Corporate Fitness and Active Aging

What is great about practicing balance is there are multiple ways to do so without breaking the bank. In part I of this blog series we talked about investment training tools utilizing technology but let's review three cost-effective methods regarding balance training senior living communities can implement in their programming. When participating in any type of training program, it may be important to analyze why we are implementing certain exercises. An individual may want to incorporate balance training for increased stability while moving, preventing falls from occurring, as well as ease their mind when exercising.

Balance classes or one-on-one balance prescriptions can be great opportunities for residents to improve their stability and confidence and these budget-friendly solutions can provide significant variety with the right fitness specialist knowing how to program them safely with participants.

• Paper Plates or Foot Slides – Paper plates are known for eating with, did you know they can be used to train our balance as well? When utilizing paper plates, individuals have the ability to practice unilateral movements at the lower extremity. Practicing unilateral movements falls under balance training due to our legs holding a portion of our bodyweight as we exercise. An individual places one foot on the paper plate and their other foot stays planted on the ground. Once in position, the individual moves the foot that is on top of the paper plate causing the paper plate to move. An advantage paper plates have over foam pads is the ability to move in multiple planes of motion as well! Foot slides are another option with these types of movements. One key difference is that foot slides are not nearly as wide as paper plates for foot placement, requiring more precision for an individual to utilize once they reach a comfortable level with their balance. With this precision, comes more effort required from the individual when moving in any plane of motion.
  
  
• Foam Pads – Utilizing foam pads is a popular cost-effective method to training balance. One key difference foam pads have is their unstable surface compared to the stability of the floor. As soon as an individual takes their initial step on to the foam pad, they may notice immediately that their ankles are having to work to keep them upright as well as balance on the foam pad. Foam pad implementation may drive a significant increase in tendon health at the ankle joint as well as tolerance for keeping our balance for future reference. An advantage that foam pads have over foot slides is that foam pads can be started bilaterally opposed to unilaterally making it applicable for beginners looking to improve their balance!
  
  
• Masking Tape – This may be the most cost-effective and versatile option of them all. Placing tape on the ground in ladder formations or different grids for a variety of stepping patterns can be highly effective for weight shifting, coordination, and footwork exercises. It can provide wonderful visual cues on where you want the participant to step and with it being flush to the ground, it doesn’t pose a tripping hazard as other equipment might where you are stepping on a disc or foam pad. Again, the right ingenuity by a qualified fitness professional can help this inexpensive “tool” go a long way in training options with residents.  

Join us during Falls Prevention Week as we help communities across the country host our Empowerment Workshop giving the confidence to residents by providing the tools and resources they need to get up from a fall. Learn more about how your community can host this FREE Program here!

What is great about practicing balance is that there are multiple ways to do it including the utilization of various machines. Within senior living, evaluating equipment options can be a helpful starting point to developing a comprehensive fall prevention program for residents. In this two-part blog series, we’ll be covering investment pieces to incorporate in your fitness center’s fall prevention programming as well as more budget-friendly options if you are looking for more cost-effective options to give your programs a boost in Part II.

Let’s dial into elements of technology. “Fancy” machines, as our residents often refer to them, may hold a bad reputation due to their price tag alone. Just like any organization, “fancy” machines have their place within training and may want to be considered when optimizing a broad scope of functionality regarding balance.

Balance training machines are prevalent in laboratory settings within colleges. Common consumers may have not heard of or even seen balance training machines previously. Let’s take a look at these four balance training investments: Biodex Balance Machine, Virtual Reality, Wii and Step & Connect. As with anything in the realm of senior living, resident utilization and success of such pieces requires a fitness champion to assist them in feeling safe and confident in how to utilize each piece.

• Biodex Balance Machine – This machine is an investment in one’s balance training machines and may be utilized with athletes to older adults. The machine comes with a built-in touch screen for ease of use for its users. Capabilities of the machine include but are not limited to static environment, dynamic environment, as well as a Fall Risk Screening tool for those who track their abilities and progression. Multiple high-end machines such as this one come ready to go with built-in programs for its users to dive into that are most applicable for them at their fitness level!
• Virtual Reality – Through the utilization of virtual reality, one can visit any world/ environment that they wish. Multiple forms of virtual reality consist of videos games that are played with a headset that encompasses one’s vision to have them become fully immersed into their “new” environment. Popular video game systems are built entirely around this idea and have grown over the past decade to the point where anyone can go to their nearby technology store and find a virtual reality headset. Games that train your balance play with your depth perception within the game or force you to move in certain movements that challenge your stability like dodging an incoming object. This method is applicable to many and may prove to be a fun and interactive way to improve balance without even realizing it either alone or with family/friends! We haven’t seen significant application of VR while weight-bearing for residents yet but that may come in time with younger seniors and improved familiarity.
• Wii Fit & Recreation – This may be the simplest approach to incorporating an element of technology in balance training as many senior living communities utilize a Wii in their programming. Consider messaging use of Wii gaming under the umbrella of fall prevention and balance training. The coordination, footwork, and agility required in several Wii games is wonderful for balance training and many residents are already familiar!
• Step and Connect Mat - A specially designed training tool that aims to enhance balance and stability. It consists of a durable, non-slip mat with strategically placed footprints or markers. The footprints or markers serve as visual and audio guides for positioning and stepping. They help users develop proprioception (awareness of body position) and spatial orientation while performing various balance exercises. By following the footprints or markers, individuals can practice controlled movements and weight-shifting exercises. It provides a safe and structured platform for improving stability, coordination, and core strength. Regular use of the mat can contribute to better overall balance and reduce the risk of falls or accidents.

How do you evaluate balance in your senior living community? With Falls Prevention Week coming up this September, check out our FREE Empowerment Workshop! Your community can join us in empowering residents nationwide to feel confident in their abilities to get up off the floor with our training! Click below to learn more and register your community for a chance to win a Step and Connect Mat!

Fall prevention programs and services have been a cornerstone of NIFS programming for our senior living clients across the US with our signature Balance Redefined program. Whether joining our agility workshop to condition for the next pickleball tourney or bridging into a balance class after being discharged from therapy, residents of all abilities should have access to fall prevention programs that help them stay dialed into their life’s passions.

Off the heels of our successful Pump it for Parkinson’s event this spring, NIFS wants to bring the senior living industry together once again during Falls Prevention Week in September to empower seniors across the country. One of our most popular fall prevention programs is our Empowerment Workshop. This hallmark program is run on repeat a couple of times a year at several of our client communities because residents gain so much and continually ask for it.

During this program, we empower residents through education and the realization that the floor doesn’t have to be a scary place to be. We provide them with step-by-step instructions on how to safely get up from the floor, demonstrate it for them and then allow them a safe place to try it for themselves. In addition, insight is shared that if you find yourself in the predicament of falling, there are ways you can do so more safely to minimize the risk of severe injuries. We also empower residents with education on tools in their senior living community like pendants, pullcords and assistive devices that can help them feel more comfortable in their surroundings.

Upon completion of this workshop, the resident commentary is amazing to take in and listen to how they are feeling.

• “I didn’t know I could do that.”
• “Taking a minute to breathe and not panic makes a big difference.”
• “Wow, having a plan and knowing the ways to move my body safely makes me more confident.”
• “I never would have thought to actually practice how to get up from the floor, but it feels great knowing I can do this!”

As the fear of falling is a risk factor for falls, this workshop will equip residents with improved awareness, knowledge, and skills to build their confidence while empowering them to take our Fall-Free Pledge with thousands of seniors across the US. Participating communities and their residents can be featured in a fall prevention video shared by NIFS on Friday, September 22!

Participation is FREE and easy. Register your community on our event page and we’ll train up your fitness staff on how to host the program for your residents. Your community will receive all the great promotional content, flyers, brochures, etc., to plan the Workshop for your residents and you’ll have a chance to win a free Step and Connect balance training tool and a free fall prevention consulting package from NIFS to help your community customize your own fall prevention program.

Communities and senior living operators are welcome to contact Emily Davenport for more information on how to bring this best-in-class fall prevention experience to their residents for free.

Falls are a big concern for senior living communities. Given the well-known statistics from the Centers for Disease Control and Prevention, it's easy to see why. The National Council On Aging provides compelling numbers as well. This is why we work so hard with our clients to establish robust, evidence-based, year-round programming that focuses on improving resident's balance and strength, as well as their self-confidence.  

One of the key elements for successful balance programming is drawing in as many residents as possible; we've found that the best way to accomplish this is through varied programming. It's not enough to simply put a balance class on the calendar. Communities have to take it one step further and offer other ways to interact.

NIFS Balance Redefined^TM programming offers everything from fitness testing to classes that teach participants how to safely get up from a fall. We've spent years evolving these services as we responded to resident suggestions and evaluated our program data.  Below are stories from residents whose lives have been positively impacted by the work our staff do.

Ms. Weigle

Despite losing her husband just a few days after they moved into the community, Ms. Weigle made a conscious choice to take that difficult first step out of their apartment to meet new neighbors, and within a few weeks someone invited her to try the Balance Class offered by the NIFS fitness center manager. She has been a faithful participant (and ambassador!) ever since and has expanded her lifestyle to include additional activities such as swimming, walking groups, gardening, and studying Spanish. 

Ms. Weigle takes her regular exercise so seriously that she’s told her family not to call in the morning on Mondays, Wednesdays and Fridays because she will be in the pool. When asked, she’s proud to share that through repeat balance testing with the NIFS manager, she is seeing her scores improve.  At 87 years old, she thinks becoming steadier on her feet has helped her in other areas of her health. In fact, in a recent doctor’s visit, she was praised by her doctor for exceptional blood pressure, and she was pleased to share that ankle pain which had long bothered her was no longer a problem. 

[Read more:  Ms. Weigle's full story]

Mrs. Chapin

When Mrs. Chapin moved to her community about ten years ago, she wasn’t new to exercise. With a COPD diagnosis almost 20 years ago, she started swimming laps, and even though she hated to exercise, she kept at it because she knew it was crucial to helping her stay well with a chronic disease. But when she and her husband moved into their community, she took a break from regular exercise to engage in so many of the other opportunities provided. 

She watched her husband’s health gradually decline, so she nudged him to join her for a Balance class, and they were regulars up until his passing last year. Through that loss, Mrs. Chapin felt the support of the members in her class, and was able to keep attending regularly. The social support in NIFS balance programming has been a significant and  positive as she draws her social network from that group. Mrs. Chapin’s annual senior fitness evaluation confirms she’s on the right track with maintaining her balance, but more important than the numbers is how Mrs. Chapin feels. She told us that at 88 years old, she feels steadier than ever and she’s thrilled to still be sewing quilts and clothes, as well as painting, and serving on several resident committees all of which wouldn’t be possible if she wasn’t in good shape. 

Mr. Sadler

Mr. Sadler never used to exercise.  But when he moved to his community in 2009, his decision to start taking group fitness classes and using the pool proved valuable to overcome health challenges that were just around the corner. After a knee replacement surgery didn’t go as expected, he had to have the surgery reversed and replaced the joint with surgical concrete.  Not only did that “fix” leave him unable to walk, he lost significant healthy muscle tissue as well. Following his release from physical therapy, Mr. Sadler was only mobile by scooter or wheelchair and he stopped attending an annual family beach vacation.

He knew his only hope to return to more independence, and maybe to enjoying that annual family vacation again was to get back to a regular exercise routine. After working closely with the NIFS team at his community, he was able to regain significant strength and balance through careful water training. Eventually, he got back to land-based exercise as well and at 87 years old, he has resumed driving and walks confidently with a walker. In 2015, he joined his family again at the beach for their annual vacation. 

[Read more: Mr. Sadler's full story]

Mrs. Boelter

Mrs. Boelter was physical active as a regular water aerobics participant before she moved into her community in 2013.  She was also an avid walker and all of that has continued with the help of the NIFS staff at her community. As her Parkinson’s disease progresses, she feels the importance of maintaining her activity level even more and shared that through regular personal training with the NIFS manager, she has more energy throughout the day. But most noticeably, she is more able to get moving in the morning compared to her previous routine.

Mrs. Boelter noted that although she’s had a number of falls over the past 20 years since she was diagnosed with Parkinson’s disease, she’s had no major falls since she started working with the NIFS staff on her balance. She tells everyone at the community about the benefits of the classes and personal training; she’s a living testament to being able to maintain her independence with regular balance training offered at her community.

Mrs. Moore

Mrs. Moore has been active in the fitness center and with the NIFS staff at her community since she moved in 2004. More recently however, she participated in the NIFS Balance Challenge at the suggestion of the NIFS manager. Through a series of evaluations, education, and fun games, residents engaged in the Balance Challenge understand how to improve their balance as well as how to avoid and manage falls. 

New information on managing falls proved to be very timely for Mrs. Moore when she sustained a fall outside of the clubhouse. After she got her bearings, she was able to use skills she had learned from the NIFS manager during the Challenge to get up on her own without injury. She shared she’s been able to use what she learned through the program to stay active with gardening and to keep up with her grandkids too. She has also become an ambassador for all services connected with balance training at her community. 

[Read more: Mrs. Moore's full story]

It's really common for communities to have missed opportunities when it comes to providing comprehensive fall prevention programming. We can help you spot and fill those gaps to provide exactly what your residents need to feel steadier and confident on their feet. Click below for more information about a free consulting session with NIFS to jump start balance training at your community.

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.

When we first started talking about Balance Redefined inside our organization, our sole focus was on physical balance and the unique, wrap-around fall prevention programming we provide. But we knew that wasn't the stopping point for us. Because our work outside the fitness center serving as life enrichment directors for a variety of clients has demonstrated that living well extends way beyond an individual’s physical health, particularly for older adults.

We believe that wellness programming in your community should be diverse and built around the interest of your residents. The idea is to inspire residents to get involved and in order to do that, you have to know what makes the residents tick. You have to know what makes them want to get out of bed in the morning and what inspires them to invite their neighbors to join them. Filling the calendar is definitely more art than science; avoiding common pitfalls like order taking is tough. And ensuring there are very few sit-and-listen programs on the calendar requires discipline. But there are plenty of fun, engaging program ideas to go around.

[Related Content: Evaluate the quality of your wellness program]

Below are a few examples of programs created by our lifestyle staff that demonstrate our commitment to creating experiences to engage residents in balanced living.

How does your garden grow

Create a focus on gardening by using National Exercise in the Garden Day to host a balance class in/near the resident garden area. Emphasize the residents gardens by setting up a stand where residents to showcase/sell their produce to their neighbors. Provide a presentation from a master gardener with tips/benefits on organic gardening; it's possible you have residents who are trained as master gardeners who could provide this talk. Offer a series of short group fitness classes that are designed to prepare residents to be active in the community gardens. Host a themed garden party for happy hour.

Water, water everywhere

You might this theme would speak only to pool-based programming. Certainly, if your community has a pool, it should be a spotlight, but that's only one element in this robust program that deals with everything water. Start this programming with an event to teach residents about the importance of proper hydration; build a challenge encouraging them to drink enough water daily. Hold an aquatic ambassadors program to promote pool participation. Serve fresh seafood in your dining venues and showcase the origin and health benefits of the spotlighted menu items. Host a series of coffee talks with your a dietitian discussing the importance of fish in a balanced diet. Wrap the water themed programming up with a polar plunge, a luau, or a pool party.

Train your brain

Help residents engage their brains in less traditional ways by launching language courses from a nearby partner university. Add 15-minute meditation sessions following the weekly balance class; consider spotlighting other brain fitness programming you may have onsite (i.e., Dakim(R)). Build a brain teaser program that runs riddles/cluse on your community's CCTV where residents are invited to various areas of the community to find the answers. Run a museum marathon where the month's outings focus on area museums and special tours are provided by the museum staff. Spotlight brain-boosting foods on your dining menus, and offer coffee talks focused on memory-related disorders as well as what services you provide in-house from your memory care center.

If these programs sound delightful but you're not sure you could get them going in your community, consider connecting with us for wellness consulting. You can put our years of experience in senior living communities across the US to work in your organization to build better programming that speaks to resident passions and that engages staff across your organization for a more collaborative approach.