Corporate Fitness and Active Aging

If you work in fitness, you know that for some members, the only way to engage them in regular exercise is through a group class setting.  Some people love the energy of a group effort, others like that they can blend in, and still other participants like group classes because of the ease of simply following real time instructions from a motivating teacher. 

For Sheila Dropscho, it’s the group atmosphere that keeps her coming back to NIFS-led classes at Broad Ripple Park in Indianapolis. She also walks and rides her bike for exercise, but when I talked to her about her experience with the classes she’s been attending for the last several years, the enthusiasm in her voice was palpable and she couldn’t say enough about the positive impact the Indy in Motion classes have had on her life. 

Indy in Motion is a partnership between the Marion County Health Department, Indy Parks, and NIFS.  The group fitness classes, held at a variety of Indy Parks, have been available for years and are offered at no cost to participants.  The formats and locations have evolved over time to meet the interests of the attendees at each site.  The program is a fantastic resource for people across the city to have access to free group fitness classes taught by some of the best instructors in the area.  To get a better idea about classes and formats available through Indy in Motion, click here.  Be sure to call the park to confirm that the information on the site is current.

Sheila learned about the Indy in Motion program through an article in the paper several years ago. When her youngest daughter went off to college, Sheila found herself with more time to commit to her personal health and she decided to give the program a try.  While Broad Ripple Park is her home base, she also takes Indy in Motion classes at Washington Park on the city’s east side. 

Sheila’s favorite class at Broad Ripple is Zumba^® on Tuesdays and Thursdays; she tries not to miss it.  Sheila loves being around the other participants and watching their progress, but it’s the instructor, Nicole, who provides exactly the motivation Sheila needs to keep coming back. Nicole’s healthy tips, her intensity with the music, and her genuine concern about the participants are all part of what help Sheila feel great about the exercise and keep her coming back. 

Sheila’s consistency at class hit a snag when she was diagnosed with breast cancer recently.  She progressed through a mastectomy as well as a course of chemotherapy.  And she’s proud to say she is cancer-free.  But she credits her hard work in the group fitness classes and her good health going into the diagnosis for the relative ease with which she handled the challenging cancer treatment so well. 

Sheila said, “People were stunned that I was able to work my four 10 hour days during my chemo.  I don’t know that I would have been able to do that without that foundation.”

After recently undergoing reconstructive surgery and dealing with a complication from that process, her doctor has advised her, for now, to simply walk for exercise.  Sheila has been compliant with the doctor’s orders, but she confided that she’s more than a little bit eager to get back to her Tuesday/Thursday rhythm with Zumba^®.

When Sheila’s ready, her class, and her instructor Nicole, will be there to help her get her groove on again.

Ready to bring group fitness classes to your Indianapolis audience?

Many people don’t know where to start when eating healthier.  Here are eight tips to help you eating smarter.  You don’t need to do them all, but by incorporating just a couple of changes each week, you will find yourself on a path to better health in no time!

1. Snack Smarter

Start by changing the ‘snack ratio’ in the house.  Slowly and gradually have more fruits, veggies and baked snack foods around, rather than the typical, higher calorie, highly processed junk foods.  For instance, have at least three types of fruits and veggies (apples, carrots, grapes) on hand at all times to replace some of the cookies, ice cream or candy bars.  Don’t forget the almonds, nonfat Greek style yogurt and hummus too!

2. Get a “Hand”le on Portions

Develop a healthy habit of selecting sensible sized food portions.  If your plate has a serving of rice that can’t fit into the cupped palm of your hand, then in most cases, the amount of food you’ve chosen is too much.  Same goes for nuts, pretzels and pretty much any snack food.  Keep your plate full of fruits and veggies and limit the large portion sizes of meats, refined grains (like white rice, pasta and bread) and high fat dairy foods.  Check out choosemyplate.gov for a better understanding of portion sizes.

3. Slash Your Soda Intake

Try slowly weaning yourself off calorie-containing soft drinks.  The sugar and calories add up and can cause unnecessary weight gain.  Good alternatives include unsweetened iced tea or water.  If you like the carbonation, try using carbonated water (club soda or seltzer) mixed with ¼ cup 100% fruit juice.

4. Go Easy on the Sauces

Choose low fat and low sodium versions of your favorite condiments.  Ask to have your sauces and dressings served on the side.  This will save many calories since you will be in control of how much is consumed.  Usually more sauce is poured on than what is needed.  Dip your fork into the sauce or dressing, and then dip your fork into the food.  This will give you the flavor with every bite, but without the extra calories and fat!

5. Eat Breakfast

Eating breakfast is not the only tip, you must try to make it a good choice because it may establish your hormonal appetite regulation system for the day.  A donut or muffin with coffee may sound good, but it won’t tame your cravings or temper your appetite as much a s a protein-rich breakfast from eggs, egg whites, oatmeal with peanut butter, yogurt (especially Greek yogurt), cottage cheese with fruit or nut butters with a whole grain bread.  If you are eating cold cereal, look for brands that provide at least six grams protein per serving and 10 grams or less of sugar per serving.  Use skim or 1% milk to add additional protein.

6. Try Meatless Mondays

Or any day of the week really, but the point is to try to eat vegetarian one day a week to lower your animal protein consumption and increase your plant protein intake (beans, lentils, soy, tofu).  This will help to lower your cholesterol, increase your fiber intake, and is better for our ecosystem. 

7. Keep Variety in Check

The more variety of foods, flavors and textures you have to choose from the more likely you are to eat (think buffets).  So try to make a grocery list and stick to it, planning your meals and snacks everyday so you eliminate unnecessary food choices that may derail your diet. 

8. Make One Change at a Time

One way researchers suggest to conserve your daily willpower is to focus on only one positive diet behavior at a time, until that behavior becomes an automatic response.  If you try to do too much at once, or take your diet to the extreme, chances are you cannot stick with the routine long enough to provide lifelong changes in your health. Take is slow and steady and stay focused on your goal at hand!

Try a couple of these tips and find what works for you.  Small steps to a healthier lifestyle are key. What have you found works when maintaining a healthier diet? 

This blog was updated on March 22, 2017.

Of course, exercise comes with inherent risks.  Fortunately, the scientifically proven benefits for regular activity far outweight potential risks for injury.  And yet, for older adults, the risk of injury may be more pronounced, as the body is more prone to falls and other injuries from working with machines. So how can staff working with older adults decrease the risk of injury for their clients?

[Related Content: 5 Senior Friendly Equipment Ideas that Won't Break Your Budget]

Working with the senior population has taught me a great deal about injury prevention and risk that is important in the clientele. For example, not every piece of equipment is safe for every individual, regardless of skill and ability and safety should be the first consideration when determining the needs of each client.  

Following are tips related to five common pieces of equipment we use with our older adult clients on a regular basis.  

The Treadmill 

One of the most commonly prescribed exercises for seniors is walking. It is an activity that can be done every day, and there is evidence to suggest it helps lower blood pressure, reduces stress, and helps maintain lean body mass. For the senior population, it is especially important to make sure each client is safe from falls and injury.  Teach clients to look forward at all times, keep the arms swinging normally as they would on a walk around the block, and slowly increase treadmill speed with comfort.  For more on treadmill safety, check out this checklist of safety tips for treadmills.

The Bike

An indoor bike and outdoor bike are similar in that they require proper adjusting prior to use. For a recumbent bike, remember to adjust the bike in a good position so that your client's feet are not reaching too far forward when pedaling. Make sure to adjust the back seat (if possible) to support good posture during the ride.  Sometimes it's a challenge to maintain good posture due to aching backs or medical procedures.  In that case, make the client as comfortable as possible, shorten the ride, or try another option for cardiovascular exercise.  

The NuStep

Adjusting the NuStep for clients involves similar steps as noted above for adjusting the bike.  Make sure that the client's feet are not reaching too far forward so that while pedaling there is a slight bend in the knee.  In addition to these adjustments, consider talking the client through how to set their time and pace to enjoy an individualized ride.  The NuStep is one of the safest pieces of equipment for seniors, and it can give a great workout for the upper body, lower body, or a combination of both.

The Selectorized Strength Machines

Adjusting the weight machines requires a good attention to detail, especially for the senior population. Some machines require adjusting seats, legs, arms, and back rests, and you will also need to adjust the weight stacks. For any senior starting out on exercise machines, it is best to have an exercise specialist adjust the settings for a customized workout.  Take care to teach the client how to manage the settings when possible so that you're fostering independence in the workout. However, for many older adults working with selectorized strength equipment is a brand new activity and you may need to work with a client over a few fitness center visits in order to help them feel increasingly comfortable with the workout.   

The Biodex Balance System

Adjusting this machine requires primarily knowing where to place your feet each time you step on it. As a critical aspect in senior fitness, balance training will help work on using both the brain and the body to prevent falls. With a correct adjustment on a balance machine such as the Biodex balance training system, clients will be ready to safely explore this aspect of your training to help prevent and reduce falls.

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If you're preparing to purchase new equipment for your community fitness center, be sure to download our whitepaper on the key questions to ask during the buying process.  Exercise equipment is expense; the whitepaper will help you be a more informed consumer.

You might know that some of the basic elements your senior fitness workout program should include are weight training, cardio activities, and as much flexibility as possible. One element that needs special attention among the senior population is balance training. Training for balance has been considered a fourth recommendation from many organizations, and there has been a much bigger emphasis on balance training in senior wellness programs in recent years.

With balance training now a part of a strong recommendation for your daily workout routine, where do you start? What is balance training? These questions are pretty common among seniors, and the perfect place to start is with training. 

Following are some tips for starting and maintaining your new balance program—that is, if you have not already been working on balance.

Start with Assistance

Even if you feel like you are pretty surefooted, start light and use something to assist with your balance activities. Anytime you work balance, you are using muscles in your body that may cause your balance to become shaky. Once you are more acclimated to the balance activities and you are comfortable with progressing, try slowly releasing the assisting device or object to get more challenge from your balance activities.

Be Consistent

Anytime you start an exercise program, consistency will be important. The same rule applies here. When working on your balance, maintaining a three-day-per-week or five-day-per-week schedule will add up in no time. Consistency will train your mind, body, and muscles to improve your balance over time.

Modify and Vary Your Program

Again, when working on balance, be cautious with your modifications. Start with light modifications and progress with different activities. For a good list of modifications and additional balance exercises you can add to your balance program, click here.

Learn to Scale When Needed

Scaling a workout is something that many do, and when working with seniors, scaling is important. When you scale your workout, you are essentially changing something to make it more individualized. In other words, if standing on one foot is too easy for you when holding on to a sturdy chair, you should scale, if appropriate, by trying a single-leg stand without holding on to the chair.

Select Your Exercises

Starting your program should be slow. Start with about one or two balance exercises and progress as you feel necessary. Starting slow will progress you into a good program, but it will also help you take it slow (just like in other aspects of your training). When you start your balance program, hold your balance activities for about 20 to 30 seconds in each position and aim to complete about two or three sets. For a good amount of exercises and demos, consider the information here to help get you started on new balance training exercises.

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If you have any additional tips that worked well when you started a balance program, please leave some helpful hints in the comments below. If you found some things to work and others to not, we would like to hear your experiences.

Interested in how we provide balance training for seniors?  Check out our whitepaper, Advanced Balance Training Programs for CCRC Fitness Center by clicking below.

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During my days as a track athlete, I came to know shins splints a little too well.  The constant running and pounding will undoubtedly bring about some discomfort in your lower legs.   But I am here to tell you don’t panic!  There are ways to fight back against the pain you are feeling and get back to running that doesn’t require you to completely take time off.  Follow these tips to understand how to sooth your shins and get back on track!

• Progress Gradually - This may sound like a no-brainer, but many people tend to dive in to running and do a little more than their bodies can handle.  Build strength and endurance first and slowly increase mileage.

• The Shoe Matters - Make sure your shoes fit and that they have proper cushioning.  Yes, those minimalist shoes you wear may be the cause of your shin splints.  Shoes with improper support will cause over pronating and rolling of your foot.  Visit a local running store to get some expert advice on shoes and get the right fit.

• Cross Training - This is especially important if you are already experiencing shin splints.  By cycling, swimming, or rowing you can maintain your fitness level and log miles while taking it easy on the shins.  If you currently run 5 day per week, try a 3/2 training ratio.  Run 3 times per week and cross train 2 times per week.  You will notice relief quickly!

• Mid-Foot Striking - Resist the urge to run up on your toes or to heel strike!  Flat, mid-foot striking will encourage correct biomechanics, help you run with a proper gait and prevent injury.

• Don’t Over Stride - The usual culprits here are people who tend to strike heel first.  Think to slow down your cadence and run with proper mid-foot striking form.  This will help you perform with proper body mechanics.

• Use Ice - Ice those shins!  The ice will bring recovery to the area and help reduce swelling and discomfort.  You can ice for up to 10-15 minutes every hour.

• Stretch and Foam Roll - Stretch out those calf muscles and get to work foam rolling them as well.  Tight muscles are going to contribute to the pain you are feeling in the shin.  Work on both loosening the calves and strengthening them.

• Switch Running Surfaces - While recovering from shin splints, look for softer ground to train on.  Find a field and do running workouts in the grass to give your legs a break from the pounding taking place on the road and tracks.

• Consider Orthotics - Consider visiting your doctor to get some recommendations on orthotics for your shoes.  These can sometimes be a life saver and can be customized to your feet providing that added support you may be missing!

Remember that the key to getting past shin splints is patience!  Take your time, listen to your body, take steps to heal, and get back out there better than before!

Throughout 2015, we’ll be blogging about our dreams for corporate wellness, fitness, and aging well. Some of the content will represent a gentle “poking fun” at the industry, but it’s all written to stimulate thought about what really could be if we put our heads together and started mapping out what’s really possible in the realm of individual wellbeing. We hope you’ll join the conversation by commenting on the blogs, giving us additional ideas about which to write, and/or by finding us on Twitter at #wellnesswhatif.

You’ve heard the saying, “It takes a village to raise a child,” right? The idea is that a child needs a whole village worth of support, influence, education, and diversity to be raised as a healthy and vibrant member of society. If we look at individual wellbeing through a similar lens, I would say that it takes a team to help an individual be well. 

When I think about the generally poor health (admittedly, I tend to focus on physical health) of adults in the U.S., specifically preventable issues, I wonder how much is connected to adults simply not knowing how to choose better health and how much goes back to adults making unhealthy choices even though they know better.

Let’s face it, there are a lot of external players who influence an individual’s health. I can’t get into all of those factors here, but I do want to focus on the potential for a better relationship between health care providers and exercise specialists. What follows are some of the historical challenges, as well as some what if ideas for working better together to take a team approach to individual wellbeing.

When I was working in corporate fitness several years ago, it wasn’t uncommon for me start talking with a new member about her goals for exercise and learn that she came to see me because her physician recommended she start exercising. In further conversation, I would learn that either the doctor provided no guidance on how often, how much, what intensity of exercise would be best; or (sometimes worse) the physician provided recommendations that were not practical for the individual.

It was always so helpful, when working with individuals who had a complicated health history, to get a physician recommendation that took into account that complex health picture. With more information from the doctor, I was able to write a more effective exercise prescription. But more often than not, the physician is hurried, and filling out one more form isn’t top on their list, so I’d get an almost blank form returned with little more than their signature. 

What if physicians had more time for discussion with patients about preventive health?

I think at least some of the barrier, though I’ve never heard anyone actually articulate this, is the image of the personal trainer. The certifications available for personal trainers are many and varied in terms of their rigor, and it leaves a lot of question about credentials. Licensure has been debated for years in the industry, and although the discussion varies by state (currently Louisiana is the only state with licensure requirements for clinical exercise physiologists), I think the reason licensure is even on the table is because requirements for certification are so widely varied, it’s tough for even a well-educated individual to get to the bottom of what “certified personal trainer” really means.

What if all certifications had to meet a specific standard that raised the bar for education and experience?

The American College of Sports Medicine released an Exercise Is Medicine campaign years ago with the goal of having physicians make regular exercise a part of their recommendations for practitioners to their patients. The program includes guidelines for health care providers as well as for exercise specialists to interact in the best interest of the public. While some progress has been made on the partnership between the medical community and exercise professionals, there is much work to be done to bridge that professional relationship for the improved outcomes of the patients.

What if health insurance supported visits with a certified exercise specialist as part of a prescription for better health? (This would not be unlike counseling from a registered dietitian that accompanies a diagnosis of diabetes.)

What if general practitioner offices hired exercise physiologists to counsel patients right in their offices?

What if medical training provided some insight into exercise prescription, and curriculum for exercise physiologists provided insight into what the doctor has to accomplish with a patient in an office visit?

We have a long way to go to build a strong village that contributes positively to individuals’ health, and this health care + exercise practitioner discussion is only one portion of that village. What other areas are you passionate about? Where do we need to build a better village to help individuals make healthier choices?

Read our case study, how partnering with NIFS and putting a qualified fitness professional in their new facility helped jump start this fitness program.

I was scrolling through my Twitter feed recently and stumbled across a posting for a Life Enrichment Director with a prominent senior living provider. The title was intriguing enough—I’m always curious about what’s happening in the area of wellness and lifestyle in senior living—so I clicked on the link, taking me to the job posting. What I read on the posting was enough to make me hang my head.

Without getting into detail, I’ll tell you that a primary responsibility for the position was to “create pleasant days.” Now, that requirement was in quotes on the posting, which makes me think it’s a branded program that’s a hallmark for the organization. And to be clear, the posting was for a Life Enrichment Director in a memory care community. So I can appreciate the need for programming to minimize participants’ agitation and anxiety, and to maximize the enjoyment of their days. Still, the idea of programming around building pleasant days for residents (in any level of care) struck me as wildly patronizing and profoundly off base.

Folks, we are doing an enormous disservice to the adults in our communities (in any area of the community) if our primary focus is to make their days nice. The residents are living, not passing life by sitting in a rocking chair on your porch. Your Life Enrichment Director shouldn’t be facilitating passive and placating activities unless that’s what the participant wants. 

The Need for More Engaging Senior Living Activities and Programs

Most of the amazing older adults I’ve met as I’ve traveled to various communities are full of life, eager to connect, and interested in learning new things. We have got to do lifestyle programming better than building pleasant lives for them. To be fair, a lot of organizations are succeeding at implementing creative, active, and engaging programs for their members. For example, Mather Lifeway’s café concept provides for fabulous connections with peers in the midst of unique and lively programs. 

However, in many cases, what I see in communities is a calendar full of activities where 90 percent of what’s listed are recurring events like cards, exercise classes, arts/crafts groups, religious services, shopping trips, and coffee or happy hours. The remaining 10 percent are unique to the month and are typically grouped into musical offerings, lectures, and excursions to the theatre or opera. From a maintaining status quo standpoint, there is nothing wrong with that calendar. Just don’t confuse it with one that is built to engage more than the 20 percent of your residents who participate in existing programs. And don’t consider that calendar creative and interesting simply because there’s no white space left to pack in more activities. 

Building a Better Activities Calendar

If you’re interested in building a better activities (or life enrichment, or wellness…) calendar and program, here are some starting points for consideration:

• Evaluate what needs to change about your current mentality on programming for your members. If your job is to provide lots of opportunities to keep residents busy, it’s time to rethink the job. Residents don’t want to be kept busy; toddlers need to be kept busy. Building a successful and person-centered programming schedule is about inviting residents to engage in the lifestyle they want—the lifestyle that’s driven by their passions and interests.
• Ask what success looks like for any given program. (Hint: the answer is quantifiable and isn’t measured by how satisfied the residents look.) Then establish your programming goals and figure out how to measure them. Take what you learn from that evaluation and do better with the next program.
• Understand what drives your residents, and keep track of that information. Ask them what they’re passionate about and what makes them get out of bed in the morning. If you don’t have programming that speaks to those interests, figure out how to support them anyway (for example, see how one community supported an interest in golf). When you have an inventory on all the members, you have a tool to inform what types of programs you should start building and which residents you need to tap to be champions for the newest offering.

It’s time to stop busying yourself and your residents with filled-to-the-brim calendars that lack intention and invitation. Start actually building Life Enrichment by getting to know what motivates your members and build your creative and strategic (and dare I say “edgy”) program around your people, not their pleasant days.

Ready to get started?  Click below to find out how we can help you.

How many suffer from joint pain and inflammation?  Feel stiff and sore? Deal with lack of circulation, feel tired, depressed or have lack of energy, even have trouble sleeping? If you answered yes to any of these questions, then the big question is why are you not getting a massage?!?

Getting a massage is a proven way to reduce some of these issues.  Because we are living longer and keeping much more active, our muscles, joints and bones will develop forms of stiffness, aches and pains.  In addition we start to have limited range of motion or flexibility.  Aging brings about many other conditions that affect our bodies, such as osteoporosis arthritis, back pain and reduction in circulation. Massage therapy cannot cure these issues, but it has been proven to alleviate them.  A good licensed massage therapist can use techniques that focus on areas of the body to gently get to those muscle contractions or knots, making the muscles feel less stiff with more capability to move. 

Feeling down and depressed? Guess what? Getting a massage can actually help improve your mental health.  A regular massage can play an important role in boosting moods by providing that much needed contact.  Sometimes certain oils or creams used in massage therapy are another form of enhancing mood. 

Can’t sleep? Guess what? That’s right a massage can help you sleep better! Massage Therapy has been proven to relax the body, reduce stress and even assist with concentration.  When you get a massage, you can throw away your worries or even think about things as you relax, therefore, not having to think about them when you’re ready for sleep.

So now that you realize how good massage can be follow these helpful tips prior to setting up an appointment:

• Always consult your physician and research your massage therapy options. 
• Look for a therapist who specializes in working with active agers.
• The words gently or soothing in the types of massage descriptions.
• Always get referrals
• Verify that they are licensed.  

The question is not why should I get a massage?  The question should be why not get a massage?

Your community fitness center is more than just group fitness classes, check out our white paper and how you can create a culture of wellness in your community.

Have you ever wondered how some people seem to have energy throughout the day and manage to work out after they get off work?  What’s their secret and how can you steal it?

It’s no secret; you’ll have more energy for physical activity if you are properly fueled and that starts with the most important meal of the day – breakfast.

To get from point “A” to “B” you need to fuel your car with gas or you won’t reach your destination; but if you haven’t checked the oil in a while the engine is going to have issues and your car will be in serious trouble. We put more thought into maintaining our vehicles then we do for caring for ourselves. Think of the food and water you consume as gasoline and oil. If you choose low quality foods and fail to drink enough fluids your performance will be compromised, you’ll become dehydrated, and won’t have any energy.

If you wait until lunch to have your first meal you’re more likely to make poor food choices and cave into eating whatever is most readily available simply because you’re too hungry to make a better choice. If you start your day off with a healthy breakfast you’ll be more likely to make other healthy choices. One good decision will lead to more good choices. You’ll be more likely to pass on tempting leftovers in the break room and instead choose to have a healthy lunch. The bonus is you’ll be able to work out because you’ll have the energy.

Lack of time, choices, and simply not feeling hungry are the common reasons why we skip breakfast. Planning ahead and having some quick no-fuss options in the kitchen or at your desk will save you time. Keep dry cereal, whole wheat bagels, a nut butter, or instant oatmeal on hand. If you still cannot manage eating a whole meal in the morning start with something small like a banana. Stay on track with your eating throughout the day.

See for yourself how eating breakfast can affect your energy level and increase your daily activity and let us know using #NIFS150 and #MoveMore.

National Senior Health and Fitness Day is approaching with celebrations focused on senior health and wellness across the country on Wednesday, May 27.  Many YMCA’s, health clubs, park districts and especially Independent and Assisted Living Communities will structure programs and activities to promote staying healthy as we age!  The motto for this year is “Keep Moving and Keep Improving” That got me thinking about not just why it’s important to move but how exercise can actually continue to improve our quality of life. 

When I ask our active agers about the possibility of living to the age of 10, they always comment that they would be happy to live to that age under the condition that their bodies and minds are still capable of decent function, not necessarily great or even good function, but decent function to get around and still have cognitive ability.  Enough to move!

Movement is defined as “an act of changing physical location or position or of having this changed (a slight movement of the upper body).”  The definition is not emphasizing how much or how intensely we need to move, it’s simply saying motion of the body, even slight motion of the body.  My goal for National Senior Health and Fitness Day is to promote moving the body! No matter what your limitations, there is an exercise that can be modified to benefit and keep the body moving!  The ultimate goal is that by movement (exercise) we will continue to improve quality of life.

So how do you keep moving with limitations?

• First recognize your “movement” limitations and ask are they temporary or permanent? For example, if you broke your ankle and are recovering, or had recent surgery, for most those are temporary “movement” limitations. On the other hand, if you have arthritis in your knees, or have been told you have Parkinson’s then these are more than likely permanent “movement” limitations.
• Second find an exercise routine that focuses on three things:

1. Safety! It may be best for you to choose a movement with a limited range of motion or perform it sitting instead of standing.
2. Strength! What will strengthen my “movement” limitations? For example, if you cannot move one arm higher than another because of a rotator cuff problem, continue to move them both separately, continuing to keep the stronger side strong and also allowing the weaker side to gain more strength.
3. Fun! Whatever you do you need to enjoy it in order to continue doing it! If you enjoy a particular exercise classes, talk to the instructor about modification and your “movement” limitations when necessary.  Or, hire a personal trainer to design a program appropriate for you.  Remember always consult your physician before starting any exercise program.

The goal is to keep moving! If you keep moving you’ll keep improving! Celebrate National Senior Health and Fitness Day with a lifetime goal to keep moving!