Showing posts with label exercise. Show all posts
Showing posts with label exercise. Show all posts

Wednesday, 24 November 2021

November is Falls Prevention Month

Could a fall change your lifestyle?

Every year, many older adults fall. After a fall, many people are unable to live the way they want. They may lose their independence or live in fear of falling again. Falls are not a natural part of getting older. Here are some at-home exercises that will help:

Falls Prevention Workout 1 Seated

Falls Prevention Workout 2

Stand Up To Falls Week 1

Stand Up To Falls Week 2

Stand Up To Falls Week 3

Stand Up To Falls Week 4

Stand Up To Falls Supplementary Exercises

For more support, please visit www.findingbalancealberta.ca or ask your family doctor for a referral to see the Exercise Specialist at the Leduc Beaumont Devon Primary Care Network. 


Tuesday, 23 November 2021

National Kinesiology Week

 



The Exercise Specialist (kinesiologist) at the Leduc Beaumont Devon Primary Care Network can help you with cardiorespiratory health, cognitive capacities including mental health, ergonomics, functional abilities, weight gain and obesity, and safe return to sport. To access their services, ask your family doctor for a referral. 

https://lbdpcn.com/programs-2/team-based-care-program/

Monday, 15 November 2021

November is Diabetes Awareness Month

Diabetes and the Effectiveness of Regular Physical Activity



Regular physical activity is very beneficial to those living with diabetes. The short-term benefits of increasing physical activity are: 
  • Lowers your blood glucose within one hour.
  • Increases your energy and strength during the day
  • Decreases stress, anxiety and fatigue
  • Improves relaxation and sleep
  • Improves overall well being    

The long-term benefits if activity is sustained: 
  •  Improved blood glucose (sugar) control
  •  Helps with maintaining weight management when healthy eating is involved.
  •  Lowered blood pressure
  •  Stronger bones and muscles
  •  Lower risk of diabetes complications such as eye, heart, and kidney disease
  •  Improved quality of life

One of the most effective aerobic activities with the lowest dropout rate is walking. It can be as simple as going for a brisk walk in your neighbourhood. Here is a sample walking program for your use.                                                                                                
Both aerobic and resistance exercises are important when it comes to decreasing the risk of developing or advancing Type 2 Diabetes as both help to improve the body’s insulin sensitivity. 

Make sure to interrupt sitting at least every 30 minutes by getting up and walking, standing or stretching.

High Intensity Interval Training (HIIT) is a very effective form of exercise at a higher intensity for shorter durations, as an option for those who are able to tolerate it. 

Tracking your activity/steps throughout the day is another way of monitoring the amount of time you are active and for some, it is a strategy for reducing sitting time by staying accountable.

Canadian Diabetes Association information: 
  • Low physical fitness is as strong a risk factor for mortality as smoking.
  • Higher levels of physical activity and fitness level is one of the strongest predictors of all-cause mortality in people with diabetes.
  • Physical activity can be as powerful as glucose-lowering medication… with fewer side effects.
  • Regular physical activity, in conjunction with healthy eating and weight control, can reduce type 2 diabetes incidence by 60 percent.

     If you require help with getting started on an exercise or physical activity plan, ask your family doctor for a referral to the Exercise Specialist at the Leduc Beaumont Devon Primary Care Network.

Tuesday, 9 February 2021

From daily pain to daily gain – how accessing the right care changed a life

From daily pain to daily gain – how accessing the right care changed a life

 

Lynn had been dealing with discomfort in her legs and feet for several years and, like many, chalked it up to the joys of ageing. She became used to not sleeping because of the pain running down her legs and feet at night and feeling miserable all day from the pain. As the intensity of the pain grew, it affected every aspect of her life. She stopped doing activities she once enjoyed because the pain was too much. It wasn’t an excuse for not exercising; it was a definite reason not to remain physically active. Like many, she felt like rest would help, when in fact, it did the opposite. “The more I did nothing, the worse the pain was,” remembers Lynn. She was quick to add that doing nothing was the worse thing she could have done.

Lynn lived with this hardship much longer than she needed to. She didn’t want to sit around any longer, watching the pain take over her life. Hoping for relief, she went to a massage therapist. The massage therapist suggested a chiropractor instead. Lynn found herself at the chiropractor’s office three times a week and felt even sorer after each visit. X-rays showed arthritis had set in. She tried the fixes she knew about first, but massage and chiro were not helping. Lynn eventually talked to her family doctor, who recognized the type of support Lynn needed and recommended she see Adrien, the exercise specialist at the Leduc Beaumont Devon Primary Care Network (PCN).

Even though the doctor’s referral was sent to the PCN when COVID-19 first appeared in Alberta, and we faced our first period of business shutdowns and self-quarantine, Lynn was able to see the PCN exercise specialist right away and in-person at the PCN office. Lynn was put through a complete exam of her back, hips, posture, and gait analysis, given coordination and balance tests, as well as manual muscle testing for her lower body. Adrien determined that Lynn’s symptoms were valid, and she was suffering a high level of pain, considering the severity of her symptoms. Following the assessment, Adrien provided Lynn with specific exercises known as the McGill Big 3 for core strengthening and online workout videos, specifically certain ones Adrien has posted on the LBD PCN YouTube channel.

Adrien provided Lynn with the tools she needed to start on the path back to health. Adrien prescribed exercise, and, in Lynn’s words, even though she doesn’t like being told what to do sometimes, she took Adrien’s advice and got to work. Lynn committed to exercising every day, and after only about 6 weeks, she is thrilled to say that the constant pain is gone. If she tweaks something or moves too quickly the wrong way, she can feel it still there, but the daily pain is no longer. Lynn only had to see Adrien at the PCN twice; that’s all it took for Lynn to understand what she needed to do.

Both Lynn and Adrien are happy with her progress and agree that she doesn’t need to continue coming to the PCN, “I’m done with him,” Lynn laughs, referring to Adrien and his expert advice and support. She was prepared with the knowledge and tools Adrien provided, including teaching Lynn to be accountable to herself. “Sometimes things go sideways in life, and we need someone to tell us what to do to get back on track,” Adrien assured Lynn that if she ever needs help again, the PCN door is always open.

Lynn is grateful that her family doctor referred her to see Adrien at the PCN and thrilled he could help her out of a life of pain and misery. “Adrien gave me the tools and a plan for managing my pain. My gains are achieved through exercise and sticking to it. I am grateful for his inspiration and knowledge and will take them forward with me as I continue to grow stronger.”

If you would like to access the Exercise Specialist’s services at the Leduc Beaumont Devon Primary Care Network, please talk to your family doctor, and ask for a referral.

Monday, 25 January 2021

Consistancy in exercise is key - but how do we get there?

Motivation Monday! Today our Exercise Specialist provides pointers and tips on how to succeed with your healthy living and activity goals by building momentum. Consistency is key! Click the image below to check it out.

Subscribe to our YouTube Channel to receive Adrien's updates!

Thursday, 21 January 2021

Out with RICE, in with PEACE & LOVE: An updated guide to soft tissue injury recovery & rehab

Out with RICE, in with PEACE & LOVE: An updated guide to soft tissue injury recovery & rehab 

 For the last few decades, a common basic recovery method for most basic soft tissue injuries like an ankle sprain for example was RICE - Rest, Ice, Compression, & Elevation. On the surface this acronym makes sense overall and has been used from anyone from athletes, therapists, to standard population to help recover from injuries. The idea of resting an injury is sound, icing the area reduces pain and swelling which people often associate with recovery (this will be discussed/debated further later), compression to reduce swelling, and elevation to allow gravity to help pull fluids out of the area. 


As a clinician myself, I have noticed that most patients have heard of RICE even if they do not know what the acronym means as it is very engrained in the injury/rehab community. Looking at how I treat patients, how I see other clinicians treating patients, and what I notice people recover from the best includes some parts of RICE, but often is greatly lacking overall. 


Recently I was reviewing my colleague’s treatment philosophies and I started to notice the acronym PEACE & LOVE.  After further research I noticed this acronym has been showing up more and more in the rehab communitycompletely replaces RICE and aligned perfectly with my view of injury recovery for patients. 


PEACE & LOVE stands for:  


Protection 

Elevation  

Avoid anti-inflammatories 

Compression 

Education 

Load 

Optimism 

Vascularization 

Exercise 


I will break these down and share my thoughts on this protocol for injury management in general. I have also made a video going over this on the Leduc Beaumont Devon YouTube channel that can be reviewed, here.

 

ProtectionProtection is indicated during the initial onset of injury to reduce potential risk of further injuries occurring in the immediate future. This can include casts, tensor wraps, avoiding contact, etc. Protecting an affected area in the initial stages of recovery for something like a sprained ankle is extremely important. 


Elevation: This one aligns with the RICE concept. Elevating an injured area immediately post-accident/injury will allow gravity to help pull fluids out of the area, reduce swelling, and potentially slightly help with pain management. 


Avoid anti-inflammatories: As with any medication we always recommend discussing with your physician, and anti-inflammatories have their place for some people with certain conditions. Though these medications dhelp to reduce inflammation (in some situations) and may reduce pain, (also in some situations) there is a growing body of research indicating that they delay and or slow down tissue healing; current research is showing that icing an injury may have a similar effect on healing by slowing it downFun fact! There is a substantial amount of research which shows that anti-inflammatory medications stop muscle hypertrophy (growth) post work out via the inhibition of the mTor (mechanistic target of rapamycin) pathway. 


Compression: Another recommendation taken from RICE, compressing an injured area like a sprained ankle immediately post injury can help to reduce swelling, thus slightly helping with pain management, also providing some protection and rigidity to the area immediately post injury. 


Education: Educations is a very important and valuable tool for anyone recovering from an injury. If you have an injury, seeking assistance and education from a qualified health professional to help you understand what has happened, how to treat it, and what to expect, is incredibly important. This provides buy-in from the patient; when a patient is committed to their recovery the likelihood of a positive outcome is significantly higher. 


Load: Now we have moved onto the second word of the acronym (LOVE) and now we start to discuss the methods of recovery after the initial few days or week(s) following the event and the injury has stabilized. Using a sprained ankle for an example - initially you will use a crutch or something similar so there is no load (weight, pressure) on the joint. Once the joint is just able to weight beareven to a small extent, or perform basic exercises, it is very important to begin loading the joint as soon as the tissues can handle it with limited symptoms. The sooner you are able to load the area, the sooner the tissues in the area are able to be worked and develop. Often the worst part of an injury itself isn't the recovery process, it’s the weakness due to atrophy of not using the joint or area as soon as possible. In a personal view, I think that there is strong support that the sooner you are able to safely load the joint, the better likelihood of a positive recovery. Once again this is to be handled with a health care professional. 


Optimism: Being injured is difficult physically and mentally. But there is strong support showing that individuals with positive outlooks on their injures, their recovery process, and their goal orientation, have significantly better recovery outcomes, both short and long term. 


Vascularization: This is incredibly important at this stage of recovery due to increasing the blood flow into the area to help bring healing factors and increase recovery rates. One major reason certain joints do not recover faster is due to them having poor blood supply. Helping to keep more blood flowing in and out of the joint via using the joint in movements or exercises helps to pump and flush the joint. This will increase blood flow that brings in healing factors and then you flush out certain metabolites to aid in recovery. 


Exercise: The final letter is E for exercise, which is all encompassing of this stage in recovery. This includes the initial early stages of basic rehab, to more functional movements, and progressing back to full functionalityExercise needs to include load, progressions, and variation, and are the cornerstones to all recovery from injury and ties the whole acronym together. 


PEACE & LOVE. This acronym is far more in-depth and specific then the old RICE concept, is progressive in nature, and can follow you through the recovery process for the injury. For example, during the initial onset of injury, focus on the PEACE aspect of the acronym. As you progress in recovery, the LOVE aspect becomes the primary focus. Overall, I think this is a positive step to help people understand injury recovery and rehabilitation. Obviously, this will not cover all injuries in every situation, but as a general rule, and for a great deal of musculoskeletal injuries, this acronym can be helpful, and I hope it becomes a common vernacular in society and replaces RICE soon. PEACE & LOVE > RICE. 


Adrien DeGroot is the Exercise Specialist at the Leduc Beaumont Devon Primary Care Network. See how he, and other members of the Team-Based Care Program, can help you in your health journey.