EXERCISING WITH OSTEOPOROSIS: BUILD BONES, STAY STRONG

It’s still possible to train even if you have osteoporosis. Read this article from Fitness Together to see how you should train with this condition safely. Then come see us at San Diego Sports Physical Therapy for all of your training and therapy needs! 619-756-7500

When you think about what your body’s bone structure looks like, flashbacks of the lanky skeleton hanging lifelessly in your science class are probably the first thoughts that come to mind. The bones in your body, however, are much livelier than their classroom counterparts as they are made up of living and growing tissue that continues to get denser as you become a young adult. As you age into adulthood, you can begin to lose more bone mass than your body produces, putting you at a higher risk of bone breakage and osteoporosis.

Reports from the National Osteoporosis Foundation (NOF) earlier this year indicated that 57 million Americans are affected by low bone density conditions or osteoporosis. By 2020, the NOF estimates that half of all Americans over the age of 50 are expected to have low bone density or osteoporosis. Whether you have osteoporosis now or at risk of developing this common condition, there are steps you can start taking today to help reduce the rate of bone loss in your body.

Feed Your Bones, Build Strength

If you are one of the millions of Americans suffering from osteoporosis, it’s important to be proactive about reducing the loss of bone density by adopting healthy exercise and nutrition habits. A diet rich in Vitamin D and calcium can help make bones harder and stronger, while a well-balanced nutrition approach that includes a mix of dairy, lean protein, fruits, vegetables and healthy fats can feed your body’s framework with the nutrients and minerals it needs to support weak bone areas and reduce the risk of bone loss.

To enhance the flexibility and strength of your body’s foundation, it also is important to keep the bones moving with a combination of weight-bearing cardio, muscle strengthening and core balance exercises, says Sue Teoli, personal trainer and studio owner at Fitness Together New Canaan. The NOF recommends 30 minutes of weight-bearing exercises daily (walking, elliptical, swimming, stair climbing), a combination of upper body and lower body muscle strengthening exercises (using body weight or resistance equipment) two to three days per week, and a variation of balance, posture and functional exercises each day depending on the area you are the weakest.

“It’s imperative to keep exercising if you have osteoporosis,” Teoli advises. “Anytime you improve your muscle strength, it’s good for your body. But, when you have osteoporosis, exercising can strengthen your bones first and foremost, while helping to slow down and prevent your bones from deteriorating.”

Break Out of the Cycle of Bone Loss by Getting Active Safely

Many people with osteoporosis may be reluctant to exercise as they may be afraid of getting hurt, breaking a bone or making their condition worse. While it’s recommended to consult with your doctor before starting any fitness routine, it can be very beneficial to the health of your skeletal and muscular systems when you focus on improving your physical fitness strength, balance and mobility.

“I tell all my clients, but especially my older ones, that strength in the lower back, abs and core is one of the most important things for your body,” says Teoli. “When you balance, you engage every muscle in your body. I think it’s important to focus on core strength and balance whether you have osteoporosis or not.”

It’s always important to think safety first when starting any workout routine by being aware of the inherent risks and staying in tune with how your body feels before, during and after you work out. Teoli advises her clients with osteoporosis to be aware of the following precautions before they start working out:

Refrain from high-intensity interval training as the jarring, jumping and high joint impact typically associated with these types of workouts increases the risk of bone damage and breakage.
Never flex your spine forward like when doing a traditional sit-up as this movement puts too much strain on the vulnerable sections of your spine and mid-section. Instead, opt for other less forward-bending core movements such as the plank.
Be careful with bending and twisting your body in different directions, as these movements can increase the risk of compression fractures in the spine.
“My philosophy is to start out slowly and progress slowly,” says Teoli. “If you start out with vigorous exercises, you run the risk of injury. I believe in taking baby steps with my clients and working on a movement until they master it.”

If you have osteoporosis and are ready to start an exercise program to build your bone strength and physical fitness levels, Teoli suggests going back to the basics. A sample workout plan that she would suggest for her clients with osteoporosis includes the following elements.

Upper body strength movement like a modified push up.
Lower body strength movement like a body weight squat while leaning against a fitness ball along the wall or straight leg lifts if you have knee issues.
Core exercises such as planks or balance exercises using a BOSU ball.
Weight-bearing cardio movements such as walking, stair climbing or elliptical.
You can choose to do each exercise either for a set amount of time like 30 seconds each or for a certain number of repetitions such as 10-15 reps. Either way, the focus of your fitness plan when you have osteoporosis should be on working out your body and supporting healthy bone structure.

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Smart Moves for Families

Getting enough physical activity for the family will help boost energy and inspire great attitudes! MoveForwardPT suggests more exercise for the family to improve overall health.

Making a commitment to be physically active is one of the best ways families can prevent or combat obesity and its consequences. Physical therapists support the Department of Health and Human Services’ Physical Activity Guidelines, which states:

Children should get 1 hour or more of physical activity a day.
Adults should do 2 hours and 30 minutes a week of moderate-intensity, or 1 hour and 15 minutes a week of vigorous-intensity aerobic physical activity.
Physical therapists’ extensive knowledge of pre-existing conditions (such as type 2 diabetes and obesity) allows them to help people of all ages and abilities establish life-long patterns of physical activity. For those who already are obese, physical therapists can devise safe exercise programs that reduce pain, restore flexibility, and increase strength and cardiovascular endurance. For people with type 2 diabetes, they can design and supervise exercise programs that reduce the need for medications, lower the risk of heart disease and stroke, and help manage glucose levels, among other benefits.

The following tips were designed by physical therapists to help families stay active and incorporate physical activities into their daily lives:

“Smart Moves” for Families

Plan weekend family activities involving physical activity, such as hiking, swimming, bicycling, mini-golf, tennis, or bowling.
Help your child plan physical activities with friends and neighbors, such as skating or softball.
Have your kids brainstorm a “rainy day” game plan of indoor activities involving fitness games such as Wii Fit or Dance Dance Revolution.
Remember that your family does not need to join a health club or buy fancy equipment to be active. Walking isn’t costly and it’s easy. So is designing a backyard obstacle course. Weights can be made from soda or detergent bottles filled with sand or water!
Provide positive rewards for your child when he or she engages in physical activities, such as workout clothes, a new basketball, or an evening of roller-skating.
Provide positive feedback about your child’s lifestyle changes. Remember not to focus on the scale (for you or your child).
Be your child’s “exercise buddy.” Plan daily walks or bike rides and set goals together for increasing physical activity rather than for losing weight. It’s also great “bonding” time!
As you schedule your child’s extracurricular activities, remember to plan time for exercise and activity as a priority for the entire family. Don’t just “squeeze it in.”
Encourage children to try individualized sports such as tennis and swimming. Studies show such activities are the basis of lifelong fitness habits.
Parents and children can do exercises while watching television (or at least during commercials), such as sit-ups, push-ups, or running in place. Discourage snacking or eating meals while watching.

EXERCISES TO STRENGTHEN THE POSTURE & BACK MUSCLES

Desiree McKenzie from Livestrong shows us exercises to help with your posture and back muscles. IF you sit at a desk all day, these exercises may be especially beneficial for you!

Healthy back muscles leads to healthy posture.

Exercises that strengthen the back muscles lead to better posture. A slumped posture not only limits the function of breathing, but also can lead to back, neck, shoulder and other muscle problems. Yoga incorporates strength-building exercises that target the back. Healthy back muscles provide support to the entire body and aid the alignment of the head, shoulders, hips, knees and feet. When the body system is inline, the system works in balance and leads to improved posture. Want to get in great shape? Learn more about LIVESTRONG.COM’s nutrition and fitness program!

LIE ON YOUR BELLY
Locust Pose is a basic backward bend prone (lying face down) posture that engages the back, gluteus maximus (buttocks), hamstrings and calve muscles. The exercise strengthens the spine and back muscles and stretches the shoulders, chest and thighs. Lie on your stomach with your forehead on the ground. Extend the arms alongside the torso with the palms facing up and keep the legs straight, hip distance apart. Roll the big toes toward each other to rotate your thighs inward. Root the pelvis, lower ribs and belly into the ground and lift the legs, upper torso and head. Bring your gaze slightly in front of you. Hold the posture for 10 seconds and release. Repeat three times. The spine and back muscles are completely strengthened and the shoulders, chest and thigh stretching improves your posture.

ACTIVELY SIT TALL
Staff Pose is a basic seated spinal extension that strengthens the back muscles, stretches the shoulders and chest and improves your overall posture. Sit with the legs extended in front of you and flex the feet. Bring the arms alongside the hips with the fingertips facing the feet. Press the palms down. Ground the tailbone and legs and elongate the spine with the crown on the head extending toward the ceiling. Stay actively in the pose for 8 seconds.

WORK YOUR CORE
The lower back is part of the body core, and a strong core aids in stabilizing the spine, curbs back pain and promotes healthy posture. An exercise to strengthen your core is done on your back with the knees drawn into your chest. Interlace the fingers behind your head and raise the shoulders. Switch (or bicycle) the left and right leg with one knee bent and the other leg straight. Bring the opposite elbow to the bent knee. For example, straighten the left leg, bend the right leg bent, and bring the left elbow to the right knee.

REFERENCES
Yoga Anatomy; Leslie Kaminoff; 2007
Article reviewed by James Dryden Last updated on: Apr 13, 2010

Read more: http://www.livestrong.com/article/105539-exercises-strengthen-posture-back/#ixzz2hQkVI2U9