GET HCM
magazine
Sign up for the FREE digital edition of HCM magazine and also get the HCM ezine and breaking news email alerts.
Not right now, thanksclose this window
FIBO Exhibition
FIBO Exhibition
FIBO Exhibition
Follow Health Club Management on Twitter Like Health Club Management on Facebook Join the discussion with Health Club Management on LinkedIn Follow Health Club Management on Instagram
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
This month, Sir Muir Gray and James Swinnerton wrote in to share their opinions with HCM...
HCM magazine
An ongoing partnership between Active Leeds and Hussle has created exciting results in the form of increased usage and memberships
HCM magazine
As our sector starts to recover, there will be changes in the needs of communities, consumers and the provision of opportunities. To explore this subject we hosted a virtual round table to better understand views on key workforce questions
HCM magazine
Consumer research has shown a population-wide surge in interest in reducing lockdown weight gain and getting fitter. Is the industry ready and willing to put its hand up to help people with weight loss? Kath Hudson reports
HCM Magazine
Sponsored
Welcome to the world of creative fitness, where exercise and fun merge to change the way we train
HCM Magazine
Opinion
Moving Communities is our chance to demonstrate our value and develop a universal service for all, argues Martyn Allison
HCM Magazine
HCM People
We see a world where every major city has access to Solo 60
HCM Magazine
Editor's letter
The industry can be the catalyst for recovery from the pandemic, as well as addressing many of the underlying issues which enabled COVID-19 to wreak such havoc
HCM Magazine
Sponsored
As the UK’s first dedicated development framework for leisure comes to the end of its initial four-year term, Jamie Groves and Sarah Watts discuss the impact
HCM Magazine
Research
Physical activity gives structure and meaning to people’s lives, according to new research
HCM Magazine
Supplier showcase
Safe Space Lockers has extended its partnership with boutique fitness franchise TRIB3, in a new 10-site supplier agreement, following the recent installation at TRIB3 Edinburgh
HCM Magazine
Latest News
Technogym has launched a new app featuring an AI-powered digital coach. The Technogym App is ...
Latest News
Forme has signed an exclusive partnership with boutique fitness operator Barry's, the latest sign of ...
Latest News
The number of active memberships across European health clubs fell by roughly 10 million – ...
Latest News
Peloton is expanding its reach within the online fitness market with the launch of a ...
Latest News
Dr Giles Yeo, a geneticist at Cambridge University in the UK, has written a new ...
Latest News
Plans have been revealed to build the world's deepest pool in Cornwall, UK, which would ...
Latest News
People with depression should be prescribed exercise and then monitored for the first 12 weeks ...
Latest News
Frequent strenuous exercise increases the risk of developing motor neurone disease (MND) in people with ...
Opinion
promotion
While much of the fitness industry has reopened its doors across the UK over the past weeks, many members are yet to return.
Opinion: Re-engaging your post-lockdown absent members
Featured supplier news
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.
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 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.
Featured operators news
Featured operator news: Everyone Active generates £342m in social value
Award-winning leisure operator Everyone Active generated £342million in social value at its sites across the country in 2019/20.
Company profiles
Company profile: EGYM UK Ltd
EGYM empowers gym operators to deliver a workout experience that supports their members' lifelong fitness ...
Company profiles
Company profile: Active IQ
Active IQ is the UK’s leading Ofqual-recognised Awarding Organisation for the Physical Activity sector....
Supplier Showcases
Supplier showcase - Precor: The power of networking
Catalogue Gallery
Click on a catalogue to view it online
Directory
Hydrotherapy / spa fragrances
Kemitron GmbH: Hydrotherapy / spa fragrances
Skincare
Comfort Zone - Davines S.p.A: Skincare
Management software
fibodo Limited: Management software
Fitness equipment
Octane Fitness: Fitness equipment
Independent service & maintenance
Servicesport UK Limited: Independent service & maintenance
Whole body cryotherapy
Art of Cryo: Whole body cryotherapy
Red Light Therapy
 Red Light Rising: Red Light Therapy
Exercise equipment
Pendex Fisio S.L.: Exercise equipment
Flooring
Total Vibration Solutions / TVS Sports Surfaces: Flooring
Spa software
SpaBooker: Spa software
Property & Tenders
Pendine Sands, Carmarthenshire
Carmarthenshire County Council
Property & Tenders
Diary dates
01-04 Jul 2021
Expo Centre & Riviera di Rimini, Italy
Diary dates
18-19 Sep 2021
Locations worldwide,
Diary dates
21-24 Sep 2021
Messe Stuttgart, Germany
Diary dates
28-29 Sep 2021
ExCeL London, London, United Kingdom
Diary dates
04-07 Nov 2021
Exhibition Centre , Cologne, Germany
Diary dates
01-03 Feb 2022
Coventry Building Society Arena, Coventry, United Kingdom
Diary dates
01-07 Dec 2022
tbc, Dunedin, New Zealand
Diary dates

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...
Latest News
Technogym has launched a new app featuring an AI-powered digital coach. The Technogym App is ...
Latest News
Forme has signed an exclusive partnership with boutique fitness operator Barry's, the latest sign of ...
Latest News
The number of active memberships across European health clubs fell by roughly 10 million – ...
Latest News
Peloton is expanding its reach within the online fitness market with the launch of a ...
Latest News
Dr Giles Yeo, a geneticist at Cambridge University in the UK, has written a new ...
Latest News
Plans have been revealed to build the world's deepest pool in Cornwall, UK, which would ...
Latest News
People with depression should be prescribed exercise and then monitored for the first 12 weeks ...
Latest News
Frequent strenuous exercise increases the risk of developing motor neurone disease (MND) in people with ...
Latest News
The UK government has extended the ban on commercial evictions until 25 March 2022. Announcing ...
Latest News
Operating a further four weeks at reduced capacity will place serious pressure on English fitness ...
Latest News
People experiencing homelessness are being offered free access to leisure centres by Oxford City Council. ...
Opinion
promotion
While much of the fitness industry has reopened its doors across the UK over the past weeks, many members are yet to return.
Opinion: Re-engaging your post-lockdown absent members
Featured supplier news
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.
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 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.
Featured operators news
Featured operator news: Everyone Active generates £342m in social value
Award-winning leisure operator Everyone Active generated £342million in social value at its sites across the country in 2019/20.
Company profiles
Company profile: EGYM UK Ltd
EGYM empowers gym operators to deliver a workout experience that supports their members' lifelong fitness ...
Company profiles
Company profile: Active IQ
Active IQ is the UK’s leading Ofqual-recognised Awarding Organisation for the Physical Activity sector....
Supplier Showcases
Supplier showcase - Precor: The power of networking
Catalogue Gallery
Click on a catalogue to view it online
Directory
Hydrotherapy / spa fragrances
Kemitron GmbH: Hydrotherapy / spa fragrances
Skincare
Comfort Zone - Davines S.p.A: Skincare
Management software
fibodo Limited: Management software
Fitness equipment
Octane Fitness: Fitness equipment
Independent service & maintenance
Servicesport UK Limited: Independent service & maintenance
Whole body cryotherapy
Art of Cryo: Whole body cryotherapy
Red Light Therapy
 Red Light Rising: Red Light Therapy
Exercise equipment
Pendex Fisio S.L.: Exercise equipment
Flooring
Total Vibration Solutions / TVS Sports Surfaces: Flooring
Spa software
SpaBooker: Spa software
Property & Tenders
Pendine Sands, Carmarthenshire
Carmarthenshire County Council
Property & Tenders
Diary dates
01-04 Jul 2021
Expo Centre & Riviera di Rimini, Italy
Diary dates
18-19 Sep 2021
Locations worldwide,
Diary dates
21-24 Sep 2021
Messe Stuttgart, Germany
Diary dates
28-29 Sep 2021
ExCeL London, London, United Kingdom
Diary dates
04-07 Nov 2021
Exhibition Centre , Cologne, Germany
Diary dates
01-03 Feb 2022
Coventry Building Society Arena, Coventry, United Kingdom
Diary dates
01-07 Dec 2022
tbc, Dunedin, New Zealand
Diary dates
Search news, features & products:
Find a supplier:
FIBO Exhibition
FIBO Exhibition