Key training principles to help you continue making progress toward your movement goals

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Written by Marissa Hoen | December 1 2020


Covid-19 has impacted everyone in one way or another, and it’s not surprising that many of us feel like we have either lost progress or have simply hit a standstill when it comes to fitness gains. Sometimes it’s the goals that need re-evaluating, and sometimes it comes down to our fitness routine. Are you doing the same workout each week and not seeing results? Read on for some tips on how to break out of that plateau!

  1. First, can you change one of these variables?

    Specificity- in order to improve in a certain skill, you need to practice that skill. If you aren’t practicing the movement you aim to gain, get on it!

    Frequency-how many days per week do you train? Can you increase this by one day (safely)?

    Progressive Overload- you can overload in terms of reps, sets, weight, duration of training session, and intensity. To decrease the risk of injury, increase one variable at a time every other week at most.  
    *altering all of these variables at once may increase the risk of injury if the intensity is too high

  2. Improve your performance during your training sessions1:

    Warm Up and Cool Down: Allowing yourself time to warm up before the main event can improve your performance, decrease early onset fatigue, and decrease your chance for injury. Warming up allows your body to adjust to the new physiological demands of exercise. Cooling down helps your muscles replenish oxygen to burn more energy and flush byproducts before muscle building occurs!

    Eat enough carbohydrates so you can perform DURING your workout. It is definitely a challenge to increase your strength when you run out of fuel during your workout! Carbohydrates, aka carbs, are stored in muscles in a form that can be easily broken down for energy during our workouts. We start feeling fatigue when our stores run low, as our body attempts to protect the muscle from severe depletion. This gets in the way of making our gains! Choose carbs like fruit and grains for energy, carbs like veggies for fiber (not for performance, but for all around good health), and try to avoid the simple carbs like cookies and sugary drinks unless you don’t have another option!

    Ensure you are properly hydrated! Drink water hours before your session (or regularly for that matter!) so your body and the cells that need it have enough time to absorb the water. Water is a main component of blood, inner substance of cells, the fluid that lubricates joints, and so much more. No wonder we are 60% water!2

  3. Continue to build strength after your session

    Eat enough protein- keep in mind that muscle and strength building require a positive balance of protein synthesis and breakdown. This means consistency in strength training AND eating protein is needed for for 3+ weeks before you will experience muscle building (hypertrophy).1

  4. Change your mindset/re-evaluate goals

  • Are your goals really yours? In her podcast called ‘Borrowed Goals’, Dr. Shanté Cofield discusses the importance of reflecting on your goals, and thinking about the why behind them (2020). If your goals are more a reflection of what other people want (or what you think they want) instead of a reflection of what you want, it is way less likely you will reach them. And even if you do reach these goals.. Will you be satisfied? Take this time to re-adjust and find goals that fit you.


Keep in mind:1

  • It takes weeks to months before your body adapts to resistance training to produce noticeable strength changes, however muscle protein synthesis and collagen production increases after just one session.

  • 3 weeks+ of resistance training is needed before muscle hypertrophy (increase in muscle size) occurs 

  • The fastest changes occur in the first few weeks of training for beginners due to neurological adaptations! If you are a beginner, enjoy this time of relatively rapid strength gain before you reach a plateau!


References

  1. Powers, S., Howley, E., & Quindry, J. (2021). Exercise physiology: Theory and application to
    fitness and performance
    (11 ed.). McGraw Hill LLC.

  2. The Water in You: Water and the Human Body. (n.d.). USGS Water Science School. Retrieved
    December 1, 2020, from https://www.usgs.gov/special-topic/water-science-school/
    science/water-you-water-and-human-body?qt-science_center_objects=
    0#qt-science_center_objects

  3. Cofield, S. (Producer). (2020, October 1). Borrowed Goals [Audio Podcast]. Retrieved from
    https://open.spotify.com/episode/1Ne8zkI8KDt8QmgRTDaYLT

  4. Image credit: https://www.headspace.com/blog/2018/01/12/fitness-plateaus/

Evidence of the health benefits by active-passive cycling training

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Written by Marissa Hoen | November 17 2020

The extent of your mobility is impacted by so many factors, and may look today different than it did a year ago. Maybe you’ve seen gains in your range of motion from all your hard work, or maybe this year has limited your options and movement hasn’t been a huge priority (like so many of us this year). Today I wanted to share the benefits of passive mobility, specifically active-passive trainers (also known as APT or MotoMed) as it is one of the most popular devices at MOVE that can help mobilize a wide range of individuals.

Are my muscles being used during passive cycling?

  • If you are truly cycling passively (no brain stimulated muscle contractions) the machine should be doing the work of moving your legs in a cyclical motion. As your legs begin to move, your large muscle groups (quads, hamstrings, calves) are being stretched and then shortened. This may stimulate stretch receptors that result in muscle contraction, or move the muscles around the veins in your legs providing a muscle pump- directing blood and swelling up and out of the legs. 


So, what are these benefits?

  • “Three studies (including two RCTs) reported statistically significant benefits of multiple sessions of passive cycling on leg blood flow velocity, spasticity, reflex excitability and joint range of motion, and markers of muscle hypertrophy.”1
     

  • This means that consistent passive cycling can:1

-increase in blood flow speed without an increasing heart rate

-increase blood flow to legs

-decrease spasticity in those with SCI

- increase range of motion 

-decrease in muscle and tendon stiffness

-potentially decrease muscle atrophy and stimulate muscle building

-improve cognitive function in individuals with Parkinson’s Disease2

  • There is not enough evidence in APT use with people with SCI to determine the cardiovascular effects of just one session of passive cycling, but just one session has been shown to have neurological effects in decreasing spasticity. However, consistent cycling has greater and more lasting effects on the cardiovascular, muscular, and nervous systems.1


Are there greater improvements with faster cycling speeds?

Maybe, maybe not! What we do know:

  • Blood pressure increases with increasing cadence in all subjects who underwent a graded passive cycling exercise (increasing speed of the machine incrementally)3.

  • Each individual responds differently to the passive cycle in terms of heart rate, blood flow velocities, and other cardiovascular variables. 

  • Some individuals showed decreased cardiac function in response to greater passive cadence, however more research is needed before conclusions are drawn. 

  • As of now, no direct link has been found between level of MS related spasticity improvement and cadence of passive cycle.4

Take Away-

  • Cardiovascular, muscular, and nervous systems adapt to passive cycling training1 

  • Passive and active cycling has been shown as a safe and effective method of movement for people with SCI, PD, and MS



REFERENCES

  1. Phadke, C. P., Vierira, L., Mathur, S., Cipriano, G., Jr, Ismail, F., & Boulias, C. (2019). Impact of Passive Leg Cycling in Persons With Spinal Cord Injury: A Systematic Review. Topics in spinal cord injury rehabilitation, 25(1), 83–96. https://doi.org/10.1310/sci18-00020

  2. Kim, C., Muller, M. D., Fickes, E. J., Alberts, J. L., & Ridgel, A. L. (2010). Acute bouts of passive leg cycling can improve cognitive function in parkinson's patients: 2745. Medicine and Science in Sports and Exercise, 42(5), 735. doi:10.1249/01.MSS.0000386133.61205.04

  3. Chen, J., Martin, C., McIntyre, C. W., Ball, I. M., Duffin, J., & Slessarev, M. (2019). Impact of graded passive cycling on hemodynamics, brain, and heart perfusion in healthy adults. Frontiers in Medicine, 6, 186-186. doi:10.3389/fmed.2019.00186

  4. Barclay, A., Paul, L., MacFarlane, N., & McFadyen, A. K. (2019). The effect of cycling using
    active-passive trainers on spasticity, cardiovascular fitness, function and quality of life in people with moderate to severe multiple sclerosis (MS); a feasibility study. Multiple Sclerosis and Related Disorders, 34, 128-134. doi:10.1016/j.msard.2019.06.019

  5. Image credit: https://www.dreamstime.com/illustration/recumbent-bike.html


Does exercise improve health outcomes in people with Chronic Kidney Disease?

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Written by Marissa Hoen | November 2 2020

This past week I have been doing lots of digging in the scientific literature around all things Kidney and Exercise, thanks to inspiration from my Exercise Physiology course. Some research surprised me, such as the prevalence of Chronic Kidney Disease (CKD). The number of individuals diagnosed with CKD continues to increase, with a global prevalence of about 11-13%1. Both a cause and consequence of CKD includes diabetes and hypertension- and each of these conditions can be improved by exercise2!

What is Chronic Kidney Disease?

  • CKD is defined as structural or functional damage to the kidneys for 3 months or more3

    • Identified through increased blood creatinine, immune factors, and proteinuria (proteins excreted in the urine)3

  • Symptoms are not common in early stages, so regular Doctor’s visits are important for those with cardiovascular or other health concerns

  • Some Later Stage symptoms include4:

    • Water retention leading to swollen ankles or hands

    • Shortness of breath

    • Fatigue

    • Muscle Cramps

    • Weight Loss and Poor Appetite

    • Blood in your urine (hematuria) 

    • Headaches

What do the Kidneys actually do?5

  • The Kidneys main function is to filter our blood!

    • The kidneys remove waste products that our cells make including creatinine, uric acid, and urea

    • They also filter out excess substances like extra water, sodium, potassium, phosphorus, to be excreted in urine

  • In addition to filtering, the Kidneys regulate many characteristics of the blood including:

    • Blood pH

    • Blood Volume 

    • Blood Pressure

How does exercise impact people with CKD?6

Exercise has been shown to slow kidney disease progression primarily through its influence on other body systems, including the cardiovascular and muscular systems, however there is notable . Exercise promotes:

  • Decreased systemic inflammation​

  • Lower Blood Pressure​

  • Less blood flow to kidneys during exercise- easing the blood pressure on the kidneys

  • Decreased arterial stiffness​- easing the workload of your heart, helping to lower blood pressure at the kidneys

  • Increased muscle mass

  • Increased tolerance to exercise

  • Improved quality of life

  • So much more!

Precautions to exercise:

  • If you were diagnosed with CKD, you may be taking medications such as beta-blockers to help lower your blood pressure. Keep in mind that these lower your heart rate as well, so if you are measuring exercise intensity with your heart rate, you may be unable to reach your target heart rate. 

  • Make sure you take time to warm up before your workout to help moderate the rise in blood pressure!

  • Some researchers suggest sticking to a continuous moderate intensity aerobic exercise with some lighter resistance training, however new research suggests that more high intensity exercise may be safe for people with CKD8.

  • As always, talk with your doctor before beginning a new exercise program to ask about hydration levels, exercise-medication interactions, and any other concerns you may have. 

Summary:

Exercise has shown to improve health outcomes and quality of life in people with Chronic Kidney Disease. Keep it moving for the health of your kidneys!

References

  1. Hill, N., Fatoba, S., Oke, J., Hirst, J., O’Callaghan, C., Lasseron, D., & Hobbs, F. (2016). Global prevalence of chronic kidney disease- A systematic review and meta-analysis. PLoS One, 11(7), e0158765. https://doi.org/10.1371/journal.pone.015876

  2. Barcellos, F. C., Santos, I. S., Umpierre, D., Bohlke, M., & Hallal, P. C. (2015). Effects of exercise in the whole spectrum of chronic kidney disease: a systematic review. Clinical kidney journal, 8(6), 753–765. https://doi.org/10.1093/ckj/sfv099

  3. Matovinović, M. S. (2009). 1. Pathophysiology and Classification of Kidney Diseases. EJIFCC, 20(1), 2–11.

  4. Symptoms chronic kidney disease. (2019, August 29). NHS. Retrieved October 31, 2020, from https://www.nhs.uk/conditions/kidney-disease/symptoms/

  5. Derrickson, B. (2017). Human Physiology (4 ed.). John Wiley & Sons, Inc.

  6. Gould, D. W., Graham-Brown, M. P., Watson, E. L., Viana, J. L., & Smith, A. C. (2014). Physiological benefits of exercise in pre-dialysis chronic kidney disease. Nephrology (Carlton, Vic.), 19(9), 519-527. doi:10.1111/nep.12285

  7. Sheps, S. (2020, February 12). Beta blockers: How do they affect exercise? Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/expert-answers/beta-blockers/faq-20058369

  8. Beetham, K. S., Howden, E. J., Fassett, R. G., Petersen, A., Trewin, A. J., Isbel, N. M., & Coombes, J. S. (2019). High‐intensity interval training in chronic kidney disease: A randomized pilot study. Scandinavian Journal of Medicine & Science in Sports, 29(8), 1197-1204. doi:10.1111/sms.13436

  9. Image credit can be found here: https://stock.adobe.com/ca/search?k=kidney+cartoon&asset_id=307567493

Methods of Reducing Low-back Pain

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Written by Marissa Hoen | October 19 2020

Unchain your Back Pain

Right from the very beginning, our bodies have been responding to the inherent stresses of everyday life. Over the years we experience so much through our bodies, but sometimes these bodies can’t keep up with the physical demands of our experiences. Low back pain is one of the most common issues that I have seen as an RMT, and one that I personally deal with the more time I spend at a desk studying. Just as the causes of low back pain vary, so do the methods of relieving that pain. In this post, I’ll talk about about acute and chronic pain, as well as some steps you can take to lessen that pain*.  

Acute or Chronic pain?

Acute pain is new pain. It is usually caused by something identifiable and lasts less than 6 months1. If mistreated, this pain has the potential of becoming chronic. Chronic pain can persist even after the originally damaged tissue is fully healed, but can also arise without injury1. 

Ways to Reduce Pain:

  • Heat

    • Heat applications help to reduce pain, increase blood flow, increase cellular metabolism, and improve elasticity of tissues2. I use heat when I want to warm up for work, or to reduce dull aching pain and muscle spasms. Take caution if you decide to put heat on an acute injury, as you could increase swelling and raise the temperature of an already heated area, which may not be ideal for the healing process.

  • Cold

    • Applying cold packs to the low back helps to reduce pain, decreases local blood flow and lymph circulation, and may reduce muscle spasm2. I usually use cold in acute pain situations, if I have just had an injury and I want to reduce pain and swelling. Each person has a different reaction to cold however, so you may need to test this yourself! 

  • Positional changes

    • Sitting or standing for long periods can provoke low back pain, so it is ideal to keep your spine gently moving throughout the day. 

    • If you need to be in the same position for an extended period of time, find ergonomic solutions that reduce excess force through the lumbar spine. 

    • Those with specific issues such as lumbar disc herniations may find lying flat painful, side lying with a pillow between the knees is a great position to reduce pressure on discs and spinal cord3.

  • Rest 

    • If you’ve just had an acute injury, treat it appropriately and then let it be. The healing process takes some time, and you don’t want to cause further damage to the tissue! Try not to stay completely still however, as some movement is essential for recovery.

  • Move what doesn’t hurt!

    • A safe method in pain reduction is to exercise around the pain. Learn which movements cause discomfort, and exercise within your comfort zone. Exercise induced hypoalgesia, or the reduction of pain levels after exercise, is greater in individuals who performed more physical activity4.

  • Stabilization exercises

    • Exercises that target the trunk muscles, or muscles surrounding the spine and abdomen, were shown to be more effective in reducing pain than general exercises5. 

    • Examples of these exercises include planks, lumbar flexion and extension while on hands and knees (like a cat-cow in yoga), and simply contracting the abdominal wall6.

  • Manual Therapies

    • Massage therapy has been shown to decrease many different types of pain while helping to improve other aspects of your health and wellbeing7. 

    • Manual Physiotherapy techniques may be more effective in decreasing low back pain than stabilization exercises5, however a combination could be beneficial.

    • Both the Feldenkrais method and movement education programs known as ‘back school’ are effective in reducing chronic low back pain8.


Specific Strengthening and Stabilization Exercises9:

If you feel low back pain during any of these exercises, stop the exercise and try again later. If it still causes pain, ask your physio or kinesiologist if they have any tips on your form!

  • Resisted Hip Abductions

    • The Gluteus medius muscle acts to abduct the hip (move the thigh away from the body, picture jumping-jacks) and assists in stability when walking. It has been shown that those with low back pain may have weaker gluteus medius muscles10.

    • Try this to reduce pain in the moment: put a belt or strap just above your knees and gently push into the resistance. Keep your back in a neutral position, breathe, and try to hold the contraction for 30s-1 min. 

  • Quadruped Hip Extensions

    • On hands and knees, engage your core to keep your back in a neutral position, then squeeze your glutes and hamstrings to slowly bring your foot towards the ceiling. Try 10-15 reps per side!

  • Glute Bridge

    • Lying on your back with your feet flat on the floor and knees bent, engage the glutes to slowly raise your hips off the ground. 

  • Side Plank

    • Begin on your side with knees stacked on top of each other and your forearm or hand making contact with the ground. Slowly lift your hips towards the ceiling and hold your side plank, breathing throughout. 

*Note: If you are experiencing unexplained acute back pain or pain that is persistent or getting worse, talk to a medical professional before doing specific exercises that could cause further injury.

References

  1. Acute vs chronic pain. (2017, January 26). Cleveland Clinic. Retrieved October 18, 2020, from https://my.clevelandclinic.org/health/articles/12051-acute-vs-chronic-pain#:~:text=Acute %20pain%20usually%20comes%20on,underlying%20cause%20for%20the%20pain.

  2. Malanga, G. A., Yan, N., & Stark, J. (2015). Mechanisms and efficacy of heat and cold therapies for musculoskeletal injury. Postgraduate Medicine, 127(1), 57-65. doi:10.1080/00325481.2015.992719

  3. Sleeping with a herniated disc. Tristate Pain Institute. Retrieved October 18, 2020, from https://www.tspain.com/blog/sleeping-herniated-disc

  4. Ohlman, T., Miller, L., Naugle, K. E., & Naugle, K. M. (2018). Physical activity levels predict exercise-induced hypoalgesia in older adults. Medicine and Science in Sports and Exercise, 50(10), 2101-2109. doi:10.1249/MSS.0000000000001661

  5. 5Neto, M. G., Lopes, J. M., Conceição, C. S., Araujo, A., Brasileiro, A., Sousa, C., Carvalho, V., & Arcanjo, F. L. (2017). Stabilization exercise compared to general exercises or manual therapy for the management of low back pain: A systematic review and meta-analysis. Physical Therapy in Sport, 23, 136-142. doi:10.1016/j.ptsp.2016.08.004

  6. Smith, B. E., Littlewood, C., & May, S. (2014). An update of stabilisation exercises for low back pain: A systematic review with meta-analysis. BMC Musculoskeletal Disorders, 15(1), 416. doi:10.1186/1471-2474-15-416

  7. Crawford, C., Boyd, C., Paat, C. F., Price, A., Xenakis, L., Yang, E., & Zhang, W., (2016). The impact of massage therapy on function in pain populations—A systematic review and meta-analysis of randomized controlled trials: Part I, patients experiencing pain in the general population. Pain Medicine, 17(7), 1353-1375. doi:10.1093/pm/pnw099

  8. Paolucci, T., Zangrando, F., Iosa, M., De Angelis, S., Marzoli, C., Piccinini, G., & Saraceni, V. M. (2017). Improved interoceptive awareness in chronic low back pain: A comparison of back school versus feldenkrais method. Disability and Rehabilitation, 39(10), 994-1001. doi:10.1080/09638288.2016.1175035

  9. Bade, M., Cobo-Estevez, M., Neeley, D., Pandya, J., Gunderson, T, & Cook, C. (2017). Effects of manual therapy and exercise targeting the hips in patients with low-back pain- A randomized controlled trial. Journal of Evaluation in Clinical Practice, 23(4), 734-740. doi:10.1111/jep.12705

  10. Cooper, N., Scavo, K., Strickland, K., Typayamongkol, N., Nicholson, J., Bewyer, D., & Sluka, K. (2016).  Prevalence of gluteus medius weakness in people with chronic low back pain compared to healthy controls. Eur Spine J 25, 1258–1265. https://doi-org.ezproxy.library.uvic.ca/10.1007/s00586-015-4027-6

  11. Image Credit can be found here: https://www.vectorstock.com/royalty-free-vectors/back-ache-cartoon-vectors

Long afternoon stroll or Nustep sprints? Moderate vs Vigorous Intensity Exercise for Health

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 Written by Marissa Hoen | September 28, 2020

How do you decide what your workouts look like each day?  Do you stick to a set routine?

Hunger level, equipment access, motivation, sleep quality, blood pressure- the list of  factors that influence the way we exercise goes on and on. Deciding to spend time on endurance training is a great investment in your health, but how much time and energy you might want to put into your cardio changes day to day. Whether your workouts are non-existent or created for you by a trainer, here is some information that might inspire you to add endurance training into your life- and if you’ve reached a plateau, maybe it’ll motivate you to try something a little different.

What is cardio?

  • Also known as endurance training or aerobic exercise, cardio is a type of exercise that relies on the supply of oxygen to muscle cells in order to keep up with energy needs

  • Called cardio due to the involvement of the cardiovascular system (heart, lungs, blood vessels) providing oxygen to the muscles   

  • Examples: walking, cycling, dancing, elliptical, swimming

Benefits of regular endurance training:1,2

  • May reduce cardiovascular disease risk

  • Increases HDL cholesterol (the good cholesterol!)

  • Improves blood sugar control, helping to prevent/slow the onset of type 2 diabetes

  • Improves blood pressure regulation

  • Aids in fat loss

  • Many muscle adaptations such as strength gains and improved capacity for exercise

Why do vigorous aerobic exercise at all, can’t I stick with my leisure walks?

  • Studies show greater aerobic fitness, improved diastolic blood pressure, and blood glucose regulation3

  • Saves time- you can get the same health benefits or more in a shorter time period, or fit in other activities such as resistance training for a well rounded workout

    • Even just 30 seconds of high intensity work promotes physiological changes in your muscles!3

  • Promotes greater immune function3

  • However, low intensity exercise is better than no exercise at all! If you don’t have a workout partner or access to a machine that allows for safe vigorous exercise, stick with what you enjoy and what keeps you safe.

 

How do I know I’m doing high intensity exercise?

  • Each person’s capacity for aerobic exercise is different, so vigorous or high intensity will look different for everyone

  • Try using a rating scale, known as RPE or rating of perceived exertion, to gauge your intensity level 

  • 5-6/10 is moderate intensity

  • 7-8/10 is high intensity

  • You decide how to score your exercise intensity by the way it feels, your breathing rate, and how long you feel like you can sustain the intensity. If you are on a machine like a Nustep or treadmill, take note of which workload and speed you feel is your high intensity. Keep in mind that there are many factors influencing the way a workout feels- so stay present, be aware of the signals your body is sending you, modify your activity as needed!  

Key Takeaway: BOTH moderate and vigorous exercise have great health benefits, but vigorous activity results in even greater improvements. Progress slowly and learn what YOUR high intensity exercise feels like!

References

  1. Colberg, S. R., Sigal, R. J., Fernhall, B., Regensteiner, J. G., Blissmer, B. J., Rubin, R. R., . . . American College of Sports Medicine. (2010). Exercise and type 2 diabetes: The american college of sports medicine and the american diabetes association: Joint position statement executive summary. Diabetes Care, 33(12), 2692-2696. doi:10.2337/dc10-1548

  2. Lin, X., Zhang, X., Guo, J., Roberts, C. K., McKenzie, S., Wu, W., . . . Song, Y. (2015). Effects of exercise training on cardiorespiratory fitness and biomarkers of cardiometabolic health: A systematic review and Meta‐Analysis of randomized controlled trials. Journal of the American Heart Association, 4(7) doi:10.1161/jaha.115.002014

  3. Powers, S., Howley, E., Quindry, J. (2020). Exercise physiology Theory and application to fitness and performance (pp. 400-515). Eleventh edition. New York, NY: McGraw-Hill.

Photo can be found here: https://www.dreamstime.com/illustration/heart-cartoon-exercise-funny.html

Brain Power! How Motor Imagery training can help you reach your movement goals.

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 Written by Marissa Hoen | September 15th 2020

What is Motor Imagery training?

  • Also called mental imagery (MI) training, this technique involves performing repetitions of a certain movement or experience in the mind (Grosprêtre et al., 2018).

  • There are different ways to mentally train (Kilintari et al., 2016):

    • Visual imagery involves visualizing yourself doing the action.

    • Kinesthetic imagery involves the integration of body perceptions- how it would feel in your body to perform the movement.

  • This training is effective for certain individuals because kinesthetic or visual training activates many of the same brain areas that are stimulated by actually performing that task (Kilintari et al., 2016)!

Why use MI?

  • Increases strength: one study found improvements in strength after just one week of daily MI practice. This early strength gain is primarily due to neurological reorganization and increases spinal excitability (Grosprêtre et al., 2018).

  • Improves motor skill performance: a study looking at golf putting found that over 3 days of 60 mental reps per day, individuals showed improvements in their putting performance!


What is the most effective way to mentally train?

  • Combination training. There is still debate about the most effective mental practice protocols as well as which individuals show the most benefit from this practice, however most studies on the subject show that a combination of physical and MI is more effective than just physical training (Malouin et al., 2013). 

  • Get your reps in. Although the best way to mentally train is still under investigation, one variable that makes a huge difference in skill acquisition is the number of repetitions! You won’t find improvements if you mentally train for just 10 reps a day. Break your mental workout up throughout your day so you can get more reps in and reach your movement goals!

  • Observational Learning. If you find it very difficult to visualize movement, you may find it more useful to use observational learning instead! Watch videos of experts doing the movements you want to get better at and pay attention to their technique. This is especially helpful for those that are complete beginners to a certain movement. 


References

Grosprêtre, S., Jacquet, T., Lebon, F., Papaxanthis C., & Martin, A. (2018). Neural mechanisms of strength increase after one-week motor imagery training. European Journal of Sport Science, 18(2), 209-218, https://doi-org.ezproxy.library.uvic.ca/10.1080/17461391.2017.1415377

Kilintari, M., Narayana, S., Babajani-Feremi, A., Rezaie, R., Papanicolaou, A. (2016). Brain activation profiles during kinesthetic and visual imagery: An fMRI study. Brain Research, 1646, 249-261, https://doi.org/10.1016/j.brainres.2016.06.009

Malouin, F., Jackson, P., & Richards, C. (2013). Towards the integration of mental practice in rehabilitation programs. A critical review. Frontiers in Human Neuroscience. https://doi.org/10.3389/fnhum.2013.00576


Image credit: https://bojanzimmermann.com/9-ways-increase-brain-power/


Feel the Shake!

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 Written by Marissa Hoen | August 25th 2020

Have your muscles ever started to shake during the last few reps of your squats or bench presses? Have you felt your abdominals wobble during your core exercises? 

Why do our muscles shake during exercise?

During a workout at MOVE I was asked why our muscles shake during exercise and if this shaking is safe. My mind immediately thought of fatigue- which can occur both in the muscle and in the neural connection to that muscle. While there are a few reasons for the shake, muscle shaking during exercise is most commonly a symptom of fatigue.1


Will I get stronger if I reach the shaking point in my workouts?

In her blogpost on exercise-induced muscle shaking, Meredith Melnick said it best: “while working yourself to the point of exhaustion will help improve your fitness, working through that exhaustion will not.”2 Training to the point that you begin shaking is one way to measure the intensity of your training. Training beyond this point can lead to injury if fatigue is impacting the biomechanics or form of your exercise, or if the shaking leads to a fall. If you have support and higher intensity exercise is safe for you, then go for it! It is totally fine to shake a little bit, just be mindful and learn your limits. Reducing fatigue symptoms can help to postpone the shaking, helping you get more out of your workout. 

   Ways to reduce fatigue for longer workouts:

  1. Eat that carb! Before your workout sessions, make sure you have eaten some healthy carbohydrates (such as your favorite fruit or some oatmeal) so your muscles have enough energy to achieve your movement goals. Inadequate carbohydrate stored in muscle is a major contributor to muscle fatigue.1

  2.  Hydrate! Make sure you’re getting in enough water- whether it be through water dense foods (fruits and vegetables) or actual water. Without water, many cellular processes slow down and the body heats up- avoid dehydration by carrying a water bottle with you.

  3. Workout with others. Exercising with other people seems to be more effective than exercising alone in terms of improving fitness and psychological well being.3 Having people around you can motivate you to push a little more, or remind you to breathe!

  4. Remember to breathe and take breaks when needed. Hypoxia, or lack of oxygen, causes fatigue both in our central nervous system and in our muscles. Amann et al. found that breathing more intensely during exercise causes fatigue in the breathing muscles themselves, which in turn leads to more fatigue!4


References

1Knicker, A., Renshaw, I., Oldham, A. et al. Interactive processes link the multiple symptoms of fatigue in sport competition. Sports Med 41, 307–328 (2011). https://doi-org.ezproxy.library.uvic.ca/10.2165/11586070-000000000-00000

2Melnick, M. (2012). Muscle shaking: Is your workout better if your body trembles? Retrieved from: https://www.huffingtonpost.ca/entry/muscle-shaking-causes_n_2140397

3Dickman, N., & Boutcher, S. (2005). Effect of exercise and the exercise setting, group vs alone, on the psychological wellbeing and fitness of older women. Journal of Science and Medicine in Sport, (8)1, pg 89.

4Amann, M., Pegelow, D., Jacques, A., & Dempsey, J. (2007). Inspiratory muscle work in acute hypoxia influences locomotor muscle fatigue and exercise performance in healthy humans. AJP Regulatory Integrative and Comparitive Physiology, Environmental. Doi: 10.1152/ajpregu.00442.2007

Image Credit: https://www.vectorstock.com/royalty-free-vectors/chair-exercise-cartoon-vectors


Overcoming Obstacles  -The Feldenkrais Method-

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 Written by Marissa Hoen | August 14th 2020

As a practicing massage therapist and kinesiology student, I have been exposed to many styles of movement and ‘body-mind’ therapies such as tai chi, yoga, physiotherapy, acupuncture, and craniosacral therapy. I see value in all of these therapies, and believe they have their time and place. There is one method however, that really excites the lazy person in me, as it requires very little effort to feel the results. In fact, the less effort you apply while moving through a Feldenkrais lesson, the better.

What is the Feldenkrais Method?

“The Feldenkrais approach uses a series of slow, gentle, and varied movements. These movement lessons guide patients to not only adopt more functionally efficient movement patterns, but also to promote motor learning”.1 

What are some of the benefits?1

  • Improving balance

  • Decrease in pain

  • Improving mobility and comfort

  • A greater sense of enjoyment in movement

  • Many more!

Key components to a Feldenkrais lesson2: 

  1. “Start within your comfort zone, and make it even more comfortable”

  2. “Not too easy, not too hard. Pick an interesting challenge within your reach.”

  3. “Move away from your desired place, and come back to it from different angles”

  4. “Play with it. Connect it to what you know, make it your own.”

If there is a certain movement skill that you are trying to learn, such as walking, hula hooping, or rolling over in bed, and have reached a plateau in your progression, Feldenkrais may be a great new addition to your exercise plan. If you want to try a lesson in the comfort of your own home, search YouTube for endless Feldenkrais classes- but make sure to stay safe within your comfort zone! 

What does a Feldenkrais lesson look like?

  • Most of the lessons involve movements performed while lying on the floor or while in a seated position to take out the extra muscle engagement that is needed when standing.

  • The practitioner will guide you through movements verbally in an ‘Awareness Through Movement’ class or more hands on in a one-on-one ‘Functional Integration’

  • While you move gently and in different ways you will be cued to focus your awareness on different parts of your body, which helps in the motor learning process.

References

  1. The Feldenkrais Method as an Essential Adjunct to Physical Therapy. Gentle, Evidence-Based Neuromuscular Re-education for Balance Improvement, Coordination Training, and Musculoskeletal Pain Relief. Paul McAndrew. 

  2. A Feldenkrais Lesson for the Beginner Scientist: Professor Dorit Aharonov at TEDxJaffa  https://www.youtube.com/watch?v=0FUlRjBcGGE

    Image Credit: https://wdrfree.com/stock-vector/vrksasana

Are YOU feeling the stretch?

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 Written by Marissa Hoen | July 20th 2020

Stretching is hands down my favorite part of each workout- but don’t think that I’ve always felt this way! Long before stretching became a daily habit in my life, the idea of sitting down and pushing my body into a pretzel was unappealing to say the least. When I finally did get myself to stretch, I would feel aching in my joints and pain shooting down the back of my legs- which made it really unlikely that I would stretch in the future. At that time I had the very classic training mentality: “no pain, no gain”, a phrase that I now believe has no place in a stretch session! Through lots of trials and many errors, I learned to stretch only as far as slight discomfort, and have seen great improvements in flexibility and less pain throughout my body. 

What are some benefits of regular stretching?

  • Increasing both active range of motion (you can move yourself further) and passive range of motion (I can stretch you further)

  • Decreased muscle stiffness

  • Increase in muscle length

  • Increases mobility and safety in daily activities when combined with resistance training

    • By increasing flexibility, and then strengthening in that newly acquired range of motion, activities of daily living such as walking down the stairs become safer. This is because the individual is better able to keep their balance as more of their joints participate in the movement instead of one joint doing all of the work!

  • Relaxation (as long as you don’t push into pain!)

  • Increased tolerance of discomfort during the stretch

    • The more you stretch, the less pain/discomfort you will feel from stretching! 

Are there any potential risks?

  • If a stretch is pushed past the point of discomfort, or even further past the point of pain, there is an increased risk of muscle strains, ligament sprains, and tendon tears. This is why I always recommend taking a stretch very slowly and consciously- especially if you aren’t stretching consistently. 

How often should I stretch?

  • Everyday! 

    • Stretching below the point of pain is safe to do daily. You can reap the benefits listed above by stretching as little as 1 minute per muscle group per day. 

    • For greater improvements in your range of motion, I recommend finding moments throughout your day that you can add a quick stretch in. For example, whenever I go to put on my shoes, I take a moment for a hamstring stretch and mindful breathing (30 seconds each leg).

What are the most important areas to stretch?

  • This depends on your daily activities and lifestyle! If you aren’t a stretching fanatic and would prefer to just focus on a few simple and effective stretches, I would focus on stretching the muscles that you use most in your day or those that spend a lot of time in a shortened position.

  •  Computer and T.V. time has a lot of us sitting with our spines and shoulders rounding forward, shortening our chest muscles, the front of our necks, and our hip flexors. Try these three stretches to help counteract time spent sitting:

    • Chest opener: put a yoga block or a ball between your mid back and the back of your chair. Inhale to lift your chest while opening your arms out to your sides, stretching them back as you lean lightly back against the block. Lift your head lightly to look up. 

    • Front of the neck: begin by tilting your head to bring one ear closer to your shoulder, then slowly draw your chin toward the shoulder then towards the ceiling. If you have any disc or cervical spine issues, perform this movement very slowly and in a much smaller range of motion. 

    • Hip flexor stretch: lying on your back on a bed (or at the plinth at MOVE!), move over to the edge of the bed so that one of your thighs can hang off the side of the bed while your torso and hips stay on the bed. Lightly squeeze your abdominals to keep your low back flat on the bed as you try to touch your foot to the floor with your hanging leg. **Try this with a partner first, as this requires some core stability to prevent your from rolling off the bed. 

References

Blazevich, A., Cannavan, D., Waugh, C., Miller, S., Thorlund, J., Aagaard, P., & Kay, A (2014). Range of motion, neuromechanical, and architectural adaptations to plantar flexor stretch training in humans. J Appl Physiol 117:452–462. 

Gavin, J., Reeves, N., Jones, D., Roys, M., Buckley, J., Baltzopoulos, V., & Maganaris, C. (2019). Combined resistance and stretching exercises training benefits stair descent biomechanics in older adults. Front. Physiol. https://doi.org/10.3389/fphys.2019.00873

Muanjai, P., Jones, D., Mickevicius, M., Satkunskiene, D., Snieckus, A., Skurvydas, A., & Kamandulis, S. (2017). The acute benefits and risks of passive stretching to the point of pain. Eur J Appl Physiol 117:1217-1226. 

Image credit: https://www.kidsyogastories.com/chair-yoga-poses/

Hold it! - What are Isometrics?

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 Written by Marissa Hoen | July 6th 2020

What are Isometrics?

A sustained contraction of a muscle against an unmoving resistance. The plank is a classic example of an isometric exercise for many muscle groups throughout the body.

Why do them?

  • Rehab

  • Pain relief (OsteoArth study, Anwer et al., 2014)

  • To gain strength (Anwer 2014, )

  • Lower blood pressure (Carlson et al., 2014). Anyone with high blood pressure:  be cautious when trying new exercises including isometrics, as blood pressure is shown to rise immediately post exercise and then drop down to baseline or lower 10-15 mins later. (Ogbutor et al., 2019).

  • Easily modifiable with less impact on joints.

  • Can be done anywhere, anytime, by anybody!

When should I do them in my workout?

  • Warm up 

  • Main event

  • Cool down

    Isometrics are great at any point in your workout, as the intensity can be modified by your own muscular effort!

    How do I do them for each major muscle group?

    Think about each movement that you can do. Then break a movement down into its simplest components. Try to recreate those simple actions, holding your position against a resistance. Say I want to improve my back strength so it is easier to sit with an upright posture. To do an isometric contraction for your back muscles, press your upper back and shoulder blades into your chair and hold for at least 5 seconds. As always, remember to breathe!

References

Anwer, S., & Alghadir, A. (2014). Effect of isometric quadriceps exercise on muscle strength, pain, and function in patients with knee osteoarthritis: a randomized controlled study. Journal of physical therapy science, 26(5), 745–748. 

Carlson, D. J., Dieberg, G., Hess, N. C., Millar, P. J., & Smart, N. A. (2014). Isometric exercise training for blood pressure management: a systematic review and meta-analysis. Mayo Clinic Proceedings, 89(3), 327+. 

Ogbutor, GU., Nwangwa, EK., & Uyagu, DD. (2019). Isometric handgrip exercises training attenuates blood pressure in prehypertensive subjects at 30% maximum voluntary contraction. Nigerian Journal of Clinical Practice, 22(12), 1765-1771.

Image credit: https://www.vectorstock.com/royalty-free-vector/cartoon-girl-doing-exercise-forearm-plank-vector-18397076

Goal Setting - Are you being SMART?

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Written by Reina Stewart | May 14th 2020

A key objective for MOVE is to assist others in reaching their heath-and-fitness goals in an
adaptive and welcoming way. For many of us, reaching our goals can be challenging. One way to get closer to achieving your goals is to make them SMART! Read on to learn more about how you can adjust your current goals, or create new ones, so that they are specific, measurable, attainable, relevant, and time-bound.

Specific


The first step in creating a SMART goal involves asking yourself: “What do I want to achieve?”
Your answer to this question will set the foundation of your goal and so it is important to be
specific and clear in your description. Generally, you may already know what you would like to
improve, but it is helpful to be as explicit as possible so that you can narrow your focus and take actions that are directly relevant to your goal. For example, “I want to be healthier” is too vague as there are many ways to enhance your health. To be more specific, you will need to choose an area of health that you would like to work on. Maybe you are interested in incorporating more vegetables into your diet, quitting a harmful habit, or increasing your strength, cardiovascular endurance, or flexibility. In addition, a goal may be made more specific by breaking it down into smaller tasks. For instance, if your end-goal is to walk 1km in the GoodLife Fitness Marathon (shout out to all of the amazing MOVE members who have participated!), then you might start by walking 250m per day for three days and then try 500m, and so on. Whatever your goal may be, it should be defined in a specific manner.


Measurable


Let’s say that you have decided to improve your cardio. This is a great first step, but it is not
enough. In order to track your progress, it is beneficial to measure what you accomplish along
the way. For instance, the speed or distance (or both!) of your cardio workouts may be logged. In doing so, you will be aware of how quickly you’re improving and when your goal has been
reached.


Attainable


It is important to challenge yourself but pushing too hard can be discouraging and even
dangerous. Aiming to complete a marathon after a couple of weeks of training is likely far too
extreme. At the same time, setting a goal that is too easy will probably be demotivating. As such, it is helpful to ask yourself: “What am I comfortable with?”.

Realistic or Relevant


To establish a goal that is relevant, it should be important to you. Taking some time to think
about what matters to you, and why, will allow you to create a goal that leads to a meaningful
and fulfilling achievement. Reflecting on where you would like to direct your energy may also
bring your attention to pre-existing goals that are based on others’ expectations or on values that may be less significant to you now. With this new awareness, you may re-evaluate whether or not these pursuits are worth your time and energy.


Time-Bound


Getting started with working towards your goal, as well at maintaining your effort, might be
difficult. Establishing an endpoint will help to provide you with the motivation you need to get
started and to stay on track. Even though it is ideal to stick with your schedule and aim to meet your deadline, it is okay if your timeline needs to be adjusted. As we all know, unforeseen challenges often arise throughout life. It is much more advantageous to take longer to arrive at your destination than to never arrive at all!

If you are interested in adjusting your current goals or possibly creating some new ones. MOVE is offering online program packages. Work one on one with our trained Athletic Therapist to help guide you to success! More information can be found on our website under “services” or email moveadaptedfitness@gmail.com.

Original image can be found here: https://www.mileiq.com/en-gb/blog/smart-business-goals/

"Meditation and Mindfullness: What's the Hype?"

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 Written by Reina Stewart & Nicole Legg | May 7th 2020

Article reposted with permission from The Risky Behaviour Lab. Original post can be found here: https://onlineacademiccommunity.uvic.ca/riskybehaviourlab/meditation-and-mindfulness-whats-the-hype/

What are mindfulness and meditation? Are they the same?

“Mindfulness” and “meditation” are present-day buzzwords that are often used interchangeably. Although mindfulness and meditation are not mutually exclusive, some differences exist between these terms. There is not one agreed upon definition of mindfulness and/or meditation, but the information below discusses one way of thinking about these concepts. Mindfulness will be discussed first, and then meditation will be defined.

Mindfulness

Mindfulness is considered to be a state of ‘being’ that is characterized by a moment-to-moment awareness and a shift out of autopilot mode and into conscious attention [1, 2]. Mindfulness involves observing and labelling what is present, including thoughts, emotions, and physical sensations, while refraining from judgment and interpretation [1, 2]. In essence, mindfulness is the experience of noticing and accepting what is happening as it happens. 

It is important to note that mindful acceptance is not the same as approval of uncomfortable or distressing experiences [2]. Approval would be accepting an unfair situation or circumstance as it is, whereas mindful acceptance would be accepting thoughts and feelings for what they are. Therefore, mindful acceptance may be understood as non-judgmental curiosity, which involves taking on the role of an observer and accepting our thoughts as they arise [2]. For example, if a thought emerges, such as “I should just give up,” then mindfully accepting this thought would involve making an observation, such as “this thought keeps coming back. That’s interesting.”

In an effort to define mindfulness more explicitly, researchers have suggested that mindfulness is composed of two main cognitive abilities: perspective shifting and attentional awareness [3, 4]. Perspective shifting refers to changing how you approach your own thoughts and reactions so that they are greeted with open-mindedness, curiosity, and acceptance [3]. This perspective shifting promotes “de-centering”, which is the process of recognizing thoughts as transitory, or impermanent, rather than as concrete mirror-images of reality and the self [3]. On the other hand, attentional awareness may be understood as the capacity to sustain concentration on the present while resisting the pull towards a specific trail of thoughts [4]. Together, perspective shifting and attentional awareness allow us to take on the role of a detached observer while simultaneously experiencing what we observe. 

Meditation

We can engage in mindfulness during planned periods of time (e.g., a 10-minute focused practice) or cultivate it throughout our day-to-day activities. To clarify this difference, mindfulness is often separated into two broad categories: informal and formal mindfulness.   Informal mindfulness may be thought of as times when we engage in mindfulness spontaneously or incorporate it into our daily activities, such as during eating and cleaning [5]. Formal mindfulness involves deliberately setting aside a certain amount of time to engage in a focused mindfulness practice, such as a mindful meditation [5, 2]. Mindfulness lies at the core of meditation, but you do not need to meditate in order to be mindful. In this way, meditation is one way to engage in mindfulness practice and may be thought of as equivalent to formal mindfulness [5]. Through practicing formal mindfulness on a regular basis, informal mindfulness may be fostered and accessed more easily in any given moment [6].

How and why does mindfulness work?

Mindfulness, or the active and non-judgmental awareness of the ‘here’ and ‘now’, has been scientifically supported to have many benefits for overall well-being. Regularly engaging in formal mindfulness practices can help bolster general happiness, sleep, healthy eating choices, and physical health, as well as decrease symptoms of stress, anxiety, depression and pain [7, 8, 9, 10]

What is lesser known, is why mindfulness offers so many psychological and well-being benefits. Researchers are working hard to better understand how mindfulness translates into improved well-being. Research suggests that there may be some intermediary steps in between practicing mindfulness and the well-being benefits that it offers. Studies have found that mindfulness leads to improved emotion regulation and emotional stability, self-esteem, gratitude, and self-compassion, which in turn, lead to the mentioned psychological and well-being benefits [8, 11, 12, 13, 14]. As well, regularly engaging in mindfulness can lead to altered brain activity (i.e., reduced stress and fear response, increased communication between brain regions, memory regions, etc.), which also contributes to the various positive well-being outcomes [15, 16]. On a simpler level, mindfulness allows us to engage in present-moment awareness. So, if the current moment is enjoyable, mindfulness permits us to experience pleasant sensations more completely. On the other hand, if the moment is painful or difficult, mindfulness places us at a vantage point where we can more clearly perceive what is occurring from a de-centered position and think through an appropriate response [2].

Overall, it appears that putting aside time to develop mindfulness skills, such as non-judgmentally noticing and accepting life experiences, can positively alter our brain functioning and change how we interpret, perceive, and react to our environment and ourselves, which promotes well-being. 

Where do I begin?

It is important to note that in order to experience the benefits of mindfulness, you need to engage in formal mindful practices regularly. Most participants in the studies that examine the benefits of mindfulness formally practice mindfulness for upwards of 20 minutes a day for four or more weeks in a row.  

Practicing mindfulness is much like going to the gym – it can be challenging incorporating it into your routine and the benefits may not be obvious at first, but after a few weeks of consistency, it becomes easier, routinized, and pays off. Similar to the gym, you need to figure out what time of day, and what mindfulness ‘exercises’ work best for you. Starting small and doing different 10-15 minute mindfulness practices at a different time each day can help you narrow down when and what types of mindfulness activities work for your life schedule. For example, you might try a 10 minute body scan when you wake up one day, and a 15 minute breathing practice before bed the next day, while being thoughtful about which practice worked best for you. 

Mindfulness and meditation have many benefits for well-being and are skills that are developed over time with practice. The most important part is engaging in regular practice, not the perfect practice. Below are some resources to get you started: 

Insight Mindfulness App

http://www.freemindfulness.org/download

https://www.aurahealth.io

The Wise Heart, by Jack Kornfield (https://jackkornfield.com/the-wise-heart-2/)

https://www.smilingmind.com.au/

References

[1] Kabat-Zinn, J. (2015). Mindfulness. Mindfulness, 6(6), 1481-1483. doi:10.1007/s12671-015-0456-x

[2] Victoria Division of Family Practice, & Shared Care Committee. (2017). CBT Skills Group Workbook. Victoria, BC: Victoria Division of Family Practice.

[3] Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., . . . Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230-241. doi:10.1093/clipsy.bph077

[4] Lebois, L. A. M., Papies, E. K., Gopinath, K., Cabanban, R., Quigley, K. S., Krishnamurthy, V., . . . Barsalou, L. W. (2015). A shift in perspective: Decentering through mindful attention to imagined stressful events. Neuropsychologia, 75, 505-524. doi:10.1016/j.neuropsychologia.2015.05.030

[5] Birtwell, K., Birtwell, K., Williams, K., Williams, K., van Marwijk, H., van Marwijk, H., . . . Sheffield, D. (2019). An exploration of formal and informal mindfulness practice and associations with wellbeing. Mindfulness, 10(1), 89-99. doi:10.1007/s12671-018-0951-y

[6] Kornfield, J. (2008). Meditation for beginners. Boulder: ReadHowYouWant.

[7] Allirot, X., Allirot, X., Miragall, M., Miragall, M., Perdices, I., Perdices, I., . . . Cebolla, A. (2018). Effects of a brief mindful eating induction on food choices and energy intake: External eating and mindfulness state as moderators. Mindfulness, 9(3), 750-760. doi:10.1007/s12671-017-0812-0

[8] Bajaj, B., Bajaj, B., Gupta, R., Gupta, R., Sengupta, S., & Sengupta, S. (2019). Emotional stability and self-esteem as mediators between mindfulness and happiness. Journal of Happiness Studies, 20(7), 2211-2226. doi:10.1007/s10902-018-0046-4

[9] Bogusch, L. M., Fekete, E. M., & Skinta, M. D. (2016). Anxiety and depressive symptoms as mediators of trait mindfulness and sleep quality in emerging adults. Mindfulness, 7(4), 962-970. doi:10.1007/s12671-016-0535-7

[10] Masuda, A., & Tully, E. C. (2012). The role of mindfulness and psychological flexibility in somatization, depression, anxiety, and general psychological distress in a nonclinical college sample. Journal of Evidence-Based Complementary & Alternative Medicine, 17(1), 66–71.

[11] Bajaj, B., Gupta, R., & Pande, N. (2016). Self-esteem mediates the relationship between mindfulness and well-being. Personality and Individual Differences, 94, 96-100. doi:10.1016/j.paid.2016.01.020

[12] Bluth, K., Bluth, K., Blanton, P. W., & Blanton, P. W. (2014). Mindfulness and self-compassion: Exploring pathways to adolescent emotional well-being. Journal of Child and Family Studies, 23(7), 1298-1309. doi:10.1007/s10826-013-9830-2

[13] Short, M. M., Mazmanian, D., Oinonen, K., & Mushquash, C. J. (2016). Executive function and self-regulation mediate dispositional mindfulness and well-being. Personality and Individual Differences, 93, 97-103. doi:10.1016/j.paid.2015.08.007

[14] Swickert, R., Swickert, R., Bailey, E., Bailey, E., Hittner, J., Hittner, J., . . . Silver, N. C. (2019). The mediational roles of gratitude and perceived support in explaining the relationship between mindfulness and mood. Journal of Happiness Studies, 20(3), 815-828. doi:10.1007/s10902-017-9952-0

[15] Marchand, W. R. (2014). Neural mechanisms of mindfulness and meditation: Evidence from neuroimaging studies. 世界放射学杂志: 英文版 (电子版), 6(7), 471-479. doi:10.4329/wjr.v6.i7.471

[16] Young, K. S., van der Velden, Anne Maj, Craske, M. G., Pallesen, K. J., Fjorback, L., Roepstorff, A., & Parsons, C. E. (2018). The impact of mindfulness-based interventions on brain activity: A systematic review of functional magnetic resonance imaging studies. Neuroscience and Biobehavioral Reviews, 84, 424-433. doi:10.1016/j.neubiorev.2017.08.003

Image credit: https://www.freepik.com/free-photos-vectors/background – Background vector created by pikisuperstar 

What is Neural Plasticity?

 Written by Reina Stewart and Alannah Verville | July 30th, 2019

What is Neural Plasticity?


The human body consists of a central nervous system (CNS) and a peripheral nervous system
(PNS) [5]. Nerve cells, or neurons, are the building blocks of these systems. The CNS includes
the brain and the spinal cord, whereas the PNS is made up of all the neurons in the rest of the
body [5]. Neurons in the CNS analyze information, while the sensory and motor neurons in the
PNS bring information to and from the CNS, respectively [5]. Throughout life, these connections
are subject to change and this is due to neural plasticity, which may be defined as “the capacity
of the nervous system to modify itself, functionally and structurally, in response to experience
and injury” [12]. Neural pathways can strengthen and fade, and new connections can be
established [12]. Neural plasticity is directed by our cognitive, sensory, and behavioural
experiences [6]. When repeated, changes in our actions, thoughts, and emotions influence the
structure and function of the brain [6]. In this way, neural plasticity is experience-dependant.
Without neural plasticity we would not be able to grow, learn new things, improve our skills, or
recover from injury. So, neural plasticity is an important part of everyone’s life. There are
various principles of neural plasticity that are directly related to rehabilitation and we will
discuss four of them [6].

What are the principles of experience-dependant neural plasticity?

“Use it or lose it”

When neural pathways are not used to perform tasks for an extended period of time, they begin to break down [6]. This occurrence has been demonstrated through various experiments, such as the following (ethically questionable) studies:

  • Preventing kittens from using one of their eyes resulted in a decrease in the number of neurons that respond to light stimuli in the visual area of the brain [3]

  • Restricting young rats from moving lead to incomplete development of neurons in the area of the brain that helps to coordinate voluntary movement [9]

When deprived of sensory information, it is not uncommon for degraded neural pathways to be taken over by other brain areas so that different functions can be carried out [6]. For example:

  • Visual brain areas of individuals who are blind were activated while they used their hands [11]

  • Auditory brain areas of people who are deaf were activated in response to visual stimuli [2]

These phenomena are relevant to rehabilitation for a couple of reasons. First, brain areas that remain deactivated because they are not being used can promote additional loss of function [6]. For instance, individuals who experience a stroke may lose some functional ability in one of their arms [7]. As a result, they may not use their affected arm as often and this non-use may weaken their arm even further [7]. Also, recovery of various skills and abilities may be facilitated through the adoption of new functions by different brain regions [6]

“Use it and improve it”

While brain function can be compromised due to a lack of use after injury, neural plasticity may also be activated in specific brain areas by way of proper training [6]. Enhanced sensory and motor abilities that develop due to extended training occur with immense neural plasticity in the cerebral cortex of animals [6]. This complex brain region processes sensory and motor information and allows us to carry out an extensive array of behaviours and cognitions [1]. Rehabilitation efforts may also lead to comparable changes within the brain [6]. 

Research findings show that rich experiences can improve performance and increase neural plasticity following brain damage [6]. For example, after a group of rats with damage in sensory and motor brain regions engaged in several weeks of obstacle course training, they experienced greater behavioural function and increased plasticity in comparison to rats who performed less complex exercises [4]. The effects of various post-injury treatments have also been optimized through rehabilitative training [Johansson, 2000 as cited in 6].

The main point here is that it is important to maintain use of body areas that have been affected by a neurological disorder or trauma in order to sustain and improve function [6]. In other words “use it and improve it”.

“Specificity”

In order to achieve a task-specific adaptation in the body, training must be relevant to the desired skill [6]. Research findings show that participants who are trained to repeat a skilled movement are much more successful in achieving neural changes in comparison to those who performed unskilled movements [6]. For example, the results of one study showed that people who practiced making specific and skillful ankle movements experienced activation in certain CNS regions, but this did not occur in those who repeated unskilled ankle movements [10]. Not only does the training have to be specific to produce the desired effect, it also has to be challenging [6]. Additionally, it is important to note that improving one type of skill may not result in the development of another. For example, exercises that are meant to enhance swallowing ability after stroke do not necessarily promote speech production (Huang, Carr, & Cao, 2002). The core message of this principle is that we must perform the task that we want to improve [6].

“Repetition Matters”

The principle of repetition highlights the importance of persistence. The brain requires consistent repetition of a skill in order to successfully rewire itself and promote healing [6]. In order to achieve long-term neural changes along with enhanced functional ability, most skills must be practiced over and over [6]. Through repetition, neural changes and improved abilities may be protected against future deterioration in the absence of practice [8].  

At the Neuromotion Centre for Rehabilitation, this principle is put into practice. MyndMove is a non-invasive electrical stimulation technique where the participant engages in many repetitions of a specific task while simultaneously experiencing tiny bursts of electricity to the muscles, causing the muscles to contract and send signals to the brain. Based on the concept of neural plasticity, this reinforces neural pathways to become stronger.

References

[1] Budd, J., & Kisvarday, Z. F. (2015). Wiring principles of cerebral cortex. S.l.: Frontiers Media SA.

[2] Finney, E. M., Fine, I., & Dobkins, K. R. (2001). Visual stimuli activate auditory cortex in the deaf. Nature Neuro- science, 4, 1171–1173. Huang, J., Carr, T. H., & Cao, Y. (2002). Comparing cortical activations for silent and overt speech using event-related fMRI. Human Brain Mapping, 15, 39–53.

[3] Hubel, D. H., & Wiesel, T. N. (1965). Binocular interaction in striate cortex of kittens reared with artificial squint. Journal of Neurophysiology, 28, 1041–1059.

[4] Jones, T. A., Chu, C. J., Grande, L. A., & Gregory, A. D. (1999). Motor skills training enhances lesion-induced structural plasticity in the motor cortex of adult rats. Journal of Neuroscience, 19, 10153–10163

[5] Khan Academy. (n.d.). Overview of neuron structure and function. Retrieved from https://www.khanacademy.org/science/biology/human-biology/neuron-nervous-system/a/overview-of-neuron-structure-and-function

[6] Kleim, J. A., Jones, T. A. (2008). Principles of experience-dependent neural plasticity: Implications for rehabilitation after brain damage. Journal of Speech, Language, and Hearing Research, 51, 225-239.

[7] Kwakkel, G., Veerbeek, J. M., van Wegen, E. E., & Wolf, S. L. (2015). Constraint-induced movement therapy after stroke. The Lancet. Neurology, 14(2), 224–234. doi:10.1016/S1474-4422(14)70160-7

[8] Monfils, M. H., Plautz, E. J., & Kleim, J. A. (2005). In search of the motor engram: Motor map plasticity as a mechanism for encoding motor experience. Neuroscientist, 11, 471–483 doi:10.1177/1073858405278015

[9] Pascual, R., Hervias, M. C., Toha, M. E., Valero, A., & Figueroa, H. R. (1998). Purkinje cell impairment induced by early movement restriction. Biology of the Neonate, 73, 47–51.

[10] Perez, M. A., Lungholt, B. K. S., Nyborg, K., & Nielsen, J. B. (2004). Motor skill training induces changes in the excitability of the leg cortical area in healthy humans. Experimental Brain Research, 159(2), 197-205. doi:10.1007/s00221-004-1947-5

[11] Sadato, N., Pascual-Leone, A., Grafman, J., Ibanez, V., Deiber, M. P., Dold, G., Hallet, M. (1996). Activation of the primary visual cortex by Braille reading in blind subjects. Nature, 380, 526–528.

[12] von Bernhardi R., Bernhardi L.E., Eugenín J. (2017) What is Neural Plasticity?. In: von Bernhardi R., Eugenín J., Muller K. (eds) The Plastic Brain. Advances in Experimental Medicine and Biology, vol 1015. Springer, Cham 



“What is Neurological Music Therapy?”

 by Carmen Eisenhauer | April 22nd, 2020

“Neurologic Music Therapy (NMT) is an advanced and evidence-based music therapy practice
that is integrated into an interdisciplinary context of rehabilitation modalities. NMT is the culmination of music therapy, neurology, and brain science and is classified into 20 scientific and evidenced-based interventions. The techniques are applied using music and rhythm to directly affect speech, cognitive and physical function. Standard music therapy uses music to reach non-musical goals, the focus is usually on the social/emotional domain.  NMT uses specific standardized clinical techniques supported by scientific evidence. The 20 techniques are the clinical core of NMT and are defined by diagnostic treatment goals. NMT employs Therapeutic Music Exercises (TMEs) in core areas of training or retraining the injured brain. These TMEs include physical therapy, speech and language rehabilitation and cognitive training.

Music accesses control processes in the brain related to:

  • control of movement

  • attention

  • speech production

  • learning

  • memory


These areas can be retrained and rewired to recover function to the injured brain. Research has
shown a relationship between music and the brain. There are no “music-specific” brain areas but
the effect of music is shown to be highly distributed and hierarchical sharing “non-musical”
cognitive, motor, and language function and can engage, train and retrain non-musical and
behavior function. NMT operates as a biological core language of the human brain where the
function of music is a language of learning”.

Bio

Neurological Music Therapist


Carmen is an accredited Music Therapist (MTA) through the Canadian Association of Music
Therapy.  She holds a Neurologic Music Therapy (NMT) designation through the Academy of
Neurologic Music Therapy from the University of Toronto and Master’s degree in clinical
counselling psychology from Yorkville University.  Carmen has worked as an MTA for over 17
years primarily with children and adults with neurological disorders and brain injury.  She
believes that music and rhythm have the capacity to retrain and recover lost function from
traumatic injuries in the areas of speech, cognition and physical movement. Carmen believes in
engaging collaboratively with clients, their family, and other treatment team members.


Clinical Counsellor


Carmen did her practicum working with First Nations clients at Hulitan Community and Family
Services.  She advances a therapeutic process that is adaptive and inclusive to diverse populations.   She believes in a holistic and client-centered approach that views an individual from a biological, psychological and social and historical perspective.   Carmen is now able to provide clinical counselling services for adults and couples. 

Areas of practice:

  • Diverse populations

  • Intergenerational trauma

  • Depression

  • Anxiety

  • Stress management

  • Mindfulness and spiritual development

  • Caregiver counselling

  • Complex trauma & PTSD

  • ADHD

  • Parenting issues


Carmen’s goal is to provide people with a supportive environment that supports growth, hope,
and change through sincerity, respect and acceptance. She is committed to helping her clients
rediscover and uncover their strengths, potentials and capabilities.

For more information on how NMT can help you, please email Carmen at carmenmta@icloud.com

"How to keep active at home!"

 by Juliana Napoleao | April 16th, 2020

“The current COVID-19 pandemic has been making many of us stay home longer than what we are used to. During this time it is not uncommon for us to find ourselves more stressed and anxious than usual, and exercise can help alleviate this. At this moment it is just as important as always to keep moving our bodies to help with both our physical and mental health. It is also important to keep exercising so you don’t completely get out of your regular routine, because the longer we go without exercising, the harder it will be when it is time to go back to the gym. Our exercise routine might not be the same, but moving our bodies in any way that we can will definitely help us feel better by the end of the day.

Many of us might find it challenging to find the motivation to keep moving when you can’t go to the gym and get the social aspect of it, or workout with a friend. One idea that might help is talking to a friend or your partner at the beginning of the day and setting up daily goals, that way you have someone to keep you accountable for weekly exercise. Another idea that might be helpful is to set up a regular exercise schedule, ideally at the same times you would usually go to the gym. Other ideas include playing your favourite exercise music, and finding online videos with different exercises that you can do from home, so you can add variety and change your exercise dynamics a little bit. So, although it is challenging to keep exercising when we are home, it is very important to do so. We need to remember how important it is to move our bodies even if just for 15-20 minutes a couple times a week. Exercise is a great way to keep ourselves busy during this quarantine time, and it can be of big help to our mental health. Remember to take care of your health!”

**Check out MOVEs Facebook and Instagram accounts for weekly free at home workouts you can do right in your living room. MOVE is also offering at home exercise programming and one on one tele-rehabilitation via video conferencing, if you are interested or have any questions please email Alannah at moveadaptedfitness@gmail.com**

“My Holistic Bedtime Routine” by Anchored Wellness

Self-Care is an important part of our busy lives especially now more than ever. It is an integral part in keeping both our mind and body healthy. It helps us manage stress, relax and self reflect, as well as offer an overall soothing feeling. This can help with our mood, self-esteem, improve our physical health, and can even aid in the resistance to some diseases. Sam is a holistic nutritionist, personal chef and wellness advocate based out of Victoria BC. You may recognize her name from a past workshop she did with MOVE on “Gut health and its impact on our brain". Through her website she offers one on one nutritional therapy programs, recipes and useful tools and tips to help guide you on your wellness journey. Each individual’s self-care routine may vary as we may find more areas of interest or benefit to us. Types of self care can be as simple as: reading a book, listening to your favorite music, cooking and enjoying delicious food, getting outside for some daily movement, and sleep! In times of high stress and anxiety sleep plays a crucial role in creating some stability in our life. In a more recent post Sam proposes 10 bedtime rituals to help you create a more holistic bedtime routine, something we all could use a little help with! For more information on all the wonderful things Sam has to offer check out her website https://www.anchoredwellnessvic.com/

“My Holistic Bedtime Routine”



 by Anchored Wellness | February 7,  2020



“10 bedtime rituals to help you decompress

& get yourself all cozy, ready for bed”

“We all know the importance of getting our zzz's, but in reality, it can be pretty dang hard. You tell yourself that you're going to bed early tonight, but then somehow it's 11:30 PM & you're watching Grey's Anatomy on Netflix (hi, that was me). I knew how important it was to get a good night's sleep, I just didn't do these little things to actually get a good sleep. I feel like there's this stigma around those who get a good sleep that either these people have more time or don't have to be up early in the morning & tbh, that's complete bullsh*t. Try to implement even just one of these ten rituals & tell me how restful you feel in the morning!

Ready to dive in?

  1. Light a Candle, or two, & dim the lights

    Maybe it's just me, but I feel like I'm so aware when it comes to how the lighting in a room affects my mood. I'm much more productive when I'm working in a naturally lit room that's bright and waaaaay more tired when I'm in a room that's dim lighting. Thankfully, there's some science to back this up & I'm not totally crazy. Our circadian rhythm is a biological instinct for rest/wakefulness, which is driven in large part by light. Think about our caveman ancestors - they woke up when the sun was shining bright and went to sleep when it was dark out. Our circadian levels still push our bodies to be in this cycle naturally: sleep when dark, awake when light. When we disrupt our natural circadian rhythm, this interferes with several important hormone rhythms. Being exposed to light at nighttime can suppress melatonin production (melatonin helps you sleep!) and increase cortisol production (our stress hormone).

  2. Make a fancy sleep-promoting drink

    Honestly, I love sipping on a little drink before bed. Because I don't drink coffee (often, if not ever), I don't get that morning ritual of sipping on a warm cup of joe; however, I really enjoy making myself an evening elixir that's full of sleep-promoting nutrients. My all-time favourite is making a Reishi Hot Chocolate with CBD honey (wowowow is it amazing & so relaxing).

    Reishi Hot Chocolate with CBD honey:
    1-2 tsp. Reishi 
    1 tbsp. raw cacao powder
    1 cup favourite milk or milk alternative
    1/2 tsp. vanilla
    a few dashes of cinnamon, nutmeg, cardamom (anything else)
    1 tbsp. CBD honey (this one is currently unavailable, however, ask your local dispensary if they carry any yet)

    Mix all ingredients in a pot over the stove & constantly stir until mixed & it's at your preferred temperature.

  3. Start a skincare routine you’ll love

    Oooookay, if it's not obvious already, then allow for me to make it obvious for you now. I love skincare - I've loved it since Jr. High. Something about washing my fash & putting nourishing serums, creams, etc. on it give me far too much joy. Maybe it's because I'm super passionate about helping women with their gut issues, but this just gets me so excited.

    1. Wash your face with a real, nourishing cleanser
    2. Use a high-quality toner with ACV or some sort of natural lactic acid in it. (this one has been my favourite for years, thb)
    3. Face serum or oil

    There's nothing like going to bed with a clean face & knowing that every ingredient in your product is working in your favour. Enjoy a cheeky little 10% off any of your purchases from Primally Pure with the code ANCHORED10Their products are so amazing & I cannot recommend them enough.

  4. Draw yourself a bath

    We all know how relaxing a bath can be, but doing it before you're about to jump into bed is AAAAMAZING (talk about the ultimate sleep hack). Draw yourself a bath, put a bunch of Epsom salts in it, light a few candles, play some relaxing music, meditate & just relaaaax. I don't think I need to go into great detail as to why this is good for you, just try it & you'll know what I mean.

  5. No Phones or any other electronics

    Put those devices on airplane mode, put them in a different room, throw them out, I don't care what you have to do but do not go on them while you're laying in bed with the screen blaring in your eyes] messing up your circadian rhythms (remember #1?) The blue light (+ cellular signals) that is given off from our electronic devices is so invasive on our circadian rhythms & messes up our sleep patterns like non-other. About one hour to 30 minutes before it's about time for you to get ready for bed, throw your phone on airplane mode, so no cellular/wifi/Bluetooth signals are coming through & make sure that your phone isn't laying right near your head either.

  6. Up Your Magnesium Game

    Maybe the most crucial step for making sure you're getting a night of restful sleep, but incorporating some form of magnesium into your nightly routine is huge! It's one of the most important minerals for stress management & if we're deficient, then our sleep definitely won't be restful. There are a couple of different types of magnesium that you can play around with to see which one is best for you. Magnesium Citrate is more for calming the nervous system (aka great for sleep & helps make you poop) & Magnesium Bi-Glycinate is a great muscle relaxant (aka great for sore muscles/menstrual cramps). Play around with which one you find the best results with, but if all else fails, try adding this to warm water before bedtime.

  7. HAve you ever heard of reflexology?

    Have you ever gone for reflexology? If you have, then you'll understand what I'm about tot ell you. Our feet are a serious hot spot for nerve endings, which means this is a time for you to get your hunny to give you a little foot massage before you hop into bed - you can also do this yourself too, though. Right now, I've been lathering my favourite body butter on my feet & rub/kneed each foot for a little bit, maybe about a minute for so. This is such a powerful way to shift your body from a sympathetic state (fight-or-flight) to a parasympathetic state (rest-and-digest). You can even go a little further & do a little acupressure on the bottoms of your feet! Here are some perfect ones to try. Give each point a decent amount of pressure & you'll be feeling all sorts of relaxed!

  8. REad all the books

    I've recently become a big fan of reading, especially before bedtime. Some of you might know already, but I never was a huge fan of reading - I think I read too many books on nutrition that I forgot to read for fun. I think this has been a massive game-changer for me in my sleep hygiene. Some people say not to read in the bedroom or to never read before bed, but I honestly don't see a problem with it - if it makes you fall asleep & you wake up feeling well-rested, then who cares? Crawl into bed 20-30 minutes before you want to have the lights out and start reading your book. If you're like me, you'll start to doze off & end up having such a peaceful sleep!

  9. find yourself some really comfortable pajamas

    Let's get intimate here for a second, I'm somebody who loves to sleep in a t-shirt and underwear, but if you're somebody who prefers to be nakey, then you do you darlin'. It's incredibly important to be super comfortable with what you're sleeping in, so choose what you wear thoughtfully. This sleep set has been on my radar for far too long & it should be on yours as well. I have one of her longer robes & I absolutely love it! Invest in something that feels good for you!

  10. meditate

    I saved the best & most obvious for last because well, I had to. If all else fails & you still can't seem to find yourself feeling calmed down after doing all of the above, then you might need to try some meditation. There are so many amazing apps available out there that you can try, but there's also a lot of power in doing some simple breathwork before you fall asleep. There's something called the 4-7-8 breathing method that has been such a big help for me when trying to fall asleep. I used to do this a few years ago when I was still in school, working full time & just got a new puppy (hello stressful time!). Basically, you breathe in through your nose for a count of 4, hold for a count of 7, then breathe out through your mouth (forcefully) for a count of 8 and repeat this until you feel like you can't anymore.

  11. Bonus!! - Valerian Root

    Ok, as a VERY VERY VERY last resort if you still feel unable to calm down, I suggest Valerian. Either in tea form or tincture form (tincture works best in my opinion). Valerian is a natural sedative & it works wonders (but tastes like actual sh*t) & really does make you feel incredibly relaxed. I bought Corey and myself a tincture a while ago & we've both been using it to make sure we're getting a good night's sleep! Give it a try, it honestly tastes like your grandmother's feet but I promise, it works SO WELL!”

    Original blog post can be found here https://www.anchoredwellnessvic.com/blog/2020/2/7/my-holistic-bedtime-routine

"Supporting your immune system with nutrition" by Okanagan Nutrition

Haeli Draper is a registered dietician based out of the Okanagan in beautiful British Columbia, she is truly dedicated to helping you nourish your body, mind and soul with whole foods. Haeli is passionate about empowering and educating her clients with programs tailored to each indvidual’s unique needs. Through her website she offers online nutrition coaching packages, recipes, and e-courses. Haeli is currently offering a free e-course “Eat to Nourish Masterclass” she also is offering her “Complete Guide to Master Plant Based Eating” at a 20% discount. Pre-enroll with the checkout code OKNUTRITION20. To learn more about what Haeli has to offer check out her website https://okanagannutrition.ca/ or email her directly at info@okanagannutrition.ca.

Check out her latest blog post!

“Supporting your immune system with nutrition”

by Okanagan Nutrition | Mar 26, 2020

“With illness and preventing illness on everyone’s brain these days, articles about “immune boosting” foods and supplements are overcrowding my inbox and browser.

I’m sure you’re experiencing the same!

Let’s clarify a few things right off the bat …

  • No single supplement or concoction is the silver bullet that is going to prevent you from getting sick.

  • You do not have to spend your hard earned money on supplements that claim to boost your immunity.

What is your immune system?

Your immune system is a complex network of cells, tissues and organs that work together to protect your body from pathogens and illness. Your immune system is working constantly to protect you!

Despite what you may have heard or read splashed across articles and media, there is no evidence to support the use of supplements to “boost” your immune system. In fact, taking high supplemental doses of some nutrients can actually impair your immune system. Remember, you can get too much of a good thing.

We do have evidence however to show us that eating a nutrient rich diet can help support your immune system.

Just like every other cell and system in the body, proper nutrition plays a key role in helping them to function properly. The cells, tissues and organs that make up your immune system are no different.

Here are some key nutrients that have been shown to play a role in supporting your immune function.

Just like other nutrients (aside from vitamin B12 and vitamin D), I always recommend taking a food first approach.

Protein

  • Good plant-based sources: Tofu, tempeh, beans, peas, lentils, nut and nut butters, seeds and seed butters.

Zinc

  • Good plant-based sources: Whole grains, beans, lentils, nuts and seeds.

Magnesium

  • Good plant-based sources: Whole grains, seeds (pumpkin, hemp seeds), almonds and almond butter, edamame, spinach.

Vitamin B6

  • Good plant-based sources: Chickpeas (garbanzo beans), fortified cereals, nutritional yeast, wheat germ, banana.

Vitamin A

  • Good plant-based sources: Dried apricots, sweet potato, carrots, spinach, kale.

Vitamin E

  • Good plant-based sources: Sunflower seeds/butter, almonds and almond butter, peanut butter, wheat germ.

Vitamin C

  • Good plant-based sources: Bell peppers, broccoli, red cabbage, guava, citrus fruits, avocado.

A word about vitamin C …

Vitamin C is a powerful antioxidant, meaning that it helps protect our cells from damage. It is also important for collagen production, wound healing, improves the absorption of plant-based iron, and yes, does play a role in our immune function.

When the first signs of a cold or illness hit (scratchy throat, runny nose or headache), people often head to the vitamin aisle to pick up a big old bottle of vitamin C in hopes that it will cure them.

But what does the research say?

We don’t have evidence to support that the use of vitamin C ‘reverses’ a common cold. If you start taking vitamin C when you already have a cold, you aren’t likely to see any benefit. Taking a vitamin C supplement regularly also doesn’t seem to decrease the number of colds that you get but it may help shorten the duration of your cold.

It isn’t recommended to take mega doses of vitamin C, or more than 2000 mg per day in supplement form. The Recommended Dietary Allowance (RDA) for vitamin C for adults is 75 mg per day for women and 90 mg per day for men. We know that high doses of vitamin C aren’t actually absorbed all that well either. At a dose around 30-180 mg about 70-90% of the vitamin C is absorbed. At or above doses of 1000 mg vitamin C, absorption falls to about 50%.

Moral of the story, try to stick to whole foods when it comes to vitamin C. Mother nature has gifted us great natural sources of the stuff!

Your gut health and your immune system – how they’re related.

Your digestive tract, aka your gut, is responsible for far more than just the digestion of food and absorption of nutrients. It also plays a big role in protecting us from pathogens and communicating with our immune system. In fact, the majority of your immune system cells are located in your gut in your gut-associated lymphoid tissue (GALT).

Although this is an area of ongoing research, we do know that one of the best ways to support and optimize your gut health is to get enough fibre through eating a variety of different plant foods daily.

Other lifestyle factors that can affect your immune system.

  • Stress. Have you ever noticed that it’s during those periods of prolonged stress in your life – a big job interview, a huge work deadline, money struggles etc. – that you get sick? Chronic stress can take a toll on the function of your immune system.

  • Sleep. Sleep is your body’s time to recuperate. Chronic lack of sleep can impair your immune function.

  • Exercise. Getting regular movement and exercise is important for your overall health and well-being, including supporting your immune system!

  • Smoking. Smoking can impair your immune function.

If you are sick take good care of yourself! Continue to eat nutrient rich foods to nourish your body, focus on getting adequate sleep and rest and stay hydrated!”