Corporate Fitness and Active Aging

So what’s so practical about going to the gym, anyway? We can always find a million and one good reasons not to go. The dishes aren’t done, I haven’t finished reading the newspaper, the laundry is piling up, I have a headache, it’s too nice to be stuck inside, I’ve had a bad day…the list of excuses can go on and on. So why even bother?

The good news is that you don’t have to work out. But with every yin there is a yang, and the bad news is that if you choose not to exercise, you can expect to have a tougher time, especially as you get older, with simple daily tasks.

What Happens When You Can’t Perform Activities of Daily Living (ADLs)?

At this point in your life I bet you can’t imagine not being able to walk up and down a flight of stairs, or losing the ability to dress yourself or brush your own hair. These are simple activities of daily living that we tend to take for granted. I can’t imagine entrusting my 5-year-old nephew with picking out clothes and putting them on me. I would probably have on a t-shirt with dinosaurs or a front-end loader on it, a pair of warmup pants (on backward, of course), and slip-on Wellie boots on the wrong feet. So thank goodness I can manage to get myself together and pick out my own clothes at this point in my life—and walk up and down the stairs to pick out said clothes, and get myself to work, or out to dinner with my husband, or on a walk with the dogs.

So how do we lose the ability to do functional movements that seem mundane at this point in our lives? It all boils down to inactivity. Sure, there are a lot of other issues that can compound the simple act of avoiding movement and exercise. But the act of avoiding movement and exercise on its own is enough, over time, and added to the natural muscular wasting or atrophy that occurs as we age, creates a perfect storm of problems that can seem insurmountable.

We need movement, especially weight-bearing exercises, to keep our muscles healthy and vital. As we age (Newsflash: we are all getting older; by the time you get to the end of this blog, you will be 10 minutes older), our bodies are less able to both maintain and create new muscle. Once you reach age 70, this issue begins to accelerate. By age 80 the problem has moved into the fast lane, and boy does she have a lead foot. 

The Senior Fitness Solution: Keep Moving and Staying Active

This wasting process makes daily activities increasingly more difficult. And now we are back to the idea of going to the gym, because we don’t want our legs to shrivel up like a worm that sits in the sun too long. But we still have the same old excuses. So what to do? Do the things that you want to continue to maintain your ability to do.

• Going up and down stairs: You still want to walk up and down the stairs? Take 10 to 15 minutes a day and briskly walk up and down the stairs. If you don’t have a staircase, use the curb outside or buy an aerobic step riser from a sporting goods store.
• Getting in and out of chairs (or on or off the toilet): Another key exercise for leg strength is a modified squat, or what we call a sit to stand (and it’s also good for balance). Sitting on the edge of a sturdy chair, trying not to use your arms, come up to a standing position. Then sit back down. Imagine you are sitting on a lemon meringue pie. Don’t splat it out; sit on it gently. Don’t stay in the chair. Just touch it with your rear end and then push back up. Try 2 or 3 sets of 10.
• Dressing yourself and performing ADLs: Want to still be able to dress yourself and brush your own hair? Do modified pushups or wall pushups! Two sets of 10 per day will be more than adequate. Add in some weights (you can just use soup cans) and do some overhead presses and a few bicep curls and reverse flys to activate the upper body. Stick with the idea of doing the exercises until the muscles fatigue, usually after 20 to 30 repetitions. Add in a few planks for core strength. If planks are out of your league right now, just do some bent-leg lifts while on your back on the floor.

All of this is probably within your reach now. But why don’t you take a few minutes after you finish reading this blog to test out your abilities. Do all the stuff I outlined above, with not too much of a break in between, and see how you do. If it is a little or a lot tough, keep at it! It will get easier, and you will still be able to brush your hair and get off the toilet as you age! I’d say that active aging is a reward in and of itself.

Check out more great ideas like this from our staff!  Click below for more best practices from NIFS.

In my first and second blogs of the series, I went over four of my guidelines to being successful in fitness:

1. Muscle-Activation Exercises
   
2. Simplistic Exercises
3. Compound, Multi-joint, Closed-chain Movements
4. Grip Exercises

In this third blog, I discuss another guideline.  

Guideline 5: Mobility Work

Mobility is the ability to move freely, pain free, and without issue throughout the range of motion of a particular joint. For instance, a client may have an issue getting into the position to do an exercise such as the sit-to-stand. One of the issues I see is related to tight ankles, which is a very common problem. With tight ankles, if the chair is in a low position, the client won't be able to keep their heels on the ground and will shift their weight to the front of the foot, opening the door to a fall or knee injury. To fix this area, I focus on three spots: range-of-motion exercises, stretching exercises (whether it is static or dynamic), and myofascial release exercises.

While stretching is important, too much of it may lead to joint laxity, which could lead to injury. Range-of-motion exercises, such as pointing and flexing with the foot, rolling the ankle around in full circles, and even calf raises will move the joint in its full range of motion and warm up the joints and muscles, which will allow for better stretching and injury prevention. Lastly, myofascial release will help loosen up that gristly tissue, which will lead to more mobility, therefore leading to increased performance, less injury, and better results.

Obviously, many CCRC residents won't be able to do foam rolling by using a foam roller on the floor, and I certainly don’t recommend that. Therefore, I recommend two tools: a mobility stick, which allows the resident to access problem spots on their own from a comfortable position, and a tennis ball, which is small enough to target certain spots, but not so hard that it may hurt too much, as myofascial release is always a bit uncomfortable. The tennis ball can be used while lying on an elevated mat or exercise table, or even used as a tool to loosen up the upper body by placing the ball on a wall and gently pressing the ball into the problem spot, such as the chest or mid back.

While mobility is an issue that affects many areas of the body, lack of ankle mobility is a common problem that I've seen, and you can apply the same mobility principles to many different areas other than the ankles.

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In my next blog, I give you my sixth and final guideline: Changing exercise variables.

In my first blog, I discussed two of my guidelines for senior fitness:

1. Muscle-Activation Exercises
2. Simplistic Exercises

In this second blog, i will discuss different movements and grip exercises.

Guideline 3: Compound, Multi-joint, Closed-chain Movements

Exercises like sit-to-stands, which are modified squats; and a vertical and horizontal pressing and pulling movement, such as seated rows and wall pushups, just to name a few, give you more bang for your buck. Movements like this burn more calories and fat, lead to greater strength and lean muscle gains, and most importantly, they work the body in unison.

These exercises work multiple muscle groups through the range of motion of multiple joints. For instance, a sit-to-stand works the quads, hamstrings, hips, calves, and even the upper back due to maintaining a neutral, upright spine. Also, this exercise uses these particular muscles through the range of motion of the hip joint, knees, ankles, and more. Isolation exercises, on the other hand, only work one muscle through the range of motion of one joint. For instance, a leg extension works the quads through the range of motion of the knee joint.

When CCRC residents, or anyone for that matter, perform daily activities such as standing up after lunch, walking down the hallway, or picking up groceries, multiple muscles are being used through the range of motion of multiple joints. That’s why the compound, multi-joint, closed-chain movements are so much more effective than isolation, single-joint, open-chain movements.

These exercises also increase neurological activation. Compound exercises allow the individual to lift heavier loads, as opposed to isolation movements. Lifting heavier loads demands an involvement of larger muscles, which places more demand on the central nervous system to activate more motor units and fire them off at a faster and higher rate.

These exercises are great for balance, as well. Strength-training exercises are extremely effective for increasing balance. One question I always like to ask residents is, “Would you say that your balance is worse than it was ten years ago?” The answer is usually a resounding yes. Then I ask, “Why do you think that is? Ten years ago, did you regularly perform balance exercises?” The answer to this question is usually a resounding no. What this tells me is that as the resident got older, they lost muscle. As the muscle atrophied, they lost the strength to appropriately balance themselves. Furthermore, if they had a fall, they'd be even more reluctant to do anything. This fear would lead to even more inactivity and muscle atrophy, leading to a steady decline in balance. My suggestion? Center most of the training on the main compound movements and add isolation exercises in for lagging, injured, or imbalanced muscle groups.

Guideline 4: Grip Exercises

Most residents have arthritis in their hands; therefore, they have poor range of motion with them. Hand strength is vital for many reasons. From being able to grab their eating utensil to being able to grab the railing when they walk the halls, grip strength is vital. Doing crushing-grip exercises, like using a hand gripper from a sports store; or rubber band forearm extensor exercises, which are vital to avoid an imbalance from the crushing-grip work; and pinching grip exercises with a dumbbell allows clients to strengthen their hands, reduce, pain and increase range of motion.

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Watch for my next blog when I introduce a fifth guideline for senior fitness—mobility work.

Interested in doing more for your residents and how you can create a culture of wellness?  Click below to see how you can do just that! 

Now it is time to apply what you learned in Part 1. Let’s look back on some key points:

• Only 12% of the U.S. population is health literate.
• Health and safety information should be delivered on a fifth-grade level.
• “Why” is a crucial question to ask and to answer in resident wellness.

Did you think about how you and your clients communicate and how instruction is delivered? Do you talk to your clients, or do your discuss with your clients? Let me ask you this: How often are you creative with your answers? How often do you use analogies that can be seen in the everyday world?

The Power of Analogies in Senior Fitness Education

I love using analogies. The body is an amazing machine, but also a mystery to many. I know we have all explained osteoarthritis many times over in our careers, but how well is the message getting through to the client? We can try to explain that the cartilage in the knee has slowly been worn down over time due to previous damages that may have occurred.

Now imagine that you have no idea what cartilage is, or can’t picture it. Would anything after that word mean anything to you? Probably not. So let’s put some visualization to this. Cartilage covers bones where they will meet with other bones and rub together. It is like a wet plastic sheet. Over time, damage happens because of impact from the many falls, running, and jumping that we have done. It also becomes more dry and brittle as we get older. Because of the damage and the dryness, the bones do not slide across each other smoothly anymore. The rough surfaces rubbing together will cause more damage, and the moist plastic lining is not there anymore to stop the bones from rubbing together. This explanation took a little longer, but I also know that the client now has a good picture in their mind of what is happening inside their knee.

Perspective and Visualization

One surprising statistic I learned while in my physics class in college is that if you hold a gallon of water straight out in front of you, your shoulder has about 100 pounds of pressure on it, even though a gallon of water is approximately 8 pounds. This is a statistic I am always passing on to my senior wellness clients. It can be very hard to understand why such a small weight is so difficult to lift, and maybe even painful. Some even feel embarrassed that they can’t lift a larger amount of weight. As soon as I tell them this, there is always a light bulb that goes off, along with surprise, of course. Again, the body is a machine. Machines follow the laws of physics, but how many of us can explain physics well enough for a fifth-grader to understand? Visualization is key.

Working with Plain Language: A Training Manual, written by William H. DuBay, has a great deal of information on the background of plain language, why it is necessary, and how to apply it in all manners.

One of our greatest joys as health, wellness, and fitness specialists is seeing the people we work with succeed. So let’s find that common ground where we are not just talking to our clients, but discussing with our clients about their health, wellness, and happiness.

Interested in how you can do wellness better for your residents?  Grab our quick read below to see how you can better evaluate your wellness offerings in your senior living community.

In the fitness and health field, we are asked for advice continually. It is our job to build fitness routines that are safe, comfortable, and something our clients will actually build into an overall resident wellness lifestyle. The difficult part always seems to be creating a program that they like that also fits around all contraindications of diseases and ailments, and having them not give up after a week.

The Importance of Communication in Senior Fitness Education

After observing many fitness professionals with their clients and many years in practice myself, I noticed that one of the greatest obstacles is neither of those two problems, but our ability to communicate with the client and find that connection for them. I’m not talking about the connection of personalities and ability to get along, but that connection where the client understands your thought process and why you are putting them through the “torture.” Education is the key to our success with the clients, and it is how that education is delivered that matters most.

So stop and think about how you deliver your educational pieces. Most likely you lay out your fitness plan. Then you demonstrate the plan. Then at the end of the talk you ask if they have any questions. Of course they reply “no” or “when do we get started?” They have not asked the one most important question that we learn to ask when we are two, but become afraid to ask as we get older: “WHY?”

• “Why are we doing this exercise?”
• “How does it help?”
• “You mentioned the muscles that we will be working—what do they do?”

Anticipating and Answering Residents’ Senior Wellness Questions

We as practitioners already know why we are doing this, so we forget to pass that knowledge on. We move on to demonstrating the exercises and correcting their movements and posture as they do the exercise, until they look like a pro to anyone coming in, but they still are not quite sure why they are doing that exact movement.

I may be one of the biggest “older” kids out there, but I still love the question “Why?” I truly feel that if we understand why we are doing what we are doing, we will stick to it better. Also, if we understand a subject it is more interesting to us. If it is more interesting, we tend to want to try to learn more and become proficient. The trick becomes how to properly educate and make a lifelong plan with our clients rather than just doing it to our clients. We have to know that those why and how questions are running through their heads and take the initiative to help them answer the questions they don’t even know to ask or how to form.

Making Wellness Communications Easy to Understand

The next challenge is the client understanding what you are saying. The Quick Guide to Healthy Literacy, a fact sheet produced by the United States Office of Disease Prevention and Health Promotion, states that “only 12 percent of adults have proficient health literacy.” Impact Information Plain Language Services’ newsletter reports that all health and safety information should be delivered at a fifth-grade comprehension level.

Health information is difficult for most people to understand. There is no difference in the world of wellness. We are asking our clients to trust what we are saying and what we are telling them to do, but many do not understand why they are doing the exercise we are teaching or how those exercises will help make them feel better, possibly decrease potential for chronic diseases, and even lessen the severity of other chronic diseases.

Think about this information and think about what you do. Do you work with your clients, or do you talk to them? You will probably find there is a little of each happening. Watch for part 2 to learn some tips on how to work with your clients and help them enjoy the wellness they are working with you to achieve. 

Senior living communities commonly miss out on the opportunity to have a qualified person on staff to help guide residents in the fitness center.  

Click below to check out our quick read, The Impact of Staff on Senior Fitness.

Two years ago a member of my CCRC fitness center came to me and asked if I had ever heard of pickleball. I told him I hadn’t, so he explained it to me. A month later a member of our sales and marketing team asked me the same thing; this made me do a little research of my own.

Pickleball is a paddle sport that combines elements of tennis, badminton, and ping-pong, and results in a senior-friendly game that addresses the many health concerns seniors are faced with every day, like poor balance and hand-eye coordination, depression, and the many symptoms usually associated with decreased cardiovascular fitness, such as high blood pressure, diabetes, and obesity.

Why the Game Is Great for Senior Fitness

We all know someone who is not quite steady on their feet; that person might even be you. Well, what if I told you pickleball could help with that? Pickleball has a unique set of rules, mostly regarding volleys (hitting the ball before it hits the ground), that favors people with less mobility and poor balance. The decreased amount of volleying combined with the slower-traveling whiffle ball is great for a beginner, and someone with poor balance who needs a little more time to recover after hitting the ball away.

The large whiffle ball is also easier to hit than a traditional tennis ball. Pickleball is played on a court that is 20 x 44 feet, so it is a lot smaller than a tennis court, which requires the player to cover less ground. When you combine less volleying, a slower ball, and a smaller court, you get a pretty free-flowing game with fewer interruptions, which means great exercise.

Who Plays Pickleball?

Pickleball is played by over 2.46 million people in all 50 states, so you don’t have to look far to find a league or people with experience playing. When I began my pickleball research, I found that a church less than 5 miles from my community had a league that played weekly. I also found that our local YMCA had a regular playing league, and both leagues encompassed people of all ages, fitness levels, and experiences.

All it took was one quick phone call and the church welcomed our seniors to their next session. The first night we took about eight residents who had shown interest. Not a single resident we took knew how to play before going, but after a short tutorial they were all on the court and loving it! The most amazing thing was seeing a resident with Parkinson’s disease get on the court and have no problem playing.

A Weapon Against Depression

If you are around seniors often, you have most likely seen firsthand that some battle with depression. About 6 million in the U.S. alone struggle with it every day. After seeing the smiles and hearing the laughs of residents and church members playing this game, it was a no-brainer for me to introduce it to our community, and we have gotten plenty of positive feedback. (See also: Tai Chi Helps Fight Depression in Seniors.)

Where to Learn More

If you are not convinced or you want more information, there are plenty of websites you can go to, such as these:

• USA Pickleball Association
• Pickleball Central

If you are a visual person and want to see pickleball in action, look at this video done by the Early Show.

Check out some of our best practices for wellness programming for residents, get creative to get them coming back for more!  

All too often, older adults don’t realize their balance is not what it used to be until after they experience a fall. Unfortunately, falls are dangerous; many of them result in significant injury in the short run. Lasting fear of falling can also negatively impact an individual’s quality of life in the long run. Because falls can be prevented with a proactive approach to balance training, we have embarked on a comprehensive fall-prevention model.

While rehabilitation might be a good starting point for residents with severe balance impairments, our fitness center managers take several steps to play an active role in providing balance training long before residents experience a decline in quality of life. 

Transitions with Therapy

A referral service can work two ways. For example, when a resident graduates from therapy services, NIFS fitness staff ensure they are continuing with their balance exercises in the fitness center. This helps residents remain independent while enjoying the lasting effects of their achievements from working with physical therapy. Similarly, when our staff members identify a resident who could benefit from working with therapy, they refer that resident to therapy services on campus to create a seamless transition of care. Read this blog to find out more about how our staff supports a positive fitness center–therapy relationship.

Individual Services in the Fitness Center

Residents with less-significant balance issues benefit from working with our staff to receive an individual exercise program that addresses their unique balance needs. In addition, our staff provides assessments of the residents’ balance abilities, which can be used to more appropriately prescribe exercises and to demonstrate noted improvements over time.

Group Fitness Classes

Most communities offer a group exercise program, but many schedules still lack classes that are dedicated to balance training. While many class formats incorporate balance training, we believe it is essential to offer dedicated balance classes to meet residents’ needs.

Unique Programming

Sometimes individual services in the fitness center get buried among all the activity opportunities at a community, and the group fitness classes as a recurrent series of events don’t always command a fresh look from your residents. That’s why we believe that specialty programming is a significant element in a comprehensive fall-prevention strategy for your senior living community. NIFS Balance Challenge is a great example of such programming.

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The need for effective balance training opportunities for older adults will continue to rise as the large baby boomer population enters retirement. Current residents and prospective residents will appreciate this comprehensive approach in addressing balance issues through therapy services as well as through robust programming options in the fitness center.

Want to find out more about how we provide our clients with well-rounded fall prevention/balance-training programming?

Click below to download our whitepaper.

Let’s face it, personal trainers are pretty ubiquitous these days, and it’s easy to understand why. The industry doesn’t have licensure (yet), and there are a lot of inexpensive and easy-to-obtain “personal trainer” certifications available that allow fitness enthusiasts with little knowledge about how the body works to earn a distinction as a personal trainer.

The scary truth about hiring a personal trainer for your senior living community is that the typical consumer doesn’t necessarily know what to look for in a qualified fitness professional. Unfortunately, the I-paid-them-and-they-certified-me individual looks equally competent alongside the individual who has a bachelor’s degree in exercise science and who has earned and painstakingly maintains an industry gold-standard certification.

While hiring an exercise professional for your senior living community fitness program is a very buyer-beware proposition, the rewards for making the right staffing choice can be great.

The right fitness professional is a major benefit to the residents.

This is really what it’s all about, right? You want a passionate, capable, competent, self-starter running the exercise program in the community. You need someone who will

• Coordinate the group exercise program (the fitness specialist should be teaching at least some of the classes).
• Initiate and execute on health-related programming both in the fitness area as well as in partnership with other departments in the community.
• Promote and provide important services like exercise prescriptions (writing individual exercise programs for residents) and senior fitness testing, as well as follow up with residents to offer updated exercise programs and repeat testing as appropriate.
• Track participation by individuals and reach out to nonactive residents to invite them into programs.
• Manage the fitness space, including ensuring amenities are well stocked and equipment is in good working order.
• If your personal trainer isn’t doing these things for you, it’s worth spending some time to re-envision what’s possible in your exercise program. Your residents deserve regular access to diverse classes that respect and challenge them physically. They will participate more if a fitness professional is available to customize exercise plans for them and to help them evaluate their progress along the way. And having a point person who is tracking the participation data and is constantly innovating will draw in more residents who wouldn’t engage without a personal invitation.

The right fitness professional is a major benefit to your business.

This is a tough one. Community leadership seems to have a difficult time making the leap from status-quo group fitness classes and the occasional trainer to establishing a manager for a robust fitness program. Maybe that’s consumer driven, and today’s residents, for the most part, aren’t balking at the outdated model. Maybe the lack of change is rooted in where fitness falls on the priority list.

Yet, with the right fitness center manager on board, you can free up your activities director to actually create person- and purpose-centered activities instead of tracking down a substitute for the group fitness instructor who just bailed on a class. You also send a distinct message to prospects and current residents that healthy living is central to who you are. And because so many communities are still operating on the outdated “group fitness + occasional trainer” model, you clearly distinguish your senior living community from the competition.

If you’re ready to start tapping into these benefits, you can either hire your own fitness center manager for the community, or partner with an organization like ours (NIFS fitness center management) to start improving the fitness program for your residents.

If you follow our blog, you’ve no doubt figured out that we’re big fans of data. Our staff aren’t statisticians, but they do regularly measure the impact of their programming to better understand what’s working and why. They also do quite a bit of work gathering data with and for the individuals they serve; most commonly that information is gathered through a fitness evaluation.

Testing Senior Fitness

For our senior living clients, the Senior Fitness Test is the traditional tool we use. It includes assessments like a chair stand, a chair sit-and-reach, and a two-minute step test. (If you want a little bit deeper dive on assessments with older adults, read this article.)

It’s a quality series of tests that have been validated in the scientific literature, and the individual tests are safe to use on participants with a broad range of abilities. And it helps our staff set benchmarks with participants on their physical fitness. Sometimes it offers red flags that trigger a referral to therapy, but more often than not, it’s simply a starting point for the participant, and it offers an opportunity to establish fitness goals in connection with a personalized exercise program.

But many communities don’t have the benefit of a trained exercise specialist onsite, like NIFS staff, who can do that follow up with participants. Additionally, some equipment is required to perform the tests. Where budgets are a challenge, the equipment may not make it into the budget.

The Walking Speed Study

As it turns out, there may be another very simple way to look at assessments. Of course, the tests you give depend on what you want to measure, but if you’re looking for a way to measure longevity in your residents, a walking test may be all that’s needed. According to this study, walking speed may be a good predictor of life span across categories of age, race, and height, but it was found to be particularly useful at determining life expectancy for individuals who were functionally independent and who were older than age 75.

The study specifically looked at nine studies between 1986 and 2000 assessing community-dwelling adults age 65 or older. All participants had baseline gait speed data and were followed for 6 to 21 years. In clinical applications from this study, physicians working with older adults on treatment plans could use results of a simple walking-speed test to determine best course of treatment. But there are applications in your community setting as well.

Walking is a simple activity for most of us, but it requires the use of energy and the coordination of multiple systems within the body. Decreased mobility–gait speed–may be an indicator of a decline in those various systems and an overall decline in vitality for the individual. Thus, tracking changes in gait speed over time for your residents could allow your multidisciplinary team of community professionals to intervene as you start to track a decline for a particular resident.

You can download a simple toolkit for measuring gait speed here. With nothing more than a marked-off area, a stopwatch, and some math, you can be on your way to assessing your residents’ longevity.

If you’re looking for more than a simple gait assessment to help your residents improve their fitness level, download our quick read below to see why senior living communities across the U.S. are partnering with NIFS to manage their fitness centers.

If you are a fitness professional working with seniors, you’d better have a good relationship with your physical therapy department. According to the Centers for Disease Control and Prevention, one in three seniors over age 65 falls each year, with 20 to 30% of those falls resulting in severe injury.

After a severe fall the senior may need rehab, but there are times when they do not want to go. The three reasons I hear most often about why they’re not going to therapy are

• “I’m not going to therapy because I can’t afford it.”
• “I’m not going because I don’t have time.”
• “I’m not going because you can do it.”

The next time you hear one of the aforementioned reasons for not going to therapy, here is some information you can provide that they may not have known.

“I’m not going because I can’t afford it.”

Physical therapy, speech therapy, and occupational therapy are covered under Original Medicare; the therapy caps for 2015 are $1,940. If this is the option they would like to go with, Medicare part B will pay 80% of the services and require them to pay 20%. Their cap resets after each calendar year, something many seniors don’t realize, so they may be fearful that they will have to pay 100% of the costs when in fact that isn’t true.

If the person has Medicare Advantage plan or any other detailed questions, I would suggest sending them to this section of the Medicare website, or to the therapy department. After all, we are laypersons in the field of Medicare, but our primary goal is to help them, so having this small amount of information along with other resources they can use may be enough to get them on the path to therapy.

“I’m not going because I don’t have time.”

When I hear this, I often follow it with one of my favorite fitness quotes from Edward Stanley:

“Those who think they have not time for bodily exercise will sooner or later have to find time for illness.”

We make time for the things in our lives that we view as most important. All we can do as fitness professionals is stress how important their body is; it’s their choice to agree and make the time to take care of it.

“I’m not going because you can do it.”

This might be the reason I hear most often. It is definitely flattering to hear the faith they place in your abilities, but we are not therapists and we must not overstep the scope of our training. Some people are really resistant to change, and their comfort level with you may be the reason they ask you to perform their therapy. I have found that if you show faith in therapy, and can suggest a therapist who you know is liked and gets positive results, it goes a long way in getting the person to consider therapy.

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Neither department is more important than the other, but both are necessary for a successful and lasting recovery. The best fitness-therapy relationships are symbiotic, with both sides helping one another and referring clients. For more on strengthening this relationship, get this Quick Read.

Download our quickread for more about how intergrating services can be better for your resident's wellbeing.