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Exercise in Pregnancy
Published in James M. Rippe, Lifestyle Medicine, 2019
Kristin Bixel, Mitchell Christie Cobb
Though the evidence is of limited quality, some studies suggest that less medical intervention is required during labor in women who exercised routinely during pregnancy. These interventions may include analgesia, labor augmentation, operative vaginal delivery, and cesarean delivery. A case-control study by Hall and Kaufman demonstrated a lower incidence of cesarean delivery and a shorter peripartum hospitalization course in women who participated in a conditioning program over the course of their pregnancy.48 Clapp compared the onset, course, and outcome of labor among women who continued their pre-pregnancy exercise regimen throughout gestation with those who discontinued their exercise routine before the end of the first trimester. Results indicated a lower incidence of operative vaginal delivery and cesarean delivery as well as a shorter active phase of labor among the women who delivered vaginally.49 A randomized controlled trial looking at the effect of water aerobics in pregnancy did not find a difference in the duration of labor or type of delivery; however, it found that women who participated in the exercise group were significantly less likely to request analgesia.50 This was true after controlling for parity and level of education as well.
Insights from the Field
Published in Joan Ifland, Marianne T. Marcus, Harry G. Preuss, Processed Food Addiction: Foundations, Assessment, and Recovery, 2017
Joan Ifland, H. Theresa Wright
Exercise Practitioners can offer clients options for exercise that will meet their lifestyles and physical capabilities. Clients may present with joint problems, which would be accommodated by seated exercises. Seated exercise videos can be found at www.youtube.com. Food addicts who have been ridiculed or accosted on the street may be reluctant to walk outdoors. Walking videos for indoors can also be found at www.youtube.com. For example, Leslie Sansone produces free walking videos at www.youtube.com with trainers who are appropriately dressed. Walking has been shown to stop cravings more than other forms of exercise. Yoga is another good form of exercise, especially stretches that are done on the floor. Water aerobics may also appeal to some clients. Clients should be encouraged to find activities that they enjoy. It is recommended that clients avoid gyms, which can trigger unfavorable body comparison as well as harmful faddish weight-loss advice from trainers.
Open fractures
Published in Charles M Court-Brown, Margaret M McQueen, Marc F Swiontkowski, David Ring, Susan M Friedman, Andrew D Duckworth, Musculoskeletal Trauma in the Elderly, 2016
Lisa K. Cannada, Tina K. Dreger
The geriatric trauma patient may be thought not to have significant personal habits that affect fracture healing. However, the patients all need to be questioned and counselled appropriately. Regular use of tobacco, alcohol or illicit drugs can impact outcomes making screening in the geriatric population imperative. One aspect of their lifestyle to ask about is exercise. Those geriatric trauma patients who exercise, whether it be walking, tennis, water aerobics or other activities, should all be commended as the exercise can help with bone quality, balance and recovery following geriatric open fractures. This is one personal habit to encourage! Knowing your patient’s lifestyle can aid in goal setting and expectation management.
Swedish obstetric thromboprophylaxis guideline: background and update
Published in Journal of Obstetrics and Gynaecology, 2023
Pelle G. Lindqvist, Eli Westerlund, Margareta Hellgren
All women at risk should be given lifestyle counselling and be advised to wear compression stockings. Fertile-age women with a history of one previous VTE have ≈ 1% annual risk of VTE at age 30 years, rising to 5% per year at age 50 (Christiansen et al. 2010, Lindqvist et al. 2010). Half of all VTEs will occur during high-risk, and half during low-risk, situations. In low-risk situations, only lifestyle changes are possible. Exercise halves the VTE risk (Lindqvist et al. 2009a). A brisk daily walk of about 30 min is recommended. Water aerobics and swimming are other suitable alternatives that do not strain the pelvis. Active sun exposure habits seem to reduce the risk of VTE, in comparison to low sun-exposure habits (Lindqvist et al. 2009b). This may be an effect of higher levels of nitric oxide or higher vitamin D sufficiency among the latter (Lindqvist et al. 2022). The Swedish MISS study showed that the VTE risk is increased by 50% during winter, compared to other seasons (Lindqvist et al. 2009b). Smokers are also at higher risk of VTE and should be encouraged to quit (Lindqvist et al. 1999, Jacobsen et al. 2008b). Women with BMI 25–30 are at 30% increased risk of VTE, compared to those with BMI in the normal range (BMI 20–25). Obese women (BMI ≥ 30) are at approximately fivefold increased risk of VTE (Lindqvist et al. 1999, Jacobsen et al. 2008a). Women at increased risk of VTE have medical reasons to maintain a normal weight, preferably through exercise (Lindqvist et al. 1999).
Water-based therapeutic exercise in stroke: a scoping review
Published in Disability and Rehabilitation, 2023
O. J. Manning, S. Rancourt, J. R. Tomasone, M. Finlayson, V. DePaul
Water-based exercise is an approach that has the potential to allow stroke survivors to complete graded practice of standing, walking, and balance-related tasks in a safe and accessible yet challenging environment [41]. The supportive environment of the water may allow for a decreased need for physical assistance and therefore increase the opportunity to complete balance and walking related training. Though many terms are utilized in the literature such as water-based exercise, hydrotherapy, hydrokinesiology, or aquatic therapy; water-based exercise is predominant. Activities completed in this setting are structured, planned, and intended to improve various areas of fitness (strength, flexibility, cardiovascular fitness), which is in line with current definitions of exercise [42]. However, to distinguish it from a general exercise program (such as water aerobics) these authors feel that water-based therapeutic exercise is the most appropriate term as the goal often is not only to improve fitness in some way, but also to optimize function and movement [43].
Occupational Therapy Interventions for Clients with Ehlers-Danlos Syndrome (EDS) in the Presence of Postural Orthostatic Tachycardia Syndrome (POTS)
Published in Occupational Therapy In Health Care, 2022
David Levine, Brittany Work, Susan McDonald, Nicole Harty, Carolee Mabe, Alison Powell, Graceline Sanford
For individuals with EDS, exercises for strengthening, fall prevention, and fitness need to be adapted in order to prevent injury (Engelbert et al., 2017). After engaging in high impact exercise, clients with EDS may report an increase in fatigue and pain (Roma et al., 2018). Clients with hEDS are at risk for injury with high impact exercise, such as running, due to the strain it places on hypermobile joints. Low impact exercises such as water aerobics and cycling may be better for clients with EDS because they place less stress on the individual’s joints. Core stability exercises and closed chain strengthening are also recommended in order to prevent poor postural patterns and promote joint stability (Rombaut et al., 2015; Simmonds et al., 2019). Swimming, Pilates, and walking are also modes of exercise that clients with EDS have reported to be helpful for well-being and fitness (Engelbert et al., 2017; Simmonds et al., 2019). Occupational therapists may recommend these forms of exercise for clients or incorporate low-impact exercises into interventions as preparatory activities.