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fall-walking

Walking Can Improve Fibromyalgia Symptoms

Fibromyalgia is a chronic medical condition characterized by widespread pain that can sometimes include symptoms such as fatigue, memory problems, sleep disturbances and mood changes. It is believed that fibromyalgia affects the way your brain receives pain signals and causes pain sensations to be increased above normal levels. There is currently no cure for fibromyalgia and doctors are only able to try to treat the symptoms caused by fibromyalgia. Medications and lifestyle changes can help to improve the quality of life of those people affected by this condition. Walking is considered by many experts to be one of the best ways to manage many of the symptoms of fibromyalgia. Let’s start by taking a look at the symptoms of fibromyalgia and then discuss how walking can help.

Symptoms

Symptoms of fibromyalgia can include:

  • Chronic widespread pain
  • Tender points throughout the body
  • Chronic fatigue
  • Memory impairment
  • Sleep disturbances including insomnia
  • Tingling and swelling in the hands and feet
  • Frequent headaches and migraines
  • Stiffness upon rising
  • Anxiety and depression
  • Reproductive issues
  • Irritable bowel syndrome

As you can see above many of the symptoms that accompany fibromyalgia make it difficult for sufferers to have a desire to do any physical activity-even if it is just walking. However, experts agree that including some type of exercise in a patient’s treatment plan will be very useful in symptom management. When exercise is included with other treatments such as medication, physical therapy, dietary changes, and alternative therapies such as acupuncture and massage, there can be a significant improvement in the quality of life.

Starting your walking routine

Walking is considered to be one of the best low-intensity workouts for people with fibromyalgia. It is one of the easiest exercises for people to start with when trying to increase physical activity. Before starting any exercise program, you should talk to your doctor or physical therapist. They may be able to help you come up with an exercise plan that is tailored to your needs. A custom plan may help you be more successful at sticking to the program in the long term.

First, you will want to make sure that you have a good pair of shoes. They don’t have to be super expensive, just quality shoes that will protect your feet and joints while walking. A good pair of shoes will help prevent painful blisters and calluses. Consider where you will be doing most of your walking. Will you be hitting the pavement or walking on trails in the woods? There are different shoes for different surfaces, so make sure you pick the right one. You will want a shoe that has light to medium flexibility and good arch support. Try on several different shoes that fit your needs to see which one provides the best overall fit. Your feet may still be sore and swollen the first few times you go out, but you can always use ice packs for feet to help get relief.

One of the most important things to remember is to start off slow. If you haven’t been physically active for awhile because of your pain and other symptoms, it will be easy to overdo things and cause more pain than when you started. Don’t rush into anything. You can always increase your activity level as you become more comfortable. It’s probably best to start off with short walks of approximately 10 minutes, three times a week. You want to get your heart rate up, but don’t walk so quickly that you feel out of breath. The next week you can try increasing your time out to 15 minutes and go up 5 minutes each week for the first month. Starting in the second month you will want to keep walking for 30 minutes, but increase the frequency to five times a week. It may not seem like a lot of physical activity, but it does help you keep a routine, and you can always increase the duration or intensity of your walks later.

Benefits of walking

Walking has many benefits for fibromyalgia sufferers. It has been shown in recent research to have the same pain relieving benefits as non-opioid pain relievers in controlling pain. Getting regular physical exercise may take more time for pain relief to kick in, but it is much better for you than taking medication. Exercise helps increase the levels of serotonin in your brain which are decreased in fibromyalgia patients. Walking will also help loosen and condition your muscles which can improve ease of movement.

Cortisol is a hormone in your body that is released when your body feels as if it is being threatened. The chronic pain and stress that fibromyalgia sufferers undergo cause cortisol levels to rise which can help lead to a host of medical symptoms which are very similar to the symptoms associated with fibromyalgia. Regular physical exercise can help lower cortisol levels, which in turn may help you to lose weight. You may also notice that you are sleeping better once you get into a walking routine.

While walking will not cure your fibromyalgia it may help you in more ways then you can even imagine. The feeling of accomplishment that you will have will make you feel better about yourself. That alone is worth putting on your shoes and getting into the great outdoors.


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”.

phone

Why Mobile Health Apps FAIL

What went wrong? Dr. Steve Feyrer-Melk reacts to a mobile health app that failed to gain adoption in this recent trial


My heart stopped.

No way… Is this true? Is this even possible?

Have I missed something in my work? Is mobile health off base?

I read the title of the research paper again and again…

“Lack of Adoption of a Mobile App … Analysis of Staff and Patients in a Failed Randomized Trial.”

Oh my God… If this could apply to things I have worked on all these years this could really mean trouble.

I had to read on….

The authors did a great job setting the stage for this paper. “Thousands of mobile health (mHealth) apps … effectiveness of many apps remains unclear.”

Alright, this makes sense, but does this include the technology I am working on?

As I continued to read on I started to see where this was going. The authors summarized mHealth apps as having failed “to balance the system demands of the app with the needs, interests, or resources of the end users…”

…failure to balance the system demands of the app with the needs, interests, or resources of the end users can undermine consumers’ adoption of these technologies

Now that was it… a failure to focus on the end users… Whew! That’s the exact opposite of everything I have worked on during my 30 years in the health and prevention industry.

This research didn’t reject my work. It actually supports it!

After further analysis of the entire article and a focus on the methodology and results, it became increasingly clear that it was not mHealth that was the “failure”, but instead, this particular app and platform failed because it was a “poor fit between the app, end users, and the recruitment and treatment approaches…”

In other words, the biggest reason for the breakdown of this particular mHealth app and platform was because it was complex, and lacked effective implementation training.

As this all sunk in my heart jerked back into rhythm. My beliefs and philosophy intact, I felt vindicated.

You see, if you truly want to leverage the abilities of a health professional and help patients achieve optimal health and wellbeing, technology must be designed and implemented properly.

To accomplish this, you MUST find and integrate mHealth apps and platforms that are simple, efficient, impactful, and provide a truly positive experience from both the end-user and the medical professional.

Unfortunately, the absence of these key factors will always result in failure.

So as I sit here, still steadying my nerves from the shock of feeling like my life’s work was being derailed, I’m realizing again the absolute necessity of two of the core design principles I value most…

Simplicity isn’t optional.

You must remove every unnecessary complication to keep the patient engaged. In the word’s of the Nudge Design Principles, “Simplicity reduces choice while maximizing utility.”

Simplicity reduces choice while maximizing utility.

Empathy isn’t optional.

You must understand and build a solution starting first from the patient’s needs, with no ulterior motives. In the words of the Nudge Communication Principles we must always endeavor to “speak to each user where they are.”

Speak to each user where they are.

If you’re hoping to launch an effective program that incorporates mobile health technology, an engagement strategy isn’t optional.

Reprinted with permission from Dr. Steve Feyrer-Melk.


Steve Feyrer-Melk, MEd, PhD, is a powerful, passionate, and trusted authority in Lifestyle Medicine who is bringing an innovative, refreshing, and successful approach to proactive health care. Dr. Steve co-founded the Optimal Heart Attack & Stroke Prevention Center where he crafts and hones real-world programs for immediate impact. Dr. Steve also serves as the Chief Science Officer of Nudge, LLC, a lifestyle medical technology company.

Glucometer, sport shoes, fresh apple and accessories for fitness

What You Need to Know about Exercise and Diabetes

Do you have type 1 diabetes, type 2 diabetes, or prediabetes? Then you need to know that exercise is a cornerstone in the management of all of these conditions, and it can benefit your health in so many ways.

diabetes oldSometimes, being active can actually make it more challenging for you to manage your blood glucose (“blood sugar”) levels, unless you learn more about its effects. I have always known at some level that exercise generally did good things for my blood glucose, even before I had my first blood glucose meter (after going 18 years without access to one).  How could I tell without a blood glucose meter?

Being active always made me feel better, physically and emotionally, so much so that I earned a PhD in Exercise Physiology to understand why. You don’t need to go that far with your education, but there are some basics about being physically active with diabetes or prediabetes that you really need to know.

Here are some things that I know about exercise now that I wish someone had told me years ago.

#1: Exercise can help erase your blood glucose “mistakes”

  • Exercise acts kind of like an extra dose of insulin.
  • At rest, insulin is the main mechanism your body has to get glucose into muscle cells.
  • During exercise, glucose goes your muscles without needing any insulin (via muscle contractions)
  • Being regularly active makes your muscles more sensitive to insulin, so it takes less to have the same effect when you eat during or after exercise.
  • What better way to help erase a little overeating of carbs (or some insulin resistance) than a moderate dose of exercise to lower your blood glucose?

#2: Exercise doesn’t always make your blood glucose go down

  • It doesn’t always make your blood glucose come down, at least not right away.
  • During intense exercise, the excess glucose-raising hormones your body releases can raise your blood glucose.
  • Glucometer, sport shoes, fresh apple and accessories for fitnessOver a longer period of time (2-3 hours), it usually comes back down, but who wants to wait that long?
  • If you take insulin, you’ll need to take less than normal to correct a post-workout high or your blood glucose will likely be crashing low a few hours later.
  • A cool-down of less intense exercise (like walking) can help bring it back to normal, so do an easy, active cool-down after intense workouts or activities.

#3: Your muscles are critical to managing your blood glucose levels

  • Exercise also helps you build and retain your muscle mass.
  • Muscles are the main place you store carbs after you eat them—like a gas tank.
  • Exercising helps use up stored carbs, but can also increase the size of the tank.
  • When you eat carbs post-exercise, they can easily go into storage with a little insulin.
  • Being sedentary keeps the tank full and makes you resistant to insulin.
  • Aging alone can cause you to lose muscle mass over time, but you can combat it to a certain extent by recruiting all of your muscle fibers regularly.
  • Resistance training and/or high-intensity intervals build muscle more because they recruit the faster fibers that you don’t use when walking or doing easier activities.

#4: Exercise is the best medicine there is

  • Use exercise to control stress and to stave off depression—with no bad side-effects!
  • It’s a natural antioxidant—more effective and better than supplements!
  • Being regularly active prevents all sorts of cancers.
  • If you’re active, you’ll likely feel better and look younger than you are (as long as you don’t exercise too much).
  • You’ll be even less likely to catch a cold if you exercise moderately and regularly.
  • Standing more, taking extra steps, and fidgeting even help—be active all day long, and don’t forget your daily dose of the best medicine there is!

For other tips on exercise and more, visit www.diabetesmotion.com or www.shericolberg.com. You can also find some exercise programs geared towards people with diabetes by visiting Diabetes Motion Academy (www.DMAcademy.com).


Sheri R. Colberg, PhD, FACSM, is a Professor Emerita of Exercise Science at Old Dominion University and a former Adjunct Professor of Internal Medicine at Eastern Virginia Medical School. She is an internationally recognized authority on diabetes and exercise.

Boxing-Shadows

How Boxing Can Help You Be a Parkinson’s Fighter

Media coverage on the power of boxing to combat the symptoms of Parkinson’s disease has been a hot topic in the Parkinson’s community. Rock Steady Boxing, a national program that initiated Parkinson’s specific, non-contact boxing programs with certified coaches, has inspired local boxing gyms in our area to begin offering boxing training to our local community. So, is boxing your way to better health an option for you? More importantly, what are the benefits of this fun and energizing fitness trend?

Learning how to box and executing the six common punches – jab, straight right, left hook, right hook, left uppercut and right uppercut – is a powerful way to develop your skill-related fitness. Skill-related fitness includes agility, balance, power, speed, coordination and reaction time. All these components are of particular importance to someone with Parkinson’s who may be experiencing a decline in several of these areas. Shadow boxing (punching the hands of a trainer in front of you in a sequence) helps improve speed, coordination and reaction time. Taking lateral steps around a boxing ring helps reinforce balance and agility. Putting your body into a split stance to throw your punches helps to strengthen your lower body and make you more stable.

Another excellent advantage to boxing is it enhances your cognitive fitness. Many people with Parkinson’s experience some challenges with clarity of thought, memory, and ability to do certain tasks. Learning boxing punches in sequence and repeating them helps to create new neural pathways which help to strengthen your brain and your functionality. Being exposed to and learning this new activity also helps improve your cognitive abilities.

What may be the most important reason to take up boxing is the feeling of strength and empowerment you will feel as you literally “fight” this disease. Punching a boxing bag can help relieve stress, make you feel in control, and give you an incredibly productive outlet. Boxing is fun, it’s invigorating, and it’s energizing.

In order to participate safely, be sure to get your physician’s clearance before beginning a boxing or exercise program, and always adhere to the safety precautions outlined by your instructor.


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.

trampoline-jump

Rebounding and Lymphedema

Rebounding is a complete cellular exercise, stimulating the activity of the lymphatic system (a critical part of the immune system).  Rebounding 3-5 times per week at a minimum of 10-15 minutes at a time is highly beneficial.*  It is effective at a minimal bounce, using acceleration and deceleration, with each bounce, to open and close the one-way valves between the lymphatic system and the cells.  Lymphatic fluid surrounds all of the cells of the body.  While bounding toxins, poisons, and metabolic waste are pulled out of the cells into the lymph fluid, while oxygen and nutrients (transferred previously at the capillaries, from the blood) are pulled in the cells from the lymph fluid.  Within the lymph system are lymphocytes, for example- white blood cells, which consume metabolic waste, bacteria, and dead cells. Rebounding keeps the lymph system moving and unplugged, so lymphocytes have free reign to do their job.  More importantly, bounding does this without stressing the hips, knees, or ankles, or creating shin-splints.  It can be done on a daily basis or multiple times per day without creating overuse injury.

What is the Lymph System and how does it help me?

The lymphatic system acts as a secondary circulatory system, except that it collaborates with white blood cells in lymph nodes to protect the body from being infected by cancer cells, fungi, viruses or bacteria.

The lymphatic system is a system of thin tubes that runs throughout the body. These tubes are called ‘lymph vessels’.

Unlike the circulatory system, the lymphatic system is not closed and has no central pump. It is not under pressure and only moves because of exercise or muscle contraction.

When the lymphatic system is congested, the cells become deprived of oxygen, affecting the body’s ability to rid itself of its own waste material. Over time, other body systems that rely on the lymphatic

It takes only two minutes of rebounding to flush the entire lymphatic system, while cleansing and strengthening cells and lymph nodes. A further benefit to the body is that during this brief time span the white blood cells of the immune system triple in number and remain elevated for an hour. These specialized cells play a major role in the body’s defense against illness and disease.

At this point another two-minute rebound session would increase the demand for white blood cells as the process of cleansing, strengthening, and the flushing away of spent cells and other cancerous debris is repeated.

When beginning a program of regular rebounding it’s best to gradually increase time and intensity as the body – including bones and internal organs – adjusts to the increased gravitational load and becomes stronger.

12 Reasons to Jump for your Health & Fitness

  1. Rebounding provides an increased G-force (gravitational load), which strengthens the musculoskeletal systems.
  2. Rebounding aids lymphatic circulation by stimulating the millions of one-way valves in the lymphatic system. Your lymphatic system acts as your body’s internal vacuum cleaner.
  3. Rebounding circulates more oxygen to the tissues- and where the is oxygen there cannot be disease.
  4. Rebounding establishes a better equilibrium between the oxygen required by the tissues and the oxygen made available.
  5. Rebounding increases capacity for respiration
  6. Rebounding increases the functional activity of the red bone marrow in the production of red blood cells.
  7. Rebounding improves resting metabolic rate so that more calories are burned for hours after exercise.
  8. Rebounding improves circulation. It encourages collateral circulation (the formation of new branch blood vessels that distribute blood to the heart) by increasing the capillary count in the muscles and decreasing the distance between the capillaries and the target cells.
  9. Rebounding strengthens the heart and other muscles in the body so that they work more efficiently.
  10. Rebounding improves coordination between the proprioceptors in the joints, the transmission of nerve impulses to and from the brain, transmission of nerve impulses and responsiveness of the muscle fibers.
  11. Rebounding improves the brain’s responsiveness to the vestibular apparatus within the inner ear, thus improving balance.
  12. Rebounding for longer than 20 minutes at a moderate intensity increases the mitochondria count within the muscle cells, essential for endurance.
  13. As our planet has become dangerously congested with debris so does our body. We are neither helpless nor hopeless in this dire state; we can also take measures to reduce, eliminate and cleanse toxins from the blood, tissues and organs of our bodies. One of several effective methods of detoxification is through lymphatic cleansing.

Among the various functions of the lymphatic system is its ability to carry waste away from the cells and bloodstream to the body’s organs of elimination. The system consists of veins and capillaries, with one-way valves, that contain a clear fluid called lymph. This fluid also surrounds cells throughout the body and collects cellular debris before draining it into the lymphatic system. Lymph carries the waste on a one-way path toward the heart and passes through many filters (lymph nodes) where special white blood cells attack and eliminate foreign molecules.

Once the lymph fluid approaches the heart it is returned to circulation and makes its way for further cleansing of toxins by the liver and kidneys. The lymphatic vessels are not connected to the blood circulatory system, and unlike blood which is pumped by the heart, lymph fluid relies on bodily movement and exercise to drive it through the lymphatic system. Forceful flushing of the system cleanses lymph nodes, contributes to healthy, clear lymph fluid, and boosts the immune system. Stagnant, slow-moving and thick lymph fluid is due to a lethargic, toxic body and weakened immune system.

When the lymph fluid remains sluggish the lymph nodes become clogged and lose their filtering ability. Without routine flushing of the lymph, debris becomes trapped in the body, creating a toxic overload and contributing to the onset of disease.

It takes only two minutes of rebounding to flush the entire lymphatic system, while cleansing and strengthening cells and lymph nodes. A further benefit to the body is that during this brief time span the white blood cells of the immune system triple in number and remain elevated for an hour. These specialized cells play a major role in the body’s defense against illness and disease.

At this point another two-minute rebound session would increase the demand for white blood cells as the process of cleansing, strengthening, and the flushing away of spent cells and other cancerous debris is repeated.. Therapeutic rebounding has been shown to reduce cancerous tumors and improve or heal a host of other ailments (3).

When beginning a program of regular rebounding it’s best to gradually increase time and intensity as the body – including bones and internal organs – adjusts to the increased gravitational load and becomes stronger.


Doreen Puglisi, MS is the Founder and Executive Director of Pink Ribbon Program. The Pink Ribbon program works to give every woman the ability to regain a sense of well-being that had been lost from diagnosis through surgery into recovery.

References:

  • Brooks, Linda: Rebounding and Your Immune System. Urbana, OH: Vitally Yours Press, 29; 33-46, 2003
  • Brooks, Linda: Cancer – A Simple Approach. Urbana, OH: Vitally Yours Press, 33-6, 2002
  • Brooks, Linda: Rebounding to Better Health. Sixth Printing, KE Publishing, 51-2; 39-56; 71-6, 2006
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.