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  • Home
  • Services
    • Exercise Physiology >
      • NDIS
      • Home/Aged Care Package
      • Chronic Disease Rehabilitation
      • Musculoskeletal Rehabilitation
      • Allied Health Solutions
      • Diabetes >
        • Diabetes Exercise Class
      • Athletic Development
      • DVA
      • Workplace Injury
      • Medicare Referrals
      • Telehealth
      • Personal Training
    • Group Classes >
      • EP Group
      • Diabetes Exercise Class
      • Strength Bones & Balance
      • Timetable
    • Diabetes Education >
      • Optimum Diabetes
    • Conditions We Treat >
      • Diabetes
      • Cardiovascular Disease
      • Exercise & Cancer
      • Osteoporosis & Bone Health
      • Chronic Pain
      • Osteoarthritis
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      • Pre & Post Natal Exercise
      • Neurological Conditions
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      • Pulmonary Conditions
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Blog

Simple Way to Look at Chronic Pain

24/2/2021

2 Comments

 
Everyone has experienced pain throughout their lifetime, it is an experience produced by the brain to protect you! But when it is persistent or chronic it is not fun, however it is more than likely not tissue damage being the major factor to your pain experience. So what is driving my pain?  

Think of yourself as a cup

If you think of yourself as a cup, and in the cup you have all the stressors in your life that may be contributing to your chronic pain. Stressors can be anything from work stress, past history with pain, anxiety, physical stress, fear of movement, false beliefs and even lack of support. When we see a lot of these stressors in our lives, the cup gets too full, it overflows and we might get pain. 

How Do We Stop the Cup From Overflowing? 
We have two options to stop the cup from overflowing, we could decrease what's in the cup or we could increase the size of the cup.

Decrease What is in the Cup
To decrease what is in the cup we have to identify what stressors are in the cup first and then decrease the impact these stressors are having. Some strategies to do this are:
  • Decreasing anxiety or depression
  • decrease our work-related stress
  • decrease our fear of movement
  • modify the loads on our body. 

Increase the Size of the Cup
To increase the size of our cup we again have to identify what is in the cup and then develop our ability to combat these stressors. Strategies include:
  • gradually improve our tissue health/strength through exercise
  • improve our confidence with movement
  • develop strategies to deal with anxiety and depression
  • build positive beliefs. 

So ask yourself what's in your cup? What can I decrease? or how can I build a bigger cup?

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​To help understand pain visit
https://www.youtube.com/watch?v=C_3phB93rvI 


Izaac Boylan
Accredited Exercise Physiologist 

2 Comments

Breast Cancer and Exercise

18/2/2021

2 Comments

 
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​Breast Cancer & Exercise

Recently there has been an announcement about an exciting Australian research project that found that venom from honeybees could rapidly kill aggressive and hard-to-treat breast cancer cells.  This is exciting news for our future, but what about people already with breast cancer, and undergoing breast cancer treatment?  Here we discuss exercise and it’s benefits for females undergoing treatment.

How common is breast cancer?
Breast cancer is the most common cancer in women, with more than 13,500 cases diagnosed in Australia each year. One in eight women will be diagnosed with breast cancer by the age of 85.   Thankfully almost 90% of those diagnosed will be disease-free five years after their diagnosis and therefore there are nearly 160,000 breast cancer survivors in Australia today.

What are the common treatments for breast cancer
Common treatments for breast cancer are surgery, chemotherapy, radiotherapy, hormone therapy and specific drug therapies. The side effects of treatments depend on the extent of any surgery, and on the dose and type of adjunct therapy.  

Some side effects include fatigue, hair loss, an increased percentage of fat and weight gain, nausea, sleep issues, joint and other types of pain, bone loss, ‘chemo brain’ (feeling
vague), and fluid build-up that causes swelling in various body parts called lymphoedema.

How does exercise help?
Exercise can help to counteract some of the common side effects of treatment and last year was recommended by the Clinical Oncology Society of Australia as a standard adjunct therapy for all cancer patients.  Read the position statement here.  Exercise can help to decrease fatigue, improve body composition, assist in increasing or maintaining bone mineral density, improve mental health and generally helps to improve a person's quality of life.

How much exercise?
Most of the studies on exercise and cancer have focused on women with breast cancer. 
As a result of these studies, exercise guidelines have been developed:

Females undergoing treatment or post treatment need to work up to moderate intensity exercise, starting with a very low intensity program and what the person can comfortably achieve, and then progress gradually.  It is common to have exercise routine lapses due to side effects of treatment, and fatigue, and therefore the program may be re-adjusted up and down over time.  A good rule to live by is that something is always better than nothing.

The short term goal is to accumulate at least 30 minutes of exercise on at least three days each week - this volume has been found to lead to benefits.
Depending on fitness and energy levels of the person, many short sessions may be needed to accumulate at least 30 minutes of daily exercise. 

Once a person can build up to, and then maintain, at least 30 minutes of exercise
per session, then the next goal is to accumulate at least 150 minutes of exercise over one week.

Both aerobic and supervised resistance training are safe and beneficial. 

Helpful tips for females undergoing breast cancer treatment starting an exercise program:
  • Always consult an Exercise Physiologist as they have a better knowledge of treatment, medications and their side effects and how to plan a program correctly for you.
 
  • A diary to record exercise sessions and the frequency and severity of treatment-related side effects is useful. This record can be used to identify and overcome barriers to exercise, plan appropriate exercise for ‘good’ and ‘bad’ days, and ensure that any worsening side effects are not linked to exercise.
 
  • Lymphedema is a feared side effect from treatment of breast cancer, and is experienced by about 20% of women. There is some confusion regarding the safety of exercise for the upper body for females with lymphedema, however, several studies have shown that progressive aerobic or resistance exercise is safe and beneficial, meaning that exercise does not cause or worsen lymphoedema, and some evidence suggests that exercise may play a role in its prevention. Clinical guidelines do however suggest that women with lymphoedema wear a compression garment while exercising, although no evidence supports this, so the individual should do what feels right for them.

Lisa Parkinson

Accredited Exercise Physiologist & Credentialled Diabetes Educator.



2 Comments

Motor Neurone Disease and Exercise

10/2/2021

1 Comment

 
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What is MND?
Motor Neurone Disease or commonly known as MND is a neurological condition that affects a neurons ability to function properly. Neurons control the muscles that allow us to speak, breathe, swallow and move and when affected by MND these muscles progressively weaken and waste away, as neurons begin to die. Those affected often losing function of their limbs and independence, although their mind and senses generally remain intact, often causing frustration and anger. 

What is a Motor Neuron? 
Neurons come in many sizes and types, but a motor neuron controls our muscle contractions. They are able to do this by receiving messages from the spinal cord and sending them through to the muscles, skin or glands that are required to complete the desired action. MND (known as ALS in the US) causes a neuron to gradually deteriorate and eventually die, affecting its ability to transfer messages from the spinal cord to the muscles. As a result, this decreases the body’s ability to control a muscle or contract it, which results in a loss of strength and gradual wasting away. 



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What are the symptoms of MND? 
The severity and types of symptoms vary from person to person and also depend on how far progressed the disease is. Some early symptoms can include; 
  • Tripping or stumbling more often, due to leg muscle weakness developing. 
  • Dropping or difficulty holding objects due to arm and hand muscles weakening. 
  • Having trouble swallowing or speaking due to tongue and throat muscles deteriorating. 
  • Frequent cramps or muscle twitches. 

As the disease progresses, symptoms will become more prevalent, these may include; 
  • Finding it challenging to breathe due to a decrease in lung capacity and muscle weakness. 
  • Constant fatigue.
  • Painful or stiff joints and muscles.
  • Insomnia caused from pain, breathing difficulties or general discomfort. 
  • A type of dementia can develop in approximately 5-10% of MND patients. 
  • Excessive laughing or crying due to damage in a particular region of the brain. 

Who does it affect? 
MND can develop in any individual and there is no known cure or treatment for this disease. In Australia there are two people diagnosed with MND and two who die from MND, everyday. Once diagnosed with MND the average life expectancy is 2.5 years. Of those diagnosed with MND in Australia, 60% are male and 40% are female and roughly 58% of people diagnosed are under the age of 65. 


So how can exercise help? 
As MND progresses the patient’s ability to walk and mobilise decreases, due to significant decreases in muscle strength, joint stiffness and an increase in fatigue. Engaging in regular and structured physical activity enables individuals to continue mobilising and maintain their independence for as long as possible.  Focusing on increasing joint range of motion and mobility, increasing muscular strength, specifically in the legs and arms and maintaining both static and dynamic balance to prevent falls from occurring, are all crucial elements in prolonging function in those with MND. A recent study reported that upper leg strength decreases by 35% one year after MND diagnosis, although when specific lower limb strength training was regularly completed, their full strength was maintained for up to 10 months longer after their diagnosis. As a result, this maintained their function for an extended period and provided an improved state of mental health and quality of life. 

By Aleisha Michael
Accredited Exercise Physiologist​


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1 Comment

Bodyweight exercises at home - progressions

4/2/2021

1 Comment

 
Bodyweight exercises are a great way to stay in shape at home. They’re effective, they do not require any special equipment and you can do them anywhere, making them a perfect solution for people without equipment or when you are on holidays.

Below are 3 body weight exercises that you can do at home with a couple of variations of each exercise for different fitness levels.  
This is general advice and these exercises may not be suitable for everyone, so please pick and choose which exercise and which version might be best for you, or consult an exercise physiologist for individualised exercise prescription.

Squat
Most of us know how to perform a squat and there are lots of variations depending upon your ability.

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​Level 1 of the squat is the chair stand.  
  • Simply start by sitting in a chair, feet hip width apart, cross your arms across your chest, or out in front as shown and then stand up.  
  • Try and keep your head mostly above your bottom when you are standing up, and push into your heels as you stand up.  
  • Once you are standing, reverse the action slowly, without plonking down.
  • Repeat this.
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Next level is to undertake a squat tap.  
  • Very similar to the chair stand, except rather than sitting down fully onto the chair. In between each repetition we just tap our bottom to the chair and then stand up straight again.
  • We again want to keep out head mostly over our bottom so that we don’t lean forward too much.

Once you have mastered this, you can progress to the full squat.  

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  • There are a number of variations, but to begin with, start with your feet at hip width or slightly wider, turn your toes out about 30 degrees, then simply bend your knees, keeping them in line with your toes, and your bottom should go behind you. And then reverse to stand up fully again, but without locking your knees out.
  • You can increase the difficulty by holding weight at your chest or a barbell at the front of your chest or on your back.
Complete around 10-15 repetitions slowly, never bouncing into the movement and repeat this sequence 3 times.

The second exercise is the push up, again beginner through to advanced versions.
Beginner level is a wall push up

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  • stand facing a wall, approximately 2 feet back from the wall.  
  • Then extend your hands out from your chest onto the wall.  
  • Now imagining that you have a broomstick stuck to the back of your head, back of your shoulders, back of your bottom and back of your heels, keep that straight line and bend your elbows so that your forehead goes towards the wall, once almost head butting the wall, gently push out back to starting position.  And repeat
Increase the challenge of a wall push up by progressing to the kitchen bench which is lower, so we are working against gravity more.

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Those familiar with push ups might also undertake them on the floor with hands and knees in a box position, or in a full push up position on hands and toes.

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Again undertake 3 sets of 10 repetitions slowly.

The final exercise is the tricep dip.  This one targets the tuck shop arms or the tricep muscle group at the back of the upper arm.
  • Commence by sitting with your bottom on the edge of a chair.
  • Now put your hands on the chair right next to your bottom with the heel of your hand on the top of the chair and your fingers wrapping around the edge and under the chair or bench.
  • Now walk your feet forward slightly so that you are no longer sitting on the chair and you are holding your bodyweight with your arms.
  • Now bend your elbows so that your bottom drops towards the floor until your elbows are at right angles.  Then reverse this movement by pushing up to straighten your arms again to the starting position.
  • You can make this exercise more challenging by moving your feet further away from you, even as far as to having your legs straight.  More weight is then being put through your arms.
  • Again, complete 3 sets of 10-15 repetitions and feel the burn.

Beginner:

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Intermediate:

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​Advanced:
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Lisa Parkinson
Accredited Exercise Physiologist & Credentialled Diabetes Educator.

1 Comment

    AuthorS

    Lisa Parkinson
    ​Accredited Exercise Physiologist, Diabetes Educator

    Thomas Harrison
    Accredited Exercise Physiologist
    ​
    Rebecca Dostan
    Accredited Exercise Physiologist

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