PhysioFit

Working behind the scenes on a good colab bringing a 'from diagnosis exercise physiology' package. Here's a wee snippet of evidence based recommendations courtesy of ACSM.

🧠YOUR BRAIN LOVES THE GYM🧠

Brain Injury Waikato Body Performance Clinic Stroke Foundation of NZ MS Waikato

Turned up to the ol clinic this morning to find this A class piece equipment. I absolutely marvelled at the kiwi ingenuity on display with this attempt to add 2 extra kgs to this 12kg KB. Total respect who ever this was! Love it.

I stumbled across this book for 65+ year olds. It is a handbook for EVERYTHING. From social to medical, living to transport. Very easy to follow.

And its FREE!!

Middle North Island

A chance to have your say

Have you experienced a mild traumatic brain injury or concussion in the past 3 years? Are you 16 or over? Would you like to be part of a study aimed at helping improve patient-centred recovery?

You’ll need to complete just one 20-minute online survey: https://redcap.link/testing_the_PRS Contact Charlotte Bray on [email protected] or call 0210704475 for more information.

Ok, I don't usually post about nutrition because I'm not a nutritionist despite knowing, I'm confident in saying, A LOT about inflammation stemming from food, on a chemical level.

So, I'm going to share a super cool finding about creatine!

I take creatine for cellular energy support, cognition and muscle support. It is essential for woman mid life to take it as they go through 'the change' and become faced with BMD, mood, sleep changes etc.

That is not what this is about.

When our cellular processes are having to adapt long term, creatine metabolism is physiologically essential for life (cell survival, growth, proliferation, differentiation, and migration/motility) by providing support of energy. Our bodies become stressed on a cellular level if it can not convert cellular energy to mechanical. It can cause inflammation and disease.

RIGHT. With that said....

Lets look at cancer and creatine.

T cells protect tissue from inflammatory damage. We want to minimize negative regulators of T-cell function. If we have a cancer cell, our CD8+ T cells need to expand. It has been shown that creatines directly assists in T cell homeostasis (stability) and for optimal T cell expansion in vitro and in vivo. (In vivo- research done on a living organism, in vitro- research done in a lab or test tube).

Yes it does get biochemical but simply put, creatine has a place over and above aesthetics. Creatine is for prevention, maintenance and management of health!

Very very cool!!!

Bonilla DA, Kreider RB, Stout JR, Forero DA, Kerksick CM, Roberts MD, Rawson ES. Metabolic Basis of Creatine in Health and Disease: A Bioinformatics-Assisted Review. Nutrients. 2021 Apr 9;13(4):1238. doi: 10.3390/nu13041238. PMID: 33918657; PMCID: PMC8070484.

Samborska et al., 2022. Creatine transport and creatine kinase activity is required for CD8+ T cell immunity. Cell Reports 38, 110446. https://doi.org/10.1016/j.celrep.2022.110446

Here is my latest MS all ⭐.

While we train specific protocols to enhance the brain to muscle messaging and responses, we also practice coordination, balance to minimise falls and gait training.

Considerations when living with a blunted sensory awareness, is being unable to accurately evaluate what your body is doing and where your body is.

Rehab should include external cueing as research shows it elicits the most promise to normalise gait patterns and coordination.

Effective neurorehabilitation requires task-specific practice that should be varied, intensive, and driven by a combination of extrinsic movement goals and implicit knowledge of movement control

Below we have place an external unstable load to her weaker side. This forced a more quiet pathway to wake up and stabilise based on the performance of the DB. Too much swing, tone it down, tilting of the stick- work those muscles harder. It encouraged walking with a more level, square and stable pelvis on her own.

PROST-FIT Cambridge has a real team vibe. They come together, give each other stick, give each other support, give each other advice.

They love being in the Rehab gym at Body Performance Clinic because it's their training home.This is where progress is made, challenges are overcome. A safe space. A cosy space, where they can all hear each other because let's face it......some are like to say pardon a lot!

Fridays 9am.

Exercise is Medicine initiative stresses your level of physical activity as a vital sign | CNN A global health initiative encourages health care providers to include movement in clinical assessment and care plans.

Himmmmmmm when the ladies don't turn up to STRENGTHFit, the lads persuade me to have a social hour instead! Don't worry team it was only one!

New treatment options for people with multiple sclerosis (MS)

Join the Neurological Foundation of NZ for this FREE online event, where we bring you cutting-edge research right from the lab to your living room.

Meet Dr Zoe Dyer, an esteemed clinical neurologist based in Auckland, as she unveils her recent fascinating research conducted in NSW, Australia. Dr Dyer will take you on a journey through her ongoing study, revealing how it could open new avenues for MS therapy as we know it.

https://events.zoom.us/ev/AlkNbUEvK4uZYMTxFOvtvzAzwtEZlThxb1xKq_D5zsFpb3wY9xSw~AqPOU8YDe1twZl86Xw4bfzY2fva4lj9LIrKTnRyYRebgGD6cexn50kmYkg

Ok team

SPARKFit- no class Thurs ANZAC day
SENIORFit
STRENGTHFit- testing week
PROSTFit- Cambridge fee charge this week only

Are all go this week!

I have the pleasure of working for Brain Injury Waikato for the next wee while establishing clear pathways of care and service for its members.

All too often I here from you how much you struggle to find the right support now you've been discharged, well, let's make a change.

Don't stress, I am still open for the all important Clinical Exercise Therapy you all know and love 💓

An incredible $2.4 million has been invested in our latest research round, with epilepsy, rare neurodevelopmental disorders, Parkinson’s disease, oxygen deprivation at birth, post-natal anxiety and ethnic bias in the spotlight. Learn more in our latest Headlines. Read more https://ebooks.edocumentonline.com/neurological/headlines_volume_142_autumn_2024/8/

ATTN SPARK class!!!

Please book in or your class will be cancelled in the morning

Client spotlight of the week!!!

I'd like to introduce you to a symbol of commitment! Meet Trevor. He attends STRENGTHFit Wednesday 5.30pm for many reasons, but loves the group banter, vibe, and drive to push.

Now, Trevor forgot to put his gym bag in his car this morning so rocked up to the session disappointed but on the quest to solve his problem. In desperate need for distressing after his day, he decided to complete the session his jeans.

I of course advised against it squats and deep deficit lunges were on the menu, but he was determined to do what he could.

Fast forward to a rip here and a rip there post lunge, and all of a sudden our Trevor's wardrobe began to transform.

We want to take the time to thank Trevor for setting the standard for commitment and allowing us to have a giggle AND for me to take a photo! Proud of you mate.

I've been working with this fella since 2018 starting with MS Get A Head Start. He then went on to Neuro S & C. Here's what he has to say:
"As someone battling primary progressive Multiple Sclerosis for over twenty years - a large part of the fight is keeping myself active and as fit as I can be. Carrie and her Physiofit classes twice a week are a key part of my fitness journey. Both from a physical and mental perspective - Carrie's classes help tremendously!
I notice subtle improvements almost daily and this leads to an increase in self confidence! My fight sees me having to use two walking sticks to remain active and Physiofit helps me to be able to move with far less falls and a greater ability to function better. I also feel stronger which in turn leads to a general level of overall improvement.
I would recommend anyone with MS to seek out Carrie. You won't regret the decision. Her classes are not only good for you physically but you will enjoy meeting and exercising with others in a similar position to yourself"

I conduct movement screening and fitness tests, not only to quantify improvement for me but more importantly the client to see progress. In his last test phase the initial step up volume averaged 6 steps p/min. In his post phase test his step up score boosted to an avg of 14 step ups p/min!!!!

What the actual!!! Working hard or hardly working for this one. I'm not going to say its easy. But with consistency, effort and the right exercise prescription for your physiology, you WILL improve. Hands down.
Connect Neuro Physiotherapy MS Waikato MS Get a Head Start

Call now to connect with business.

Majority of my professional development comes from a medical council. I received this today which is an analysis of reviews about covid and exercise rehab.

"The WHO (World Health Org) defines post–COVID–19 condition (PCC) as 'the continuation or development of new symptoms three months after the initial SARS-CoV-2 infection, with these symptoms lasting at least two months with no other explanation.

This review examined respiratory training and exercise-based rehabilitation interventions for adults with PCC. Fourteen randomised clinical trials involving 1244 patients found moderate certainty evidence indicating that standardised rehabilitation interventions were associated with improvements in functional exercise capacity. However, a high level of uncertainty was observed concerning the probability of experiencing exercise-induced adverse events.

The recommendation was that health professionals closely monitor these patients while implementing such interventions to ensure patient safety until more definitive evidence is available."

In short, yes exercise therapy can improve your long covid/PCC symptoms but due to the complexities of the condition, choose a qualified health professional to monitor you. Good thing Clinical Exercise Physiologists exist!

Reference:

Rehabilitation Interventions for Physical Capacity and Quality of Life in Adults With Post-COVID-19 Condition: A Systematic Review and Meta-Analysis JAMA Netw Open. (2023)

I have been working with this stroke survivor and his buddy for over a year now and we had a moment of reflection today. Because progress is a journey not a destination it's important to remember where we started.

First we started with developing a relationship with their new body. Learning to create a reliable feedback system with them 'feeling their bodies' in many scenarios. After trauma and grief, this is essential.

We relearnt multiple movements such as reaching, hinging, weight shifting. We applied reaction timing and coordination to those movements in a fun way.

We looked at their fears such as falling, so we spent time learning to get up and down off the floor, balancing in the kneeling position and weight shifting on their knees.

The list goes on. Today, second session back for the year, I surprised them with a problem solving course to challenge everything so far. Being out in public is unpredictable so we practice that also.

Here we have hinging, reaching with his deficit arm and placing the ball on the cone. Both members walked in the clinic today and wanted to walk away BUT, this guy hung out in the ball section most of the session!

Completely fantastic!

Stroke Foundation of NZ PhysioFit
Body Performance Clinic

First week back with the Hamilton Prost-Fit crew at Tū- Tonu and we went nice and easy today warming up with control on thee ol mat!

Great to have the lads back together

Remember booking essential
www.physiofithub.com/booking

Please find attached the link to PHYSIOFit's booking page via the website. If you attend classes you are required to manage your own bookings. Thanks

BOOKING | PhysioFit Exercise methods that will see your health status and chronic injury improve!

Alright STRENGTHFit crew. For your last session of the year, we are at the town pool.
See you 5.30!!!

And that's a wrap for 2023 SPARK class. Massive year for its attendees. Next session is TRAIN THE TRAINER.

Thanks for the thoughtful gift and best I be fresh as a daisy for Thursday morning

Okay dokey STRENGTHFit crew.......

I mentioned last week in session you will be having your capacity testing this week. That means......TONIGHT.
Please make sure youve got food on board 60-90mins before the session.

Lets smash some numbers!

I usually DO NOT like walking, it's boring and time consuming.

BUT, while I track my steps daily and realise I was moving far less than I thought, I started walking 10000 steps daily.

If I had time, I'd do the lot in one hit. Otherwise, accumulation is equally as good because it meant I was looking for ways throughout the day to be more mobile.

There has been a few things I've come to love about walking.
1) spending time with my son, he comes too.
2) spending time in the sun, my total happy place, feeling and smelling the day is AMAZING
3) Ive seen so many interesting things around various parts of the town I ithwise wouldn't have noticed.
4) I feel less stressed with the above combined.

Fair to say, I dont mind a decent walk daily x