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UNITING THE WORLD OF FITNESS
Health Club Management

Health Club Management

features

Write to reply: HCM letters

"Prescribing exercise will always be preferential to prescribing painkillers, given the risks associated with their long-term use"

Published in Health Club Management 2021 issue 4
Fibromyalgia and chronic pain are two specific conditions which prescribed exercise can help / Photographee.eu/shutterstock.com
Fibromyalgia and chronic pain are two specific conditions which prescribed exercise can help / Photographee.eu/shutterstock.com

I’m very pleased to see that NICE has acknowledged the power of exercise in managing pain (see page 48). The evidence is clear and strong that activity is beneficial in almost every long-term condition, many of which have accompanying chronic pain.

Encouragement is vital as well, so whether that’s online, through apps or in person through social prescribing, combining exercise with reassurance is the way forward.

This is quite a change of tack for NICE as, traditionally, painkilling drugs have been the first things to be prescribed.

I welcome seeing exercise on prescription being recommended in this way. It’s a great step forward in the industry’s push to have exercise prescribed routinely for all long-term conditions.

Strong evidence
Both the evidence summarised in the 2015 Report of the Academy of Medical Royal Colleges, called Exercise, the Miracle Cure, and the evidence base since 2015 have been reviewed by the team here at EXi, along with the 963 systematic reviews on pain and exercise published in the last five years.

We found that while the NICE guidelines are encouraging, more research needs to be done in this promising field.

The EXi app includes fibromyalgia and chronic pain as two specific conditions for which prescribed exercise can help, based on 24 systematic reviews. The app takes people through a very specific and slow graduation at a low intensity, with the programme designed to guide them in regular exercise, even when they’re away from the gym.

Chronic pain by definition is ongoing, so prescribing exercise that can be done for a prolonged period of time will always be preferential to prescribing painkillers, given the risks associated with their long-term use.

"Prescribing exercise will always be preferential to prescribing painkillers, given the risks associated with their long-term use"

– Sir Muir Gray, Chief knowledge officer, EXi

James Swinnerton
PT, Your Personal Trainers

The Waterside Hotel and Leisure Club has invested in upskilling PTs and instructors, in partnership with Your Personal Training, to create a long-COVID rehab hub for Greater Manchester. With the North-West hard hit by the pandemic, people in this part of the UK are disproportionately likely to be classed as ‘extremely clinically vulnerable’.

Along with 11 others, I was put through the CAWS UK training, which focuses on the rehabilitation of people with long-COVID who need a more bespoke approach.

I have one client who still experiences breathing difficulties five months after infection and the CAWS training prompted me to look more deeply into breathing methods, especially those linked with anxiety and relieving stress stimuli.

Technical breathwork

I started using parasympathetic breathing with my client, including diaphragmatic breathing and controlled exhalation. This helped with the acute onset symptoms of stress and anxiety around breathing.

Secondly, I added some pursed lip breathing, concentrating on deep inhalation, to expand my client’s lung capacity and to increase oxygen proliferation through their alveoli. This will help with the chronic fatigue many COVID-19 sufferers have sustained. Finally, we focused on the role CO2 plays. I applied this mainly with breath-hold work and nasal breathing. This produces nitric oxide and slows the rate of breath during exercise, allowing the body to feed oxygen more efficiently, which again decreases stress and fatigue.

The goal here is holistic, so although I’d tracked each session with a pulse oximeter and followed a slow progression, the breathing exercises are built on feedback from the client. These breathing methods, incorporated with the other CAWs modalities, have seen her able to work up to a point where she can do full one-to-one sessions again, allowing her more rapid, whole-body recovery.

Creating more hubs

Your Personal Training is reviewing demand from the Manchester pilot and looking to work with operators to upskill more PTs to create further COVID hubs in other parts of the UK.

Customers will need to be eased back from COVID-19, and a vast range of specific health issues need to be addressed by trained experts, including fatigue, dizziness, cardiovascular and muscle deterioration.

A six-week GP referral is not necessarily going to be appropriate or long enough for some long-COVID sufferers to recover. In these situations, personal training is a long-term solution to a long-term health problem.

The CAWS training prompted me to look more deeply into breathing methods, especially those linked with anxiety and relieving stress stimuli
Diaphragmatic breathing and controlled exhalation help with acute onset symptoms of stress and anxiety / fizkes/shutterstock.COM
https://www.leisureopportunities.co.uk/images/2021/78011_704732.jpg
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features

Write to reply: HCM letters

"Prescribing exercise will always be preferential to prescribing painkillers, given the risks associated with their long-term use"

Published in Health Club Management 2021 issue 4
Fibromyalgia and chronic pain are two specific conditions which prescribed exercise can help / Photographee.eu/shutterstock.com
Fibromyalgia and chronic pain are two specific conditions which prescribed exercise can help / Photographee.eu/shutterstock.com

I’m very pleased to see that NICE has acknowledged the power of exercise in managing pain (see page 48). The evidence is clear and strong that activity is beneficial in almost every long-term condition, many of which have accompanying chronic pain.

Encouragement is vital as well, so whether that’s online, through apps or in person through social prescribing, combining exercise with reassurance is the way forward.

This is quite a change of tack for NICE as, traditionally, painkilling drugs have been the first things to be prescribed.

I welcome seeing exercise on prescription being recommended in this way. It’s a great step forward in the industry’s push to have exercise prescribed routinely for all long-term conditions.

Strong evidence
Both the evidence summarised in the 2015 Report of the Academy of Medical Royal Colleges, called Exercise, the Miracle Cure, and the evidence base since 2015 have been reviewed by the team here at EXi, along with the 963 systematic reviews on pain and exercise published in the last five years.

We found that while the NICE guidelines are encouraging, more research needs to be done in this promising field.

The EXi app includes fibromyalgia and chronic pain as two specific conditions for which prescribed exercise can help, based on 24 systematic reviews. The app takes people through a very specific and slow graduation at a low intensity, with the programme designed to guide them in regular exercise, even when they’re away from the gym.

Chronic pain by definition is ongoing, so prescribing exercise that can be done for a prolonged period of time will always be preferential to prescribing painkillers, given the risks associated with their long-term use.

"Prescribing exercise will always be preferential to prescribing painkillers, given the risks associated with their long-term use"

– Sir Muir Gray, Chief knowledge officer, EXi

James Swinnerton
PT, Your Personal Trainers

The Waterside Hotel and Leisure Club has invested in upskilling PTs and instructors, in partnership with Your Personal Training, to create a long-COVID rehab hub for Greater Manchester. With the North-West hard hit by the pandemic, people in this part of the UK are disproportionately likely to be classed as ‘extremely clinically vulnerable’.

Along with 11 others, I was put through the CAWS UK training, which focuses on the rehabilitation of people with long-COVID who need a more bespoke approach.

I have one client who still experiences breathing difficulties five months after infection and the CAWS training prompted me to look more deeply into breathing methods, especially those linked with anxiety and relieving stress stimuli.

Technical breathwork

I started using parasympathetic breathing with my client, including diaphragmatic breathing and controlled exhalation. This helped with the acute onset symptoms of stress and anxiety around breathing.

Secondly, I added some pursed lip breathing, concentrating on deep inhalation, to expand my client’s lung capacity and to increase oxygen proliferation through their alveoli. This will help with the chronic fatigue many COVID-19 sufferers have sustained. Finally, we focused on the role CO2 plays. I applied this mainly with breath-hold work and nasal breathing. This produces nitric oxide and slows the rate of breath during exercise, allowing the body to feed oxygen more efficiently, which again decreases stress and fatigue.

The goal here is holistic, so although I’d tracked each session with a pulse oximeter and followed a slow progression, the breathing exercises are built on feedback from the client. These breathing methods, incorporated with the other CAWs modalities, have seen her able to work up to a point where she can do full one-to-one sessions again, allowing her more rapid, whole-body recovery.

Creating more hubs

Your Personal Training is reviewing demand from the Manchester pilot and looking to work with operators to upskill more PTs to create further COVID hubs in other parts of the UK.

Customers will need to be eased back from COVID-19, and a vast range of specific health issues need to be addressed by trained experts, including fatigue, dizziness, cardiovascular and muscle deterioration.

A six-week GP referral is not necessarily going to be appropriate or long enough for some long-COVID sufferers to recover. In these situations, personal training is a long-term solution to a long-term health problem.

The CAWS training prompted me to look more deeply into breathing methods, especially those linked with anxiety and relieving stress stimuli
Diaphragmatic breathing and controlled exhalation help with acute onset symptoms of stress and anxiety / fizkes/shutterstock.COM
https://www.leisureopportunities.co.uk/images/2021/78011_704732.jpg
This month, Sir Muir Gray and James Swinnerton wrote in to share their opinions with HCM...
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Opinion: Re-engaging your post-lockdown absent members
Featured supplier news
Featured supplier news: INEOS: The future of hand-sanitising
As gyms begin to reopen, cleanliness and hygiene remain an essential part of ensuring staff and members are confident to return.
Featured supplier news
Featured supplier news: First digital ecosystem for fitness equipment is launched after £300,000 funding boost
Orbit4 is the first digital ecosystem that manages and facilitates the entire commercial fitness product cycle.
Featured operators news
Featured operator news: Being active helps Parkwood Leisure customers save the NHS £16m
Parkwood Leisure, one of the UK’s leading public leisure facilities operators, helped prevent more than 7,000 cases of stroke, dementia, depression and type 2 diabetes in 2019, saving the NHS £16 million, a new social value report has shown.
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Featured operator news: Everyone Active bolsters Everyone on Demand and enters second year with five new partnerships
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Company profile: Safe Space Lockers
Safe Space have over 25 years of experience in the UK leisure and fitness industry, ...
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Click on a catalogue to view it online
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Diary dates
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Locations worldwide,
Diary dates
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Messe Stuttgart, Germany
Diary dates
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Diary dates
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Exhibition Centre , Cologne, Germany
Diary dates
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tbc, Dunedin, New Zealand
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