Benefits of Physical Activity and Arthritis

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Today we will discuss

• Arthritis Myths
• Risk factors associated with arthritis
• Relationship between weight, physical activity
  and arthritis
• Recommended physical activity
• for people with arthritis
• Tips for safe physical activity
• Arthritis Foundation programs
• and resources

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Understanding Arthritis

• Arthritis arth joint itis inflammation
• 1 cause of disability in the United States
• 46 million American adults have been diagnosed
  with one or more forms of arthritiss
• Common types of arthritis
• Osteoarthritis ( 21 million)
• Rheumatoid Arthritis ( 2.1 million)
• Juvenile Arthritis (300,000)

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Arthritis Statistics in Alabama

• More than 1 million doctor diagnosed, plus
  thousands of others never properly diagnosed or
  treated
• 2005 survey indicates 33 of Alabamians over 18
  have been told they have a form of arthritis,
  which is the 2nd highest rate in the country
• This number does NOT include children with
  arthritis, estimated to be approximately 5000 to
  6000 children in Alabama
• Every year, Alabamians spend 2.6 billion on
  medical expenses, lost wages, disability and
  production due to arthritis and related
  conditions

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Myth or Fact?

• Is arthritis only an older persons disease?
• Is arthritis a normal part of aging?
• Will physical activity make
• arthritis worse?
• Will physical activity cause arthritis?

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Facts

• Arthritis affects people of all ages.
• Arthritis is not a normal part of
• aging process.
• Physical activity helps in minimizing
• pain and stiffness in joints.
• Moderate physical activity can reduce your risk
  for arthritis.

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Who is at risk for Osteoarthritis?

• Risk factors you can control
• Excess weight
• Joint injuries
• Sports
• Occupation
• Uncontrolled inflammatory arthritis

• Risk factors you
• cannot control
• Age 65
• Female
• Genetic/Family
• history

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Weight and Arthritis

• Weight gain increases
• Risk of osteoarthritis even a 2 pound increase
• Knee, hip and back pain
• Disability
• Weight loss decreases
• Risk of developing osteoarthritis in your knees
• Knee pain in half for obese people with arthritis
• Pain and limitation of existing OA

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Putting it all together

• Physical activity will
• Promote weight loss
• Reduce pain and disability
• Be beneficial for health and well being
• Weight loss will
• Reduce risk of osteoarthritis or slow
  progression of arthritis
• Decrease pain and disability associated with
  arthritis

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Before starting

• Consult your healthcare provider if you have
• Been physically inactive
• Severe arthritis or joint-problems
• Other serious conditions such as uncontrolled
  heart disease, diabetes, or high blood pressure

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How Exercise Helps Arthritis

• Increased energy
• Controls weight
• Decreases depression
• Helps ward off other health problems such as
  osteoporosis and heart disease

• Improves flexibility
• Reduces pain
• stiffness
• Builds strong
• muscles around
• joints
• Increases
• endurance
• Aids sleep

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Arthritis Foundation Programs

• Arthritis Foundation Aquatic Program
• Arthritis Foundation Exercise Program
• Tai-Chi From the Arthritis Foundation

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Arthritis Foundation Exercise Program (AFEP)

• Land-based exercise program designed to stretch
  and strengthen muscles and joints through gentle
  motions
• Movements may be seated, lying or standing
• Taught in group setting by trained, certified
  instructor

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Arthritis Foundation Aquatics Program (AFAP)

• Warmth and buoyancy of water relieves pain and
  stiffness
• Gentle exercise of joints and muscles improves
  flexibility
• Water acts as resistance to build muscle strength
• Relieves tension and stress
• Taught in group setting by trained, certified
  instructor

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Tai Chi from the Arthritis Foundation

• Gentle exercise that increases flexibility,
  muscular strength and fitness
• Corrects body posture, exercises whole body,
  relieves stress
• Improves breathing and mental concentration by
  integrating body and mind
• Imparts tranquility/relaxation

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How do I become an instructor?

• All programs require CPR and First Aid
  certification
• Aquatics also requires water safety cert.
• Professional organization certifications
• American Council on Exercise
• Aquatic Exercise Association
• Aerobic Fitness Assoc., etc.

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Instructor Training Workshops

• Exercise and Aquatics one day training course,
  taught by nationally certified trainer (100)
• Tai Chi two day course, taught by
  internationally certified instructors (230)
• Teach required of classes and file appropriate
  paperwork

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How do I become an instructor?

• HealthSouth Rehab Hospital, Huntsville, AL
• April 27 (AFEP) 28th (AFAP)
• Other trainings scheduled throughout the year in
  Montgomery and Birmingham
• Check www.arthritis.org, keyword Alabama for
  listing

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Arthritis Foundation ProgramsFacility Partner
Requirements

• AF programs MUST be taught by instructors trained
  and certified by the AF
• No variation in program
• All participants must have completed Participant
  Application Release Form
• Adhere to AF guidelines regarding program name
  and use of AF logo

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Facility Requirements

• Allow classes open to the community
• Proof of minimum of 1 million liability
  insurance
• Fees determined by facility. No to go to AF
• File Program Record Form with AF prior to class
  with details
• File quarterly attendance report w/class
  participants data (this is NOT in violation of
  HIPAA policy)

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Facility Requirements

• Exercise and Tai Chi Program
• Handicapped accessible parking, entrance and
  restrooms
• Large, temperature controlled room that
  accommodates assistive devices
• Carpeted floor or mats, adequate lighting,
  non-skid chairs, adequate acoustics on-site CPR
  and/or first-aid certification

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Facility Requirements

• Aquatics Program
• Water temp 83 88
• Air temp within 5 of water temp
• Accessible pool entry
• Clean, uncluttered deck
• Readily available safety equipment
• Adequate pool depth
• On-site lifeguard, CPR, first aid certification

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Local and Internet Resources

• Arthritis Foundation
• www.arthritis.org (1-800-879-7896)
• Books
• Videos audio
• Brochures
• Arthritis Today magazine
• Other
• http//www.cdc.gov/arthritis/index.htm
• http//www.niams.nih.gov/

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THANK YOUQUESTIONS?