It’s never too late to start, to work on your abs.

A few years back, before the clinic doors opened, I was doing some freelancing mobile physiotherapy work.

My travels often took me to various clients’ homes, some of which included retirement and long-term care facilities.

It was in a retirement home where I worked with a lovely young women in her late 80s who was experiencing some memory loss and physical decline. It was with the gentle coaxing of her caring and attentive family that she decided to work on improving her strength, balance and endurance.

She could just as easily have decided that all she wanted to do was sit on her comfy recliner and read her incredible, diverse collection of books.

But in those moments of lucidity, she wanted to maintain her independence as much as possible and minimize her risk of a serious fall, so we would head to the home’s physiotherapy gym a couple times a week and work diligently on various exercises.

Each week, when I knocked on her door she would greet me with “Hello, fella!” as she couldn’t remember my name or what exactly I did. And every time, I would find a way to let her know that I was a physiotherapist and we would be working on getting her moving.

She would then follow up with a half-hearted diatribe against exercise, exclaiming that she was too old and exercise was for the young.

In the end, she would always agree to do a little bit today, but just a little bit.

We would make our way down to the exercise area, my automatic cues of “pick your feet up, don’t drag them”, “look up, don’t look down”,”bigger steps” and “take your time, there’s no rush” bouncing off the walls.

Her retorts of “my aren’t you bossy?!” bouncing right back at me.

When we first started, 5 minutes of total movement was an eternity for her. We would work in one minute bursts.

Even then, she would ask for multiple rest breaks, trying to drag them out as long as possible with shrewd negotiations and offers.

By the end, we were spending at least 20-30 minutes straight on various exercises specifically chosen to help her complete her most important daily physical tasks: getting out of a chair, getting on and off the toilet, transfers, and walking with her walker as safely as possible.

But at the end of every session, without fail, exhausted from all the work she had just put in, she would turn to me and say:

“I need to do some sit ups now to flatten my stomach.”

And so we would make our way to the large elevated therapy bed, and she would do a few sets of sit ups and crunches, before making the trek back to her room.

 

If you pay attention to this once concept, could it change your results?

If you’ve come to see me for physiotherapy treatment or for physical training, you’ve probably noticed, I use the term, “it depends” a lot.

When engaged in debate and discourse in the health, fitness or rehabilitation industries, I tend to straddle the fence, rarely committing fully to one side or the other.

That’s because one side never has all the answers, or is the right choice, in all situations.

There are never any absolutes.

The missing ingredient is often context.

Without context, it’s easy to throw absolute statements around and come across as certain. But in a world with as many dynamic and fluid situations as you can imagine, context can change and impact so much.

For one client, taking rest in the short term may be what’s required to assist with tissue healing and a faster return to function in the long term.

Because she doesn’t ever sit still and is always on the go. Rest helps her.

For another, the key ingredient may be early return to specific movement or exercise.

Because he’s usually sits at a desk and is mostly sedentary. Movement helps him.

As you can see, it all depends on the context.

Context matters – it drives the intervention.

And context can change.

So the next time you’re not seeing results using XYZ athlete’s rehab program or following XYZ celebrity’s fitness routine, maybe it’s not the intervention that’s wrong, maybe it’s the context you’re using it in.

Stress relief, one drop at a time.

Stress.

It sure does have a bad reputation, doesn’t it?

Like carbon monoxide, it’s dubbed the silent killer because of how stealthily it can exert its nefarious effects.

Now don’t get me wrong, not all stress is bad.

We need stress in our lives. We need it to grow, improve, and more importantly, to thrive.

We need it as a stimulus that initiates an adaptation (for more information on the science of stress, one can follow the google trail on Dr. Hans Selye, the “grandfather” of stress, and learn more about his General Adaptation Syndrome).

But in order for stress to cause a beneficial change, it must be managed.

So without further ado, here’s one of our favourite stress management techniques that doesn’t involve chugging back half a bottle (or full bottle) of wine:

A hot bath.

Sounds simple. And it is.

Just follow the 3 easy steps listed below:

  1. Place stopper over drain and turn on faucet at desired water temperature.

  2. Let water run until desired level of water in bathtub is reached. Do not overfill.

  3. Carefully step in to stress-killing oasis and soak for requisite time being careful not to drown.

That’s it. That’s all there is to it.

Give it a try and let us know how you feel.

How to build a better athlete – starting in kindergarten

This Saturday, while drinking my morning tea and perusing the health and fitness sections of various online newspapers as I often do before a starting work, I came across a headline that caught my attention.

Yup, it’s the same one you read above.

Pretty catchy, isn’t it?

You can read the full article from the Globe and Mail here: Build A Better Athlete – Starting in Kindergarten.

The article starts with a vivid recollection of a knee injury suffered by a young man, Eric Sung, while attempting a skateboarding move, described as a bunny hop, in his driveway at home. The journalist then postulates on a potential reason for all the ligaments of his knee tearing with what was described as an odd-angle landing:

“He was 24 at the time, but Mr. Sung’s childhood phys ed teachers could be to blame. According to a growing body of research, the torn knees, twisted ankles and sore backs that plague so many active adults have their origins in the school gymnasium.”

While the fault for Mr. Sung’s knee injury on his childhood teachers is highly debatable and virtually impossible to prove (it was more likely the “odd angle” at which he landed), the idea that the movement patterns we learn as children may serve us in our adulthood is definitely an important one and an area that needs to be further explored.

With many changes in education curricula shifting focus towards pure academic subjects and increased technology use by children and youth (iPads/smartphones/online gaming), there’s been a substantial shift away from physical activity and transitioning towards increased screen time and sedentary behaviours.

Even with (dwindling) mandated physical education classes in school, many children and youth are still missing out on enough appropriate exposure to fundamental movement skills (also called physical literacy – the ability to complete basic movement patterns safely and effectively) required to create a solid movement foundation for later in life.

“Comprehensive Canadian data presented in Montreal this month shows we’re doing no better: Researchers looked at Grade 4 and 5 students in Manitoba, and whether they had acquired 18 basic movement skills – such as running, kicking and hopping – all of which are laid out in the physical education curriculum. The results were dismal. No more than 10 per cent of the kids showed proficiency in any one of the movements. (As in Australia, girls fared the worst.)”

Is that it?

As our youth age, will they be at greater risk for various aches, pains, and traumas? Do we become a nation of adults prone to injury because we didn’t learn to move well as children?

Is there anything that can save us?

Is there any way to reverse this negative trend and create a nation of agile, nimble, injury-proof* citizens?

In the article, Dr Dean Kriellaars, an associate professor in the department of physical therapy at the University of Manitoba “says that as little as two or three hours a week on basic movement skills can boost kids’ proficiency dramatically and nearly eliminate performance differences between boys and girls.”

And this doesn’t have to be accomplished with traditional competitive sports.

In fact, many of the movement training strategies suggested by Dr. Kriellars would simply be playing games where the foundational physical skills and patterns are an integral part of the game but aren’t the main focus. Think back to the days of playing hopscotch or frozen tag in the playground – those simple games helped improve certain physical skills, but those skills weren’t the focus of those games.

The main focus should be on making movement fun, for life.

And that may be the secret on how to build a better athlete.

Here at Primal Human Performance, we couldn’t agree more.

This includes making movement fun for children and youth who aren’t “athletic” in the traditional sense, who aren’t interested in organized, competitive sports.

In our youth programs and working with youth, we believe that every child, with the right guidance and coaching, has the potential to be athletic in their life. They have the potential to master the fundamental movement skills that will allow them to participate in physical activity of their choosing, to the extent that they wish. They can learn to love to move and use their bodies to their full potential.

To that end, our programs are tailored to the individual and designed on building a solid physical literacy foundation for life, minimizing injury risk, and optimizing performance potential, for every type of child.

For some of our clients, that means systematically progressing to higher performance athletic development as they mature and progress, with an end goal of successfully entering collegiate or professional athletics. This may encompass progression to sports specific training, a greater focus on strength and conditioning, or power drills to enhance explosiveness.

For others, it may simply mean learning how to use their bodies efficiently so that they can stay healthy, active and happy as they grow up. Learning to improve their body awareness, basic balance and general coordination. Often, it’s a stepping stone to get a more sedentary child to feel comfortable in their own skin, outside of a potentially daunting competitive gym class where they feel judged and compared to their more athletic peers.

In the end, we really want everyone to move more. And revel in the enjoyment of that movement.

In essence, we want you to play.

*While the term “injury-proof” was used, I’m not aware of any method to completely eliminate the risk of injury from physical activity or even life. What we aim to do is minimize the risk of injury by trying to control for the factors that we can control.

Is walking considered the best exercise?

An oft repeated, and overheard, expression suggests that walking is the best exercise.

And people want to know.

Is it true?

Is walking really considered the best exercise?

Does is rank higher than squats? Push ups? Or any of those fancy machines at the gym?

Does is do better for your body than running hills or pushing yourself through grueling marathons?

Or are the health and fitness benefits of walking being overblown and shown out of proportion from the reality?

The truth, as is almost always the case with these types of questions is, it depends.

It will depend on your current level of fitness and your current health status.

As a physiotherapist, I see people who come in varying states of de-conditioning, disease or injury healing.

For some of these people, a short walk may be an extreme challenge, zapping massive amounts of energy and requiring tremendous physical resources. A few slow steps may necessitate a 10 minute rest before the next attempt. The heart and lungs screaming, sweat dripping down the brow. This would be considered exercise.

As a physiotherapist, I also see people who come in with excellent baseline fitness levels and no active injuries. In their cases, walking would be considered a physical activity (Non-Exercise Physical Activity, or NEPA) but not exercise in the traditional sense. In order for them to be challenged by walking it would likely have to be over rugged terrain, over long durations, and at higher speeds.

Now that we’ve established that walking can be both considered, and not considered, exercise based on individual background, is it the best?

This gets even trickier.

What does “the best” even mean?

I propose that the best exercise is the one that you’re able to do consistently over time at a sufficient intensity that challenges you and moves you towards your goals.

If you’re sick, ill, or out of shape, then walking may be the best exercise for you at that time.

If you’re healthy and fit, then walking, while offering all sorts of associated physical and mental benefits, may not be the best exercise for you. It’s likely too easy for you in your present state.

So to reiterate, it all depends on where you’re starting.

And if you need some professional help finding out where you stand and what exercise is best for you, feel free to get in touch with us.

The end of the heating pad in physiotherapy

It has just come to our attention that a new initiative from the American Physical Therapy Association aims to shed light on a few archaic treatment techniques that just don’t pass scientific muster.

You can check out the post at the following link and read about the end of the heating pad in physiotherapy:

Farewell Heating Pads – Say Physiotherapists

While it’s great to see our colleagues down South take a strong position on some of the physical therapies that continue to be used simply because of tradition or even for financial reasons, for us at Primal Human Performance, this isn’t really news.

Since our inception, we have focused on using the physiotherapy treatments that have a large body of evidence that support their use: active rehabilitation, exercise and education.

That’s why we aim to get most of our clients moving and using their bodies as quickly and as safely as possible.

And that’s also why we don’t even own any of the standard or traditional physiotherapy electrotherapeutic modalities such as TENS, IFCs, ultrasounds, or even hot and cold packs.

Instead, we have a fully appointed gym with power racks, dumbbells, barbells, bands and medicine balls.

Because exercise is medicine.

The quick fix myth

The quick fix.

The magic bullet.

The < insert whatever-you’re-trying-to-shortcut > hack.

Sure these can exist. And at times these may be exactly what you need.

They may even do the job you need them to do.

In that moment.

But these results are almost never lasting, specifically when it comes to your health, well-being and fitness.

If you’re looking to drop 10 lbs, sure you can starve and dehydrate yourself, and achieve that end result in just a few short days.

While likely effective, is it safe? Is it healthy? What cost are you willing to pay?

And what happens to your body when you ingest that first glorious meal after the self-imposed drought and famine?

Undoubtedly, you’re weight will rebound very quickly. Your body may even compensate and add more to the mix.

You could potentially be worse off than when you started…the unfortunate start to the all-too-common yo-yo cycle with much bigger emotional ramifications than even physical ones.

How about the injury quick fix?

What if you’re trying to deal with low back pain, or some other injury?

Well, you could pop all the pain pills and use all the icy-hot patches and supportive braces you want, to give yourself temporary, symptomatic relief.

But do any those quick-fixes above address any of the possible underlying pain or injury mechanisms, of which there are many?

Do they take into consideration any of the myriad biopsychosocial inputs that make you a whole person? The different stressors in your life? Your habitual postures or positions? Your emotional states or beliefs? Your physical status?

Or do they address any of the long term habits and behaviors that would allow you to maintain your results, that would allow you to break the repeating cycle of boom and bust?

In my view, the answer is a resounding no.

I’m not suggesting that quick-fixes be abandoned.

In many cases they serve a useful purpose to initiate forward progress, to overcome inertia, and to get the ball rolling.

But they shouldn’t be considered the best course, or a lasting solution. They should be quickly replaced by consistent positive habits and behaviors (mental, physical and emotional) that will build a solid foundation.

This often takes effort. And time. And consistency of that effort over time.

But this often leads to long-term success.

Optimal health. Ultimate performance.

 

The Web of Persistence

Every few days, in a very specific area of the clinic, I notice an intricate spider web.

It’s silken threads form an incredible lattice of amazing beauty and engineering ingenuity. It comes complete with structural supports, kitchen area, living room and an array of the other amenities that would make any spider lucky to call such luxurious accommodations, home.

And every few days, I take it down.

I feel bad. I really do.

I can appreciate the hard work that went in to building such a functional structure. And I do understand that those spiders, and their webs, play a role in trapping the myriad of annoying insects that one will find in urban life.

But that doesn’t stop me and down the web goes.

Duster 1 – Spider web 0

Until just a few days later, when seemingly overnight, a new bigger, grander web has taken its place. With more silk. With more living space. With more effort.

What can we learn from this spider?

In this seemingly endless battle between me and Charlotte’s kin, there will be no winner, but we both will persevere. A battle of the ages.

And that is the lesson here.

Perseverance.

Each time I “bring down the house”, that spider doubles down and rebuilds. Unfortunately for me, it doesn’t quit, or give up, or even move to my neighbour’s unit. It stands its ground. And each time, the results are more spectacular that the previous.

Duster 1 – Spider web 1

Imagine we use the same mindset when dealing with with our human performance or injury rehabilitation goals?

Imagine we kept working at improving our physical limitations or deficiencies by exercising diligently? By endeavoring to regularly eat fresh, healthy, nutritious foods?

Imagine we consistently worked on building strength, endurance or stamina without stopping at every obstacle or set back? Imagine the foundational structure we could build.

Imagine the web we could weave…

Small steps, big results…

More often than not, by the time my clients come see me, they have a problem.

And to them, it’s often a big one. Well, big enough for them to seek outside help.

This can include general problems like low back pain or neck pain, sports injuries like sprained ankles or twisted knees, or functional limitations such as loss of strength or loss of flexibility after a surgery or medical procedure.

In almost every case, the rehabilitation protocol will follow a set procedure of problem solving which involves the use a technique called chunking.

What is chunking?

Chunking is exactly what it sounds like: breaking a bigger, more challenging problem into smaller, more manageable bits, or “chunks”.

Take for example someone coming in with low back pain.

Their present level of pain may be so bad that the idea of doing exercises makes them feel ill; their protective guards would go up and the minute I suggest exercise, they’d look at me like I was out of my mind – there would be no buy-in.

And without that buy-in, most physical therapy doesn’t work as well.

But if I know that specific movement would help get them out of pain and back to their regular activities, how could I overcome that initial resistance and get them to start?

By chunking it.

Instead of going head first in to more complicated exercises or rehab movements, I may just work on something that they already do or that they already need to do.

In many cases, I just work on the basic transition from lying to sitting, or sitting to standing – activities that they would need to do already anyway. By working on these simple tasks and enabling them to solve a small problem in the context of the bigger problem, my clients are empowered. Confidence goes up. And usually, pain levels go down. When pain goes down, function usually improves. And a positive feed-forward loop is created with subsequent chunks added in.

In the end, all these little chunks add up, creating big results.

The best part about chunking: it can be used for almost any problem, in any area of your life.

From human performance to debt management.

Now that’s a chunk of advice I’m glad I came across.

 

 

Low Back Pain – A video guide

To follow up with the last post regarding back pain red flags, here’s a quick 11 minute video that explains the back pain process with some pretty neat illustrations and drawings.

If you have back pain, or know someone who does, this may be a good place to start.