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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.

– Sir Muir Gray, Chief knowledge officer, EXi

"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.

– Sir Muir Gray, Chief knowledge officer, EXi

"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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Urban Health Club in Ludwigsburg, Germany, has introduced a 24/7 operation. The €2.8m hub for ...
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Nearly half (49 per cent) of health club members in the US who've cancelled their ...
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Industry body ukactive has joined the chorus of organisations across a number of sectors calling ...
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German fitness operator BestFit Group has acquired regional gym chain EuroFit for an undisclosed sum. ...
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The US fitness industry lost around 58 per cent of its revenues during 2020, due ...
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Speaking exclusive to HCM, Ralph Scholz and Nathalie Smeeman have confirmed that B2B trade show ...
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Featured supplier news: Cryotherapy specialists, L&R Kältetechnik, launch new artofcryo.com division
L&R Kältetechnik has launched a new division, named artofcryo.com, after 30 years’ experience with -110 °C electrical solutions.
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Award-winning leisure operator Everyone Active generated £342million in social value at its sites across the country in 2019/20.
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Company profile: FIBO Global Fitness
FIBO Global Fitness is the leading international trade show for fitness, wellness & health....
Company profiles
Company profile: Fitronics (CoursePro and TRP)
Fitronics is the company behind The Retention People (TRP) and CoursePro. We truly understand our ...
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Click on a catalogue to view it online
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Servicesport UK Limited: Independent service & maintenance
Lockers/interior design
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Power Plate: Exercise equipment
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Comfort Zone - Davines S.p.A: Skincare
Hydrotherapy / spa fragrances
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Newport, Shropshire
Lilleshall Sports Academy
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Carmarthenshire County Council
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Diary dates
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Locations worldwide,
Diary dates
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Messe Stuttgart, Germany
Diary dates
13-14 Oct 2021
Online,
Diary dates
01-03 Feb 2022
Coventry Building Society Arena, Coventry, United Kingdom
Diary dates
07-10 Apr 2022
Exhibition Centre , Cologne, Germany
Diary dates
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ExCeL London, London, United Kingdom
Diary dates
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tbc, Dunedin, New Zealand
Diary dates
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