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Exercise
For
years I did no exercise at all, stupidly thinking that I would always
have the suppleness, and a good degree of strength in my legs. What
I realise now, all this time later, is that I was just relying on,
and dipping into my muscle reserves. Well those reserves are well
and truly gone now at this stage. In hindsight I should have started
a concerted exercise program years ago, but thats all in the past,
and there's no point crying over spilled milk.
For me the net is a hugely positive resource, but I feel like I'm
fighting an uphill battle, against an invisible force, and at times
I feel that no matter what I do, physical decline is just a horrible
inevitability.
After years of sitting in a poor position, my left leg "turned"
in the hip socket, and it is now very difficult to do any exercise,
which requires you to keep both legs straight, like a leg lift.
But I do think it should be a priority for anyone with Friedreich's
Ataxia especially, to keep as strong and supple as possible. Even
if it is only to give you good protection, for the numerous times
you fall, it is more than worth it to put in a little bit of effort,
or as I would describe it, as an investment in your own body.
So the big issue that I am trying to address are the trunk/core
muscles. In terms of functionality this is one of the key areas
for me. Believe me, you will know it when your trunk becomes so
weak, that you can't even situp in bed (dressing is even worse),
so of late this is a key area for me to focus my efforts on. I read
a very good page recently, on the crucial
role of breathing for core stability (which I have to admit
I had never even thought about, and can be done anytime anywhere).
Even in work, reaching out for the phone, or to pick something up,
can be hit and miss! A colleague thinks it must be due to my clumsy
hands. Yes, they're clumsy, but its basically trunk weakness that
is responsible. Once I leave the secure anchored position, I tend
to be floppy. Now I'm trying to do side bends and raising a light
dumbell with arm outstretched, from my side straight up (holding
onto something stable with the other hand of course).
Maybe
its all in the head but after my first attempt at this move, I felt
more stable.“The first role [of the obliques] is stability of the
torso in running, jumping and landing and maintaining a strong pelvic
and spinal position. Without strong obliques (and abs) to hold the
pelvis stable, stress is placed on the hamstrings, which often leads
to muscular tears or over-dominance of the external hip rotators.
A
strong abdominal oblique mechanism is important for reducing side
impacts on the body seen in tackling especially in NFL, Rugby Union
and Rugby League. Obliques [also] play a significant role in co-ordination
and timing in rotational activities such as swinging a bat or golf
club. Not only do they assist in the concentric movement but also
the eccentric slowing down of the torso which is required to reduce
injury,” says Paul Collins (www.thebodycoach.com),
an award-winning fitness instructor in Australia and author of Core-Strength
Basics and The Body Coach: Firmer Thighs and Waist, (available at
Amazon.com).
Reading this article has caused me to retrieve my 6
second ab machine from the cupboard and use it with renewed
vigour.I always start off with the best of intentions, but my enthusiasm
usually wanes. However anything that can help me with trunk stability
and helps keep you less dependant on the help of others is certainly
worth a shot!
Especially during the past few years, I am making more of an effort
to exercise and watch what I eat. I would urge anyone with Friedreich's
Ataxia now to start some exercise programme. I used to balk at the
idea of getting on the ground to do exercise. I always had relatively
good strength in my legs, well enough to make safe transfers with
half my bodyweight on the chair, and the other half on the legs.
That
was the situation for years, and then very quickly the remaining
strength in my legs took a serious nosedive, and now I tend to almost
exclusively use my arms. Looking back it makes perfect sense, "use
it or lose it". For the first few years I was just like a "normal"
person sitting down, I remember going to an annual FA social and
seeing lots of young people with very skinny almost withered looking
legs, pointed feet and twisted torsos which made it hard for them
to sit properly.Now all this time later, and I am in that same boat.
Don't be fatalistic and assume there's nothing you can do,because
honestly every little bit helps, and even if you just concentrate
on your arms, it will pay dividends. The amount of times my arms
have saved me from a fall, or helped me up from a fall are testament
to that.
I came across this website some time ago that is inspirational.
Now I know he doesn't have Friedreich's Ataxia, but its an illustration
of mind over matter, he is a wheelchair using bodybuilder called
Colt
Wynn.
I've never had sustained physiotherapy, mostly due to my own insistence.
I would much prefer someone to come out once, and show me what to
do, rather than me taking time off work to go through the same drill
every week. I now "swim" every sunday, and my bedroom is cluttered
with dumbells, barbells, ab chair, ankle weights and more from those
infomercials you see on late night tv. A great and inexspensive
thing that I got in Tesco, was a little cycling unit which is very
small and compact, and which I use by hand. You can adjust the intensity,
and believe me, 10 mins will tire you out. That and my cheap resistance
band are my two best fitness buys.
Also
I'm including a photo of all of the above and my ab chair, which
sadly has been long relegated, and at this moment, the only thing
that is saving it from the scrapheap, is the fact that it comes
in handy just as a replacement chair. It is good not to sit in the
same chair and position all day, and I prop up the back of it with
a book, so it tilts, as I read that this sort of position is good
for your pelvis.
Its ultimately not about how hard you exercise, but rather how often
you eat the wrong food. I have always had a terribly sweet tooth,
which diabetes has softened somewhat.I saw some averts on the net
a while ago called Burn
the fat, feed the muscle by Tom Venuto. Its an e book and it
took me ages to download it some months ago when the damn net connection
kept going. Basically he is a bodybuilder with regular 4-6% bodyfat
(when I measure mine first it was in the forties!) I really like
his writing style, and as he says your goal should be to lose bodyfat
not just water based weight.I came across an interesting website
recently about fat gain and insulin resistance.
I'm not sure if its just another gimmicky site trying to make a
fortune from desparate fat slobs. If only it was as easy as popping
a pill or two, in between your see food diet. Part of it sounds
convincing, my metabolism at the moment must be slower than a snail's.
Anyway read about it here,
and make up your own mind. It doesn 't sound great to be stick thin
in a chair with no strength to push it.I am making slow progress
but I am now in the mid 20's. Its not very appealing to look like
a pregnant young GUY, but it didn't happen overnight, and its going
to take a while to move it.
The
worst thing about having a gut and being in a chair, is that it
is practically impossible to hide it. Especially when your posture
is poor, it tends to be impossible to "suck it in", so the big belly
tends to be the first thing you notice. Its not great for the self
confidence levels, when you tend to be the classic "apple" shape.
I wish all my extra weight went to my ass, if it did I'd never stop
eating, I would have a great built in cushion, but different strokes
for different folks!
Certainly while I was walking, and for a couple of years after the
chair, I could eat whatever and still be thin. After that the metabolism
slowed right down and the calories in versus calories out law was
tipped in favour of me having a big gut (all my weight goes to my
gut and face).I now realise that the less active an mobile you are,
the more strict you have to be with your diet. Sounds like commonsense?
Well thats me all over, I can't see something which is plainly staring
me in the face!
One thing that really stuck with me from Tom's book was that every
food you consume has an impact, it is either feeding the fat or
feeding the muscle, and that there is no such thing as a neutral
food. All this is fine, and we all know whats going to happen if
you take in too many calories, but I am convinced that my gut looks
the way it does, partly due to the fact that the trunk muscles have
more or less collapsed, and are so weak. I am never going to have
a 6 pack or lookl like arnold schwarzenburger (lol), but I still
buy my Men's Workout and Muscle & Fitness and get lots of tips,
information and motivation from them.
Of course, most of those exercises are completely out but some can
be adapted and personalized. I see any form of exercise now as an
investment in my own body. I know Dr Phil says "you're fat, cause
you wanna be", I can see the shock value, but if you wanted anything
it would be to eat whatever you liked and still look great in the
buff."You're fat cause you allow it", that I'll buy! Many people
I know have been to florida, and are shocked by the amount of people
that are practically disabled by their obesity.
Everyone
has their own reasons but personally I look at them, and want to
give them a kick up the backside, and its not for a shallow reason
like not being able to look good in clothes, its because they have
an otherwise healthy and functional body which they are allowing
to go to rack and ruin. You only get one body, might as well make
it last! I don't want that to sound judgemental at all. I am the
worst comfort eater ever and have frequently gorged on dorito's
and sweets until I am sick.
I know there are many different reasons why people overeat, but
ultimately you are in control of your body and not vice versa. Like
a lot of things, it is easier to talk, rather than implement these
exercises and be disciplined enough to make the effort.I wish I
could get some muscle into my legs, and although I have never been
so strong in the upper body, the sight of me doing some weighted
exercise must be comical. When your balance is crap, for example
I do a bicep curl with the other hand holding onto something for
stability. I have never been to a gym in my life,and when you can't
even sit in an ordinary chair, its easy to see why.
Saturday 17/12/05
For the past number of months, I've given up on my feet positioning
and just allowed them to plop anywhere ( usually inverted and overpronounced
to the point of shooting pain on the balls of my feet). I met with
an occupational therapist on wednsday and she told me that in her
opinion, the situation was not beyond recovery and that I should
try to not have the ball of the foot on the footrest and try to
keep the heel down. It DOES make a big difference, I found that
I could get pants on easier using the feet and pelvis to raise up
into some awkward imitation of a bridge position.
Another
big thing I have learned this week: If you have Friedreich's Ataxia,
DO NOT USE WEIGHTS! Your aim should be to maintain muscle elasticity
and suppleness, not to tighten them with weights. Use your own bodyweight
for resistance and buy an inexspensive rubber tubing to work your
muscles. Its funny that for a number of years I balked at the idea
of getting down on the ground like a dog and doing whatever weight
free exercise, but its got to be a priority to do something no matter
how small every day. I know I'm just delaying the inevitable, but
do it I must. If the muscles are going to turn to mush, so be it,
but at the very least I can make a concerted effort not to just
sit down and wait for that day.
Thursday 16/2/06
I have to admit that I must be one of those highly susceptible people
who sees or reads a glowing advert about a particular product, then
hurries out to buy it. Sometimes, I'm like that every single week.
I read something good about a particular supplement or vitamin,
then on saturday go to my nearest healthstore and buy it. I really
do think a lot of hese pills and potions have a placebo effect only,
and when you feel desparate, you will clutch at any straw. At the
moment I am taking CoEnzymeQ10
and various antioxidant green teas (but I am off work sick at the
moment with flu, so draw your own conclusions!) One of the areas
which I have long neglected, and which has now gone to mush, is
the back. If you are sitting in a chair all day, on your tailbone
instead of your pelvis, of course you are going to become very floppy
and weak. I found this website about the importance of good
posture. It is useful, in that it provides info and products
to help your posture.
I have re-evaluated my whole attitude and approach to weights. It
is important to try to maintain and build muscle, which is metabolically
active tissue.So, I'm opting now for less weight and more reps.If
it helps a basic thing like getting out of the bath safely, then
it sure is worth it.I suppose I am terrified of lifting/using too
much weight, and injuring my arms. What a state I'd be in then!
My body is rediculously catabolic. It seems if I have the flu, stop
exrcising for whaever reason, that my hard fought for muscle is
depleted in a shot, and I am left as weak as a kitten.
I am going to try the electrical stimulation contraption ( like
the slendertone device) on my legs this weekend, to see if it will
help put back some strength. I'll keep you informed, also on my
shopping list is a good digital camera. This site is a bit too text
heavy, and badly needs some images.
Monday 1/5/06
I have long wondered why my pushing ability in the chair has been
so poor. Sometimes I swear I would lose a race with an old geriatric.
So, I am using my own body resistance and doing some tried and tested
push
ups. Even though I have only started doing them, there are enough
variations on the exercise to hit all the upper body muscles. They
are also supposed to help with balance, posture and core strength,
which are all areas I sorely need to work on!
Thursday 11/5/06
I am very thankful for the internet, and the benefits of living
in an information age. I have just read excellent pages on the importance
of strong hamstrings as a means of stabiliizing the pelvis and lower
back. If you can crawl forward, crawling backwards is going to target
the hamstrings. My nemesis of the last couple of years, has been
the fact that my right leg ( the strong leg) keeps kicking out.
Part of the function of the hamstring is to bend back the leg. My
occupational therapist said the cause of the leg shooting out and
absolutely refusing to stay on the footrest was due to a pronounced
muscle imbalance.
The
muscles at the front of the leg are much stronger than the hamstrings,
and thus there is not enough muscle strength to retract the leg.The
thing about dealing with a progressive illness is just when you
think you can't get any weaker or worse feeling, you do,. So as
far as exercise or any health activity, I sometimes have the feeling
that decline and weakness are inevitable, so I might just as well
not bother doing anything and console myself with comfort eating.
But I just can't do this! One of the other things I've been trying
is carb
cycling.
I figure there's no point exercising furiously and working up a
sweat only to counter yourself by "rewarding" yourself with junk
Its like pissing in the wind! One of the psychological cues that
is worth knowing is the whole idea of visualization. Pick a part
of your body that you hate (with me its the belly) and the next
time you reach for that third chocolate or biscuit, put that mental
fat ugly picture to the front of your mind, and I guarantee that
craving will go. All this from a person who has been known to drop
a chocolate or biscuit, only to pick it up and eat it. We all know
ultimately what to do, noone can plead ignorance in this day and
age with all the books, articles and infomercials, but we don't
make the right choices for whatever plethora of reasons!
Sunday 18/6/06
I am in agony with my right arm. It started in egypt when I fell
backwards, and broke my fall with my arms.I must have pulled a muscle.
It was bearable for a few weeks. I think the sun helped during the
day, and it only tended to seize up and hurt at bedtime. To use
a wheelchair, and not to have much use of your right arm is just
the pits. Indeed I think there is nothing worse than to be in physical
pain, day in day out.Of course I stupidly tried to exercise and
do some light weight work. When I get recovered I am going to do
more dumbell
swings (WARNING: Do not swing your arm too far back while doing
this exercise, as I think this may have been the culprit for my
agonizing rotator cuff injury, do not do it if you can't get out
of the chair as the brakes get in the way, and your form will be
crap, hich stupidly I did) as a way of strengthening your core.
I only did a few of them but I felt them working. Believe me, you
will know when your trunk goes, and it is just luck now if you can
safely extend out to pick up the phone. Twisting, turning all these
everyday things have also become a thing of envy for me. I did'nt
go into work on friday, as my boss saw me wincing in pain and told
me to go to the doctor.After sitting in a chair all day, its good
to get out and do whatever exercises you can on the floor. I sleep
in the weirdest positions, and have just read an article which points
the finger at a correlation
between poor bedtime posture an shouder/neck/arm pain.
Sunday 25/6/06
Still in pain with my arm. Was up since 4am with intense pain. Its
hard even sleeping, because normally I sleep on my right side. It
tends to ease up during the day. I cant just not use my right arm
so naturally its taking longer to heal. Found a very good article,
which hit home, about
the connection between a person's intake of vitamin c, and the ability
to lose fat. This is definately something I need to work on,
as I certainly do not take in enough vitamin c, and I dont want
to buy yet another supplement, so I stocked up on dried fruit snacks
from the health shop. I love apricots and pears anyway.
Wednsday 16/08/06
Thankfully
my shoulder is more or less fully healed and I want to include a
link to an exercise which I could feel from the very first go, strengthening
my trunk. I guess I had become complacent, thinking that it was
all just inevitable that my trunk muscles were vaporising. The loss
of independance is a very hard pill to swallow, and I was becoming
so unstable that even a sneeze might topple me out of the chair,
or something as small as reaching out for the phone in work was
becoming an issue. If you can hold yourself upright it means you
have strong trunk muscles, if all you can see when you look down
is belly, it just means that those same strong muscles are covered
by some stubborn layers of fat. It was the small things that I missed,
reaching out to grasp something, and the fear that unless I was
securely anchored in the chair, that I could topple out. This was
a definate contributory factor in the whole car debacle. Increasingly
I found right turns more and more difficult. Anything that caused
me to put the trunk muscles to use was problematic, be it driving
or even leaning across a keyboard to type.
Monday
20/8/06
.For
the last 2 weeks, my handwriting has been dismal, but yesterday,
without much forethought, I did some wrist/grip exercises and today,
I was very pleasantly surprised to see that I could actually read
my own writing. Plus I was able to grip things and open bottles
etc much easier. Just get a bag, weighed down with books or whatever,
and do a circular or lasoo motion. It works and if it helps your
independance, and makes you less reliant on the help of others,
forget how you look! Honestly last week , I had to fill out a bank
form, and I had to phone them later to see if they could decipher
it. Come to think of it, today was the first day in ages in work,
where I didn't drop anything. Am drinking water instead of diet
coke (have been addicted to diet coke since I was 14, and at my
worst was guzzling 2 litres a day) but cant say the big belly is
going down ( am trying to trim down a bit in preparation for my
holiday to cape town next month),
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