Corporate Fitness and Active Aging

Today is #GivingTuesday, and for our NIFS family, we're celebrating NIFS 30th birthday by giving back in our communities. Several weeks ago, I challenged our team, which is spread throughout the country, to consider giving back in ways that were meaningful to them. I offered a few suggestions and then left it to them to come up with what what hit home personally. But I knew I couldn't leave it there; I knew I had to show them that I was in for this giving thing too.

So I thought about the ways I typically give, but none of those usual suspects really struck me.  I guess that's because they're my norm and part of my routine commitment to my community. 

That's when it hit me...FREE HUGS.

You don't know me, so let me say here for the record that I am not anti-hug.  I am however, a little hesitant on hugging strangers.  But before I could back out of my own idea to set up a free hug event, I told a colleague, and then I emailed the team to share that I would be giving free hugs for #GivingTuesday.

I just got back to my desk from that adventure. Despite trying to talk myself out of it twice this morning (I'm not kidding), I grabbed my "free hugs" sign (thank you, Kara Gootee-Robinson), and my coworker, Ashley Smith (and her camera!), and headed out to the IUPUI campus.

My stomach was in knots because I was so afraid that I would be rejected...that no one would want a hug.  Most of us fear rejection, right?  What if I was standing on that corner calling out for free hugs for #GivingTuesday and everyone just looked down at their phones, earbuds in, and tried to ignore the crazy lady on the corner?

Not only were my fears quickly erased as several good natured souls stepped up for their hug, when my time was up, I walked away feeling great about spreading a little love and goodwill.

For the full hug effect, watch this video.

While hugs are not how I typically give back in my community, it was a great reminder that it doesn't take a lot of time or money to put a smile on someone's face. We also don't have to wait around for the first Tuesday after Thanksgiving to see and respond to needs in the community.  We're all busy...too busy, and if we wait for the right time to start contributing, it will NEVER happen.  There is richness gained in giving to others, and all it takes is a willingness to put yourself out there. 

Many seniors fear cognitive decline more than any other disease associated with aging. The good news is that engaging in activities that support brain health and brain function can reduce seniors’ risk for cognitive decline and dementia. In fact, training your brain is kind of like training your body with regular exercise, and it can really complement your fitness programs with proper planning. Not sure where to start? Here are five steps to create a focus on brain training in your senior living  community.

• Do your homework – Learn as much as you can about cognitive health, dementia, and brain training. The Alzheimers Association website is a great resource, and a quick search on the AARP website yields lots of great information on brain health for seniors. There are also many wonderful books on these topics, such as Spark! by John Ratey. This book really does a good job of connecting the dots between exercise, physical health, and cognitive health.
• Involve the residents – Share the things that you’re learning with residents as you learn them. This can be as simple as teaching a quick fact about the brain at the beginning of exercise classes. Use this opportunity to let the residents know that you’re starting to look into bolstering your cognitive health programming in your community. Ask for their input early to help with your program design. Ask what they already do to train their brains, what kinds of mentally engaging things they enjoy doing, and what topics they would like to learn more about or take a class on.
• Evaluate your programs and make a plan – Take a look at the current activities that you offer in your community. Do you have many mentally challenging, educational, and social opportunities on your calendar? Are there ways you can enhance your current offerings to make them more engaging? Do you have opportunities for individual brain training (i.e. using the Dakim) as well as brain training in a group setting (i.e. brain fitness class)? Determine activities you can enhance or add to your calendar, and make a plan for these changes utilizing resident input from Step two. Also, brainstorm ways that you can include brain training in your group exercise classes. For example, during cardiovascular exercise, you could assign numbers to five different exercises, and cue the exercises using their assigned numbers instead of the exercise names. Then mix it up!
• Provide education – Hold lectures to educate residents on how the brain works and what they can do to strengthen their brains and reduce their risk for cognitive decline. Be sure to point out all the ways they can participate in brain training activities at your community and let them know what new activities and enhancements are coming their way. You might also want to hold a lecture on memory strategies (or just teach one strategy at a time at the end of your exercise classes). Don’t forget to promote your fitness programs as one of the easiest ways to get started with brain training!
• Launch your program – Launch your program soon after you hold the educational lectures – consider using a brain health fair or other fun activity to get started. Begin holding your newly planned activities and enhancements on a regular basis and make sure they stand out on your calendar. Then, use a fun challenge that includes incentives for participating in mentally engaging activities and exercise to tie it all together. Once the challenge ends, celebrate residents’ success and communicate with the residents that the new opportunities for brain training will continue even though the challenge has ended.

Editor's note:  Rachel did a fantastic job launching a "Mental Muscle" initiative for the residents in her community.  Download the impact report from the program to get a snapshot of how well the residents received the offering and how wellness program participation was affected.

Get in touch with us to find out more about how NIFS can support brain training and other programming for your residents.

These days it seems there is one new health or weight-loss diet out every week. My clients are constantly saying to me:

• “Is worth it?”
• “My friend lost a gazillion pounds on it, so it must work!”
• “I saw on TV how this diet cures diabetes.”
• “But Dr. Oz says…”

And before I knew better, I fell into the trap of these diets myself! Back then it was SlimFast and the Richard Simmons plans that were all the rage. Nowadays, we see the Fasting Diet plans, Paleo, Whole30, and Weight Watchers. And while I don’t think all of these plans are horrible or unsafe, I do believe that for the most part you should save your time and money if the diet does any of the following things.

Tells You to Follow Strict Meal Plans

Life is already complicated enough. Limiting food choices or following rigid meal plans can be an overwhelming, unrealistic feat. With any new diet, always ask yourself: "Can I eat this way for the rest of my life?" If the answer is no, the plan is not for you.

Promises Rapid Weight Loss

Slow, steady weight loss is more likely to last than dramatic weight changes. Healthy plans aim for a loss of no more than 1 to 2 pounds per week. If you lose weight quickly, you are 100% more likely to gain it back just as quickly.

Says to Consume Foods in Excess or Cut Them Out Completely

Ditch diets that allow unlimited quantities of any food, such as grapefruit and cabbage soup. It's boring to eat the same thing over and over and hard to stick with monotonous plans. Avoid any diet that eliminates or severely restricts entire food groups, such as carbohydrates. These aren’t necessary or realistic; you can lose weight without these nutrition extremes.

Requires Supplements Like Pills or Powders

Might as well take your money and just throw it in the trash. Not only are these supplements not necessary, they are not proven safe or effective. Ask a trusted professional and learn the consequences for yourself.

Conflicting claims, testimonials, and hype by so-called experts can confuse even the most informed consumers. The bottom line is this: If a fad diet or product sounds too good to be true, it is.

Unsure of where to start or what is right for you?  Grab our free download on the benefits of meeting with a nutrition coach, click below!

Resident wellness programs have been on the rise in senior living as consumers demand more robust and holistic options for living well. Despite the market's increasing infatuation with branding and labeling wellness in the community setting, I think the industry has a lot of room to continue to grow so that we're building programs, services, staffing, and amenities in a way to facilitate residents' desires to live well. Following are some common pitfalls that result in dated or stunted wellness programs, along with ideas for how to evolve past those sticking points.

Your exercise program is not the same thing as your wellness program.

In the consulting work I do, it is so common for communities to point to their exercise classes as the primary example of how they are offering their residents a wellness program. And while I would agree completely that the exercise program is a key to a successful wellness strategy, it's not the only element; and for some communities, it may not even be primary.

You absolutely want the exercise program to serve many of your residents, but it's important to acknowledge that not all of your seniors will participate. The class offerings, individual services, exercise equipment, and related amenities need to be diverse and well communicated. There should also be effective resident outreach to consistently draw in new participants.

Even when communities are executing well with their program, there is often room for improvement within the exercise offerings. Class formats and descriptions can be reviewed, and fitness center services like exercise prescriptions and fitness testing should be evaluated. Even taking a closer look at replacing small, worn-down equipment can offer subtle but positive upgrades to your program.

[Related Content: Four Tips for Improving your Resident Exercise Program]

A full activities calendar is the wrong goal for your wellness program.

I think sometimes folks in the activity director role find themselves in the position of order taking—you’re catering to the vocal minority. And who can fault you for wanting to make your constituents happy? But there are traps and pitfalls for your resident wellness program if your activities and events are built from an order-taking model.

Sometimes one of the challenges with the philosophy on how events and programs are placed on the schedule is actually cultural in the organization. We set the wrong benchmarks for evaluating effectiveness in activities. We focus on how full the calendar is, or leadership communicates that the goal of the activities staff is to make sure the residents are busy, that they have something to do, that we’re making their days pleasant and full.

But if you stepped back and looked objectively at the unique elements on your last six months of activities calendars, is there anything on there that would interest you? Is there anything on those calendars that, if you were new in the environment and were looking to try to make friends, you might venture out of your apartment to attend?

When you do program planning from residents' limitations, you limit your program.

It's easy to get into a rut in senior living where you start to see more limitations from your residents than potential, and when we get trained on what seniors can't do, we unintentionally build programs around those perceived barriers.

We tell ourselves a story about the residents; we say they’re frail, they’re limited, they don’t like to leave the community, they don’t like change. We say we tried that program and the residents won’t do it.

While you may have some residents who are frail, limited, unlikely to try new things, fearful, or begrudging of change, you also have residents who can be described with a whole host of other adjectives like adventurous, bright, eager, optimistic, friendly, kind, enthusiastic, loyal, and patient.

Evolving your activities and exercise programs may require a full-scale change in how you view your residents' desires, passions, and abilities. Stripping old assumptions is never easy, but it could be the first step toward building a better wellness program for the community.

I talked with a lot of folks at the 2017 LeadingAge Expo last week about how they can make the most out of their senior living community fitness center. In case you and I didn't connect at that event, here are 3 tips on how to make the most out of your community fitness center programs.

Start with the staff

Upgrading what you're offering in your fitness program is a great way to stand out from the competition (if you do it well), but offering a trainer a few hours per week likely isn't enough to truly draw residents into the fitness program. 

If you have no staff - start there. Let's talk about how you can start providing expert staff in a cost effective manner with the greatest impact for your community.

If you have staff - evaluate how effective they are for your residents. There's a nuance here that's worth mentioning: how well-liked the staff are is not the same thing as how effective they are. Your residents deserve both an affable fitness team and effective, fun, engaging programs and services. So when you're thinking about how well your fitness staff are performing, start by addressing how well-received they are, but don't stop there. Ask how they spend their time in service to the residents and how are they measuring the success of the community fitness program. For example, are they providing services, like exercise prescriptions, equipment orientations, and assessments that help residents understand how to exercise safely while working positively toward their goals? Do you have data on how those services are used? 

[Read More: How NIFS managers spend their time in senior living fitness centers]

Consider the programming

Fitness programming in the community goes well beyond fee-based personal training and group fitness classes.  Many communities do robust programming exceptionally well.  If your struggling with ideas, here are a few blogs that spotlight NIFS work with our clients in this area:

• Senior living community has a blast raising money for Alzheimer's Disease
• Using the fitness freeze to keep visit numbers up
• How we engage residents in fitness programs

As a leader in the community, you should be getting data about how effective the programming is, how many residents are participating, and what the fitness staff will do differently next time to achieve their goals.  If you aren't getting that kind of information from your program, it might be time to look at ways you can improve your program. 

Seek opportunities to improve

I talked with a number of community leaders who noted that they have fantastic staff in their fitness center and were thus certain that we wouldn't have services that would benefit their community. The truth is, there are always ways to do better; what we're really talking about here is whether there's an appetite to pursue improvement. 

If you don't want to turnover staff, but you recognize your fitness team is only as good as the silo they're in, consider bringing in a consultant to evaluate the programming. There are most likely areas where your program could improve. Bringing in a consultant with an extensive background in the field and blissful ignorance about your services is a great way to uncover those opportunities that aren't apparent to those who are working in that environment.  

This week more than 7,000 professionals working in senior housing and related businesses converged in New Orleans, LA, to share their passions, learn from each other, and return back to their communities inspired to continue doing great work for the older adults they serve. I was honored to be at the LeadingAge annual meeting both as an attendee and as an exhibitor.

Typically when I go to a conference, I learn in two categories:

• There's the "duh-why didn't I think of that...it's brilliant" way where I'm usually listening intently in a session, scribbling copious notes and the speaker says something that resonates deeply for me.
• And there's the "thinking about it later" way that usually comes up when I'm reflecting on the day, on the people I met, and the conversations I had.

Below are a few of my takeaways that, not surprisingly, fall into both of those categories.

#1: Status quo does not equal thriving

My first session of the conference was "Nature Meets Nurture: Designing a WELL Building". The content of the presentation was interesting; I had read some about the WELL Building Standard, and the session helped me get a better understanding of how the standard applies at a more practical level. What struck me during this session was when one of the speakers categorized the Standard as moving forward, moving beyond the status quo.

I realized that's true of so much work being done in senior living. Status quo is not the same thing as thriving. Moving forward, doing better, trying new things is not equal to doing what we've always done. Of course, this isn't just true for how we build communities; it's true in the areas where NIFS works as well, including building and executing on a life enrichment or fitness program strategy, and I have already started looking with fresh eyes at how we can help communities move past their status quo to build thriving living environments for their residents.

[Read More: 5 ways wellness consulting helps meet the mission of your community]

#2: There is no single solution

There is no one-size-fits-all solution that works in every community and the volume of providers stationed through the exhibit hall is proof. Even in our work with a family of communities all united under the same brand, our delivery of services is unique per location because the resident and client desires drive the strategy. The LeadingAge expo was a great reminder that communities deserve creative and flexible partners who are willing to adjust their models to meet unique needs.

The flip side of the creative partner coin is the open-minded senior living community.  If you strolled the expo thinking (or saying) you don't need X product/service because you already have it covered, see #1 above.  Maybe rethink that "we already do that notion" and give a second look to the information you gathered form the expo before you put it in the recycling bin.  There just might be a nugget in there to help your community make a move toward thriving.

 #3: Resident engagement is everyone's job

As I sat in the Redefining Resident Engagement session with Michelle Holleran and Tim Johnson, I was intrigued by the Holleran model for the four domains of engagement. (Grab the whitepaper here.) My early thoughts were all around how much the domains are the resonsibilty of a communitiy's life enrichment director.  [Full disclosure - that role is kind of a sweet spot for NIFS as we consult with and provide staffing solutions for communities in that role.]  However, the further we got into the session, the more I realized how deep the idea of engagement really runs. 

There are lots of ways to improve traditional activities in communities, and many of those opportunities rest squarely with your Life Enrichment staff doing their jobs differently.  Yet, beyond the prominent role your Life Enrichment department plays in facilitating opportunities for resident engagement, it is the entire community supporting those opportunities, connecting with residents, and communicating with each that is the foundation for engagement.  Residents also have to be present at a fundamental level.  We should not be simply filling an activities calendar and calling it done.  For strong engagement, we have to invite residents into their own life story and then step back to allow them to live it.  

If you attended the 2017 LeadingAge Annual Meeting and Expo, I'd love to hear your key take aways in the comments below.

Don’t let your corporate wellness program be the last thing you consider for next year.   If you leave it on the back burner, your big ideas could be unsuccessful if not thoroughly planned.  Start now, pull your team together, get out for a walking meeting and start forward thinking.

Evaluate the past year – think about the past 12 months, where are the natural ebbs and flows in participation in comparison to the work load of your employees?  Most individuals gear up with big expectations for a healthier lifestyle in January, so make note because you have their attention!  You may find that summer months slow down, people are vacationing, have family activities, or other barriers to participation.  Knowing and having an awareness of the increases and decreases throughout the year will help you pin point where you should focus, or try something new to spike engagement and increase participation. 

What worked best – knowing your audience is key; how well do you know your employees and what motivates them to participate in wellness based offerings?  Our corporate fitness staff build programs based on the needs and key motivators for their members.  If you have a workforce that thrives on competition, create a program for departments to come together and encourage each other.  Maybe your industry can be stressful at certain points in the year; offer stretch breaks, meditation moments, or activity centers that give employees a place to step away from their desk and re-energize.  Not everything about your program needs to be fitness based, evolve your program!

Map it out – grab a calendar and start planning.  When you looked back on the past year, what were those key points in the year for participation?  Mark your calendar.  By forward thinking and planning for the year you know what is up and coming and can use that to your advantage.  As one program is wrapping up its final week or days, you can start promoting the next program while you still have a captive audience.  In those down months where participation was low, use those best practices where you’ve seen great success and modify it into a new program idea.  Use what works for your employees to keep them engaged throughout the year. 

Plan to evaluate – if you don’t already, evaluate your programs.  When planning a specific program, what is it you want to achieve?  Set SMART goals and assess how you are going to get your employees to be successful.  By knowing what you are trying to measure, or have employees achieve throughout the program will give you specific data points to collect to measure your success.  Consider working to increase visits to your onsite fitness center, or have employees be more cautious of their blood pressure and taking steps to maintain healthy numbers.  By making the goals SMART, you will have a measurable goal to strive for.

A successful program doesn’t always meet every goal set. Always consider what did or didn’t work and how you can improve next time.  Make notes to refer to when planning your next big program.  Keep in mind when employees feel supported by their management team to participate, they are more likely to succeed.  Have your key leaders behind your overall initiative and allow them to encourage employees to live and be healthier.

Click below to get our 5 Tips for Maximizing Employee Engagement.

If you believe it's time to offer more to current residents and prospects through your exercise program, but you're not quite sure what that "more" entails or how to get there, outsourcing might make a lot of sense for your community.

Outsourcing isn't just for therapy

The primary benefit to looking at a partner for management of any area of your community is the value of the depth and breadth of the firm's experience. Communities don't think twice about outsourcing therapy but when it comes to taking a closer look at the reasons to outsource management of the fitness center and related programming, I sometimes get blank stares from leadership. And I can't explain it. Certainly, how we provide service, the nature of our contracts with our clients, and the credentials of the staff we provide for community fitness is different from therapy groups, but the overall concept is the same. If you want an expert-run fitness program, you have to work with the experts. 

I’ve had the opportunity to work with NIFS for many years with multiple communities and I can say without exception that they have taken the wellness program in our communities to a new level. They are the best in the industry at what they do, and I would not hesitate bringing them in to any senior housing community that I am affiliated with. Our communities are stronger with NIFS on their team.  ~Mick Feauto, COO, LifeSpire of Virginia

NIFS Math

NIFS staff in your community are backed by an our organization that is uniquely focused on the specific work of elevating your fitness program. We're regularly supporting continuing education for our team and we have a proven model for effectively sharing resources so our clients get far more than the one NIFS manager on the ground. We like to call it "NIFS math" where 1 + 1 = 3.

What to expect from your fitness program

You need your fitness center to be a hallmark, a standout for the community. For your current residents, it should be one of the most praised offerings both because the staff are well-loved and because they are effective at keeping residents engaged with new, consistent, well-done offerings. The fitness program should also be on the list of reasons prospective residents choose your community. But if the group fitness calendar and the personal training services look the same as all the competition, and if you don't have the necessary data to tell key stories about how resident's lives have been improved by participating, then you're missing out on an opportunity.

NIFS clients see a lot of value in their partnerships because they gain much more than "just a trainer" for their gym. Check out some of the services we provide that aren't common to most community fitness programs:

• Balance Redefined includes rich programming and services focused specifically on balance training and fall prevention; our Balance Redefined offerings were built from, and regularly evolve because of our experience with dozens of communities over the last 15 years.
• Key data points for the fitness program are regularly reported and smartly used to continuously improve what we're offering in each client setting. From tracking participation per resident to evaluating outcomes and goals on our programs, we are constantly checking in on and reporting our progress.
• Reaching residents in assisted living and memory care environments with quality fitness services can be a real challenge. Our staff provide that outreach through strong relationships with community lifestyle coordinators. Modified balance assessments, group classes, personal training, and hybrid health-related programming are all tailored for the unique needs of residents in those settings.

[Related Content: 4 Keys to Getting Data You Can Actually Use]

Find out how you can put NIFS math to work in your community. Contact us or stop by and see us at the LeadingAge Expo.  We'll be hanging out with our calculators doing NIFS math in booth #1261.

In my last post about our launch of Balance Redefined, I wrote about the importance of building a group fitness calendar that includes stand-alone balance classes. Now I want to address how your community can move beyond the classes on the calendar to build a wrap-around fall prevention program.

In truth, if you want to cultivate a robust balance program, you'll have to get more people than just your fitness center manager to the table. Here's how we make that happen for our clients:

[Related Content: How NIFS fitness managers spend their time]

• Partnerships: Therapy, home health and nursing staff are invited to observe a balance class to aid in resident referrals for those who could benefit. Many of the therapy teams we partner with will provide patients with a handout of exercises to continue upon discharge from their services with additional instructions to participate in the balance class. Our staff are involved in the discharge plan and participate in a hand off of a resident from their therapy regimen to a preventive program in the fitness center.
• Assessments: Using the Fullerton Advance Balance Test protocols in conjunction with the Senior Fitness Test, we assess how a resident’s vestibular, somatosensory, and/or visual senses impact their balance. Based on the results, we prescribe specific exercises to improve specific areas of weakness. We believe strongly that working with residents to identify the underlying cause of a balance deficiency opens the door to further educating and empowering the individual on a path to improved well-being both emotionally and physically.
• Education: Empowering residents through education and resources on fall prevention is key to improving confidence and helping residents identify the services best suited to their needs. NIFS offers an array of educational programs ranging from fall prevention lectures partnered with the therapy department, to seminars on coaching residents how to fall safely or get up from the ground, as well as signs/symptoms to look for with concussions and the long-term impact one can have on a senior’s stability.
• Balance Fairs: Think Health Fair with a creative twist to showcase everything balance and fall prevention related! This collaborative effort taps into internal and external partners to communicate services and resources for residents. Examples of vendors for the fair include an assistive device tune-up clinic from rehab, a balance assessments from the fitness staff, a "balance your plate" booth from dining services, a local podiatry practice educating on proper footwear, the community pharmacist speaking about medication side effects, internal clinic/health services offering blood pressure screenings, a local chiropractor providing posture checks, and more.

This may be a unique approach for your community, and if you don't have adequate fitness staff in place, it could seem like a heavy lift. If you need to rally your staff around the concept, forward on this blog to start the conversation, or download our quick read on the importance of balance training. With services ranging from fun balance circuits to balance sessions using the Wii Fit or Biodex Balance System to aquatic balance programs, prospects will quickly see how much more your community offers.

Based on the consulting work I've done with communities across the US, this is a comprehensive, prevention-based approach that helps our clients stand out from their competition. If you want to find out more about how to bring NIFS and Balance Redefined to your residents, connect with us.

Fall prevention. It's a big deal in senior living. When a resident falls, the costs can be significant for both the individual and the community. So it makes sense to have comprehensive programming that focuses on physical balance. And yet, whether we're consulting with a community or we've recently started managing their fitness program, it's really common to discover that even the most basic of opportunities to promote balance is missed when group fitness calendars lack dedicated balance classes.

The reality is that a comprehensive strategy to improve resident's balance involves so much more than a group fitness class on the calendar, and that’s why we take an approach that is both broad and deep to help decrease fall risk for residents in both independent and assisted living environments. But we have to begin at the beginning, and that means adding dedicated balance classes.

It's time to put dedicated balance classes on your calendar.

It's not enough to address balance training as a 20 minute segment in your strength class. Your Tai Chi class also isn't comprehensively handling your resident's need for improving their balance. The physiological mechanisms that have to work together to achieve optimal balance are complicated and they warrant their own dedicated class on the calendar. Without fail, when we've started with a new client and brought balance into the program in a more bold fashion, that specific class fills up quickly. A dedicated balance program provide substantial benefit to residents to help increase their confidence, and it allows your community to stand with your brand promise for an vibrant living backed with safety and security that is second to none.

[Related Content: How to Fall and Get Back Up Safely]

Essential elements of a successful balance class

In the last 15 years that we've been managing fitness centers in senior living communities, we've learned a lot about what works for the residents we're serving. Below are a few considerations as you look to enhance what you're offering.

• If your population supports it, offer different levels of balance class so that all participants can be continually challenged. You likely work with residents who represent a range of physical capabilities; despite those differences, they all benefit from balance training, so build classes that can help even the most daring participants feel like they've worked hard.
• Include elements of complex movement patterns where the core and lower body muscles are activated; add in brain fitness components that train participants to react both physically and mentally as they would in their everyday environment. Ideally, the classes should be designed with research-based movement patterns including the following:
• Standing or sitting on an unstable surface
• Keeping the eyes open or closed
• Tilting the head in different positions
• Turning the head or tossing a ball to respond to instructor commands
• Consider the small equipment you have and how you can use it differently or commit small amount of the budget to buying additional items that will enhance balance classes. Balance pads, BOSU trainers, and weighted balls are all good additions.

[Related Content: Is Your Senior Fitness Program Challenging Enough?]

It’s not your typical march in place, balance on one foot and perform 10 squats type of class! It’s dynamic and just as mentally stimulating as it is physically for participants. If your fitness instructors or group class instructors aren't sure how to pull together a full class focused on balance, connect with us to find if consulting might benefit your exercise program.