Corporate Fitness and Active Aging

Acute and chronic pain is something almost everyone must deal with in their lifetime whether it is from an injury, overuse, or a degenerative condition such as arthritis. This consideration becomes much more common as exercisers move into the active aging portion of their fitness journey. Meditation in various forms has been shown to provide relief in both acute and chronic situations and in many cases may increase an exerciser’s overall pain tolerance. Techniques that correlate well with pain management are mindfulness meditation, body scans, visualization, guided meditation, and progressive muscle relaxation.

Mindfulness meditation popularized by John Cabot Zinn, PhD focuses on acknowledging the thoughts and emotions connected with pain cycles. Studies have shown that there are specific neural mechanisms at work during this type of meditation that provide analgesic benefits to the body while also triggering endorphins in the brain. Body scanning is another technique used by Zinn and others that incorporates the focus of the mind to scan the body for pain, tension, and discomfort. This technique is best done while lying comfortably on the floor or bed face up and can employ rhythmic breathing to match the pace of bodily scanning.

Guided meditations have been found to be useful in pain management with apps such as Calm and content driven websites like YouTube providing a multitude of options that range from simple spoken word to videos with intricate visuals and binaural beats audio to help reach a deeper state of relaxation and pain relief. A recent study revealed a 77% in pain reduction with the use of binaural beat technology versus the placebo. In addition, simple visualization is also an effective technique in reducing symptoms of pain, most specifically concentrating on the area in distress and focusing on healing and reduction of discomfort in the area.

Progressive relaxation is another option for pain reduction and utilizes breathwork and muscle contractions to ease pain symptoms. This technique can be performed sitting or lying down and involves beginning with the feet and lower legs being strongly contracted with an inhalation and relaxed during the exhalation. Moving all the way up the body, then back down with contractions/inhalations lasting about 5-10 seconds and the relaxation period being double the time or longer based on preference.

Starting out, a person could perform 5 minutes of meditation and slowly work up to 20 minutes a session. Also, throughout the day a ‘mini’ meditation of 30 seconds to a minute may be applied when acute pain flares up. In conclusion, different styles of meditation for self-management of pain are low risk options that are easily available and can also strengthen the mind-body connection while improving overall physical functionality.

Training elements from boxing have become very popular in the active aging segment of the population so it stands to reason that it would be a great training element to include in a senior living fitness program. The benefits when done correctly are immense and include improved balance, cardiovascular fitness, strength, agility as well as hand-eye coordination which translate very well to the functional demands of advancing age. Training methods should concentrate on balance, safety, (lots of water breaks and watch for overexertion,) and most of all….fun! Incorporating boxing into existing group fitness classes or implementing a low impact cardio kickboxing class is a great way to jazz up your group fitness calendar for residents and it is particularly beneficial for residents with Parkinson’s Disease.

Boxing teaches a can-do spirit and instills a level of resiliency that can help those facing difficult tasks, including coming back from injury or sickness. Even though the sport of boxing is an individual one, the camaraderie and community associated with the training is ideal for building social ties and the sense of accomplishing something difficult as a group. The saying that “it’s not how many times you get knocked down but how often you get up!” is universally understood and applicable to almost everyone. Not sure how to get started? Check out the suggested progression below!

• Shadowboxing in the mirror is the best way to begin a workout as it encompasses all the techniques involved in boxing training and gives one instant feedback on how they are progressing. Teaching certain combinations like jab, cross, hook and so forth will also engage the memory and will be entertaining to the class or individual as they try to follow along. Shadowboxing is also great to do first as it is a nice low-impact workout. 30 seconds on with a 30 second break then repeat.
• Next, work on a strength element like static squats and wall push-ups to allow for a recovery of the cardiovascular system. 30 seconds for the static squat/ 30 second break and 30 seconds of wall push-ups followed by a 30 second break.
• Hand/Eye coordination is next and can be done on a speedbag, double-end bag or even playing catch with a pickleball. 30 seconds on, 30 second break.
• After that, working with a heavy bag will develop strength and balance. Hand wraps and appropriate gloves should always be used with this type of work. Those looking for a softer impact can barely ‘tap’ the bag and focus more on the cardio/balance aspects. 30 seconds on, 30 seconds break.
• Mitt work is probably the most fun part of the class or training session and a chance for the boxers to show their stuff. Form a circle or line and have the boxers step in and out for 3 to 5 punch combinations. Make sure everyone has gloves on for this exercise or they can shadowbox in your direction, and you can pretend to be an opponent while keeping safe distance.

Variations of this circuit can be repeated and or modified to allow for different abilities. Finish with 5 minutes of stretching and plenty of water. Have fun and go get ‘em champ!

Considering whether there is opportunity to kick your group fitness calendar up a notch to reach more residents? Read more here…

Arthritis is an increasingly common condition that refers to 100 different types of diseases, affects all age groups and affects 1 in 4 adults, equating to 80 million people in the United States. The most common form seen is osteoarthritis or degenerative joint disease and we see these conditions impacting the lives of residents in the senior living communities we serve every day. Studies have shown that half of adults living with this condition do not believe anything can be done, but in fact there are many strategies that can be employed in daily living and in exercise that can provide a better quality of life for those affected.

Everything starts with your feet so investing in shoes with adequate cushioning and stabilization should be a top priority. Sneakers with extra cushioning should be your choice for most athletic activities, New Balance are great for different width selection and are very durable. Hoka provides excellent cushioning and a ‘rocker’ shaped sole for easier propulsion. Some trial and error is required to find a brand and style that will work best for each individual. Ensuring you are at your healthiest weight will also relieve stress on the joints and associated pain. Speaking of pain, use the 2-hour rule which is if a joint is still hurting from an activity after that duration of time it is a sign that you are most likely overexerting yourself. Next, learn how to move with efficiency and purpose using the best posture and techniques possible. That means reducing range of motion on movements that cause sharp pain and avoid exercises with heavy heel strikes like running or stairs. Low impact is always better, exercising in water, exploring yoga and tai chi and choosing an elliptical vs a treadmill are all savvy decisions.

Another important factor to note is exercising with joint replacements which have general and specific guidelines depending on the joint that was replaced. A general rule is to decrease the range of motion and speed of movement for all replacements as well as avoiding contact sports. Total hip replacements should avoid flexion greater than 90 degrees or 70 degrees with a history of dislocation and crossing the midline of the body in the front or back. Total knees should look out for rotational stress and begin with closed chain work such as a bicycle before progressing to open chain exercises with heel and toe strikes such as pickleball. Total shoulder replacements should avoid contact sports like basketball, heavy, repetitive lifting and chopping motions.

A rest day in between every bout of exercise is recommended with 3 days a week being a great goal for most exercisers. Respecting pain and prioritizing recovery are essential for adherence as well as adapting extra rest days when your body is calling for a long, less active weekend.

Finally, rest and relaxation are essential to managing arthritis with flexibility done at the end of sessions to ensure adequate blood flow in the areas being stretched. In addition, meditation and guided imagery are helpful in focusing on areas that are tense and can be relaxed through isometric contraction and relaxation such as Jacobson’s progressive technique.

As you can see, there are numerous considerations to improving or maintaining joint health and our qualified fitness staff in senior living communities across the US are developing customized exercise plans helping residents move more with less pain.