fitness – Page 18 – MedFitNetwork

Trainer helping senior woman exercising with a bosu balance

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

Jason Williams/15 December 2017/ All MFN blog/

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.

Walking Can Improve Fibromyalgia Symptoms

Joe Fleming/30 November 2017/ All MFN blog/

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”.

Glucometer, sport shoes, fresh apple and accessories for fitness

What You Need to Know about Exercise and Diabetes

Sheri Colberg, Ph.D./21 November 2017/ All MFN blog, Conditions/

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 old Sometimes, 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.
Over 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.

How Boxing Can Help You Be a Parkinson’s Fighter

Carisa Campanella/20 November 2017/ All MFN blog/

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.

Exercises That Can Help Prevent and Relieve Arthritis

Maurice D. Williams, MS/15 November 2017/ All MFN blog/

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.

Flexibility: 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.

Put Your Best Move on for Movember

Shira Litwack/13 November 2017/ All MFN blog/

The event men look forward to — and women don’t — the Movember Moustache.

Recover from Injuries Using Active Rest in the Pool

Debbie Booth/9 November 2017/ All MFN blog/

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 3^rd 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

Strategies to Improve Your Balance and Stability

Carisa Campanella/19 October 2017/ All MFN blog/

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!

For Optimal Workouts, Learn to RECOVER Like the Pros

Nicholas A. DiNubile, MD/18 October 2017/ All MFN blog/

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