Bending Over…Sideways

When I was a kid doing exercises in gym class, one of the calisthenics that we always did was side bends–not as dramatic as the yoga pose above, but side bends nonetheless. I liked them because they were not too strenuous, but I was not sure that they served any purpose.

As I studied to become a personal trainer, I learned about the different muscles in the human body. There are those with which most of us are familiar–biceps, hamstrings, calves–but others we may never have heard of before. For me, one of those was the Quadratus Lumborum (called the Q-L for short). It is one of several muscles in the torso and abdomen that serve as stabilizers; their role is to keep maintain, posture, balance, and movement. There are actually two of the Q-L muscles–one on each side of the spine.

The Q-L helps to stabilize the spine, but it also assists with breathing, pelvic alignment, and extension of the lumbar (lower) spine. In terms of movement, it is responsible for bending to the side as well as hip “hiking” or elevating the hip to assist in walking, running, and climbing stairs. The Q-L does a lot of work, so it is important that we care for it properly; included in this is regular stretching–including my old friend the side bend.

There are many ways to do these bends:

Simple Side Bends from side to side, reaching to the floor (weights can be added too).
Single-Arm Side Bends, also known as “I’m a little teapot.” One arm is bent with the hand at the waist while the other reaches down (a single weight can be added here too).
Wide Side Bend/Crunch is more advanced and challenging. With a dumbbell in each hand, form a goal-post position with both arms and lean from side to side; focus on keeping a straight line from elbow to elbow through the shoulders. The torso should do all the work.
Seated Q-L Stretches are especially effective for those who have difficulty with balance. Bend the elbows and place the hands either atop the head, at the shoulders, or at the waist; bend the torso from side to side.
There are also a number of yoga poses that do the same job: Side Angle Pose, Triangle Pose, Gate Pose, and Half-Moon Pose.

The best part about all of these exercise–except for some of the Yoga poses–is that they are relatively easy to do. It is unlikely that a person will break a sweat or start huffing and puffing while stretching the Q-L. Nevertheless, to help maintain stability, balance, and movement, the Q-L Stretch needs to be a part of every older adults’ stretching regimen.

Independence with Responsibility

We just finished observing Independence Day weekend; for Americans it is a time of celebration as we commemorate our freedom from the tyrannical rule of kings in Britain. As of July 4, 1776, a single person was no longer the most powerful thing in our nation; the law was now the supreme ruler. While our union has not always been perfect [refer to centuries of chattel slavery], I would like to think that we are guided by this idea.

Unfortunately, there are many who focus on independence, liberty, and freedom without understanding the responsibilities that must go along with them. The thirteen colonies did not declare their independence from the British in order to create an anarchist society where anything goes; on the contrary, it was an imperfect attempt to create an egalitarian system where people are treated with dignity and where we support each other. The Constitution (which came about 13 years later) was the “responsibility” that came along with the “freedom.” Two years later, the Bill of Rights was ratified; in other words, our obligations came first and our rights came later.

This narrative parallels the story of the Hebrews’ exodus from Egypt in the Book of Exodus. The people were freed from the tyranny of Pharaoh and Egyptian servitude; they were not released in order to run around like wild people in the wilderness. On the contrary, according to Jewish tradition, the people received the Law at Mt. Sinai exactly seven weeks later. They were set free in order to be able to serve each other and God; the Torah was their guidebook.

What does any of this have to do with fitness? We are given our bodies as a possession with which we can do as we please (although your actual mileage may vary). We are autonomous beings. We can choose to live in a healthy way–exercising, eating healthily, getting proper rest, etc.–or we can let unhealthy habits take over our lives. Our bodies provide us a certain amount of freedom, but we have a responsibility to our bodies as well. If we do not treat them right, they will rebel and we will suffer.

As we make our way into the 250th year of American independence, let us reflect upon our obligations to others to help make this country a place of peace, justice, opportunity, and liberty. Let us also not forget the obligations we have to our own physical well-being; without our health, it is impossible to fulfill our other responsibilities.

Are You Able to Do What You Want?

Last week, my wife and I went to see Barry Manilow in concert at Rocket Arena in Cleveland. It was a sold-out show on his “farewell” tour. I have been a fan of his (although I do not consider myself a Fanilow) since I was in junior high school; his music was a big part of the soundtrack of my teen years. As you can imagine, the crowd’s age skewed toward the AARP-zone. The concert was the first of Manilow’s that I had been to and perhaps the best concert I have ever seen in my life.

Originally, the venue was supposed to be Blossom Music Center–an outdoor, covered amphitheater with lots of lawn seating as well. At some point it was moved to the Arena where the Cavaliers play basketball. My wife and I wondered why the venue was changed, but I guess it always comes down to dollars and cents. The Rocket Arena can fit more people than Blossom. We also considered that while lawn seating is popular with those with good mobility, the older crowd may have found it off-putting to have to sit on lawns and climb up the hill. When we saw how steep the stairs were at Rocket Arena, we knew that could not be the reason.

As we entered our section that evening, two women were brought into the arena in wheelchairs. They were able to ambulate on their own for a little bit–and they did have aisle seats; even so it took several people to help them navigate down the steep stairs and get them situated. In the meantime, a line of people behind them had to wait to get to their own seats. When Manilow appeared on stage, it set quite a contrast. He is almost 82 years old. He sang and danced for an hour and forty-five minutes straight with no intermission!

How is it that some people struggle to get to their seats and others have the stamina, agility, and balance to entertain for nearly two hours? Of course, Manilow must have coaches and/or trainers who keep him healthy and fit–he looked great (although its obvious that he has “had some work done” on his face). Even so, I cannot help but think that it has to do with the choices that each of us makes as we go through life. As I tell my clients, the decisions we make today will affect what our tomorrow will be like. If we exercise, get sufficient rest, and eat right, we are more likely to be able to do the things we want as we get older. There is no 100% guarantee, but overall there is a strong cause-effect relationship.

Not everyone is Barry Manilow. There are always genetics and other factors that affect how we age. Research shows, however, that taking care of ourselves will yield results over time. This is one the main reasons why many of my clients have chosen to work with a personal trainer in their older adult years; they want to continue to do what the love to do as they age. For Manilow, it is to be an entertainer; what is it for you, and how can you make it happen?

The Economy and your Health/Fitness

Over the past several weeks we have heard a lot about how changes in the US economy have affected the job market, peoples’ willingness to make purchases, and retirement accounts. On-and-off-again tariffs and trade wars have impacted a large swath of the American public. These changes have hit the fitness industry as well–even my own company, At Home Senior Fitness.

Last week, I had a client email me that she was going to need to take a break from training for a while. She is retired and relies on her retirement accounts to pay for her expenses, including working out with me twice weekly for the last 5+ years. Her accounts took a bad hit as the stock market lost value and she is concerned that her money may not last as long as she thought; this called for some tough decisions, and dropping my services was one of them. While it is my hope that the economy will improve, I do not know if I have lost a client for a short while or for good. This obviously impacts me as well–especially since the majority of my clients are retired and on fixed incomes.

A couple of years ago, I blogged about a related topic. Many people view belonging to a gym or using the services of a fitness professional to be a luxury. The reality is that money put toward health and fitness should not really be considered discretionary; without good health and the ability remain active and independent, what good are the financial savings? In the long run, it is much less expensive to keep in shape than it is to become sedentary. It is not unlike doing maintenance on a car; if you keep to a regular schedule it will cost money–but much less than repairs later on as a result of neglect.

I know that these are tough times for many. I am fortunate to have lost only one client (and hopefully only temporarily). Short-term decisions about saving money, however, may end up having long-term implications. Let’s not lose sight of our priorities.

Funding Cuts and Alzheimer’s Disease

Anyone who has been following the news knows that the current US administration has made “government efficiency” one of its goals. While almost everyone agrees that waste should be eliminated wherever possible, many have concerns that in the long run some cuts will do more damage than good. Many point to pauses or cancellation of federal funding for medical research as a clear example of this; these actions are often the result of an over-arching initiative to eliminate all Diversity Equity and Inclusion (DEI) programs at institutions that receive funding for these studies.

CNN recently reported on the effect this is having on research to prevent and treat Alzheimer’s Disease and other forms of dementia. The article talks about one study at UC-Davis entitled: “The Clinical Significance of Incidental White Matter Lesions on MRI Amongst a Diverse Population with Cognitive Complaints (INDEED).” This study has the word “diverse” in its title which triggered an automatic pause in funding; as is apparent from the context, this study does not have to do with issues of merit-based advancement but rather various populations that are affected by Alzheimer’s Disease–which is basically every ethnic group that exists. The funding was eventually restored but a great deal of money was wasted as the study was shut down and then restarted–not exactly government efficiency.

This is just one of many cases affecting research on Alzheimer’s Disease. On paper, these studies seem like easy targets. First, much of the research takes place at research universities; these institutions have been a target of recent anti-DEI efforts. Second, a large number of older adults have Alzheimer’s Disease which means that support and research costs the US government quite a lot; to eliminate would make a positive impact on the “bottom line.” In a related vein, care for those with dementia is approximately 2 to 3 times more costly than for those without it; this makes investment in Alzheimer’s Disease seem to have a lower return on investment.

The key question for me is whether these short-term (and perhaps short-sighted cuts and pauses) will ultimately save money in the long-term or end up costing a lot more later on as research costs rise. Again, everyone agrees that waste should be eliminated where possible, but one has to wonder about the wisdom of these clearly politically-motivated (anti-DEI) measures and whether we are cutting off our noses to spite our faces.

Let your elected representatives know what you think. As we age, these matters will become more important. Let’s not allow our future health and well-being be sacrificed on the altar of political game-playing.

Recalculating…

This is the last installment of what I learned at the IDEA / ACSM Health & Fitness Summit in Denver. The last session that I took was about making modifications in exercises to avoid pain for clients and class participants with joint or muscle issues. Since I deal exclusively with older adults, almost all of my clients have at some time or other needed modifications to the exercises we do so I was looking forward to brushing up on my skills and knowledge.

There are lots of exercises. There are also lots of muscles and joints. There is rarely one single exercise that will benefit a certain part of the body. For instance, the triceps can be worked in a number of ways: bench triceps extensions, overhead triceps extensions, cable push-downs, triceps dips, push-ups, triceps kickbacks, etc. If doing one of them causes pain, that does not necessarily mean that it is impossible to train the triceps; on the contrary, there are almost always other forms of the exercise that do not create discomfort. Additionally, there are ways to adjust the amount of weight, the speed of the exercise, or the number of sets to achieve the same goal without pain.

I have to be honest that I out of the four courses I took, this was the one that I found least helpful to me. There was more technical jargon than necessary (presenters do not need to call it the glenohumeral joint; among professionals there is no need to show off–just call it the shoulder) and, frankly, my work over the past 7 years has required me to come up with all kinds of adjustments to the exercises we do one-on-one and in a group setting. One of the things I enjoy the most in my on-line group fitness class is seeing the variations of movement on the screen among the participants based on their abilities; they have learned how to achieve the same goal in a different way. It is a win-win.

Even so, I did pick up a few new “tricks.” I also think it is important for trainers who do not necessarily work with special populations to understand that not everyone comes to a personal trainer to become an elite athlete. Many are looking to maintain strength, agility, balance, and independence; the path for older adults and those with disabilities looks very different from the one followed by a 19-year-old basketball player.

The human body is a wonder. We all have certain assets and liabilities in our physical fitness. It is reassuring to know that in almost any condition there are ways to build better fitness. We just need to be flexible and recalculate how to keep it pain-free.

Training People with Parkinson’s Disease

In my next installment of “What I Learned at the IDEA / ACSM Health & Fitness Summit in Denver,” let’s talk about Parkinson’s Disease (PD). This is an issue that is near and dear to me. My father (of blessed memory) had Parkinson’s Disease and I have a client living with it as well. Most of us know someone who lived or lives with it–most notably, the actor Michael J. Fox.

While at the conference, I signed up for a session aimed at trainers who might be working or interested in working with someone living with PD. The session had three speakers: one from the Parkinson’s Foundation, one who is a researcher on PD, and a third who trains people with PD. A young woman with early onset PD was also there to talk about her own experience and to serve as a “client” for the demonstrations. It was an excellent program giving us a mix of information about the disease, how to work with it, and how to find more resources. The most important thing I learned, though, was just how effective exercise can be in delaying the progress of the disease; it is truly remarkable.

One of the ideas that what was stressed to us was to get in touch with local resources for more guidance and education. There are on-line resources and certification programs that are available too. I am accustomed to training with what are called “special populations” in my work with older adults; I have special certification that has taught me the best practices for training this group. Just as I would not train a 70- or 80-year-old in the same way as a student athlete, individuals with PD require a different approach. I knew a tiny bit more than when I went to Denver, but I was inspired to dig a little deeper.

I contacted my local Parkinson’s Foundation and the next day they called me to let me know that one of the best (if not THE best) resources in the United States was located about two miles from my home; they encouraged me to contact InMotion, a free community-based program for people with PD. I called InMotion and got a return call very soon afterward from the co-founder and Chief Program Officer, Ben Rossi. It turns out that we have similar backgrounds although he has been in the fitness industry much longer than I. He invited me to come see the place; this surprised me a little bit since my company, At Home Senior Fitness, could be seen as competition.

Today I visited what I would say is one of the most impressive facilities I have seen in a long time. InMotion has fitness facilities, group therapy, individual therapy, and classes that cater to the entire person. I sat with Ben for a while and discussed my interest and got some great advice about where to go next. It turns out that we really are not in competition; the truth is they are much better at working with people with PD than I will probably ever be. What I can do is help to provide a continuum of treatment for my clients and partner with this organization.

I will do some more digging in the weeks ahead and see if there is a certification program that makes sense for me and my business. In the meantime, it is heartening to know that there are amazing professional, volunteers, and supporters who make this place a hub of activity and healing. It is a resource for those with PD and for those of us who care about and for them.

Differentiating My Brand

While attending the IDEA / ACSM Health and Fitness Summit, I availed myself a class taught by Billy Polson about differentiating one’s brand. That is just fancy for what makes my business stand out from the rest.

In the fitness world there are lots of big box gyms, community centers, and garage-style fitness centers. When I came up with the idea for At Home Senior Fitness, I knew that it would stand apart from all of those because of two main components. Our training would be limited to older adults (55+)–also meaning that all the trainers working with me would have training, experience, and/or specialization in that area. The other distinguishing factor would be the “at home” aspect; I do not own a brick and mortar gym, but rather provide services to my clients on Zoom or in their own homes (or in a fitness center located where they live).

These two factors differentiate me from any other business in Northeast Ohio and, as I have found out, from most other fitness firms in the USA. Many cater to older adults and many do at home training; very few do both. Even though I have my niche and have stuck to that core mission, there are still ways that I can further set my company apart from the rest. This was part of Polson’s challenge to each of us–no matter how unique our business model, we have to continue to differentiate.

What can I do to make At Home Senior Fitness excel even more? I have long talked about filming videos that demonstrate how to do various exercises safely; I have even toyed with putting together entire workouts and courses in video format. I do have regular communication with my clients, as well as someone who does social media for me, but I can probably improve on this as well. Perhaps I could also provide clients with better direction about what they should be doing on the days when they are not working with me. There are lots of ways that I can better the work that I am doing…but that all takes time.

This is why it is important for me to schedule in time (which I now do) to work on the business instead of just in the business. Once a week, I will spend one hour working on these projects. Of course, the goal is to expand my business from a financial standpoint, but more essentially the aim is to be able to reach more older adults who can benefit from physical activity and exercise.

The challenge has been put forth by Polson, and now I will do my best to rise to the challenge.

Is Your Trainer still Certified?

I just returned from the Health & Fitness Summit in Denver. This is the fifth conference sponsored or co-sponsored by IDEA that I have attended. IDEA is an educational organization that provides on-line courses and in-person events that allow fitness professionals to stay up-to-date on the newest research and trends in the industry, as well as to work toward new areas of expertise. Aside from gathering with our fellow trainers, for many of us, it is an opportunity to obtain the all-important Continuing Education Credits that we need to keep our certification(s).

Just as attorneys and doctors have to keep learning after they finish their formal school training, fitness professionals are required to participate in continuing education. It varies for each certifying agency, but usually is around 10-20 hours of study per year. I have two certifications and they require 10 credits per year; luckily, I can use the same course for both accreditations.

Why is this important? No one wants an attorney who is not up on the latest changes in the laws where they practice; there is perhaps nothing worse than paying big bucks to get out-of-date or otherwise incorrect legal advice. The same is true of doctors; would you want a procedure that was standard in the 1960s or do you want the latest techniques that offer the greatest chance for success with the least difficult recovery? Research about human physiology and exercise continues on a regular basis–although some of it is in jeopardy based on current threats to funding of the NIH and CDC. What trainers thought was best for older adults and clients with chronic illnesses such as Parkinson’s, Diabetes, or cognitive decline in the past is not necessarily what is recommended today. Every year, when I attend these conferences–as well as when I do on-line courses–I learn more about how to best get my clients the results they desire while keeping them safe and injury-free. CECs are not just what I need to keep my certification current; they are what keeps me at the top of my game and of value to my clients. If your trainer has let their certification lapse, it is not just a formality; it means you may be getting inferior services.

In the next blog posts, I will discuss some of what I learned this year. I will share some of the latest research–which I can do because I take my continuing education seriously.

Black/White Fitness Disparities

February is Black History Month, an opportunity for Americans to learn about and appreciate the contributions of African Americans to our nation as well as to recognize the struggles they have faced over the centuries. In fits and starts, our country has made progress in racial equality but there is still a long way to go to achieve justice and equity.

One of the areas where there is still a disparity is in physical fitness. This seems counterintuitive at first since we see many African Americans excelling in sports, but on a more grass roots level there is still inequality. African Americans are significantly less likely to participate in exercise than other racial groups. As we know, the lower levels of physical activity can lead to heart disease, obesity, and other chronic illnesses.

Research shows that African Americans do not meet the recommended guidelines for physical activities as frequently as white Americans. This leads to greater occurrences of obesity. Studies show that this is caused in part by socioeconomic factors like lower income, less availability of safe and affordable gym facilities, as well as cultural influences that may discourage physical activity in the community–in particular, among black women.

Researches conclude that there may not be sufficient awareness in the community about the benefits of regular physical activity. Add to this that there may not be gyms or other athletic facilities tha06are safe and easily accessible and the impetus to exercise is decreased; for some, the cost may also be prohibitive. Even for those who do have the gym memberships, there are some places where they experience racial discrimination. Athletic facilities may also not have programs and resources that are geared to the interests and tastes of those in minority communities.

There is much in the fitness industry that can be done to reverse this reality. We need to partner with community leaders as well as the medical establishment to find ways to raise awareness, make engagement in physical fitness more attractive and affordable, and diversify the face of fitness professionals. All of these are a good start to help ensure that everyone has the potential to keep strong and healthy throughout their lifetimes.

I salute the achievements and contributions of African Americans to our country. May we all work together to create more opportunities so that all Americans can meet their potential.