Tag Archives: rehabilitate

How to Exercise Safely and Increase Fitness Levels

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Updated:19 Feb 2014

There are so many exercise programs one could engage in to increase fitness levels.  How does one know which is right for them?

This question is important why?  Increased fitness levels contribute to healthy heart, lungs, metabolism, lean body, body strength, reduced body fat, weight loss, sustainment of body weight and better physical endurance and energy levels.  Not to mention, excellent  pain alleviation benefits for weight bearing arthritic joints.

So what you really want to know is what exercise activity will give you the best bang for the buck?

I highly recommended if you are getting back into an exercise fitness program or activity, you condition your way back through a 3-5 day/workout program.  This may take you 2-6 weeks or longer to get back into good physical condition before you ramp up your efforts.  Especially if you’ve just recovered from some type of physical adversity.

Five day exercise program – Consider making two of your exercise days on Saturday and Sunday to include family fun activities as substitutes for exercise activity.  Work in the other 3 exercise activity days with exercise you enjoy and can stick too.

This type of programming will provide more flexibility at first to develop healthy fitness activity around your busy schedule while reducing stress.  After the fitness habit is maintained for 2 week period, begin to incorporate more activity choice into the plan to keep it interesting.   I’ve always found it important to take two days off in the week for needed rest [Typically Mon & Fri for me].  I don’t recommend a 6-7day workout routine unless you are training is too meet some particular fitness goal as are conditioned to do so.

Recommendations, Tips, How to safely increase fitness levels and activity,

You must develop a plan that lists your daily fitness objectives to meet your fitness goal.  Is your goal to lose weight, increase fitness level, build muscle, better health, sustain weight, increase muscular endurance, higher level of competitive sport, improve task specific activity (ski, golf, walk, biking, running, etc.).  So now you know before you spend money on an exclusive fitness membership, be sure to have a plan to achieve the fitness goal you have in mind.

Second, you must be realistic about your daily schedule. If you’re a working adult with children, there are considerations that must be thought out.  Like working around busy work and family schedules.  However, it is not impossible to squeeze in exercise activity even with a busy schedule.  It’s a matter of priorities.

For example, if you want something bad enough like a new car, getting the furnace fixed, or watching a game, or taking the spouse out to a movie you manage to find the time and resources don’t you?  Yet you have a tough time making time for any type of exercise activity.  Your fitness levels and health must be as valuable to you as any other tangible thing like a home or car you insure.

Only through daily continuous daily movement activity can one “insure” an additional layer of protection from life stresses on the mind-body.  Sustained exercise activity daily is also a proven centurion attribute, or better known to others as a fountain of youth fitness principle.

If you have time before work or after the children are in bed a daily exercise program can become a habit you will become addicted too once the commitment is made.  You simple must want increased fitness health as bad as you want to create a better lifestyle for your family.

For me, working out provides great stress relief and fitness benefits.  And for many years I’d get up at 5:30am go to the gym, or jog where the adrenalin and metabolism was at full throttle just before hitting my full time job at 7:00am.  This habit served me and my professional careers well and ensured I was always at the top of my game, I didn’t need energy drinks to start my day.  Now in my mid-50’s, my age appropriate exercise activities is walking 7 days a week and 2-3 days strength conditioning in the gym.  I’m just as competitive at these exercise activities as I was when I played football during by high school years.  I attribute much of my career success, energy levels and clarity of thought to age appropriate continuous exercise habits.

Like anything else it takes dedication to be successful at anything you do.  It’s more a matter of finding an activity that you really enjoy, get excited about and can become addicted to it.  I tended to become addictive to new exercise conditioning if I could get through the first 5 days.  If I didn’t make the 5 days, I’d reduce intensity until ready for more intense training.  I didn’t quit the training; I took it down a notch until I could physically and mentally accept the fitness conditioning plan.  To push when your not ready for it is defeating and causes too many beginners to give up when they’ve not planned accordingly.

Third, your never too old to begin a daily fitness conditioning program.   All too often I hear people give up on their fitness and activity aspirations because they “self proclaim” their too old to exercise.  And then begin to look for unsafe – fountain of youth short cut gimmicks to lose weight, increase sexual performance, anabolic steroids for max muscle increases, etc.  This line of reasoning is absolute nonsense; when did 40 become the 80 plus crowd?  Exercise activity is a metabolic optimizer that increases hormone production and immune system to keep us healthy and stimulate all things that keep our bodies, mind and spirit engaged in a satisfied lifestyle.  “Without the need of dangerous manmade chemicals that temporarily mask the real reasons were not happy with our bodies energy levels, how we feel and physical performance.

Forth, if you are infrequent about your exercise, or activity routine, it is very important you learn to pace yourself each time you exercise until your body is ready for a 3-5 day exercise activity routine. Ease into your workouts, forget about competing with what others are doing.  Set your mind to see yourself as the healthiest 40, 50, 60, 70, 80 year old possible in your neck of the woods.  If you think exercise-activity appropriate per decade, you’ll stick with a healthy exercise program for your age while physically appearing and feeling 20-30 years younger.  Why don’t I talk much about 80+ years old and fitness training programs?  Actually, 80 years and above should walk-swim, push light weights, participate in flexibility exercise, eat balanced nutritious foods, socialize and travel as much as possible for quality lifestyle experiences.  At this age, I thoroughly believe, each day is a blessing and one should enjoy life to the fullest while reducing life stresses.  And these life stresses and health are adequately sustained through social activity and low-stress walking, swimming and dance exercise.

Fifth, if you over consume too many calories per day, especially after 7:30 pm, or binge over the weekends it will be harder to lose weight.  Body metabolism slows down tremendously during evening hours and excess calories will be stored as fat for every hour you take in calories after 8pm.

Weekends will be your worst enemy with regard to calorie consumption if you don’t have an activities plan to offset food intake with caloric expenditure.  This is why in the next paragraph I recommend plan fun movement activities on the weekends.   This will help increase metabolism and will help burn off extra calories that may be put back on over the weekend.  Then over the weekdays if your mindful to balance calorie intake and expenditure relative to days of the week, you can actually continue to lose weight.

Sixth, find a workout routine you can stick with and enjoy. Various examples:  Try biking, stationary treadmill, stationary rowing, dance, ball room dancing with spouse, tennis, walking, golf, jogging aerobics sessions, swimming, etc., 3 days a week (mix it up with gym activity).  Make sure you get in 2 days a week exercise activity and 3 days aerobics (walking, biking, treadmill, elliptical walker, swim, hike etc.) minimally.   On the weekends substitute an aerobics week day activity with a planned family outdoor activity, backpack, dance, walk and shop for your meals, camping, beach walking, fishing, etc.

I recommend 5 days a week exercise activities to sustain fitness levels and good health.  I use combinations of all these activities listed above to sustain my age appropriate fitness levels and overall health.

Changing up fitness activities will help with motivation and will power to stick with exercise activities daily.  Mixing up activities also becomes very addicting when you  break the initial 2 week conditioning barrier.  It takes about this long for brain chemical stimulation and muscle toning to optimally provide the motivation and will power to sustain this lifestyle change.  Brain chemical release (adrenalin, epinephrine, dopamine, serotonin) through exercise activities is as addicting as nicotine is to a smoker; and is chocolate  to a chocoholic.

Now that I’ve provided you “How to Exercise and Increase Fitness Levels,” get out there and get it done!  Try various combinations of exercise activity.  At a minimum, if you can walk you can improve your fitness levels and experience greater lifestyle experiences.

The cost to to walk is nothing, other than your time, effort and commitment to sustain it.  Through daily walking fitness levels will increase.  This will also positively impact mood as well as how your body feels.  Sustained walking activity is good for you heart, lungs, metabolism and overall fitness goals.

Take one step at a time, one block at a time, and one mile at a time.  Do what you can daily if your exercise activity is walking.  Put no time lines, intensity of pace, or distance limitations on yourself.  The mind-body will tell you each day what it’s capable of doing.  If you have the ability to walk you’re much further ahead in becoming more fit and healthy.  The key is to move more daily, work to reach 10-15min/day exercise activity at a minimum before increasing distances and intensity of pace.  Be consistent at daily walking activity to sustain greatest fitness and health benefits.

Other tips:  Consider “not taking” your car to the store for daily staples once you can walk half a mile total distances.   Make a goal to walk and shop for your evening meals, or drive to and walk the mall.  Get a small backpack “once able to walk small distances;” carry healthy produce, products to the car, home etc.

Never carry more in weight than you can do so comfortably.  For example, I personally never carry more than 5lbs in bags, one for each arm, greater than 1 mile.  That’s .5 mile one way.   In other words when starting a shop & walk activity program, you don’t haul extra weight until you lose weight, or alleviate weight bearing joint pain [if this is a problem for you].  To do so when the mind-body is not ready may risk secondary weight bearing injuries to body compromising overall increased fitness success.

The information presented within this article and on our website, is in no way intended as a substitute for medical consulting or treatment.  Always consult a physician before starting any course of fitness programming, particularly if you are pregnant or currently under medical care.

Also Read:  Relative Fitness Programming Sustains Active Lifestyles

Author: Marc T. Woodard, MBA, BS Exercise Science, ARNG, CPT, RET. 2014 Copyright. All rights reserved, Mirror Athlete Inc., www.mirrorathlete.org, Sign up for your Free eNewsletter.

Improve Fitness After Rehabilitation

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Marc after Second Hip Surgery

MAE Video \”Marc Talks about Rehabilitation through Walking\” 

If you have just recently had surgery, experienced an injury and now are finished with your HMO rehabilitative services and want to become fit there is a post exercise mobility therapy habit that needs to be considered to ensure quality living experiences.  Many that are going through physical rehabilitation tend to gain weight, lose strength, cardiovascular endurance and suffer acute to chronic pain from inactivity.

 If you experience weight bearing acute to chronic pain in any of your weight bearing joints, i.e., back, neck, hip, feet, legs and have put on weight, or simply want to take control of your weight, a safe starting movement activity is the way to go.  This means to find some form of activity where you can move your body to begin increasing your fitness levels. 

 There are exercise activity routines you could participate in to rehabilitate yourself to walk, if not able to walk well.  For example, there’s extended physical therapy offered by many health insurers, to include Medicare.  If your insurance does not cover extended specialized services because you have annual limits on these services which you’ve used up, all is not lost.  The same is true if you have coverage that only includes short-term, or very limited medical services.  If you have the ability to walk, you are in a better position to rehabilitate yourself through walking movement activity.

 Now if you’re in a bad way and you need assistance to get yourself rehabilitated, don’t go it alone!  Suck up your pride, reach out and recruit a friend or family member to drive you to the nearest social security administration if you can’t do this yourself, or visit www.socialsecurity.gov online, or call by phone toll free 1-800-772-1213 to reach a representative.  Office hours are between 7a.m. and 7 p.m. Monday through Friday to get further application, appointment, qualifications, self help information and office location in your area.  Also check into the supplemental home assistance programs and other available services.

 Even with disability supplemental assistance programs success to rehabilitate oneself to get active with life will depend much on your ability to begin actively moving your body to receive a fitness benefit.  The disability assistance is nice because you now don’t have to worry about paying your basic living expenses.  However, a word of caution…  All too often, those with limited movement and pain begin to move even less when outside supplemental services are provided.  This level of comfort somehow nestles many to believe they are taken care of meeting the social disability expectation.  This may be true from a cash flow perspective, but absolutely false from a health and increased fitness level perspective.

 To develop a habit of less activity when one should be attempting to rehabilitate working toward increased activity, especially if one can walk is detrimental and a contradiction to their wellness health goals.  Remember, to improve fitness levels and overall health does not mean your social security benefits will end.  All too often, fear in not meeting and maintaining the social disability expectation prevents many from ever improving their disability conditions.  This dependent and addictive support habit often continues to degrade health for fear of losing needed supplemental government services.  Believe me, I’m not opposed to the services, I’m drawing awareness to proper pain management and quality living philosophy where movement activity is balanced into the rehabilitative mix.  I also realize many dependent on physical or mental aid will never have the ability to work for an employer because of disability limitations.

 My message for those that find themselves in this situation, you can have better quality life experiences if you can find a way to get yourself busy in life through a walking activity.  Especially if you can pain manage this activity.  And if you can do this, you will also be able to travel a little more, visit family members, go to a ballgame, maybe even do other activities; like ballroom dance, walk the dogs, sit for periods of time and write that book you’ve always dreamed about.  The list goes on.  Through walking many ailments can be pain alleviated and fitness levels increased.  Of course, keep what I’m telling you in perspective.  Your quality living improvements are relative to your health condition(s), physical and mental limitations.  Never the less, you will experience more feel good endorphins if you begin moving your body.  This will also improve mood, motivation to do more with your time in a day, boost self-worth and reduce dosages on pain medications daily.

 The cost to you to walk is nothing, other than your time, effort and motivation commitment toward improved mobility.  Through daily physical movement activities fitness levels will increase.  This will positively impact mood disposition.  This is important why?  Increased fitness levels contribute to healthy heart, lungs, metabolism, lean body, body strength, reduced body fat, weight control, pain alleviation, better physical endurance, excellent circulatory properties, reduced depression and other ill-health prevention, etc.  A combination of healthy habits, such as daily activity exercise movement and balanced nutrition are two of the ageless body prevention formulas.   This combination instills “proven” ageless fountain of youth methods centurions have known about for years and apply daily to enjoy quality living experiences for life.  To know this information is a “powerful mind-body motivator” for those that are in daily need of rehabilitative strategies to improve overall fitness and health.

 But in order to begin movement exercise activity safely; if you’ve been a couch potato, post surgery patient, or are in some form of physical rehabilitative condition, overweight, etc., you must first develop a fitness activity exercise plan and include your primary care physician and/or specialists to discuss a physical fitness program to ensure it is right for you. 

 Remember we’re all different in age, have various fitness goals, pain issues, disease, life circumstances, etc.   For example, I didn’t use a gym for many years while I worked to rehabilitate my body after surgeries.  I simply walked around the house, short stints with mobility aids in/outside the house, did PT exercises in bed the best I could until my body got stronger.  After I was able to crutch my way around the neighborhood an 1/8 of mile I incorporated other activity.  I’m not telling you to base your exercise mobility routine like mine; I’m simply providing what worked for me as an example.  I also had 4 physician specialists I coordinated with to assure my plan was not going to be detrimental to my overall health.  I know making appointments with specialists to compare notes is an additional burden.  It is a necessary part of any rehabilitative effort to ensure when customizing a fitness mobility exercise program it is done safely with your specialist(s) in the loop.

 Even with an undergraduate degree in Exercise Science, although I’m well versed in fitness activity and the effects on mind and body, I’m not a doctor.  There are many aspects of illness and disease pain pathologies, medications and effect’s on the “encompassing being” I cannot safely forecast when incorporating a daily movement activity to improve overall fitness and health during a rehabilitative scenario.  This is why you need to include your primary care physician at the least before you undertake a daily exercise mobility fitness activity.  But one thing for sure that is consistent in achieving good health, that’s daily movement activity.

 One must get back up on their feet one way or the other and move forward to become more fit.  The best way I know how to do this is achieve a goal to walk without mobility aids if possible.  This may not ever be physically possible for some.  The key is movement activity.  So when I mention walk, if you cannot do this without a mobility aid, simply increase your daily movement activity using a cane, wheelchair, walker, etc. 

 To achieve more movement activity requires daily exercise activity.  This is certainly possible and applicable to all of those using mobility aids.  I’ve got to tell you, I got the best workouts using wheel chairs and crutches.  It takes much conditioning to get into shape to haul your body weight around.  I know this from personal experience.  I challenge any walker to keep up with an avid mobility challenged person that’s conditioned to do so daily.  A word of caution with mobility walk aids.  I did suffer torn rotor cuffs and neck strains because of my aggressive competitive nature to excel in all I do.  So beware, you can hurt yourself while increasing your fitness levels through exercise with crutches and wheel chairs.  To get conditioned with these mobility devices takes the body time to build up strength, postural balance, muscle toning coordination and cardiovascular endurance.  These things are true in training for any form of physical task specific activity.  And with this said, there are correct ways to train for increased activity and wrong ways.  I’ve learned within my rehabilitative experiences, I need to better pace myself and not train for a marathon right out the gate.  After all I’m no longer in peak condition as I once was many moons ago.

 Take one step at a time, one block at a time, and one mile at a time.  Do what you can daily.  Put no time lines, or distances on yourself.  The mind-body will tell you each day what it’s capable of doing.  If you have the ability to walk you’re much further ahead in becoming more fit and healthy.  Move around, or walk daily regardless of mood, etc.  Do your in home physical therapy in bed, flexibility, range of motion exercises, walk in place, move up and down stairs if possible.  The key is to move more daily, work to reach 10-15min/day exercise activity at a minimum before increasing movement walking activity outdoors.  Be consistent at daily movement.  Don’t miss a day.  This is important if you want to improve your fitness level activity circumstances.  If you use a walker, wheelchair, or cane get out and move forward/move daily.  Build up walking endurance with a walking mobility aid if necessary to achieve goal distances of 100ft for example.  Physical therapy exercises will vary for each individual and will not be covered here.  However, if you need ideals on how to warm up and exercise before walking activities research the following:  Use the library, Internet, magazines, primary care HMO home PT exercise book, relevant rehabilitative subscription information/self-help recommendations for your conditions, etc. 

 There are many self-help books and free HMO pamphlets available.   I personally like Pilates and plank exercises for core strengthening exercises after passive and active warm-ups like, hot shower and range of motion stretching exercises.  I also do these slow stretch exercises while I watch the morning news, or evening shows and in-between writing my daily articles.  My slow stretch exercises include seated reach for toes and hold, standing slow stretch side bends, neck rotation/side tilts and squatted back stretches holding from 10’s of seconds to minutes at any time within the day’s activities.  I then go on my daily walk (active warm up and conditioning) and incorporate Pilate’s stretches and body part light strength training at the local fitness center.  I do manage pain daily by knowledge of working around pain threshold trigger points during activity and certain prescribed medications.  Check out books and literature on Pilates and core strength exercise examples.  There are thousands of exercise examples.

 Other tips:  Consider “not taking” your car to the store for daily staples once you can walk half a mile total distances assisted mobility device or not.  Make your fitness goal each day to walk to a market that’s near.  Make a goal to walk and shop for your evening meals, or drive to and walk the mall for example “a safe environment as you rehabilitate through movement activity.”  Get a small backpack “once able to walk small distances;” carry healthy produce, products to the car, home etc. 

 Never carry more in weight than the weight you lose.  For example, I personally never carry more than 5lbs in bags, one for each arm, greater than 1 mile.  That’s .5 mile one way.  This has more to do with my chronic back-neck problems than weight lost.  So you need to factor in acute-chronic pain triggers under load.  In other words when starting a shop & walk activity program, you don’t haul extra weight until you lose weight, or alleviate pain significantly.  Just like you won’t move your body by walking without a cane, or walker after injury, or surgery until your body was conditioned to do so. An unconditioned body to walk without crutches, walker, cane, or wheel chair adds more body weight to weakened weight bearing joints.  To do so when the mind-body is not ready will risk secondary weight bearing injuries to body compromising overall health.

 When you’re strong enough to walk a 1/8mile one way for a total of ½ mile without walking aids you are then ready to begin a 3-5 day fitness activity program.  Even if mobility aids will be with you for life, you can still work toward customized fitness mobility assisted 3-5 day walking program.  The fit body results will still be experienced, i.e., cardiovascular, muscular, postural, mental function, mood and pain alleviation benefits in varying degrees.  Regardless you achieve more activity in life which equates to better quality living and healthy mind-body experiences

  Please look for the following article at the home site to get on a 3-5 day activity exercise program that’s right for you after you complete your rehabilitative mobility exercise activity goals.   The article you’ll want to search for to progress to the next activity level, “How to Exercise and Increase Fitness Levels.” Try various combinations of exercise activity, break up the fitness conditioning patterns and don’t go into any activity program at full intensity unless trained to do so.  Good things in life come to those that take the time to do it right while balancing all life activities and fitness goals.

The information presented within this article and on our website, is in no way intended as a substitute for medical counseling. Always consult a physician before starting any course of medical, or fitness treatment program, particularly if you are pregnant or currently under medical care. Always read and follow product packaging directions and warnings.

Author:  Marc T. Woodard, MBA, BS Exercise Science, USA Medical Services Officer, CPT, RET.  2010 Copyright.  All rights reserved, Mirror Athlete Publishing @: www.mirrorathlete.org,  Sign up for your Free eNewsletter.