Corporate Fitness and Active Aging

Exercise with Arthritis and Joint Replacement

GettyImages-951890104Arthritis 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.

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Topics: arthritis joint health senior fitness staying active improving senior fitness

Improve Your Senior Living Exercise Program: Focus on Chronic Disease

ThinkstockPhotos-585600458.jpgThe benefits of regular activity for individuals throughout their lifespan is clear through the many (many, many) studies that outline how much movement is enough and which elements of health are improved with activity. However, despite the research, people in the U.S. still simply don't get enough activity to sustain health benefits, and the rate of inactivity in the older adult population is even more startling.

Sedentary behavior as we age can be linked to chronic diseases like arthritis and heart disease. Although these conditions are common in older adults—and in many cases, regular exercise can help individuals manage those health issues—seniors often feel limited by their chronic illnesses. If you're having trouble growing participation in your community exercise program, you might be missing this important audience. Improve your senior living exercise program and focus on chronic disease to address these health concerns.

FREE DOWNLOAD: Help Residents Manage Chronic Illness with Exercise

  • Arthritis: Exercise is one of the most crucial options for arthritis management. Regular activity helps lubricate the joints and can help reduce overall pain and stiffness that is often present among individuals with arthritis. Moreover, obesity is a risk factor for the disease, and increasing physical activity levels can help better manage the debilitating symptoms of arthritis.

[Related Content: Pick your arthritis battles: how exercise can help]

  • Heart disease: Heart disease is one of the biggest causes of death in the United States. The Centers for Disease Control and Prevention state that about one in every four deaths is attributed to heart disease. More people exercising later in life can help reduce the number of individuals with heart disease through the management of blood pressure and blood glucose, and decreasing LDL cholesterol.
  • Metabolic Dysfunction (type II diabetes and obesity): Type II diabetes and obesity are two closely related diseases in which the body is in metabolic dysfunction. Exercise can help maintain proper body weight and help regulate blood glucose and insulin levels to make the body more efficient.
  • Cancer: Exercise has been shown to help lower overall cancer risk among a variety of different forms of cancer. Studies have shown a 30 to 40 percent reduction in breast cancer risk among women who perform moderate to regular exercise.
  • Hypertension: Exercise can help lower systolic blood pressure significantly through moderate-intensity physical activity. Try breaking up exercise into three bouts throughout the day lasting for at least 10 minutes each to receive blood pressure–lowering effects.
  • Depression: Exercise can have a beneficial effect on personal mood. Studies suggest that group exercise classes can help reduce symptoms of depression by 30 percent or more in exercising older adults. The modest improvement in depressive symptoms can help maintain an overall greater vitality later in life and help prevent negative feelings or thoughts that are common with aging.
  • Dementia: Dementia is a disabling condition affecting many older adults. With a wide range of mental disorders categorized as dementia, there is a great need to understand how to prevent the condition. Exercise is one prevention strategy that can help slow the mental decline. One study showed a 37 percent reduced risk and a 66 percent reduction in risk of dementia when older adults performed moderate-intensity exercise, suggesting every adult ought to exercise to help lower the risk of mental decline and to help prevent mental disability later in life.
  • Insomnia: Certain medications and life events can prevent the body from proper sleep. Higher levels of physical activity can help tire the body enough to place it in a position for restful and lasting sleep. Avoid strenuous exercise two hours before bed to obtain these benefits, and aim to meet the daily activity recommendations.

Need help ramping up community exercise programs to reach a broader audience? Find out more about NIFS consulting service where we bring our expertise to your community.

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Topics: diabetes heart disease cancer sleep senior living arthritis hypertension dementia depression exercise program CCRC Programs and Services chronic disease

Senior Fitness: Beat the Heat with Aquatic Exercise

water exerciseThe heat index is approaching 100 degrees, and its only 8am. You are sick to death of running on the treadmill at the gym and want another option to burn some calories and improve your cardiovascular endurance. Well, my friend, have you considered the pool? You don’t have to be a swimmer, have fancy equipment, or even be coordinated to get a great workout in the pool. Aquatic exercise is perfect for all ages and ability levels, due to the adaptability of the aquatic environment. In basic terms, you get out of it what you put into it. The more effort you give the more resistance the water provides, and this increases the difficulty level of your workout ten- fold! The workout below can be done in shallow water, or if you are more adventurous, grab a noodle or an aqua jogger belt and try this in the deep end!

Kimberlee's Water Routine

Jog (or run) forward -10 count

Stationary Jog -10 count

Jog (or run) backward -10 count

Stationary Jog -10 count

High Kick forward -10 count

Stationary High Kick -10 count

High Knee Jog forward -10 Count

Stationary High Knees -10 count

Cross Country Ski forward -10 Count

Stationary Cross Country Ski -10 Count

Now repeat the above exercises for a 15 count each, and then a 20 count each. You can repeat this circuit 2-3 times, and add arms to each exercise for an extra calorie burning boost!

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Topics: adapting to exercise active aging nifs fitness management CCRC fitness center fitness arthritis

NIFS: Eating Cherries to Reduce Pain and Inflammation

Move over blueberries! Cherries are the new food superstar! Recent research from the American College of Sports Medicine has shown that tart cherries may have the highest anti-inflammatory content of any food out there. The fruit’s bright red color as well as the antioxidants it contains are connected to reduced levels of inflammation that compare to the capability of many pain medications.

Many corporate wellness clients are dealing with ailments such as osteoarthritis and general chronic pain due to inflammation, so cherries could be a natural way to assist them in pain management. The article says that athletes in particular are more prone to osteoarthritis due to the wear and tear of their joints, so cherries could benefit this population as well.

Tart cherries are currently in season, but you can also find them in the dried or frozen variety during winter months. To read about the “Go Red Instead” campaign and to find more recipes like the one below, go to the Choose Cherries website.

bowl of cherriesCherry Berry Smoothie

Ingredients:
1/2 cup frozen tart cherries, pitted
1/2 cup 1% low-fat milk
1/4 cup plain low-fat yogurt
2 tablespoons fresh blueberries
1 tablespoon cherry juice concentrate
1 tablespoon honey
1/2 teaspoon pure vanilla extract
Sprinkle of cinnamon (optional)
8 ice cubes

Garnish:
1 tablespoon slivered toasted almonds
1 tablespoon chopped, dried tart cherries

Directions:
Blend all ingredients in blender until smooth. Pour into two chilled glasses. Garnish with almonds and dried cherries. Serve immediately. Makes 2 servings.

Nutrition Info:
Nutritional analysis for one serving: Calories 164, Total Fat g 3, Sat Fat g 1, Chol mg 5, Sodium mg 57, Total Carb g 30, Fiber g 1, Sugars g 27, Protein g 5

Topics: nutrition antioxidants arthritis joint health inflammation

Pick Your Arthritis Battles: How Exercise Can Help

Arthritis. When you exercise, it hurts. When you don’t exercise, it hurts. This widespread issue is affecting people of all different ages and driving these arthritis sufferers right to the couch. It just hurts no matter what, so what should you do? Pick your battles.

I understand that it’s painful and can leave you hesitant to do anything to potentially worsen the ache, but doing nothing at all will certainly not help. In fact, it will make it worse. You cannot let arthritis get in the way of your quality of life. 

I’ve spoken with people everywhere along the spectrum, from those in slight pain and avoiding any activity to those who are bone on bone but keep moving along. I am in no way recommending the “no pain, no gain” rule, but I am encouraging you to get active in order to increase the longevity of your joints.

For Arthritis, It’s Better to Stay Active than to “Baby” Your Joints

Your joints will love you so much more if you choose moving over “babying.” Don’t believe me? Check this out: Exercise strengthens the muscles surrounding that arthritic joint, which can reduce pain and improve the joint’s mechanics. It also compresses and releases cartilage, which brings oxygen to the joints.

So, now you’re looking at not only decreased pain and postponing surgery, but you’re also improving your overall health. Plus, if surgery is required, you will drastically speed your recovery. Is this starting to sound like a win-win?

Top 4 Exercise Types for Arthritis

Now you’re wondering, “But what exercises can I do?” There’s a plethora, but before I give you my list, I will tell you the most important factor: alignment, alignment, alignment! Please check with your senior fitness specialist to make sure you’re in a proper alignment while performing exercises. This helps minimize strain on the joints and will make a world of difference! After I correct my own clients’ alignment, they look at me like I’m a miracle worker. (Spoiler alert: I am not.)

dealing with arthritisNow, on to my list of the top 4 arthritis-friendly exercise modes:

  • Low-impact cardio: These heart-happy exercises are easy on the joints and will burn a lot of calories. Popular machines for this include ellipticals, bicycles, and rowing machines.
  • Aquatic exercise: Not a great swimmer? No problem! There’s a lot more that you can do in the water. It’s also very kind to your joints. The buoyancy reduces stress on the joints and spine, and provides resistance without equipment.
  • Yoga: Yoga is an excellent way to strengthen and lengthen the body. Both are essential in improving alignment, which is critical in taking the strain and stress off of your joints. Try out a class before you pop in a DVD at home. That way, the instructor can see your position and guide you if needed.
  • Tai chi: This traditional style of Chinese martial arts includes slow, controlled movements, which put little force on the joints, to improve balance, strength, and flexibility. Like yoga, try a class first to get some feedback from an instructor.

Learn more about arthritis and how to alleviate the symptoms by searching articles at Discovery Health and Lifescript.

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Topics: exercise swimming cardio arthritis joint health senior fitness yoga

3 Tips to Relieve Joint Pain

This blog was written for NIFS by special guest writer Elizabeth Carrollton.

joint painJoint pain is a very common problem, and keeping fit is one of the best ways to find reliable relief. For many of us, limiting activity might seem to make sense when a joint is achy. However, inactivity can make matters worse. In fact, inactivity is a leading cause of joint pain, causing weakness in muscles and bones that can lead to injuries and joint disorders like osteoarthritis.

So if your joints are getting a bit sore and stiff by the end of the day, exercise can help relieve the pain and ward off more serious troubles. Of course, it's important to see your doctor for diagnosis and treatment of injuries or joint problems before treating them with exercise.

1. How Exercise Helps Joint Pain

Keeping the muscles around injured joints strong is important in maintaining range of motion, joint function, and alignment, factors that can speed healing and recovery after injuries, as well as decreasing pain and stiffness. In joints affected by arthritis, regular exercise can increase joint support by improving the strength and tone of surrounding muscles, which can relieve daily pain and stiffness and slow the progress of this degenerative joint disorder. That's why physical therapy is typically used as part of the treatment plan for most joint injuries and chronic degenerative conditions.

2. Joint-Friendly Exercise

Moderate, weight-bearing exercise is the way to go when your goal is to relieve joint pain. Avoid high-impact exercise that rattles the joints in favor of more joint-friendly options, like walking, swimming, or bike riding. Yoga, Pilates, and tai chi are great choices as well, and have been shown in a number of studies to reduce joint pain and discomfort.

If you have been fairly sedentary, start slowly, working up to that optimal goal of at least 30 minutes of exercise daily. If you have severe joint pain or degeneration, physical therapy might be a good idea to ensure that you aren't putting yourself at risk for further joint injury. Besides, working with an expert who is knowledgeable about joint care and function will likely offer more effective relief than exercising on your own.

3. Why Taking Care of Joint Pain Properly Is Essential

Ignoring joint pain can give small issues or injuries a chance to develop into serious, long-term joint problems. Serious joint problems lead to more than 690,000 knee-replacement surgeries every year in the United States and more than 450,000 hip-replacement procedures. Although these surgeries can be a good option for people who have been disabled by joint conditions or injury, they are major surgery and should be considered a treatment of last resort.

Recovery can be a long and challenging process after joint replacement and complications can be an issue, as anyone affected by the recent hip implant recalls can tell you. Faulty metal-on-metal hip implants, used in thousands of procedures, caused metallosis in some patients, which is a complication related to metallic implant debris. Metallosis can cause intense pain and swelling in the hip as metallic particles collect in the soft tissues, and can eventually lead to tissue death, bone loss, and implant loosening or failure, making more surgery necessary.

Elizabeth Carrollton writes about defective medical devices and dangerous drugs for Drugwatch.com.

Topics: exercise corporate fitness arthritis pain relief physical therapy

Employee Wellness: Healthy Joints, Healthy Body

This blog was written by Anna Hiple. Meet our blogging fitness specialists at the NIFS website.

healthy jointsYour joints play an important role in all of life’s activities. They connect bone to bone, which allows your body to move during everything from sports and exercise to everyday functions such as playing with kids, lifting groceries, performing yard work, and even sitting at a desk.

However, factors such as age, injury, diet, and lifestyle can negatively impact the joints over time, leading to stiffness, pain, and possibly even the onset of arthritis. Keep your joints mobile with the following tips:

  • Maintain a healthy weight. Shedding a few pounds can help take the pressure off of lower-body joints, including the knees, which seem to suffer the most from weight gain.
  • Mix up the aerobic exercise routine. Running and playing sports can help build bone density, but too much impact can hurt your joints. Mix in lower-impact exercises such as biking and swimming.
  • Pump iron. Strength training builds up the muscles that support joint health. Mix together upper-body, lower-body, and core exercises.
  • Keep it moving. Sitting for too long invites stiffness. Take stretching or walking breaks at the office, when watching your child’s sporting event, or when watching TV or reading at night. When you do find yourself at your desk, practice good posture.
  • Stretch. Stretch after exercising. You may also find yoga, Pilates, and t'ai chi soothing for sore joints.
  • Eat for joint health. Consume foods rich in calcium, omega-3 fatty acids, and vitamins A, C, D, and K.
Topics: nutrition weight management arthritis pain relief joint health yoga injury stretching

NIFS Employee Among Jingle Bell Runners for Arthritis Research

This blog was written by Diane Miller. Meet our blogging fitness specialists at the NIFS website.

jingle bell run, arthritis, NIFSIf you’re looking for a run/walk event this December, why not try the Jingle Bell Run? The Arthritis Foundation will host its 23rd annual event this year in downtown Indianapolis on December 10. Runners and walkers of all ages and abilities gather together for this 5K (3-mile) event dressed in crazy costumes and ready to support the foundation as it searches for a cure for arthritis.

As someone living with arthritis, I jumped at the opportunity to be a part of this event. Having had back pain for nearly 10 years, I was finally diagnosed in 2010 with osteoarthritis (a degenerative joint disease). With at least five vertebrae affected, it has made daily living more difficult. My love of running and racing in events has been well rewarding but has taken a toll on my body.

After weeks of tests and a doctor telling me not to race, I decided that I wanted to compete in my biggest race to date, a half-Ironman. Seven hours into the race, I finally crossed that finish line and was overwhelmed by one of the best feelings I’ve ever experienced. Tears of joy ran down my face as I completed the unthinkable. Unfortunately, days after the race, I paid the price; the back pain was terrible.

I hope that one day we can find a cure, not only for myself but for other generations so they can reach their ultimate goals and live pain free. I am happy to be a part of the Jingle Bell Run and can’t wait to wear my best holiday-inspired costume. See you at the start line at 9 a.m.!

Topics: winter fitness triathlon running arthritis

Senior Fitness: Exercise Helps Reduce Arthritis Pain

This blog was written by Penny Pohlmann, MS. Meet our blogging fitness specialists at the NIFS website.

senior fitness, arthritis pain, senior fitness managementPain, swelling, and stiffness associated with arthritis do not make physical activity fun or easy. Research has shown, however, that exercise is a vital tool for managing discomfort associated with arthritis.

In fact, avoiding exercise can increase joint pain and stiffness as the supporting muscles get weaker. By moving and using the muscles, bones, and other tissues that surround joints, people who suffer from arthritis can expect to protect themselves from further damage and pain.

Activity such as weight training promotes joint strength and stability, while aerobic exercise can help keep body weight down, which also relieves pressure on joints. Stretching exercises are useful for maintaining joint range of motion.

Arthritis is a leading cause of physical disability in the U.S., and people who are obese and physically inactive are at higher risk for developing this chronic condition. As our aging population grows, the need for senior fitness programming and management for this group does, too. Qualified health and fitness professionals can guide senior members or residents through a safe and effective exercise program designed to improve strength, reduce pain, and maintain the function of joints among arthritis sufferers.

Topics: exercise senior wellness programs arthritis senior fitness obesity