density, lower stress, and contribute to a general feeling of well-being.

The benefits of regular exercise and therapeutic fitness training include:

  • Maintained optimal health and decreased incidence of secondary health problems related to disuse syndrome
  • Increased energy
  • Decreased muscle atrophy
  • Managed spasticity
  • Improved cardiovascular function and blood lipid management
  • Reduced risk factors for cardiovascular disease
  • Reduced obesity and glucose intolerance
  • Depression lessened or eliminated
  • Improved sleep
  • Enhanced self-esteem
  • Improved balance and basic motor skills
  • Activities of daily living become easier to perform

Exercise Guidelines:

  • Incorporating mild interval training is an effective method to prolong stamina, as it enables people to perform more exercises without fatiguing or overheating.
  • Activities that necessitate pointing the toes should be avoided as that position might increase spasticity in the legs.
  • When strength training, focus on areas of muscle imbalance. Coordinate the flexibility portion with strength training static flexibility movements after that focuses on increasing mobility and lengthening of tight areas (chest, calf, and hip flexors).
  • It’s important to develop strength before endurance and participating in balance activities.
  • Use eyes to follow movement of a limb. This will increase periphery input and influence adjustments in stability.
  • Emphasize proper body alignment during all activities. Poor posture hinders controlled and safe movement
  • Incorporate warm-ups before exercise
  • Exercise progressions should be gradual and based on response and tolerance
  • Minimize stress to joints. Be prepared for low impact or non-weight bearing activities if person experiences compromised balance or numbness in their lower extremities, or orthopedic problems
  • Weight bearing helps to reduce spasticity, therefore, standing exercise are recommended if possible
  • Incorporate rotational exercise patterns to break up abnormal motor patterns caused by spasticity or rigidity
  • Do not bend neck forward (cervical flexion) as this type of movement can cause Lhermitte’s sign – a brief stabbing, electric-shock-like sensation that runs from the back of the head down the spine.
  • Avoid overheatinga trainer helping a senior woman doing fitness
  • Simple movements before complex movements
  • Static moves before dynamic moves
  • Slow movements before fast movements
  • Low weigh loads before high weight loads
  • Two-arm movements (or two-leg) before single-arm(or single-leg) movements
  • Stable surfaces before unstable
  • Quality movements before quantity of movements
  • Focus on core of trunk as well as stabilizers of each joint
  • Employ proper use of open kinetic chain moves versus closed kinetic chain exercises.
  • Focus on proper use of concentric, eccentric, isometric, isokinetic and plyometric moves
  • Maintain functional range of motion – know the anatomical motions that occur at each joint
  • A comprehensive fitness program should incorporate perceptual-motor skills – visual, auditory, tactile, and proprioceptive senses.
  • Balance training is important as it underlies nearly every static and dynamic posture that requires the body to be stabilized against the pull of gravity
  • The goal of cardiovascular exercise is to between 50%-80% of max heart rate

There are medical fitness trainers that are certified to work with individuals with multiple sclerosis. They have acquired the tools and strategies to improve physical fitness and functional ability for clients with MS who have varying symptoms of the disease and levels of ability. They have learned exercise precautions, program design, perceptual motor and balance skill development, and much more.


Lisa Dougherty founded Whole Body Fitness in 1999. She graduated from the University of CA, Irvine, Fitness Instructor Program, and is a Certified Personal Trainer and Health Coach through the American Council on Exercise. She has specialty certifications to work with those with medical conditions, post surgical/rehab as well as pre & postnatal fitness. Course work includes: Heart Disease, Breast Cancer Recovery, MS, Parkinson’s, Diabetes, Alzheimer’s/Dementia, Arthritis, Respiratory Disease, Fibromyalgia, Knee and hip replacement, and Pre and Postpartum fitness. Lisa founded the Medical Fitness Network in 2013. 

References:
Desert Southwest Fitness Author: Karl Knopft, EdD Copyright 2005

acid-reflux

Everything You Need to Know About Acid Reflux Disease

Have you ever experienced an unpleasant burning feeling in your chest after eating? How about frequent belching? Do you also find it difficult to swallow your food? If you have these signs and symptoms, you might be having an acid reflux.

Acid reflux disease is a common health problem that happens when the acid in your stomach flows back to your esophagus. That’s why the condition is more specifically referred to as gastroesophageal reflux disease (GERD).

Reports have shown that in the United States, 25-40% of people experience the signs and symptoms of acid reflux at some point in their lives while 7-10% have to deal with the symptoms every day. The disease can affect all age groups but the risk is higher in people who are over 40 years old.

The Stomach and the Esophagus

To further understand the signs and symptoms of acid reflux, you need to be familiar first with the structure and function of the body organs affected by the disease.

  • Your stomach and esophagus are part of your digestive system.
  • When eating, the food that you swallow travels through your esophagus, a hollow and muscular tube that connects your throat to your stomach.
  • The esophagus has lubricants and moves in wavelike movements to propel food towards your stomach.
  • Before the food reaches your stomach, it has to pass through your lower esophageal sphincter, which is a ring of muscle that relaxes to allow food entry into the stomach and tightens to prevent food from coming back up (regurgitation).
  • The food enters your stomach where it is digested.
  • Food is broken down by the aid of your stomach acid and digestive enzymes.

What Happens in Acid Reflux Disease?

Your stomach acid can regurgitate to your esophagus when your lower esophageal sphincter becomes dysfunctional or when there is a delay in the emptying of your stomach.

Your lower esophageal sphincter prevents acid and food from going back into the esophagus. When it becomes dysfunctional, the regurgitated stomach acid can irritate the lining of your esophagus.

Lower esophageal sphincter dysfunction can happen in several ways such as when it relaxes temporarily (the most common mechanism), when it relaxes permanently, and when the increased pressure inside the stomach becomes higher than the pressure in the sphincter, forcing it to open.

Delayed emptying of stomach contents can also increase the pressure inside the stomach. The building pressure will push at your lower esophageal sphincter. When it cannot resist the pressure any longer, it can lead to acid reflux.

Signs and Symptoms of Acid Reflux Disease

The signs and symptoms of acid reflux generally get worse after eating, when bending over, and when lying down. These include:

  • Heartburn (uncomfortable burning feeling in your chest)
  • A sour taste in your mouth
  • Inflammation of the esophagus
  • Feeling bloated or feeling sick (the high pressure inside your stomach makes it distended)
  • Frequent belching
  • Vomiting
  • Bad breath
  • Painful and difficulty swallowing
  • Hoarse voice (the acid irritates your vocal chords)
  • Excessive saliva production (your body’s attempt to neutralize the pH in your esophagus)

What are the Risk Factors for Acid Reflux Disease?

The following conditions can predispose you to have acid reflux disease:

  • Being overweight. When you are overweight or obese, the excess fat can increase the pressure in your stomach.
  • Being pregnant. Symptoms of acid reflux disease are common in pregnant women primarily because the growing baby can compress the stomach, increasing the intragastric pressure.
  • Exposure to cigarette smoke. Whether you are the smoker yourself or you are only exposed to secondhand smoke, you are at risk of developing the disease. The nicotine found in cigarettes relaxes your lower esophageal sphincter, making it dysfunctional in preventing the reflux of acid to your esophagus.

How to Manage the Symptoms?

  • Eat small, frequent meals instead of large meals
  • Avoid drinking coffee and alcoholic beverages
  • Avoid eating chocolate, spicy foods, and fatty foods
  • Stop smoking and avoid inhaling cigarette smoke
  • Refrain from eating at least 2-3 hours before sleeping
  • Lose weight and strive to maintain a normal body-mass index (BMI)
  • Do not sleep with your body lying flat on the bed. Make sure that the head of your bed is elevated by 6-8 inches. You can do this by putting durable risers for low beds under the head of your bed.
  • Opt for loose clothing. Wearing tight clothes can compress your stomach and push stomach acid into your esophagus.

When to See Your Doctor

If these home remedies and lifestyle modifications do not relieve your symptoms, talk to your doctor about further treatment. Seek consultation if you observe any of the following:

  • Recurring symptoms that occur several times in a week
  • Difficulty swallowing
  • Persistent vomiting, most especially if accompanied by blood
  • Sudden weight loss

Early treatment is important when dealing with acid reflux to prevent the development of serious complications.


Joe Fleming is the President at ViveHealth.com. Interested in all things related to living a healthy lifestyle, he enjoys sharing and expressing his passion through writing. Working to motivate others and defeat aging stereotypes, Joe uses his writing to help all people overcome the obstacles of life. Covering topics that range from physical health, wellness, and aging all the way to social, news, and inspirational pieces…the goal is help others “rebel against age”.

Senior Couple Exercising In Park

The Right Exercise

I have mentioned many times thus far, not just that exercise is the managing partner of integrative oncology, but I try to be really careful to say the right exercise. As much as exercise does hold the key to our magic kingdom of health within, there are contraindications, both in terms of prevention and recovery, and prevention of recurrence.

fresh green salad with arugula and beetsTo understand this, let me give you a very brief intro to oxidative stress. We have all read about the importance of eating our fruits and vegetables to provide much needed antioxidants. This is because we live a life where oxidative stress is in abundance. As exercise is the one and only Rx with no bad side effects, the truth is, we should always say “the right exercise”.

Unfortunately in our world of extremes and quick fixes, we think of exercise as bop till you drop. Pushing hard, sweating — and as some celebrity trainers like to take pride in — push till you
throw up.

OK… I will NEVER support the latter, under any circumstance, but for some people pushing to the point of sweaty, dirty, pumped, driven, is a great thing.

I do believe the fountain of youth is our own sweat! And yes, that level of intensity to achieve that state differs greatly amongst people.

The danger exists, when people exceed their optimal levels, which we can do unknowingly. Given the chronic illnesses, the data seems to support most people are not exerting themselves in terms of exercise or physical activity anywhere near that optimal level.

Medical staff with senior people at gymHowever, with people recovering from cancer, it is very important to work at the right level, and know that slow and steady wins the race. And just to throw in another caveat – yes this level of intensity will vary drastically, depending on the type of cancer and treatments utilized.

Oxidative stress occurs when the production of reactive oxygen species (ROS), often referred to as “free radicals,” exceeds antioxidant defence. There are many perpetrators in our world to the production of reactive oxygen species: alcohol, sugar, toxins, certain chemicals… a very long list, and the truth is we have to add exercise to this list if we are doing it beyond the appropriate point. Or if exercise is counterproductive to…

The balance between the ROS and antioxidants is out of whack, upsetting our inner ecosystem, creating an environment for cancer to survive and thrive. As always, its all about balance.

And this is yet another reason it is critical to have a well balanced, nutrition packed diet. The expression often used is “eat a rainbow”, because eating an assortment of colors (fruits and vegetables, not candy) is a great way to ensure getting a variety of antioxidants our bodies need to combat those free radicals. And by the way, the danger of an imbalance in this equation is a factor in not just cancer but many other diseases, including heart disease, Alzheimer’s, depression, macular degeneration, autoimmune disorders. Now, let’s think about the many possible side effects of treatments (medications) for these diseases… cancer. OK, let’s eat our antioxidants! (I promise, much more about antioxidants in another article)

Or as my chick flick heart insists: Exercise & Nutrition are the greatest love affair of all times. One just cannot live without the other.

The point is NOT don’t exercise because it might be a source of oxidative stress. The point is we must expand our view of what exercise is. The point is to understand physical activity vs. exercise, dynamic vs. static exercise. Exercise is NOT about pushing in misery until you drop in a gym you don’t like! The point is there are many types of exercise that can be performed multiple times through out the day to tweak our immune & circular systems, and to accomplish that flow of Qi, that inner ecosystem.

The other point we have to remember, in all of our wonderful forms of exercise: training, cardio respiratory, strength, yoga, pilates, Qi Gong Tai chi, they all have wonderful benefits and healing powers. However, there are boundaries & contraindications for all of them. There are a number of parameters involved when deciding on an exercise program for cancer recovery & beyond. To name a very few: the type of cancer, treatment, potential for lymphedema, other pre-existing medical conditions, level of conditioning, goals of the program, fat loss suggested, preservation of muscle mass, side effects of treatment. And every one of these categories opens up many
other considerations.

Couple bikingBut the most important factor of all is the F factor, FUN. What will we actually, enjoy, embrace, do, and want more. We learn very quickly in the fitness business, “no time” is an excuse. When we know the literally infinite possibilities for physical activity, no time is an excuse, or, a very limited knowledge of what exercise is.

But step one is MOVE. Whether we move and pump those muscles when seated or standing, get it moving and pumping. Please consult a trained professional in cancer exercise training.

Even if the professional tells you they have worked with many cancer patients, it does not mean he or she has been trained in cancer exercise, and knows the many forms of exercise available, not just their own platform, and is aware there are contraindications, and potentially could have an adverse effect on recovery.

There is no one Rx for each cancer. We cannot say, “For breast cancer do this, for prostate cancer do that.”

Cancer exercise is both art and science, supports a mind body connection and creates an environment within to optimize treatment outcomes. Yes, always get permission from the health care professionals, but don’t let them think you are considering training for Ironman, This is not what cancer exercise is all about.

In exercise, we follow the FITT formula: Frequency Intensity Type Time

For cancer exercise I have modified this formula. FFITTT: FUN Frequency Intensity Type Time Telomeres…. leaves you hanging for another blog!

For a constant supply on recent studies on cancer prevention and recovery, please join me on Facebook.


Shira Litwack is the Director of International Relations and Master Trainer at, Cancer Exercise Training Institute and creator of Best in Health Radio.

gellert-osteoarthritis

Exercise and Osteoarthritis

Osteoarthritis is a painful condition in the joints of the hands, knees, hips and spine.  It affects millions of people throughout the world and is caused when the cartilage that cushions the joints wears down. There is no cure for this condition but there are some things you can do to strengthen your muscles around the joints. In turn, you may feel better overall.

It is important to consult your doctor before starting any exercise program. Your physician may have specific instructions for you to follow. These guidelines are important for helping to keep you safe. There are many different exercise programs that are safe for individuals with Osteoarthritis.

Locating a gym and setting goals

When looking for a gym choose one close to home, as it will be easier to go on a regular basis. You should also think about when you would like to workout. Individuals with arthritis usually feel better in the afternoon. Getting to the gym in the morning may be harder.

Depositphotos_11402918_xsWater exercise

Water exercise is easy on the joints and may help with pain. Being in the pool will take weight off of your joints and make movement easier. When exercising in the water you can either have a trainer, take a class, or work on your own. If you choose to work on your own having an initial assessment and a training session is beneficial. Initial assessments and training sessions are usually included in a membership.  You should also ask which classes would be suitable for you.

Land Exercise

Individuals can benefit from land exercise as well. Some gyms have land arthritis classes or light classes. Again, having an assessment can help you to figure out which classes are right for you. Like water exercise you can choose to take a class, work on your own, or hire a trainer. Either way, talk to the fitness staff and ask for guidance.  On land, warm up is important. Try to do a 10 to 15 minute warm up on a recumbent bike. It will be easier for you to move after a proper warm up. It is also important not to run, jump, or lift too heavy.

Mind/Body Exercise

Mind/Body exercise is a nice compliment to any workout. It usually incorporates a balance and stress management component. There are many classes to choose from such as Yoga, Pilates, and Tai Chi. Most gyms today, have many variations of these classes. For instance, Gentle Yoga, and Chair Yoga are popular among individuals with arthritis. When searching for a gym ask what types of classes are offered.


Robyn Caruso is the Founder of The Stress Management Institute for Health and Fitness Professionals. She has 15 years of experience in medical based fitness.

Source: http://www.mayoclinic.org/diseases-conditions/arthritis/in-depth/arthritis/art-20047971?pg=1

Trainer helping senior woman exercising with a bosu balance

Five Tips for Training Clients with Parkinson’s and/or Multiple Sclerosis

When training clients with a neuromuscular disease such as Parkinson’s and/or Multiple Sclerosis there are many challenges.  The challenges can range from physical to emotional setbacks.  It is important to focus on the physical as well as mental capacity.  There are certain patterns associated with exercises that provide balance, core, flexibility, facial, and hand motor training, that keep the mind focused.  Below are five tips when working with clients who have Parkinson’s and/or Multiple Sclerosis.

Balance Training

Balance is one of the first things to decrease as we get older, but much quicker with those with Parkinson’s and/or Multiple Sclerosis.  One common injury is falling so it is important to focus on balance.  Start with simple single exercises to work on balance.  Even standing with just the eyes closed can provide a challenge.  Also try unstable surfaces like a balance board or Airex-pad to challenge balance.

Core Training

Incorporating core exercises will help your clients with the balancing and movement exercises.  If the client can stabilize core muscles during the balance exercises it will help them to be more aware of posture and overall strength.  Plank exercises are great for utilizing the core.  Also a seated ball lift one leg while maintaining posture helps with posture when sitting.

Flexibility Training

Flexibility or range of Motion exercises combine Balance and Core Training to help improve flexibility and coordination.  There are two types of flexibility training, Static and Dynamic.  Static stretching is holding a specific stretch for 45-60 seconds.  This is great after working out to prevent injury and improve range of motion.  Dynamic flexibility is more movement based.  Exercises such as reverse lunges help improve flexibility while moving, while challenging balance and the core.

Facial Exercises

Particularly with Parkinson’s clients, they will get a look to their face that looks like there is no expression.  To keep these muscles in the face active doing simple jaw, mouth, eyebrow, and cheek movements will help keep facial muscle active.

Writing

Writing is important keep the mind and emotional part of having Parkinson’s and/or Multiple Sclerosis active.  Motor skills in the hand will decrease as well as focus and concentration.  So things like cross word puzzles and word finds are great for incorporation of mind and body.

In summary, it is critical to use all of these tips for Parkinson’s and Multiple Sclerosis training in progression.  Each client is different, so challenge them to their fitness level.  Progress or digress exercises accordingly.  Take into account the psychological well-being of your client when progressing them in their workout regimen.


Jason Williams has been a personal trainer, pilates instructor, and wellness coach for 13 years and is a graduate from Lynchburg College in Virginia with a Bachelor of Science degree in Sports Medicine.  While at Lynchburg College he was a 1st team All-Conference Track and Field Athlete.  Jason has worked with a wide variety of clientele from kids, professional athletes, seniors and special populations.  He recently wrote a children’s health and fitness book, The Adventures of Frankie Fitness, which motivates kids and adults to live a healthy lifestyle.  He currently works at The Maryland Athletic Club in Baltimore, Maryland. Find Jason at Charm City PT.

Seniors-at-Beach

Aging & Death

As of late, more and more headlines suggest a clear and concise connection between “the elderly” and death. Aging and death are not synonyms. Yes, both happen to us, although not always in a logical and linear order. Just yesterday morning, I sat in the back tea room of our home, opened the New York Times newspaper as I do most mornings and discovered a special edition on “the elderly in Japan.” Here is an 8-page layout on living conditions in public housing communities that sprawl across Japan. Once vital centers of communities, lively in the 1960s, people describe them now as hosting magots, mounds of piling garbage, and incense burning in the smell of urine and bodies decomposing. Grand. Just what I want to become. Elderly. Really? Well, if this is how elderhood is described, why would anyone opt for this. One man interviewed in the story shared his sentiments: “How we die is a mirror of how we live.” This is not an isolated thought, rather it runs deep in our individualistic society. This ideology is deeply entrenched in our understandings of aging.

Time and time again, the two processes are intertwined, so much so that the latter informs the former. Our concepts of death define how we internalize the aging process and how we view others aging. Indeed, I do believe the two deserve attention, only independent of one another. Our culture gravely misses the mark on such separation. We promote a denial of death. A medicalization of death. We view death as a failure. Death as a loss. Death is the enemy. However, I come from the perspective that this is not the only lens through which to view death. In the U.S., death is dark. Jeepers. We wear black to funerals. Come on.

Another perspective constructs death as the beginning, rather than the end. Another view is that death is a continuation. To be continued as life. “Death is not extinguishing the light, it is putting out the lamp because dawn has come,” suggests Indian poet Rabindranath Tagore. What would it take for the United States to fully embrace such a paradigm shift? For example, when a person is born at one of the local hospitals, “Twinkle Twinkle Little Star” is played over the intercom and can be heard throughout the entire hospital. Want to take a guess and what song is played when someone dies? That’s right. Nothing. No song is played. Silence. What if instead of nothing, a part of the ballad “You Light Up My Life” was played. Or ABBA’s “Hasta Mañana,” Judy Garland singing “Over the Rainbow” or perhaps Eddie Money’s “Two Tickets to Paradise.” Please, anything other than nothing.

If we did acknowledge death, how might this alter our perceptions of life? Yes, feelings about death are wrapped up in a cloak of fear and are rampant in our culture. “Even the wise fear death. Life clings to life,” remarked Buddha. Yes, I get that many people are afraid of a process of which we know so little about. There are far too many aspect about life we know so little about and so why live a life in the hinterlands. It is a guarantee that we will all get to the hinterland. The how and when is another matter. How do you benefit now from spending energy on worrying about the how and when aspects? Why is it that we cling to damaging ideological constraints of aging as death? How does this serve us if in shaping our ideas about aging, we then intertwine ideas about mortality?

For some, a discussion of death, even bordering on obsession with death, perhaps serves to protect the living. It is yet another way to separate us from them. As is commonly understood in the line of hospice care: They are dying. I am not. Early in my career I recall the first time a nurse remarked to me, “Well, you know she’s dying.” To which I responded, “Aren’t we all from the moment we are born?” She quickly cut her eyes toward me and huffed, “You know what I mean.” I smiled suggesting agreement, although I didn’t know precisely what she meant. And I still don’t. This was almost twenty years ago, when I was first starting out in the field of counseling and took a lot in, rather than ask any questions. And now, I inquire on people’s meaning of this any time such a remark is made. Sometimes, I’ll throw in the question, “If she’s in the process of dying, isn’t she also in the process of living?”

And so, I invite you next time you are in a situation where “someone is dying” share with others an appreciation for their life. Compliment the person who is living or share with them how they impact you – maybe lessons you’ve learned or directions in life you have taken as a direct influence of the person. Be present. Enjoy every moment of life. Death will arrive. And then, you can be present with death.


Adrienne Ione is a cognitive behavioral therapist and personal trainer who integrates these fields in support of people thriving across the lifespan. As a pro-aging advocate, she specializes in the self-compassion of dementia.

Website: yes2aging.com
Guided Meditations: insighttimer.com/adrienneIone
Facebook: silverliningsintegrativehealth

Healthy Lifestyle

Healthy Aging: Your Better Nutrition Guide

Another year older, another year wiser, but will it be another year of better health? Aging can feel like an un-plug-able drain on our internal resources with no way to stop the process and thus maintain your current health status or, even harder, improve upon it for healthy aging. Fret not as with better nutrition you can and you will help support better health whether that means healing, maintaining, preventing or optimizing your health as the body ages. So what does healthy aging look like?

Nourish All Your Systems, Together: The whole body needs better nutrition but we don’t need different nutrition for better health nor for healthy aging. The good news is that key nutrients support the whole body’s total health. So when you consume probiotics, yes you are helping support a healthy digestive system but that also supports immune health which reduces overall stress and enables better heart health and brain health and so on. Same goes for a daily dose of broccoli’s glucoraphanin which enables detoxification, which removes unwanted toxins, which makes it easier for the body to do its daily tasks, which supports healthy skin, immune health and so on.

Know Your Numbers (and Levels): While there are certain nutrients every body needs, your body ages better when you know what you specifically need to replenish, restore, and support.

  • Get labs drawn every six months including your vitamin D (25OH), your sed rate and CRP (markers of inappropriate inflammation), your HgBA1C (once a year is fine unless you are working on yours) to assess pre-diabetes/diabetes, heavy metals to assess toxin burden(s) and other labs may include stool or breath test for bacteria, omegas, and Berkley Heart Lab for knowing what your cholesterol really looks like.

R&R for Building Better Habits: You are never (EVER) to old to build better habits and that includes recognizing and replacing those that aren’t serving you with ones that will enable better health. While your myelin production may have slowed (learn more about this important brain matter in an awesome book “The Talent Code” by Daniel Coyle building better habits can and should happen.

  • Identify what habits you currently have – list them all out on a piece of paper – ranging from taking the dog out to checking your email or social media. Then vet them into lists – better health enabler, better health deducting.
  • For the better health enabler habits, write down what it is that motivates you to do these? How did they become habits? How would you feel if you didn’t do them one day? Several days?
  • For the better health deducting habits – pick 1 or 2 that you really want to change and that will give you the biggest bang for better health by changing them to a better health enabling habit. Maybe you don’t take your supplements or you are having 3 glasses of wine a day or you have stopped being active or you have trouble sleeping.
  • Now look back at the better health enabling habits descriptions – what motivates you for these, how do you make them happen – and write down a few thoughts for the 1 or 2 habits you picked – what could you do differently today and tomorrow and this week and next month? What would motivate you to do these? What would you have to give up to do make these happen?
  • Just Do It… give yourself one month to see if you can create a new better health enabling habit by improving one that was previously deducting. Then put a calendar reminder each week for the rest of the year (the year that you are remodeling this habit not the calendar year) to check in on how you are doing.

Aging can and should be awesome. Like anything, healthy aging takes work – you have to train daily to age better – but the work is worth it when you age with better health. Have personal questions about your better aging Rx? That’s what I am here for – so make an appointment for an initial consult with me today.

Originally printed on ashleykoffapproved.com. Reprinted with permission.


Ashley Koff RD is your better health enabler. For decades, Koff has helped thousands get and keep better health by learning to make their better not perfect nutrition choices more often. A go-to nutrition expert for the country’s leading doctors, media, companies and non-profit organizations, Koff regularly shares her Better Nutrition message with millions on national and local television, magazines and newspapers. Visit her website at ashleykoffapproved.com.