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Arthritis

Exercises That Can Help Prevent and Relieve Arthritis

Arthritis is a disease where the joints of one’s body are chronically inflamed. 46 million (or 21%) Americans have it and it is one of the leading causes of work disability.

They are two major forms of arthritis: osteoarthritis and rheumatoid arthritis. Osteoarthritis is when the cartilage within the joints wears away and causes severe pain and swelling, particularly in the hands, knees, hips and spine. Rheumatoid arthritis, on the other hand, is where one’s immune system mistakenly attacks it’s own tissues. As a result, the body responds with pain and stiffness in areas of the body such as wrists, hands feet and knees. Fortunately, exercise can help provide some relief, pain and discomfort wise, for those suffering with this chronic health condition.

How Exercise Helps to Relieve It

There have been two significant studies that showed exercise could help arthritic people feel better. Strength training and balance exercises were used to provide relief from the pain experienced because it improved flexibility and overall strength. Balance and strength training affect one’s gait, so, at the very minimum, exercise can help to improve this. Also, it is important to keep in mind that arthritis increases muscle loss and lack of flexibility. As a result, it is important for an individual with arthritis to keep their body limber and moving as much as possible.

Exercises That Can Help With Arthritis

According to NASM, the following protocol should be followed by arthritic people for a reduction in pain and overall health improvement. Please keep in mind, that anyone starting an exercise program, should consult with their physician and a qualified fitness professional first.

Cardio Exercise: treadmill walking, stationary cycling and low impact step aerobics. I recommend up to 30 minutes as a general goal to aim for with duration. The intensity should be from a walk in the park to a light job.

senior woman doing exercisesFlexibility: Static stretching and foam rolling may be used as tolerated for the areas of the body that appear to be overactive. These can be performed seated or standing.

Weight Training: Exercises that include core, balance and general overall major muscle groups are recommended. Circuit training is a great way to get all of those things done in one session. I suggest 1-2 sets of 10-12 reps, 2-3 times a week. It is important to keep in mind the following when doing exercise: avoid heavy lifting, with high reps, stay away from movements that cause pain and be prepared to only do five minutes of exercise in a given session until your overall conditioning improves.


Maurice D. Williams is a personal trainer and owner of Move Well Fitness in Bethesda, MD.

Resources

1. http://blog.nasm.org/senior-fitness/what-a-pain-in-the-joint-training-guidelines-for-arthritic-clients/
2. http://blog.nasm.org/senior-fitness/modify-training-programs-clients-osteoarthritis/
3. http://www.healthline.com/health-slideshow/8-essential-everyday-exercises-for-ra-pain#8

Source
NASM Essentials of Personal Fitness Training, 4th Edition Revised, 2014.

Pool-Ladder

Recover from Injuries Using Active Rest in the Pool

Have you ever felt like Tom? You try and try but seem to end up adrift? Your intelligent, well read a motivated, hard working athlete, you know a lot of things, you certainly know how to exercise and you do it well.  You have probably asked for some advice over the years on how to train. Especially since that nagging injury occurred.

Maybe it’s shin splints that developed from training for a ½ marathon, maybe it’s the knee injury from playing basketball, tennis, pickleball or sliding into 3rd base. Maybe you rolled an ankle because you missed that bottom step while walking out the door and that ankle hasn’t been right since.

So what do we do? We medicate it, rest it, tape it and brace it. While we are resting we look at the latest exercise programs and plot our course to get back on track once we feel it’s better we hit the gym – wrap that injury and go…. HIIT training, Cross Fit, Boot Camp, running we are on a roll. After just a couple weeks that injury is back. Now we are back on the couch with our favorite bottle of motrin again, now your despondent. That nagging thought creeps into your head, I’m too old, gotta give up the game.

Not so fast my friend! We can do things a different way! The problem here is we took a few weeks or months off!

How about trying ACTIVE Rest?!

Active rest defined: “Involves performing light exercises that stimulate the recovery process without imposing undue stress on the injured body part.”

Taking an active rest day will hasten your recovery, making you feel stronger and faster when you’re back in workout-mode.

What are the benefits of active rest in a pool?

Biggest benefit – Reduce swelling. When you reduce swelling you reduce pain. A two-fer bonus! Also unload the joint – due to the gravity free environment, again – takes the pain away. With the reduction in swelling and pain we can keep the joint moving, stabilize and strengthen it, working up to full body workouts to spin you back out into your sport.

The pool is what I call a pass through. It’s not a destination for most of us. We use it for it’s amazing properties so we can continue our favorite activities and sports. Active rest in a pool will not only rehabilitate your injury getting you back to your sport and activities faster it will help you mentally and emotionally, because you can DO something! It keeps CAN’T out of our vocabulary! High Schools, Colleges, Professional Teams and even our Military are using pools for training. Athlete or not, we hate being sidelined. We do much better when we are active. So next time you are adrift…try something different.


Debbie Booth is an aquatic fitness educator and trainer; she grew up in MI, (a Lake Girl for life) where her love of water began. She teaches medically based aquatics and has yet to grow gills. If lost she will usually turn up at the end of a dock with her feet in the water.  You can visit her website at wateristhenewgym.com

Senior woman with help of physiotherapist

Raising Requirements for the Fitness Industry: The Template for Change Has Arrived!

Fitness industry professionals, educators, and leaders have talked for years about the need for higher standards in the training, preparation, and practice of fitness professionals. Over 15 states over the last 15 years have looked into licensing personal trainers to define their capabilities and qualify their working with the public. In more recent years, there has been an effort to consider fitness an integral part of the healthcare continuum. As part of these discussions, we have sought to have fitness services and in particular, personal training, recognized and recommended by medical professionals; as well as accepted by health insurance companies. However, despite these conversations, very little has changed. A few certification groups spearheaded having NCCA accredit the written exams as the legally defensible standard to work with clients as a Personal Trainer. The issue arose as to why, as a health occupation, we do not do more qualifiers to ensure that fitness leaders are beyond reproach. If we are to achieve the recognition and respect we deserve, we must re-evaluate and raise the standards. Simply stated, we need to match other professions with solid education, training, testing, certification, and continuing education of personal trainers and all fitness professionals.

As with the preparation of most healthcare professionals, one of the most important steps is having a high quality educational program. This helps to ensure that foundational knowledge is acquired and mastered. This cannot be achieved in the “weekend warrior” courses or online test review courses provided as the standard by most personal training programs. Similar to the development of an effective exercise program, a quality education program must follow best practices and specific steps for optimal learning. The World Instructor Training School (W.I.T.S.) follows these standards and has received recognition from the American Council on Education (ACE) for our educational programs. With this recognition, students who complete our educational programs can also receive undergraduate and graduate level college credits.

In addition to the foundational knowledge gained in an educational program, we strongly believe, as with other health occupations, that hands-on training is necessary. It is not enough for personal trainers to just learn from a picture in a book, but must also receive training and practice in performing the requisite skills.   Working with clients, practicing safe exercises, designing exercise programs, and using equipment cannot be effectively taught in a classroom or on a computer.   Unfortunately, this hands-on training component is not included in most personal training courses. W.I.T.S. has historically included hands-on training and practice, in a “real” fitness club setting as a core feature in our certification programs.  W.I.T.S., in our unique partnering relationships with higher learning colleges and universities, focus half of our program on mastering the essential practical skills to individually lead all types of clients safely and effectively.

While quality education and training are essential to the preparation of qualified fitness professionals, we also understand the importance of a valid testing and certification process. Given the hands-on nature of the work personal trainers perform, the testing process must include a practical exam as well as a written exam. W.I.T.S. has emerged as the ONLY personal training certification that has both their written and practical exams accredited by the National Commission For Certifying Agencies (NCCA.) This accreditation is considered the “gold standard” in the credentialing of health professionals. There are many other fitness certifications that have achieved the NCCA recognition, however without an accredited practical skill competency exam. 80% of trainers hired today are out of the business in a year. Employers and clients have less confidence that those who take only a written exam can apply the knowledge and perform the skills of a personal trainer. Building out the infrastructure for this approach started 25 years ago for W.I.T.S. Most certification groups have been around 35 or more years but for some reason have neglected this simple health occupational profession standard like EMT’s, therapists, nurses etc.

Finally, the last but equally important component of developing a qualified personal trainer is the ongoing continuing education activities and requirements. It is not enough to achieve certification, but we must continue to develop and grow our knowledge and skills. We believe this requires more than the “typical” social continuing education activities that involve little more than participating in an hour exercise class at a conference. Where is the assessment tool to verify knowledge and or skills learned post the event? Continuing education courses must also follow best-practices in their development and delivery. To ensure we exceed the highest standard, W.I.T.S. is accredited by the International Association of Continuing Education and Training (IACET.) The IACET/ANSI Standard follows strict guidelines in the design, delivery, evaluation, and assessment of continuing education courses, as well as the consistent calculation of CEUs. Fitness professionals and employers can feel confident that if a course is offering IACET CEUs, they will enjoy a quality learning experience and definable assessment to prove they learned and mastered the necessary information to maintain a safe working relationship with the public at large.

It’s time to stop just talking about raising standards in our self regulated fitness industry. The time for serious leadership and change has arrived. Through quality educational programs, effective hands-on training, accredited practical and written certification exams, and rigorous continuing education courses, we can finally elevate the standards in the preparation and practice of personal trainers and gain the acceptance and respect from other healthcare occupations.

For more information, please contact Dr. Amy Hyams at ahyams@witseducation.com


Dr. Amy Hyams has over 25 years experience in continuing education and training. She earned her B.A. in Criminal Justice, her M.S. in Sport and Fitness Club Management, and her doctorate in Higher Education Administration. Amy currently serves as the V.P. of Educational Services for W.I.T.S. In addition, Amy is a Commissioner for the International Association for Continuing Education and Training and an Assessor for the American National Standards Institute.

Gym-Weights

Fitness Professionals: Which Vertical Market Should You Work In?

The vertical markets in the health, fitness, recreation and leisure industries are extremely diverse. The question “What vertical should I work in” is not a fair question as many of you will work in several verticals early on in your career. Even as your career progresses, you may shift from one vertical to another as your experience level and personal needs change. Having multiple options is a good thing!

Vertical Markets to Consider

Health Clubs

With 50,000 health clubs in the U.S. there are plenty of choices for employment. Within this “vertical” there are numerous sub-categories and options.

Benefits of working for a large chain:

  • More stability compared to an individual club/owner – most often, but not always
  • Health and medical insurance, 401k plans and vacation time is almost always made available to full-time employees. Usually a modest monthly fee is deducted from your paycheck
  • Continuing education is often subsidized
  • Ongoing staff development and training provided
  • Higher wages
  • Growth potential
  • Well-equipped and maintained facilities (most often)
  • Usually HR compliant (most often)

Downside of working for a large chain:

  • A lot of rules and regulations (good and bad)
  • Local and regional management may not always represent the ideals of top management
  • Financially driven, often to meet stockholder’s expectations
  • May be required to work a lot of hours

Non-Profits: Boys and Girls Clubs, YMCA’s and JCC’s:

There are thousands of non-profit recreation facilities. Most people are familiar with YMCA’s and JCC’s, but there are many others including the Boy and Girls Clubs, scouting organizations and actual hospital-based medical fitness centers, which we will discuss in another segment.

Non-profits often run like for-profit facilities. The difference is they have a non-profit status, which saves them on tax obligations among other things.

Non-profits offer great facilities with community-based programs that are usually well run. They have a similar management structure as traditional multi-purpose health club facility and almost always have a board of directors made up of community leaders. Their disadvantage sometimes is operating capital. This affects employees as you are often undercapitalized for equipment purchases, repairs, payroll and general supplies. At times, you may have to do a combination of management and front-line duties.

Benefits of working for non-profits:

  • More stability compared to an individual club/owner
  • Health and medical insurance, 401k plans and vacation time is almost always made available to full-time employees. Usually a modest monthly fee deducted from your paycheck
  • Continuing education is often subsidized
  • Ongoing staff development and training provided
  • Competitive wages and compensation plans
  • Growth potential
  • Well-equipped and maintained facilities (not always)
  • Usually HR compliant (most often)
  • Greater opportunity to work with kids and coaching

Downside of working for non-profits:

  • A lot of rules and regulations (good and bad)
  • Always on tight budgets
  • May be required to work a lot of hours
  • Often utilize volunteers in front-line positions

Park and Recreation Departments

Municipal Park and Recreation Departments provide a variety of opportunities in diverse areas: Full-blown health club-like facilities, Outdoor trail systems/workouts, sports leagues, golf course management, tennis court management, aquatics, water parks, community centers and even marinas.

Park and recreation jobs seem to be more stable than conventional fitness jobs. These jobs can be difficult to get based on the community you live in. Programs and facility operations are sometimes affected by politics and government budgets/cuts.

Benefits of working for Park and Recreation Departments:

  • Stability compared to most fitness and recreation jobs
  • Health and medical insurance, 401k plans and vacation time is almost always made available to full-time employees. Usually a modest monthly fee deducted from your paycheck
  • Competitive wages and compensation plans
  • Usually HR compliant
  • Greater opportunity to work with people of all ages

A lot of outdoor and recreation based opportunities

Downside of working for Park and Recreation Departments:

  • Upward mobility may be limited in existing community; may need to relocate to get your “DREAM JOB”.

Medical Fitness

Medical or hospital-based fitness centers are an emerging market. There are close to 1,000 medical fitness centers in the U.S. Fully-integrated health and fitness campuses set the stage for a comprehensive medically integrated environment focused on club members’ total well-being, ranging from day-to-day health maintenance, to sports performance training, to cardiac and physical rehabilitation. Most often they have extensive aquatics offerings. Baby boomers and seniors are big supporters of medical fitness centers as the centers almost always have a hospital system as a partner. If you like working with seniors and enjoy medicine, then this would be a great career avenue to explore. The internal management organization looks very similar to an established upscale health club. Often, you will see more medical personnel with office space within the facility.

Benefits of working for a medical based fitness center:

  • Stability compared to an individual club/owner (most often, but not always)
  • Health and medical insurance, 401k plans and vacation time is almost always made available to full-time employees. Usually a modest monthly fee is deducted from your paycheck
  • Better than average compensation plans
  • Continuing education is often subsidized
  • Ongoing staff development and training provided
  • Growth potential
  • Well-equipped and maintained facilities
  • Usually HR compliant

Downside of working for a medical based fitness center:

  • Limited growth potential
  • Some medical fitness centers are run by management companies, so do your homework. Some management companies are great to work for and some are not.

Personal Training, Specialty Studios and Sports-Specific Training Studios 

Personal Training and Sports Specific-Training Studios are typically smaller and offer more personalized attention than traditional health clubs. One-on-one or small group training has become extremely popular. Customers who patronize these facilities usually don’t care about health club amenities they don’t use, and want to work in a smaller, more personalized setting.

The sports-specific training facilities are great facilities to help athletes get an edge on the competition by maximizing their potential with the exact training protocols based on their season/sport. This type of training also gives young athletes confidence and parents are onboard with supporting their kids in this manner. Employees who work in this environment are usually well educated, have multiple specialized certifications, (not a prerequisite however), and are passionate about working with athletes.

Benefits of working for a personal training/sports specific training site:

  • Continuing education is often subsidized
  • Opportunity to work in a specialized environment and use your degrees/certifications/experience
  • Ongoing staff development and training provided
  • Well-equipped and maintained facilities
  • Flexible, part-time hours generally available

Downside of working for a personal training/sports specific training site:

  • Limited growth potential
  • Benefits may not be available

Private Country Clubs and Master Planned Communities

Country clubs and master planned communities provide a very comfortable work environment. These clubs usually have experienced leadership, full service amenities, excellent benefits and provide an environment with less stress than health clubs. In country clubs, you may even get an employee meal each day or major discounts on food and beverage.

This is an emerging market and it is estimated that over 65% of country clubs now have fitness/aquatics and even spas.

Benefits of working for a country club/master planned community:

  • Stability compared to an individual club
  • Health and medical insurance, 401k plans and vacation time is almost always made available to full-time employees. Usually a modest monthly fee is deducted from your paycheck
  • Better than average compensation plans
  • Continuing education is often subsidized
  • Ongoing staff development and training provided
  • Well-equipped and maintained facilities
  • Usually HR compliant

Downside of working for a country club/master planned community:

  • Members may be more demanding and difficult to work with.
  • Limited growth potential

Some clubs are run by management companies, so do your homework as some management companies are great to work for, and some are very demanding

Corporate Fitness Centers

Corporate fitness centers are great places to work for getting management experience quickly. Major companies contract out with management companies that specialize in running corporate fitness centers. Some corporations may even run their own centers with in-house management and staff.

If you have a degree in the exercise sciences, have group exercise and personal training certifications and 1-2 years of experience, you would be a great candidate for a site manager in a corporate setting. You would manage a small staff of part-timers and you would be doing it all; from scheduling staff to teaching classes and everything in between.

Benefits of working for a corporate fitness center:

  • Gain management experience
  • Diversity in responsibilities
  • Many corporate fitness facilities are Monday-Friday, with no late nights, and/or weekends
  • Excellent healthcare may be available though the company or management company
  • May have growth potential if you are with a good management company

Downside of working for a corporate fitness facility:

  • Salaries may be lower
  • May be busy with limited staff, or really slow with not a lot of activity
  • You wear a lot of hats that sometimes can become overwhelming

Hotels/Resorts/Cruise Ships

Working in the hotel/resort/cruise ship industry has its pluses and minuses. The work environment is typically a beautiful setting. There is a huge number of employees from all over the world, which creates a fun environment. Compensation will vary tremendously with the cruise lines paying the least and expecting the most, regarding the number of hours you work.

Benefits of working for Hotels/Resorts/Cruise Ships

  • Excellent healthcare available though the company or management company
  • May have growth potential if you are with a good management company
  • Employee meals or substantial discounts on food and beverage
  • A lot of employees to meet and have fun with
  • Relocation possibilities to other locations Beautiful facilities/amenities

Staff development and customer service training

Downside of working for Hotels/Resorts/Cruise Ships

  • May be busy with limited staff
  • Very high expectations to satisfy guests

Senior Living Centers

With the baby boomer population becoming the largest segment of the population, senior living facilities will be employing a variety of fitness and recreation staff for decades to come. There are large regional and national companies that manage facilities across the U.S.

The important thing to consider if considering working in this environment is do you like working with seniors? Have you had much interaction in your past with the aging population? Possibly with grandparents, neighbors, friends of the family or in previous jobs? If you think you are interested in working with seniors you may consider working part-time hours if available to test the waters.

A position in a senior facility may involve running fitness classes, managing group exercise/aquatic instructors and even planning a lot of fun activities and trips.

Benefits of working in senior living facilities:

  • Excellent healthcare available though the company or management company
  • May have growth potential if with a regional or national company
  • Employee meals available
  • Relocation possibilities to other locations
  • Staff development and customer service training
  • Downside of working for senior living facilities
  • Compensation may be mid-range
  • May be busy with limited staff
  • May require a lot of patience working with seniors

College/University Fitness and Recreation Facilities

Almost all colleges and universities have comprehensive fitness, aquatic and recreation facilities. There are numerous opportunities in this arena. While in college, you may have the opportunity to work part-time in a facility to get a feel for this environment.

Many of these facilities are managed by companies that specialize in running college/university recreation complexes.  Some schools manage their own facilities. It would be beneficial, to know in advance, who your employer is.

Benefits of working in College/University Fitness and Recreation Facilities:

Excellent healthcare and other benefits usually available through the company or management company

  • Compensation plans vary between management companies versus working directly for the educational institution
  • Fun environment to work in
  • A lot of perks
  • May have growth potential if with a regional or national company.
  • Relocation possibilities to other locations
  • Staff development and customer service training

Downside of working for College/University Fitness and Recreation Facilities:

  • Working for management companies may have lower compensation plans and high financial expectations

Ownership

Becoming an owner can be an exciting opportunity in any business, especially in the fitness industry. Most people who become owners have several years of experience in the industry. Others, who are passionate about fitness, become owners after having a successful career in another field.

There are several ways to go about owning a fitness facility:

  • Start one from the ground up
  • Buy an existing facility
  • Buy a club that has just closed
  • Become an equity partner in an open club
  • Buy a franchise

Your economic position will have a lot to do with which option to pursue. If you have years of experience, but don’t have cash reserves or financing options, then D may become your only option. These arrangements require a lot of due diligence on your part. I have known people who have become wealthy with this arrangement and others who have received nothing for their efforts.

Is a great option if you have had extensive experience with start-ups and grand openings of clubs? You must be properly capitalized to open a new club! Owning real estate also sweetens the payoff.

Buying an existing facility may work if you do your research. Is there a legitimate reason the club is for sale? How is the business performing financially? How are the demographics in the area? Is it a growth area or declining demographic? How old is the facility? Will it require a lot of maintenance dollars to maintain the club? Do your homework.

Buying a club that has just closed could be a great opportunity. Do your due diligence and negotiate the best deal possible with the landlord. Find out who owns the equipment! Landlords often need a club in the retail center they own to drive traffic to other retailers. So, you may be in a good position to negotiate. You also need to find out how dues are being billed, how many members have pre-paid and a host of other financial questions.

Buying a franchise can be a safe bet.

Really good franchises require a lot of money upfront. Franchises offer a successful track record and a plan to follow. Research the companies and watch out for a sales environment that is designed to garner “a yes” from everyone they speak to.

Some franchises require specific business skills and do a great job “Qualifying” prospects to see if you meet their qualifications. Other companies qualify you by making sure you have your check book with you. Do your homework.

Benefits of owning your own club:

  • Earning potential is almost greater than being an employee, but not always
  • Job security; if you are successful
  • You may have greater control over your schedule to watch your kids grow up
  • Build equity if you own the building
  • Building a business to sell or will to your family

Downside of owning your own club:

  • The buck stops with you
  • Employee hassles
  • Maintenance challenges
  • May not make any money for a while
  • Need to prepare for unexpected expenses
  • Change in market conditions/competition

Management Companies

There are management companies in a few of the above verticals:  health clubs, colleges/universities, corporate fitness centers and even medical fitness centers.

Really good management companies own and manage their own facilities as well as managing sites. Do your homework and really investigate/research the management company you are going to consider working for.

Benefits of working for Management Companies

  • Growth potential if the management company you are working for is proactively securing new contracts
  • Staff development opportunities from the management company
  • Opportunity to travel to different geographical areas

Excellent health insurance and benefits usually available

Downside of working for Management Companies:

  • Performance oriented
  • May not have job security if the management company loses the contract of the project you are working for

Introducing the new NCCPT Career Corner!

To see more of articles like this, and receive career tips, job opportunities and more, sign up for the NCCPT Newsletter at https://tinyurl.com/nccptnewsletter

One of the things that sets the NCCPT apart from other organizations is our focus on the business end of fitness. The science is important but equally important is ensuring our trainers have the resources to help them succeed. To help with everything from a job search and interview to asking for raise the NCCPT is proud to partner with Alan Cohen, President of fitnessjobs.com and a life time industry expert.

Article reprinted with permission from NCCPT. Written by Alan Cohen. Alan is a career expert in the health & fitness industry and founder of FitnessJobs.com. He can be reached by email at alan@fitnessjobs.com or by calling 800-259-4397.

Portrait of smiling women wearing pink for breast cancer in parkland

Breast Cancer Survivorship & the Fitness Trainer

Do you know any breast cancer survivors? What if you were told that exercise could help them get their lives back?  Would you want to learn more?

There are 3 million breast cancer survivors in the United States today. Survivorship is considered to be from the time that one is first diagnosed to many years later. Fitness professionals are uniquely positioned to help survivors regain control over their mind and body through a well thought out, systematic and progressive exercise program.

Survivorship

There are many women who live with metastatic disease. This is breast cancer that has spread to other organs and is the most serious diagnosis. Breast cancer survivors undergo different treatments depending on the stage of their breast cancer.

The stages are organized from 1-4 with stage 1 being the least serious and stage 4 being cancer that has spread to other organs. The treatments can include surgery, radiation, and systemic treatments. Systemic treatment affects the entire body and includes chemotherapy and biological and hormonal treatments. In addition, surgery to replace the breast is another option performed either at the time of surgery or later on.

In addition, the treatments can vary from one individual to another as there are many different treatment protocols which one can choose from in coordination with the medical team. Access to treatment facilities can be another factor in treatment options.

Unfortunately, breast cancer treatment can wreck havoc physically, cognitively, emotionally and spiritually.  Some of the challenges that survivors face are chemotherapy Induced peripheral neuropathy, fatigue (most common), osteoporosis, chemotherapy related cognitive dysfunction, pain, weight gain, cardio toxicity and decreased balance.

A medical fitness trainer can provide survivors with a safe well- balanced exercise program that supports healing from treatments, side effects, treatment precautions, and contraindications.


Naomi Aaronson MA OTR/L CHT, CPI, Certified Cancer Exercise Trainer, has been an occupational therapist for 20 years and a certified hand therapist for 10 years. Naomi was introduced to Pilates after two car accidents, and credits Pilates for restoring both her strength and spirit. She is a well known author and presenter who believes in the power of mind and body to foster healing.

Trainer helping senior woman exercising with a bosu balance

Strategies to Improve Your Balance and Stability

Challenges with balance and stability can happen to all of us as we get older, but is certainly more prevalent in our Parkinson’s community. Maintaining lower body strength in conjunction with balance is very important as it decreases one’s chances of falling. Balance is defines as the state of having your weight spread equally so you do not fall; stability is the quality or state of something that is not easily moved. In order to maintain balance and stability, we need to have our center of gravity over a strong base of support. If your center of gravity standing upright is the area of your belly button – then your feet are your base of support. Standing with both feet on the ground spread just past shoulder width offers a stronger base of support than standing on one leg or with your feet very close together.

There are many issues that can affect your ability to balance yourself while standing or walking. Trouble with vision, lack of lower body strength, poor posture, medications, low blood pressure, and inability to properly lift our feet are all contributors. So how can you better prepare yourself to stay strong on your feet?

Slow Rise: When standing up from a chair or rising out of bed – do so slowly and wait about 5 seconds before you begin to walk. This enables your body to adjust to the change of position.

Hands Free: Keep at least one hand free at all times while walking – carrying an object with both hands can interfere with your ability to balance.

Arm Swing: Attempt to swing both arms from front to back while walking – this also helps maintain an upright posture and reduces fatigue.

Walk Consciously: Always strive to consciously lift your feet off the ground while walking; a shuffling gait can cause one to trip.

Make a U-Turn: When trying to navigate a turn while walking, use a “U” technique of facing forward and making a wide turn as opposed to pivoting sharply.

Helping Aides: Don’t be intimidated by canes, walking sticks, walkers or grab bars. These helpful devices can keep you safe and prevent a fall.

Keep it Simple: Only do one thing at a time when you are on your feet. Using a phone, gazing around, or even drinking a beverage can be a distraction and affect your balance.

In addition to taking these steps to maintain your balance and stability – take precautions in your home to make it safe. Loose throw rugs, scurrying pets, wet bathtubs and slippery staircases can cause danger in your home and throw even the most strong and stable person off balance. Also, working with a fitness professional to strengthen your stomach and leg muscles will help keep you more stable and lessen your likelihood of falling if you were to lose your balance. A strong body is a more stable body!


Carisa Campanella, BA, AS, is an ACE Health Coach and ACSM Personal Trainer. She is the Program Manager at the Neuro Challenge Foundation for Parkinson’s. Neuro Challenge provides ongoing monthly support groups and educational programs, individualized care advising and community resource referrals to help empower people with Parkinson’s and their caregivers.

kettlebell-sneakers

For Optimal Workouts, Learn to RECOVER Like the Pros

Your body was built to move but to move effectively and efficiently, especially over the long haul, it needs to rest. At any given point in time a significant percentage of competitive athletes and even fitness buffs are over-trained. The “overtraining syndrome” is brought on by athletes falling into the ‘too much, too hard, too frequent and too little rest’ mode. Usually done to improve performance, but ultimately resulting in a point of diminishing returns- or gains actually turned to losses. Common symptoms can include all of some of the following: fatigue, irritability, muscle soreness, difficulty sleeping, elevated resting heart rate, decline in performance and even the onset of overuse injuries.

Exercise and the training associated with it, are a very powerful stimulus. Your body is challenged on multiple levels, from individual body parts to the system as a whole. For example, if you do a typical weight training session, each muscle that you work is stimulated and there is a local response in that muscle. There is also a cumulative metabolic cost to your entire system from that workout. This is true also of any vigorous workout including running, cycling and swimming. Local body parts are challenged as is the entire system. Your body needs to recover from both, and each has its own timetable.

To make gains – either muscle growth with weight training or cardiovascular with aerobic exercise – you need the exercise stimulus (ideally a near maximal effort) followed by adequate rest and recovery. It is on that rest stop where gains are actually made, as the body repairs itself, adapts, and you are taken to the next level. It should be clear why the mindset of “if a little is good, more is better” does not work here. It is also why smart successful professional and high performance athletes schedule recovery time as they would a workout, practice or a training session. It is critical to optimal performance. In fact, in recent years, we have made such tremendous gains in the areas of training and nutrition, that we may be reaching the point of maximum benefit for those variables. I believe that recovery is the next frontier in optimal training and achieving peak performance.

Also recovery doesn’t mean you need to be on the coach doing nothing. There are forms of “active rest” that can actually enhance and speed recovery. Take a walk or do a very light aerobic activity. Blood-flow to the nooks and crannies of the body enhances recovery and the repair process. Also, try yoga, get a massage, or hit the whirlpool. Water is a great medium for recovery, so hit the pool and try some light movements like treading water. But think twice before taking the ice plunge as recent research suggests that ice baths may delay or interfere with the recovery process. Drinking plenty of water and eating properly are also critical. The timing of your nutrition is also important, especially after a hard workout, as there is a golden 30-60 minute post-workout window where certain nutrients can make a recovery difference. Chocolate milk is one nearly perfect choice. And never underestimate the power of getting adequate shut-eye. The body repairs itself mentally and physically during sleep. I recently saw a funny but astute tweet (by Shower Thoughts @TheWeirdWorld) that said, “your bed is pretty much just a charger for your body.”

When it comes to the body’s adaptability and recovery response, the key is not pounding your body the same way everyday. Also follow the 10% rule-never increase your program (i.e. the amount of weight lifted or miles logged) more than 10% per week. This especially true when coming off an injury. Trying to make up for lost time courts disaster. Increasing the intensity, duration or frequency of your workouts too rapidly can interfere with your body’s amazing ability to adapt, resulting in overtraining, injury or both. Also there are new technologies like the Marc Pro device that can enhance muscle recovery and it is no surprise that so many professional and high level athletes are using it regularly. For those aging athletes and Master’s athletes, remember that the body does not recover as efficiently as we age, so you may need a little longer time to bounce back.

Remember what Lau Tzu said many years ago, “a bow that is stretched to its fullest capacity may certainly snap”. In your effort to constantly improve your fitness or specific sports skills you are probably at times pushing yourself to that very brink. Be aware of that predictable time of vulnerability for you, one that is usually remedied by a little R&R thrown into the mix.

So, for optimal gains, in the gym or on the field, learn to kick back at times. Give yourself a break – you will comeback even stronger.

Originally published on the Huffington Post. Reprinted with permission from Dr. DiNubile.


Nicholas DiNubile, MD is an Orthopedic Surgeon, Sports Medicine Doc, Team Physician & Best Selling Author. He is dedicated to keeping you healthy in body, mind & spirit. Follow him MD on Twitter: twitter.com/drnickUSA

Pregnant woman using exercise bike at the gym

Prenatal Exercise Program Design: Exercise Type

Choosing the type of exercise that is best tolerated during pregnancy depends on the following considerations:

  • Which activities the client enjoys or is skilled at performing
  • Whether the activity poses any risk to the mother or fetus
  • Is she is able to do the activity without being compromised by balance and center of gravity changes
  • Can the activity be easily modified as pregnancy progresses

Weight-bearing exercise such as walking, dancing, and running help maintain bone mass and some studies suggest they are more effective for keeping pregnancy weight gain within normal limits. As pregnancy progresses some women may not be able to continue weight-bearing exercise because of back or round ligament pain. If modifications such as wearing a belly support don’t relieve discomfort, switching to non-weight-bearing activities such as swimming, stationary biking, or other types of stationary exercise equipment is recommended.

Absolute and relative contraindicated activities for pregnant women are listed below. Pregnant women should always consult with their healthcare provider before taking part in any exercise program and assess the risk/benefit ratio whenever there is a question about the safety of any activity during pregnancy. Keep in mind that activities such as downhill skiing must be assessed for risks that are not controllable, such as the effect of high altitude on oxygen delivery to the fetus.

Contraindicated Activities for Pregnant Women

  • High-altitude sports
  • Water-skiing
  • Hockey
  • Gymnastics
  • Horseback riding
  • Absolute
  • Downhill skiing
  • Scuba diving

You can also view Catherine’s previous articles on exercise intensity and duration.

For more information on prenatal and postpartum exercise and our CE correspondence course, “Prenatal and Postpartum Exercise Design” please visit, www.ppfconsulting.com

Article reprinted from Catherine’s Maternal Fitness blog with permission.


Catherine Cram, MS, is the owner of Comprehensive Fitness Consulting, a company that provides pre- and postnatal fitness certifications and information to hospitals, health & wellness organizations and the military.