Exercise and Patient Engagement

Of course I plan to start exercising soon.  Here's my exercise bike almost ready to go. I'll use the pylons to keep people out of my way.

                                                                A McKinnon
Given the frequency that exercise and physical activity is recommended it should be heralded as the new wonder drug. In fact it may actually be running ahead of patient engagement in the wonder drug category.

So imagine what an engaged patient who exercises can do!

                           a longer than usual walk today             A.McKinnon

Prescription For Exercise

Last week in the #hcldr tweetchat participants received this prescription for health from Dr Tony Leachon. This is all you need to do to be healthy and live longer.

Thanks to Dr Leachon

From Dr Leachon's tweets I can see he is truly committed to changing viewpoints on disease prevention from the top down. Do you think that when it's a prescription we pay more attention?

Just kidding about the bike but I do exercise. There is nothing wrong with my core so I try to strengthen it to gain muscle and improve my balance. I do a modified form of Pilates while taking care not to stress my back because of worry about osteoporosis. This article by Sherri Betz about Modifying Pilates For People With Osteoporosis works as a guideline for me.  I worry about it because of my family history of back problems.

                                My back mascot - Bone Buddy  A.McKinnon

Help Your Bones - Types of Exercise

If you you are planning to exercise to improve your bone density and strength, avoiding the movements that may harm your spine is important. You want to solve a problem, not create a new one. Pool exercises are good for keeping you limber and extending your range of motion and endurance, but for strong bones You need to supplement swimming with activity that will increase your strength.

                                         Publicis Dumocalcin Campaign

We need to work on making our muscles and core stronger. If Rheumatoid Disease has affected your hands and feet, and walking or  lifting is more difficult it's good to know that working on your core strength is still possible, as long as the fatigue is not a barrier. 

When I started to exercise I felt like my muscles consisted of limp spaghetti the day after.  Thank goodness for timely biologics that let me do more. Starting slow and building up strength gradually also helped.

                                                                  scomotle.org
                                                                                                   Muscles Like Spaghetti


Pilates sounded like a good match for what I wanted to achieve and I found a story in Chatelaine magazine about Lori Weisbrod, who teaches Arthro-Pilates in Toronto  http://www.arthro-pilates.com/  Since she has autoimmune arthritis herself she knows about the pain and issues arising from damaged joints and fatigue.  I've been working on improving strength with her for 4 years through good times and less good times with my body resulting in more strength and muscle.

                                        Lori Weisbrod ArthroPilates

I have also read a lot on the TheraPilates website.  Sherri Betz is a well known speaker and teacher in the area of Pilates and osteoporosis and she has a great collection of articles on her website http://www.therapilates.com/PDF/modifyingpilates.pdf  in particular her article "Modifying Pilates for Clients With Osteoporosis"  If you are planning to do Pilates you should read it.  If you are already doing Pilates it would be a good read for your instructor. If you're in California you could takes classes with her. Below is an example of a back strengthening exercise.

                                                           Extension Exercise

Here is the rationale behind avoiding the flexion (forward bending) and doing the extension movements.  It's one of many papers by Dr Mersheed Sinaki, who studies the effect of muscle strength and exercise on bone mineral density and back pain.

She mentions a correlation between muscle mass and bone mass - so that's why you need to get stronger with inflammatory arthritis.

I am not sure if we could become as strong as these two ladies below but they are great examples.  I am a lot younger than they are and they have me beat by miles.

                                     Ernestine Shepperd,74  - oldest competitive female bodybuilder

                                                                Richard Lautens Toronto Star

                  Ida Herbert 96 -  Guinness World Record World’s oldest yoga teacher.
                                                          
                                        
There are more actions you can take for your bones you can do for your bones so this is the topic for the next post also.
Here's a link to Post #1 about RA and bones.