Author: Mokhtar

  • 3 common myths about physical therapy

    3 common myths about physical therapy

    physiotherapy Physiotherapy is an essential aspect of post-operative recovery, injury rehabilitation and overall musculoskeletal health. However, despite its effectiveness, there are several misconceptions surrounding physical therapy that often prevent people from seeking this treatment.

    Learn the truth about physical therapy by understanding the truth of three common myths debunked by bone and joint specialists.

    Myth 1: Physical therapy is only for athletes

    A common misconception is that physical therapy is only for athletes recovering from sports-related injuries.

    The truth is that physical therapy is not limited to athletes. It benefits individuals of all ages and activity levels. Physical therapists are skilled in treating a variety of conditions, including chronic pain, postoperative rehabilitation, work-related injuries, and non-surgical orthopedic injuries.

    Whether you are an athlete, a sedentary person, or somewhere in between, physical therapy can be tailored to meet your specific needs.

    Myth 2: Physical therapy is painful

    Another prevailing myth is that physical therapy is painful and involves long-term discomfort to achieve results. On the contrary, the physiotherapists at Bone and Joint Specialists always put the patient’s comfort and safety first.

    Although some therapeutic exercises may cause mild discomfort because they target weakened or injured areas, physical therapists adjust the intensity of the exercises to avoid excessive pain.

    In addition, physical therapy aims to relieve pain and promote healing – not to worsen discomfort. The goal is to gradually improve strength, flexibility and range of motion. This actually helps patients with long-lasting pain relief.

    Myth 3: It is only for patients after surgery

    Another common misconception is that physical therapy is only necessary for patients recovering from surgery.

    While it is certainly important for postoperative recovery, physical therapy can benefit a wide range of people, including those with overuse injuries such as tendinitis or bursitis.

    It is beneficial for anyone looking to improve flexibility, muscle strength and movement mechanics. It is also an essential part of recovery for many patients at Bone and Joint Specialists, helping them reduce the risk of future injuries.

    Schedule a consultation today

    At Bone & Joint Specialists in Merrillville, IN, experienced physical therapists provide you with expert care and guidance throughout your therapeutic journey.

    Schedule a consultation with them by calling (219) 795-3360 and take the first step toward a healthier and less painful lifestyle.

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  • Why did I lose my muscles after ACL surgery?  Video

    Why did I lose my muscles after ACL surgery? Video

    How long exactly does it take to regain muscle mass after ACL surgery? It may take up to 1 year after your ACL surgery to regain your muscle mass! This sounds like a very long time, but there are some very important reasons why this is the case. Muscle loss, also called muscle atrophy, is normal after ACL surgery. Read this blog for more information about muscle loss after ACL surgery.

    Listen to Andrew Veley, a physiotherapist, talk about the reasons why it can take up to a year to regain your muscles after ACL surgery in the video below.

    Andrew Veley, physiotherapist, talks about the reasons why it can take so long to regain your muscle mass after ACL surgery.

    Want to find a way to quantify your muscle loss? Or better understand the difference between your surgical ACL leg and your non-surgical leg? Read this blog about how to measure the difference between your two legs by simply measuring your thigh circumference. If you need a video explanation of what thigh circumference measurements are and how they can be used to track your progress, watch this short video.

    Here is Andrew’s full blog on muscle loss after ACL surgery.

    Read all 6 Andrew’s blogs here!

    If you are recovering from an ACL injury or ACL surgery, download our Curovate physiotherapy app from the links below. Curovate offers daily video-guided exercises, the ability to measure knee range of motion, in-app chat with a physiotherapist to answer your questions, and educational blogs and webinars.

    If you need more tailored help during your ACL recovery, check out our Virtual Physiotherapy page to book your 1-on-1 video session with a physiotherapist.

    acl knee physical therapy 1080x1080 2
    Download it on Google Play



    Document

    Other blogs related to ACL surgery and rehabilitation

    References

    1. Gerber JP, Marcus RL, Dibble LE, Greis PE, Burks RT, LaStayo PC. Effects of early progressive eccentric exercises on muscle size and function after anterior cruciate ligament reconstruction: a 1-year follow-up study of a randomized clinical trial. Phys Ther. 2009;89(1):51-59. doi:10.2522/ptj.20070189

    2. Erskine RM, Fletcher G, Folland JP. The contribution of muscle hypertrophy to strength changes after resistance training. Eur J Appl Physiol. 2014;114(6):1239-1249. doi:10.1007/s00421-014-2855-4

    3. Suchomel TJ, Nimphius S, Stone MH. The importance of muscle strength in athletic performance. Sports Med. 2016;46(10):1419-1449. doi:10.1007/s40279-016-0486-0

    4. DeFreitas JM, Beck TW, Stock MS, Dillon MA, Kasishke PR. An investigation of the time course of training-induced skeletal muscle hypertrophy. Eur J Appl Physiol. 2011;111(11):2785-2790. doi:10.1007/s00421-011-1905-4

    5. Thomas AC, Wojtys EM, Brandon C, Palmieri-Smith RM. Muscle atrophy contributes to quadriceps weakness after anterior cruciate ligament reconstruction. J Sci Med Sports. 2016;19(1):7-11. doi:10.1016/j.jsams.2014.12.009

    6. Bryant AL, Kelly J, Hohmann E. Neuromuscular adaptations and correlates of knee functionality after ACL reconstruction. J Orthop Res. 2008;26(1):126-135. doi:10.1002/jor.20472

    7. Lepley LK, Davi SM, Burland JP, Lepley AS. Muscle atrophy after ACL injury: implications for clinical practice. Sports Health. 2020;12(6):579-586. doi:10.1177/1941738120944256

    8. Fowler Kennedy. Physiotherapy according to the ACL reconstruction protocol. 2015. http://fowlerkennedy.com/wp-content/uploads/2015/11/PHYSIOTHERAPY-FOLLOWING-ACL-RECONSTRUCTION-PROTOCOL-November-2015.pdf. Accessed July 18, 2021.

    9. van Melick N, van Cingel REH, Brooijmans F, et al. Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation, based on a systematic review and multidisciplinary consensus. Br J Sports Med. 2016;50(24):1506-1515. doi:10.1136/bjsports-2015-095898

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  • How to Design a Dynamic Warm-Up to Help Female Athletes Prevent Injury, Improve Performance, and Catapult Their Careers (Part II) – ACL Strong

    How to Design a Dynamic Warm-Up to Help Female Athletes Prevent Injury, Improve Performance, and Catapult Their Careers (Part II) – ACL Strong

    If female athletes still start training with “two laps and static stretches,” it’s time to expand their warm-up routine and set them up for success, not injury. Discover how to prevent injuries and improve performance with a step-by-step dynamic warm-up, like professional coaches and trainers do with elite athletes.

    For years, the warm-up for football, basketball and soccer players was to jog a lap or two and then sit in a circle for static stretching. However, times have changed and research shows that relying solely on the traditional static stretching method can actually contribute to the high frequency of injuries in youth athletes. We are now in the age of dynamic warm-ups, which have been proven to improve performance and reduce injuries.

    Unfortunately, the value of a good warm-up is often underestimated or misunderstood. Most people don’t learn how to maximize the first 15-30 minutes of practice or pre-game, and the result can ultimately be detrimental to your athlete.

    In this article we are going to discuss

    • The difference between static and dynamic warm-ups
    • How warm-up activities affect game performance
    • How a warm-up can help prevent injuries
    • How to design a dynamic warm-up using an 8-point process
    • Tips for implementing a warm-up and maximizing time spent
    • How coaches and parents can help athletes go from struggling with adversity to charting their path to a dynamite college career

    Static vs. dynamic stretching

    Unlike static stretching, which stretches the muscles and holds them for an extended period of time, a dynamic warm-up involves continuous active movements that mimic the movements and intensity of the sport or activity to be followed. These movements typically involve a combination of stretches, bodyweight exercises, and exercises that improve mobility, increase blood flow, activate the central nervous system, and increase body temperature. Read more about the benefits of a dynamic warm-up here (available soon).

    Impact on gaming performance

    Athletes on a field or court are expected to give 100% in games, right? They sprint, jump, cut, spin, plant, accelerate, decelerate and react with full intensity during competition. So why not prepare their bodies for this level of play during the warm-up? First, those who don’t maximize their warm-up time may spend the first half of the game ramping up to full intensity, and in the meantime, they’ll fall behind on the leaderboard and have to play catch-up to have a chance at victory. . We’ve all seen that happen.

    A proper warm-up will not only prepare athletes to dominate from the first whistle, but their chances of sustaining a season-ending injury, such as a torn ACL, will also be significantly reduced.

    Injury prevention

    On practice or training days, maximizing “warm-up time” can effectively reduce the risk of injury, improve performance, build strength and resilience, and sharpen athletic focus without wasting time.

    Designing an effective warm-up involves creating a targeted series of exercises that target the specific movements and muscles used in the sport. As a direct result, athletes experience the benefits of increased blood flow, better flexibility, neuromuscular activation, and both physical and psychological preparedness.

    8-point process to amp up your warm-up, plus 4 bonus tips for dynamite results

    To enhance your warm-up, follow this 8-point process, using dynamic stretching and neuromuscular training elements, and watch your team rise to a higher level of play and achieve greater success as a result.

    1. Start with light cardio

    Start your warm-up with 5-10 minutes of light cardio exercise such as jogging, jumping rope or a sport-specific activity to increase heart rate, body temperature and circulation. This helps prepare the cardiovascular system for activity, prepares the muscles for movement and delivers an increase in blood and oxygen to the muscles for the performance ahead.

    2. Dynamic stretching exercises

    Keep moving! Perform dynamic stretches that continuously move the joints through a full range of motion, focusing on movements used in the specific sport you are preparing for. Examples include open/close ports, hip hugs, leg swings, walking lunges, arm circles, and trunk rotations. This improves muscle flexibility, lubricates the joints and prepares the tissues for sport-specific movements.

    3. Multi-directional movement

    Then incorporate movements that mimic the actions and demands of the sport, introducing movements in multiple directions. For example, lateral shuffles, zigzag movements and other changes in speed and direction, which are relevant in most field and field sports. This helps simulate sports-like scenarios in offensive and defensive plays and activates pathways from your brain to your muscles so that your body responds quickly and efficiently in a controlled environment. Remember, if you can’t move well in a controlled environment, you certainly won’t be able to move well in an unpredictable environment when the players and the ball are moving quickly.

    >> Now we get to more advanced elements that are usually overlooked. This is the strength and neuromuscular training phase. You don’t have to do this hard every session, but you can choose to put more emphasis on training days rather than competition days. <

    4. Strengthening

    Athletes need targeted strengthening for the hips, core and muscle groups relevant to the sport. The old-fashioned methodology didn’t value strengthening for female athletes, but we know better now. Because strength and stability in athletic movements come primarily from the core and hips, focus on glute activation or other strength-based exercises during this phase of your warm-up. As always, adjust this to your age, fitness level and sport. Resistance bands are convenient and easy to transport for extra resistance.

    5. Balance exercises

    Go deeper into the neuromuscular training phase and challenge balance and stability by balancing on one foot or using an unstable surface. This stimulates the neuromuscular system, improves proprioception and improves overall balance and coordination. You want to prepare the brain and muscles for a potentially awkward cut or landing so that the body can recover safely without getting injured. Focusing on reactive balance can facilitate faster communication pathways from your brain to your limbs.

    6. Plyometrics and landing mechanics

    As you delve deeper into sport-specific strength movements, add in some explosive exercises such as jumping and jumping as needed, as it will further prepare the muscles, tendons and nervous system for faster acceleration and better performance. ALWAYS check proper landing mechanics, especially with youth female athletes, to ensure they land with good form, which will reduce the risk of a torn ACL. Proper acceptance of force throughout the body is a key factor in preventing serious non-contact injuries.

    7. Agility exercises

    Speed ​​up now! Add agility, coordination or footwork activities to improve reaction time, speed and body control. Use tools such as agility ladders or cones to develop quick and precise movements in different directions. This improves the ability to reduce and produce force, which benefits overall athletic performance.

    8. Reaction and cognitive exercises

    This is groundbreaking stuff! Introduce an exercise that challenges rapid decision-making and cognitive processing. Use cues such as colors or numbers to indicate directions or actions, requiring athletes to think, make a decision, and execute in a moment of high intensity. This helps train the brain to process information quickly and improves reaction time and performance on the field. Have fun with this!

    Bonus Tips – Remember These Concepts for HOT HOT HOT Results:

    1. Good form and body control should be a priority during the warm-up.
    2. Encourage mental focus during the warm-up. Visualize successful passes, plays, attempts and what success looks like. Deep breathing and positive affirmations can support mental preparation, especially on game days when the stakes are higher.
    3. After a break (rest, sit-out, etc.) it may be necessary to repeat a mini warm-up on the sidelines before play resumes, especially if players have been out in the cold.
    4. Aim for 15-20 minutes for a standard warm-up, while this can be up to 30 minutes on days when more time is spent on strength, balance, plyometrics, agility or cognitive exercises (steps 4-8). You don’t have to get all these points during every warm-up. That’s where the art comes in. Balance art and science to maximize warm-up time and you’ll develop strong, resilient athletes.

    Coaches and Parents: How to Support Developing Athletes

    A well-designed dynamic warm-up can be a game-changer for your team and one of your best tools for preparing athletes mentally and physically while reducing injuries on the field or court.

    Most people don’t know what to do, especially with neuromuscular training exercises (4-8). It can be overwhelming and confusing because there are so many variations to choose from and it’s hard to know which is best. We’ve seen people struggle through this without being sure they’re doing their best for themselves or their players.

    To provide clarity and simplicity, we have drawn up a step-by-step plan so that you do not have to figure it out yourself. If you are a coach or parent of youth female athletes, these exercises can easily be performed at home in 15-20 minutes, or on the field or track during warm-ups, and will help take your athletes from good to excellent. to take. , and from battling injuries to paving their way to a dynamite college career.

    We hope you enjoyed reading this perspective on the value of a dynamic warm-up and how to maximize the first 15-30 minutes with your team.

    Coaches and Parents How You Can Support Developing Athletes 1



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  • Shaved Asparagus Salad |  GF |  BoneCoach™ Recipes – BoneCoach™

    Shaved Asparagus Salad | GF | BoneCoach™ Recipes – BoneCoach™

    Looking for a simple, yet refined way to enjoy asparagus?

    Check this out!

    Combined with a citrus dressing and a pinch of Parmesan cheese, this salad is highly recommended an adventure for your taste buds and a gift for your body.

    Asparagus brings a lot to the table both in terms of nutrients and taste.

    Rich in vitamin K, essential for bone health, and fiberfolic acid and various antioxidants, this simple salad offers a range of health and bone benefits.

    Try it combined with your favorite organic proteinsand you’ll have a well-rounded, delicious lunch or dinner.

    Bone Coach Recipes |  Shaved Asparagus Salad |  Bone loss Bone Healthy diet Nutrients Osteoporosis

    SERVES: 2

    TOTAL TIME: 10 minutes

    Ingredients

    454 g asparagus, ends cut off

    1/4 cup (60 ml) grated Parmesan cheese (look for Parmigiano-Reggiano or

    replaced by nutritional yeast).

    1 tablespoon (15 ml) fresh lemon juice or apple cider vinegar

    1 tablespoon (15 ml) hot water

    1 tablespoon (30 ml) freshly pressed extra virgin olive oil

    Directions

    1) Shave the asparagus into long, thin strips with a rotating peeler and place them in a large bowl.

    2) Whisk together the Parmesan cheese, lemon juice, water and oil. Pour over the asparagus and stir gently. Season with additional salt or black pepper if desired.

    Recipe created by BoneCoach™ Team Dietitian Amanda Natividad-Li, RD & Chef.

    Medical disclaimer

    The information shared above is for informational purposes only and is not intended as medical or nutritional therapy advice; it does not diagnose, treat or cure any disease or condition; it should not be used as a substitute or substitute for medical advice from physicians and trained medical professionals. If you are under the care of a healthcare professional or are currently taking prescription medications, you should discuss any changes in your diet and lifestyle or possible use of nutritional supplements with your doctor. You should not stop taking prescribed medications without first consulting your doctor.

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  • Biogennix’s DirectCell Advanced Bone Grafting System Used in 1000th Case – Biogennix

    Biogennix’s DirectCell Advanced Bone Grafting System Used in 1000th Case – Biogennix

    Irvine-based Biogennix, a leader in advanced bone regeneration technology, today announced that its DirectCell® As of this quarter, the Advanced Bone Grafting System has been used in more than 1,000 cases.

    “It was rewarding to see our DirectCell system so well received in the surgical community”
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    The DirectCell System includes an advanced synthetic bone graft material with properties that enhance cellular bone formation, along with new instruments designed to collect high concentrations of stem cells from patients. This provides surgeons with an optimal biological graft that jump-starts the bone regeneration process.

    “It was rewarding to see our DirectCell system so well received in the surgeon community,” said Scott Bauccio, Biogennix Vice President of Sales and Business Development. “We designed this system specifically to provide surgeons and hospitals with a comprehensive bone grafting solution that includes a stem cell harvesting system and autografts in one product. Feedback was consistently positive across multiple market segments, including both the spine and foot and ankle surgery categories. We attribute the rapid success of the DirectCell system primarily to the solid science supporting its benefits and expect continued growth of the system next year.”

    The advanced bone graft within the system is Biogennix’s premium product, Agilon®, which is available in a moldable and strip form. Agilon products are based on Biogennix’s unique TrelCor technology which contains a nanocrystalline hydroxycarbanoapatite (HCA) graft surface that actively promotes bone regeneration.

    The DirectCell system also offers surgeons two methods for collecting bone marrow-derived stem cells, either by harvesting stem cell aspirate (SCA), which has significantly higher stem cell counts compared to standard bone marrow aspirate (BMA), or by using marrow-rich autograft. dowels. Together, the technologies within the DirectCell System allow surgeons to harness both advanced synthetic material technology and the power of the patient’s own stem cells.

    “The DirectCell system not only enables the harvest of clinically higher cell counts, but it is a safer and significantly more cost-effective alternative to previous standards of care,” said Bauccio. “When a procedure uses a patient’s own cells, the risk of disease transmission is completely eliminated.”

    The DirectCell system is available with Biogennix, Agilon Moldable or Agilon Strip bioactive bone grafts.

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  • Exercise and Safe Movement – Bone Talk

    Exercise and Safe Movement – Bone Talk

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    Visit the BHOF online support community, hosted by Inspire, to post your questions about exercise and safe exercise. Your questions will be answered Monday, October 16 through Friday, October 20, 2023 by KavitaPatel, PT, DPT, a physical therapist and Master Trainer for BHOF’s BoneFit USA Exercise Training Program for exercise specialists and healthcare professionals, and Rebekah Rotstein, NCPT, a certified Pilates instructor, creator of Buff Bones® and member of BHOF’s Ambassador Leadership Council.

    We encourage you to ask your questions now. Make sure you follow the post and look for comments!

    How to participate:

    • Your questions: we invite you to this post your questions in the answers section of the discussion on the BHOF Online Community Page.

      • If you prefer to ask your question anonymously, send TeamInspire a private message with the subject line “Ask the Expert – Bone Health” and they will post it to this discussion on your behalf.

      • Keep in mind that: we will NOT answer questions posted outside of this Ask the Expert post.

    • Answers: Starting Monday, October 16, we will post answers as an aggregated response to your questions in the answers section of this discussion. We can also respond to a group of similar questions with one answer.

    • End of event / restrictions: The event ends on Friday, October 20 at 11:00 PM EST. Please understand if we cannot answer your question due to time or subject limitations.

    Visit the profiles of each of our experts and read their bio to learn more!

    Kavita Patel, DPT: https://www.inspire.com/m/KavitaPatel_DPT/about
    Rebekah Rotstein, NCPT:
    https://www.inspire.com/m/RebekahRotstein/about

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  • Osteoarthritis: what you need to know

    Osteoarthritis: what you need to know

    By means of Jordan Brocker PT, DPT, CSSS | Foothills of Queen Creek

    Osteoarthritis is a normal physical condition caused by wear and tear on the body, leading to deterioration of the articular cartilage. This leaves the bones unprotected and eventually the deterioration of the joint can become so extreme that the bone rubs against the bone. The synovial fluid that helps lubricate the joint for normal, smooth function also deteriorates, leading to resistance to movement and often audible noises during movement. Both factors play a role in the pain and limitation of the affected joints.

    Unfortunately, there are no means to completely reverse arthritis that has already developed. But, and more importantly, there is something you can do about it. Research and my professional experience have shown that physiotherapy can help relieve the pain and discomfort caused by osteoarthritis, so that your recovery is more than adequate and you can continue to do the activities you enjoy.

    Osteoarthritis: important factors to address

    • Weakness and flexibility in muscles related to affected joints
    • Stability of associated joints
    • Specific joint movement and mobility
    • Body mechanics affected by different joints
    • Balance and proprioception for the joints of the lower extremities
    • Muscle endurance

    Patient with osteoarthritis is stretched by physiotherapist.

    How physiotherapy can treat osteoarthritis

    Physical therapy reduces the limitations caused by a person’s arthritis by addressing each of the above factors appropriately and uniquely for each individual. Everyone will have different causative factors that change how their arthritis is experienced and how it progresses. Your physical therapist should address these issues appropriately so that you can get the greatest benefit from treatment. Physiotherapy will allow optimal function of the arthritic joint to prevent further deterioration and promote its current integrity.

    For example, a widely arthritic joint is the knee. Often, degeneration of the lateral (outer) aspect of the knee can occur at a higher level than the medial (inner) joint due to more force being placed on the outside of the knee during weight-bearing activities. The knee position that causes this is known as genu valum and is seen when the knee is positioned towards the center of the body, not towards the hip. The culprits responsible for this positioning are often weak hip and ankle muscles. Therefore, targeting the weaknesses in these muscle groups and incorporating them into activities (such as walking or bending/squatting) could help reduce abnormal forces on the knee, reducing irritation.

    Physiotherapist helps patient build strength with osteoarthritis.

    Tailor-made exercise program for the treatment of osteoarthritis

    As physiotherapists, we observe local joints and the entire body to assess possible areas of disability and then improve an individual’s body mechanics. Based on our evaluation process, we create a program of specific exercises to best meet each person’s needs. We work to create independence with a home exercise program that allows them to continue the exercises. With a good understanding of the concepts behind the exercises for continued rehabilitation.

    Many factors can determine the effectiveness of osteoarthritis treatment. Such as the severity of the problem, current or previous level of function, joint deformity or other bone diseases. If these factors are present, it does not mean that a person cannot do anything about their arthritis. However, it can affect the amount of improvement that can occur and how long it takes to improve. Ultimately, doing something about osteoarthritis will be much more helpful than sitting still and allowing the process to continue. The amount of improvement you can achieve could change your life if you take action!

    Foothills Sports Medicine Physical Therapy is committed to providing hands-on, individualized care to people of all ages with numerous conditions. Our physiotherapists are committed to your complete recovery. Schedule a free assessment with highly trained staff, or contact one of our many locations throughout the valley.

    The post Osteoarthritis: What You Need to Know appeared first on Foothills Physical Therapy & Sports Medicine – Phoenix Metro.

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  • Golf, hiking and Nordic walking can improve cognitive function in older adults

    Golf, hiking and Nordic walking can improve cognitive function in older adults

    Playing a single 18-hole round of golf or completing 6 km of Nordic walking or simply walking can significantly improve direct cognitive function in older individuals, according to a recent study published in BMJ Open Sports and Exercise Medicine.

    An international team of researchers from the University of Eastern Finland, the University of Edinburgh and ETH Zurich set out to investigate the immediate effects of three different cognitively demanding aerobic exercises on cognition and related biological responses in older, healthy adults.

    The study involved 25 healthy older golfers aged 65 years and over who took part in three different acute bouts of aerobic exercise: an 18-hole round of golf, a 6km Nordic walking session and a 6km regular walking session. Each exercise was performed in a realistic environment, with participants maintaining their typical pace, which is equivalent to brisk walking.

    Cognitive function was assessed using the Trail-Making Test (TMT) A and B, a commonly used tool for evaluating cognitive function in older adults. The TMT-A test measures lower cognitive functions, such as attention and processing speed, while the TMT-B test measures more demanding executive functions, such as the ability to switch tasks. In addition, blood samples were collected to measure the levels of brain-derived neurotrophic factor (BDNF) and cathepsin B (CTSB). Both have been suggested to reflect the benefits of exercise in the brain. Participants also wore fitness monitoring devices to record exercise-specific data such as distance, duration, pace, energy expenditure and steps. An ECG sensor with chest strap was used to measure heart rate.

    The study showed that a single session of one of three exercises – 18 holes of golf, 6 km of Nordic walking or 6 km of normal walking – improved lower cognitive function as measured by the TMT-A test in older adults, although no Significant effects were observed on the levels of BDNF and CTSB. Furthermore, Nordic walking and regular walking were associated with improved executive functions measured with the TMT-B test.

    Previous research has shown the potential cognitive benefits of acute bouts of aerobic exercise, with factors such as exercise intensity, duration and type influencing the degree of improvement.

    “These findings underscore the value of age-appropriate aerobic exercise, such as golf, Nordic walking, and regular walking, in maintaining and improving cognitive function in older adults. Previous research has shown that exercise also shows promise as a potential strategy for people who suffer from cognitive problems.” decrease,” says Julia Kettinen, the first author of the article and doctoral researcher in sports and exercise medicine at the Institute of Biomedicine, University of Eastern Finland.

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  • Emotions and Bone Strength: Do the ‘winds of worry’ weaken your bones?

    Emotions and Bone Strength: Do the ‘winds of worry’ weaken your bones?

    Have you ever wondered what we can learn about bone health from our ancestors? I have. And I do so now as I reflect on my recent interview with Ayurvedic master and bestselling author Acharya Shunya. In this interview, I ask Acharya to discuss the ancient Vedic perspective on the connection between emotional stress, worry, anxiety and osteoporosis. What I learn can help every part of all of us: our body, our mind, and our soul!

    Ayurveda is the 5,000-year-old health science from India and the subject of Acharya’s award-winning book: Ayurvedic lifestyle wisdom. As a master of Ayurveda, Acharya confirmed my decades-long clinical observation that stress, worry and anxiety weaken the bones. And to take it a step further, Acharya weaves deep yet practical, age-old solutions into our discussion to calm anxiety and restore balance. She graciously offers several time-honored self-awareness exercises for the mind and body to calm our worried, anxious minds and promote physical, emotional, and mental balance throughout the body. My interview with Acharya will soothe, uplift and inspire anyone who harbors concerns or outright fear about osteoporosis.

    This inspiring interview with Acharya Shunya will air on October 5, 2023. I offer it to you with the confidence that you will find many useful bone-strengthening pearls of wisdom from the ancient science of Ayurveda. Let’s set the stage with a few cross-cultural observations so you can get the most out of this interview.

    Fear, Worry and Bones: A Glimpse of Ancestral Wisdom

    Thousands of years before modern-day neuroscientists like Dr. Candice Pert discovered the ’emotion molecules’, the ancient health sciences of both India and China codified the impact of emotions on health.

    Through keen observation of nature and a deep spiritual awareness, ancestral wisdom-based medical systems such as Ayurveda and Traditional Chinese Medicine (TCM) stated that mental stress and negative emotions, especially fear, and the associated concerns for children, created a system-wide imbalance. Negative emotions, they explained, weakened the entire body system and especially eroded the strongest of all tissues: the bones.

    Traditional Chinese Medicine (TCM)

    As the famous Qi Gong Grandmaster, Dr. Nan Lu, once told me as we squeezed into a crowded elevator in his office in New York City: “Susan, you will never solve the problem of osteoporosis because osteoporosis is directly related to fear and fear abounds in this culture.”

    It turns out that ancient traditional Chinese medicine, like Ayurveda, developed a medical system based on five basic building blocks of life. In TCM these are fire, water, metal, earth and wood. Each element has its own set of qualities and responsibilities, each interacting with all the others, and each governing a particular meridian energy path.

    This life-encompassing and life-explanatory TCM theory was known as the ‘Five Element Theory’. What’s interesting to me about this complex medical model is that these ancients felt that fear was the emotion most damaging to the bones. This negative impact was due to the pernicious effect that anxiety had on the kidney-adrenal meridian system – the energetic system that controls the bones. Even today, most traditional Chinese medicines for the bones are herbal formulas that treat kidney dysfunction.

    The ancient health science of Ayurveda

    And then there is Ayurveda, the ancient medical system that fascinates me most. Ayurveda, like traditional Chinese medicine, views the body-mind-spirit complex as one integrated unit. Like Traditional Chinese Medicine, Ayurveda is based on the principle of balance and harmony within body, mind and spirit. Changes to a specific part of the system have consequences for the whole. As you’ll hear in my interview with Acharya Shunya, Ayurveda also links osteoporosis to anxiety and worry.

    The Ayurvedic model also contains five basic building blocks of life. These are space, air, fire, water and earth. When discussing human health, these five elements are summarized in three ‘doshas’, that is, three different energy patterns or constitution types. These ‘doshas’ or constitutional types are ‘Vata’, associated with the elements of air and space, ‘Pitta’, associated with fire and water, and ‘Kapha’, associated with the elements earth and water.

    As Acharya and I discuss the connection between anxiety and osteoporosis, you will see that a certain body type, Vata, is more prone to developing osteoporosis. Comprised of air and space elements, Vata is quick-moving, drying and changeable like the wind, and prone to worry and anxiety. (So ​​my blog title refers to the “wind of worries.”)

    Having some degree of ‘Vata’ imbalance myself, I notice bouts of worry when I step back and quietly observe my thoughts. I feel the ‘winds of worry’ and have come to realize that when I focus my attention on them, they become stronger. However, if I relax and take a few deep breaths and then consciously focus my attention on more pleasant thoughts, the wind of worry disappears. I have come to realize the power of choosing what I want to focus my attention on. What about for you? Have you ever felt the “wind of worry” and if so, how do you deal with it?

    What is your constitutional balance in the Dosha?

    In preparation for this interview with Acharya Shunya, let’s return to the topic of ‘doshas’ or constitutional types and lay a little groundwork for the interview.

    Below you will find a chart showing the typical properties of each dosha constitution type. Most of us have some traits of each dosha, of which one predominates. Those of us who exhibit more “Vata” qualities are more prone to developing osteoporosis. In preparation for the upcoming broadcast of my interview with Acharya Shunya, please take a moment to review the schedule below. How many characteristics of each body type describe you?

    Doshas info

    If you are part of my ‘Thin and Worried Tribe’, or are otherwise concerned about your bone health, Acharya’s talk on the ancient health science of Ayurveda will provide you with simple exercises to help you transition from worry and anxiety to fear-free, self-reliance in to map. powerful mindfulness. I’m charting that path for myself – why not join me?

    More information about Acharya Shunya and Ayurveda:

    Her website: awakensself.com

    Her books:

    • Ayurveda lifestyle wisdom: A complete recipe to optimize your health, prevent diseases and live with vitality and joy, Sounds true, 2017.
    • Sovereign self: Claim your inner joy and freedom with the empowering wisdom of the Vedas, Upanishads and Bhagavad Gita, Sounds true, 2020.
    • Shout like a goddess: Every woman’s guide to becoming unapologetically powerful, prosperous and peaceful, Sounds true, 2022.

    Dr.  Susan BrownI am Dr. Susan E. Brown. I am a clinical nutritionist, medical anthropologist, writer and motivational coach speaker. Learn my proven 6-step natural approach to bone health in my online courses.



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  • Bone Health and Fractures – Food for Healthy Bones

    Bone Health and Fractures – Food for Healthy Bones

    Article reposted with permission from Dr. Lani Simpson: https://lanisimpson.com/blogs/news

    fracture pain

    Article Summary:

    • Fractures can be a sign of poor bone health, although they are common.

    • Bones are living tissues that require a balance of resorption and formation to remain healthy.

    • Factors that can contribute to poor bone health include age, gender, genetics, diet and lack of physical activity.

    • Osteoporosis is a common condition that can lead to weakened bones and an increased risk of fractures, especially in older women.

    • Maintaining good bone health throughout life is important to prevent fractures and other bone-related problems.

    • Tips for maintaining good bone health include getting enough calcium and vitamin D, doing weight-bearing exercises, and avoiding smoking and excessive alcohol consumption.

    • Regular bone density examinations can help assess the risk of fractures.

    Trauma fractures

    Fractures and bone health. Trauma fractures result from the direct, physical impact of an event, such as falling off a ladder, being injured in a car accident, or falling while playing pickleball.

    Unlike osteoporosis-related fractures, trauma fractures are not necessarily associated with an underlying weakness in the bones. They occur because the bones cannot withstand the amount of force placed on them by the trauma event. Doctors and patients must determine whether or not bone health contributed to the extent of the fracture.

    The fact that there was trauma does not necessarily mean that the bone is healthy.

    In short

    if you have significant fractures, you should have a bone density test (DXA).

    Of course there are gray areas. Osteoporosis can predispose some people to breaking a bone with less trauma than would be expected. It is important to find out the details of activities or life events that result in broken bones and health problems. This information can influence medical decisions and life activities.

    Stress fractures

    Stress fractures are generally classified into the trauma category due to the repetitive pounding of an activity. For example, running causes physical stress that can cause hairline fractures over time. But a stress fracture can also be an alarm signal for low bone density or poor bone quality (TBS test). It’s one thing if a stress fracture occurs in someone training for and running a marathon. There may be other problems if it happens after a long walk.

    Not always visible

    Stress fractures are not always visible on X-rays. An MRI or CT scan may be required for confirmation. Seek this type of examination if it appears that the affected area has not healed after three to four weeks. If you or someone in your life is experiencing repeated stress fractures (or a fracture that appears to be of questionable origin), consider having a precision bone density test (DXA) to further investigate the problem.

    Insufficiency Rupture

    Please note: ‘Insufficiency fracture’ is a term you may encounter in medical reports. These are only seen in severe bone cases. Insufficiency fractures, sometimes called a ‘subtype’ of a stress fracture, can occur without any trauma. These fractures occur due to loss of trabecular (porous) bone and are “caused by normal or physiological stress on weakened bone.” In other words, the bone is so weak that it can collapse from the mere strain of body weight. Insufficiency fractures are only seen in extreme cases of osteoporosis or other bone pathology.

    Osteoporosis-related fractures

    Several terms are used to identify fractures caused by or associated with osteoporosis. This can be confusing when talking to your doctor or doing research online!

    The following is a list of some names for osteoporosis-related fractures.

    Please note that all of these terms basically mean the same thing:

    • Fragility fracture
    • Minimal or little traumatic fracturee
    • Low impact fracture
    • Osteoporotic fracture

    World Health Organisation

    The World Health Organization describes all osteoporosis-related fractures as ‘fractures'[s] caused by injury that would be insufficient to break a normal bone.” So while the above labels differ, they each describe bone fractures that fall under an “osteoporosis-related fracture.”

    In other words, these fractures occur with minimal or no trauma from standing height or below.

    This means that if you have osteoporosis, you could break a bone if you trip and fall to the ground or on the street. That’s a fall from a standing height, and if there is no underlying pathology, most people can fall that far without breaking a bone. (Although there are certainly cases where falls from standing height can have a significant impact, which is why it’s important to ask plenty of questions about a fracture).

    Autumn examples

    For example, if someone falls hard from a standing height and breaks their wrist, this does not necessarily mean that their bones are significantly weak. However, if the bones break into pieces or surgery is necessary, it is certainly possible that poor bone health was one of the reasons for the bone fracture. Therefore, have a bone density test done.

    When my patients are unsure whether a recent fracture could be the result of osteoporosis, I sometimes ask them, “If this had happened when you were twenty-five years old, do you think you would have had a fracture?” If you answer “no” to this question, it is an indication that their fractures may not be the result of specific trauma and that further investigation is needed.

    Your bones have to carry you for a lifetime

    There is so much to know about your bones. A diagnosis is of utmost importance, and if you have suffered a significant fracture, you can help yourself by learning all you can from reliable sources.

    There is no specialty in osteoporosis and most doctors of any persuasion are not specialists. If you haven’t suffered a fracture and are diagnosed with osteoporosis with a bone density test (DXA), consider yourself lucky. Learn everything you can to see if your fracture risk matters.

    Therapy

    Most doctors tend to “treat” the bone density test and recommend a bone medication without doing proper lab work. Alternative doctors may recommend a simple supplement program, but they too are not experts at reading bone density reports and ordering proper lab work.

    In both cases, your bones were not fully evaluated.

    From my loving bones to yours,

    Irma Jennings, INHC

    Holistic bone coach

    30 Essential Foods for Bone Health

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