physiquality blog: exercising while pregnant

As a woman who exercises frequently, I’ve seen prenatal yoga and Pilates classes available at a variety of gyms and studios. So when we added the Dancing thru Pregnancy program to the list of Physiquality vendors, I was curious to see the research about staying active through dance.

I’ve danced my entire life, minus some time out for rehab post-surgeries, so I’m well aware of the health benefits and enjoyment one gets while moving to music. But I also know that pregnancy completely changes your center of gravity, which is why I’ve been so impressed to watch my modern dance instructor, who’s currently 5 months pregnant with her second child, continue to move with agility and grace, even if her alignment is different than when I began studying with her.

The below article may be full of research proving that exercise is beneficial for both mother and child (if one takes into account the few positions to avoid); watching Rachel move as her pregnancy advances has been proof enough to me that dancing through pregnancy is a great way to stay healthy and happy.

Exercising while pregnant

Pregnancy is an exciting and challenging time for a woman. Along with her partner, she’s anticipating the addition of her child to her family. She’s reading constantly, trying to discern what advice to listen to and what to dismiss. She’s much more aware of her body, what she’s eating and how she takes care of it. Which often leads to the question: Should I exercise while I’m pregnant?

Women’s fitness expert Ann Cowlin and physical therapist Michael Fahmy say the answer is a definite yes — exercising while pregnant has been shown to benefit both mother and child.

According to Michael, babies born to women that exercised while pregnant have lower instances of “heart rate abnormalities, cord enlargement, and the presence of meconium and erythropoietin levels (all signs of hypoxia, or fetal distress).” Studies have also shown that exercise-exposed babies have healthier hearts and improved breathing movements in utero. Exercise enriches and enlarges the placenta, increasing the exchange of nutrients, oxygen and carbon dioxide with the fetus. And studies have shown that exercise during pregnancy leads to lower — and healthier — birth weights.

Read the full entry at!

physiquality blog: fitness for older adults and seniors

Physiquality has been looking a lot at fitness programs and products for older adults, so I suggested writing about the topic. I’ve been especially interested in this since my grandmother had a stroke last year and, more recently, fell and broke her wrist. I know that breaking your arm and wrist is the “gateway break” for hips and other, more devastating, injuries, so I’m always curious to know more about how to help her stay fit. (Thankfully, she’s an unusual senior; she typically walks a few miles every day and I’ve never seen her eat an egg yolk. Very health conscious.)

This was one of my more fortunate topics for information gathering — four of the five people to whom I sent questions replied, making the writing quite easy. I lined up their replies and got some great tips to pass along to Grandma.

Fitness for older adults and seniors

As we age, regular exercise is incredibly important for staying healthy. It reduces weight gain that would put additional strain on weakening bones. It helps to maintain your sense of balance, reducing the risk of falls and broken bones. And it also keeps your mind active; one study has even shown that higher levels of physical activity correlate to a lower risk for Alzheimer’s and dementia.

So why do so many older adults and seniors remain sedentary? One challenge is that the older you get, the more difficult it is to change your habits. Joyce Klee, a physical therapist in the Physiquality network of experts, says, “Seniors can be resistant to change. They like being comfortable and knowing what to expect.” And if they have never exercised in the past, some feel that it’s pointless to start in their 60s or beyond. This is why Mark Salandra, founder of, likes to remind his older clients that it’s never too late to get into shape, and that without strength or flexibility, they could easily lose their independence.

Older adults also frequently face a variety of health problems, some minor, some severe, that can feel like road blocks on the way to a healthier life. Stefania Della Pia, program director of education for STOTT PILATES®, points out that instructors “are often presented with a number of concurrent concerns that each have their own programming criteria.” The challenge for those working with older populations is to be prepared for a variety of these issues and to have a wide range of adaptations that will allow seniors to exercise, despite such challenges.

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physiquality blog: why you should give suspension training a try

One of the companies I work with, Physiquality, has been building an impressive array of wellness partners over the last few years. They’ve added several fitness programs since our launch in 2008, and I’ve often taken the chance to try out these new classes in order to get a sense of the program before I write the copy.

After researching our new partner, Serius Strap from Railyard Fitness, I’m dying to try out this type of fitness. The dancer in me is keen to sample the balance exercises, and (as with most women), I’d always love to chisel off a little bit more of my midsection. Unfortunately, there don’t seem to be any classes in Hoboken, so I’ll have to settle for writing about suspension training until then.

Why you should give suspension training a try

Suspension training has been a big buzz word lately. Infomercials abound, singing its praises. Military men brag about the added strength they build with it. Celebrities endorse it in the pages of magazines and on TV shows. So what is it?

A suspension training device is essentially a very strong strap with handles on the ends that can be secured to something overhead, like over a door or to a beam. The beauty of the systems is that you can do literally hundreds of different exercises with them.

Whether you’ve seen one before or not, here are some good reasons you should give suspension training a chance.

  1. Suspension training strengthens your core.

Your core, or postural, muscles stabilize your body. While they are a small portion of your entire body, strong muscles around your trunk and pelvis enable balance and stability and make other physical activity much easier.

Suspension trainers effectively make your core muscles turn on and work. By increasing your instability, suspension trainers make you work harder to complete exercises. David Berman, PT, who worked with Railyard Fitness to create the Serius Strap, uses the following example: “It’s like the difference between sitting on a standard chair, where the chair provides all of the stability, and sitting on a fitness ball, where your body has to work a bit to keep you from falling off.”

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physiquality blog: exercising safely in the heat of summer

I went away for the weekend for Memorial Day and was accosted by heat worthy of July upon our return. It was fitting, then, that the next subject for the Physiquality blog was how to exercise safely in the summer heat.

Full disclosure: I am not one to exercise outside. Between allergies, susceptibility to heat stroke, and a keen dislike for running, I am much happier taking a class in an air-conditioned studio than I am running several miles in my city. But my sensitivity to heat and the sun definitely increases my awareness of the importance of being safe, especially since I’ve watched my husband over-exert while playing tennis tournaments in temperatures topping 100 degrees. Here, then, are a few ways to avoid heat exhaustion and heat stroke while exercising outside.

Exercising safely in the heat of summer

After the storms of May, it feels like summer has appeared with a vengeance. Temperatures have soared over the last week, spiking across the Southern and Eastern states and setting records in places like Texas and Maryland.

The warm weather is an instant invitation to exercise outside, particularly if you’ve been hiding from snow and heavy rain for the last several months. However, given the high temperatures and humidity ratings that will continue through the fall, it’s best to keep a few things in mind in order to avoid heat exhaustion and heat stroke.

Prepare. There are a few things that you can do before you step outside in order to prepare yourself for the heat:

  • Wear appropriate clothing. There are plenty of options now that are lightweight and help you stay cool. Technology like CoolMax or DriFit from Nike absorbs your sweat and makes it easier to evaporate. Be sure to also pick lighter colors in order to minimize the heat you absorb from the sun.
  • Apply sunscreen. Exercise physiologist Elizabeth Quinn points out that getting sunburned “can limit the skin’s ability to cool itself.” In addition, once you get burned, you should stay out of the sun for at least a few days in order to let your skin recuperate.

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physiquality blog: the dos and don’ts of healthy living

It seems, these days, that the healthcare industry is turning more and more to prevention and placing more responsibility in the hands of those for whom it is caring. Insurance companies offer incentives to consumers to lose weight and live healthier lives. Businesses incorporate wellness programs to boost health, as well as morale.

It’s impossible to completely prevent illness, but there are many ways to decrease your chances of certain diseases. My company, Physiquality, turned to several of their health and wellness partners to get some ideas on how to live better and avoid disease.

The dos and don’ts of healthy living

Living a healthy life can do much more than make you feel better today — it can help you avoid a plethora of health problems as you age. Small, simple changes to your daily life can pay big dividends in the long run.

With this in mind, we turned to several of our Physiquality partners to ask what they thought were the most important things to do and avoid on the pathway to a long and healthy life. Here’s what they had to share:

Do smile. Smiling changes your attitude and can change your outlook on the day. Scientific American even collated some studies that proved smiling can actually make you feel better.

Don’t worry or stress. When you get distracted by what might happen or what others are doing or have done, it’s difficult to focus on what you need to do on any given day. In the long run, stress can even damage the body, having been linked to heart disease, diabetes, and more. It’s healthier to approach each day with a fresh mind (and smile!), creating a list of priorities and approaching it with a clear head. And if you don’t finish your list that day, congratulate yourself for what you have accomplished, rather than berating yourself for what didn’t get finished.

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physiquality blog: preventing youth overuse injuries

The company I work for, Physiquality, has made it one of their missions to provide wellness and fitness activities for kids. And this topic has been increasingly popular over the last few years.

That said, this is a personal topic for me. As I mentioned in my last post, my injuries are directly related to the quantity of dance I did as a child and adolescent. My first surgery at 16 was caused by dancing 12 hours a week on a poorly aligned knee. A lack of cross-training and exercise outside of my dancing probably contributed to both my misalignment (dancers have notoriously weird alignments; my knees point straight forward when my feet are turned out in first position) and overuse. By the time the surgeon intervened, my cartilage was already shredded underneath my kneecap. I knew there would be further surgeries down the road.

Would I have followed the advice of these experts? And would it have made a difference? I don’t know. But certainly heeding their advice may have slowed down my problems and perhaps given me more time before my inevitable time under the knife.

Preventing youth overuse injuries

In recent years, a disturbing trend has been seen among younger athletes: Overuse injuries are becoming far more common.

Baseball in particular has been under intense scrutiny. A study of 481 youth pitchers between the ages of 9 and 14, published in the American Journal of Sports Medicine (subscription required) in February 2011, noted that 5% of the athletes suffered such a serious injury in the course of the study that they needed surgery, or, even worse, had to retire.

And in an article for the Los Angeles Times in 2008, Dr. E. Lyle Cain noted that at the turn of the millennium, younger athletes (mostly baseball players) were getting the Tommy John procedure, or reconstruction of the ulnar collateral ligament, at a much higher rate. Only about 12% of Tommy John cases were for patients under the age of 18 between 1991 and 1996; the number of cases had jumped to 30% by 2005.

But it’s not just baseball that’s at the root of the problem. Whether due to increased competition, the hope for college scholarships, or overambitious parents, many children and teens are specializing in sports at younger ages and playing much more than previous generations.

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physiquality blog: what happens when we can’t exercise?

One of the reasons my resume stood out when I applied for a job with PTPN years ago was my experience in the healthcare industry. At the time, my work experience was focused on education and media. It was my personal experience in the healthcare world that got me in the door.

As a lifelong dancer (yes, I’m in my 30s and still take dance classes in Manhattan), my knees were doomed from my early teens. By the time I’d applied for the position in California, I’d had two knee surgeries on my right knee, one at 16 and one in the previous year, and had a another surgery while living in Los Angeles. My knowledge of and loyalty to the physical therapy profession was key to taking this job. I am happy to write about the benefits of physical therapy as I’ve seen them first hand — after having to take 4 years off from dancing, I’ve been taking intermediate modern classes for over a year now. I’m well aware that this never would have been possible without the benefits of my rehabilitation and the amazing PTs with whom I worked.

That said, those 4 years were a dark time. Taking time away from your chosen workout or sport — whether for 4 weeks, 4 months or 4 years — is difficult. How do you stay in shape? How do you stay positive? A story in the New York Times on depression after sports injuries inspired me to ask our member PTs about what we can do to avoid that depression and focus instead on rehabilitation and our return to the exercise we love.

What happens when we can’t exercise?

If you exercise regularly, you’ve probably had one of these roadblocks at some point in your life: A sprained ankle that keeps you from running. An illness that keeps you away from the gym. Or a bigger injury that requires rehab or surgery and a rethinking of your entire fitness regime.

When your fitness routine shifts, so does the rest of your day. You may sit more, eat more and possibly gain weight. The lack of endorphins, combined with the changes you see in the mirror, don’t help your situation. It’s not unusual to get depressed when this happens.

So how can you try to take control of your body and continue to stay fit despite that injury or illness? Mitch Kaye, PT, recommends that if you have an injury, the first stop is to see your doctor or a healthcare professional. He warns against self-diagnosis and adds that your physical therapist is the ideal expert to recommend low-impact exercises that can be continued with an injury; a PT’s unique training, along with knowledge of how the injury occurred, is key to prescribing the best recovery exercises.

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physiquality blog: timeless lessons on living a healthy life

Jack LaLanne’s death in January of this year made me think about my own grandfather. He’s often been mistaken for my father as few people believe he looks too young to be anything else. While I’m sure his amazingly dark hair is part of that (he’s 81 but has only recently started to go salt and pepper), his depth of fitness is also part of the cause.

Grandpa always followed Jack LaLanne’s model of eating right and staying fit. Even in his 70s, he was riding his bike for 10 miles or more at a time, and he was eating egg-white omelettes long before they were popular. The basement at my grandparents’ house contained an impressive home gym, mostly made of hand weights that were far too heavy for me to pick up, even when I’d grown into a young adult. The two men have always been linked in my mind, which was why I suggested writing a tribute to Mr. LaLanne after his passing.

Timeless lessons on living a healthy life

Jack LaLanne had what seemed like a simple mission in life — to help people help themselves through feeling better and living longer. In his own life, before passing away recently at age 96, he tried to live by example through “completing implausible feats of strength and endurance,” as James Fell of the Los Angeles Times put it. Even more improbably, Jack did many of these things at the age of 40 and beyond. To name a few:

  • 1955, 40 years old: Swam the length of the San Francisco Golden Gate Bridge underwater with 140 pounds of equipment.
  • 1956, 42 years old: Set a world record of 1,033 push-ups in 23 minutes on the TV show “You Asked for It.”
  • 1959, 45 years old: Completed 1,000 push-ups and 1,000 chin-ups in 1 hour and 22 minutes.
  • 1975, 61 years old: Swam the length of the San Francisco Golden Gate Bridge underwater, for a second time, this time handcuffed, shackled and towing a 1,000-pound boat.
  • 1984, 70 years old: Towed 70 boats with 70 people from the Queen’s Way Bridge in Long Beach Harbor to the Queen Mary, a 1½ mile distance, while handcuffed, shackled, and fighting strong winds and currents.

Even more impressive is his list of firsts: He opened the first modern health spa. He was the first fitness trainer to have athletes, and women, working out with weights. The first to combine weight training with nutrition. The first to encourage the physically challenged to exercise. The list goes on and on.

Because Jack was first in the public eye in the 1950s, many people today question what they can learn from him. Many of his LaLanneisms, however, are even more important to follow today, with obesity at an all-time high and the need for fitness and good nutrition vital to our health. Here are just a few to keep in mind:

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physiquality blog: safe shoveling tips

One of the companies I’ve been working for, Physiquality, has asked me to start writing blog content for their website. It makes sense — add more content to the site, improving search results, and create something to post in social media (in this case, Facebook) to drive traffic to the site.

Our first entry came about during the massive set of storms we had this winter, across the country. Since the company’s focus is on health and wellness, we interviewed a member physical therapist about how to shovel snow safely without throwing out one’s back.

Safe shoveling tips

Winter’s wrath has been especially harsh this season — at one point, the only state in the continental U.S. that didn’t have snow was Florida. Many people that may be used to snow have been overwhelmed by the amount they’ve had to shovel, and many others have had to adapt to snow removal that have never had to do it before.

The snow this year has been particularly difficult to remove because it’s been wet and dense, making each shovel-full heavier than usual. Lifting these heavier piles of snow, and the frequency of the snowstorms this year, especially in the Midwest and Northeast, means more people are open to injury from improper form and technique.

To help us get through the last storms of the winter, we turned to PTPN member Ann Duffy, PT, M.A., owner of Duffy and Bracken, a physical therapy clinic in Manhattan. She gave us several tips on how to shovel snow and avoid injury.

Read the full entry at!