Monday, February 28, 2011

The Truth about a Prolapsed Vagina - do your kegels now and forever more

WARNING!!!! This posting contains graphic material that may be disturbing to the faint of heart. If you want to have sex with your partner tonight, do not let him see the pictures in this post.

Anyone who comes to class at Urbanfitt or is one of my clients might get tired of hearing me say "Do a kegel" or "Are you doing a kegel"? But why are kegels so important during workouts?

According to Carrie Levine CNM, MSN:

The pelvic floor makes up a significant piece of your body’s core, the essence of your very being. The foundation for all movement, balance, stability and flexibility begins in the pelvis. And in times of change, such as during pregnancy, childbirth, perimenopause and menopause, we can support our bodies — literally and figuratively — by creating strength in our cores.

Apart from kegels assisting in improving core strength, they are also extremely important for preventing a prolapsed vagina and leaky lady syndrome one can witness during a jump rope session or jumping jacks.

You might not know that seven out of ten women have disorders of the pelvic floor. It’s not surprising, given that the pelvic floor supports the bones in the spine; structures the abdominal cavity — muscles and organs included; controls the passage of urine and stool; facilitates the childbirth process; and contributes to a woman’s sexual pleasure and ability to reach orgasm. What is surprising for many of us, however, is that problems with the above are avoidable.

As a midwife, I have seen what strength and flexibility in the pelvic floor can do for women. Yet many of us think our only option for these muscles is to practice Kegel exercises. Dr. Arnold Kegel discovered in the 1940’s that you can actually strengthen the vaginal muscles by — get this — resistance strength training. These squeeze-and-hold vaginal exercises known as Kegels were specifically designed to target pelvic floor strengthening.


read full article

I have trained a male OBGYN surgeon who was a non-believer. But this is what the Mayo Clinic says about kegels:

Many factors can weaken your pelvic floor muscles, from pregnancy and childbirth to aging and being overweight. This may allow your pelvic organs to descend and bulge into your vagina — a condition known as pelvic organ prolapse. The effects of pelvic organ prolapse range from uncomfortable pelvic pressure to leakage of urine. Pelvic organ prolapse isn't inevitable, however. Kegel exercises can help delay or even prevent pelvic organ prolapse and the related symptoms.

read full article


But is it really worth risking having the following thing happen to our beautiful vajayjays? Is it worth risking having to go for surgery? Clearly kegels can't prevent some incidents of prolapsed vaginas. There are many things out of our control. For those women out there reading this who do have this going on down south, I'm not in any way saying it's your fault for not doing more kegels. For those of us with things in their happy place, why not do what we can to prevent right?




Have I scared the CRAP put of you yet? I put my money where my mouth is. Every time I tell someone to do a kegel I do one too. That isn't going to be me if I have anything to say about it.

So some of you might not know how to do a kegel. You might not even know where your pelvic floor muscles are. So here you go. This ought to clear things up.

How to do Kegel exercises (taken from Mayoclinic.com)

It takes diligence to identify your pelvic floor muscles and learn how to contract and relax them. Here are some pointers:

1) Find the right muscles. Insert a finger inside your vagina and try to squeeze the surrounding muscles. You should feel your vagina tighten and your pelvic floor move upward. Then relax your muscles and feel your pelvic floor return to the starting position. You can also try to stop the flow of urine when you urinate. If you succeed, you've got the basic move. Don't make a habit of starting and stopping your urine stream, though. Doing Kegel exercises with a full bladder or while emptying your bladder can actually weaken the muscles, as well as lead to incomplete emptying of the bladder — which increases the risk of a urinary tract infection.

2) Perfect your technique. Once you've identified your pelvic floor muscles, empty your bladder and sit or lie down. Contract your pelvic floor muscles, hold the contraction for five seconds, then relax for five seconds. Try it four or five times in a row. Work up to keeping the muscles contracted for 10 seconds at a time, relaxing for 10 seconds between contractions.
Maintain your focus. For best results, focus on tightening only your pelvic floor muscles. Be careful not to flex the muscles in your abdomen, thighs or buttocks. Avoid holding your breath. Instead, breathe freely during the exercises.

3) Repeat three times a day. Aim for at least three sets of 10 repetitions a day. You might make a practice of fitting in a set every time you do a routine task, such as checking email, commuting to work, preparing meals or watching TV.

You're welcome!

Friday, February 25, 2011

Urbanfitt's 2011 Spring Schedule


NEW STUFF AT URBANFITT starting in March!!

6:30 PM MONDAY URBAN WARRIOR:
Kettlebell/Mixed Martial Arts class




Ever wanted to try mixed martial arts but haven't found the right venue to suit your personality or maybe you're not into hanging around sweaty guys in a dojo.

Starting March 7th we are moving the Tuesday Kettlebell class to Monday and adding a twist! Sara-Clare is bringing Mixed Martial Arts training to Urbanfitt

The MMA training phenomenon is taking the world by storm, and you can be one of the people to try it out!

Watch this video to check out some of the moves that you will try!






* Fight sport specific warm-ups and conditioning drills including Kettlebell Training!
* Fight Stances, Footwork and Shadow boxing instruction
* Striking techniques including punches, kicks, knees and elbows,Basic grappling, Jiu Jitsu and Muay Thai techniques


This class is part of the Urban Warrior program. Feel free to give it a go on us for the full month of March! The difference between Urbanfitt and other spots is we'll keep class sizes down to ensure you have much more of a group training instead of group fitness experience.

WE'RE ADDING A 2ND URBAN WARRIOR CLASS ON SATURDAYS!!!!

Saturday Urban Warrior has been PACKED so we decided to offer you something more. We thought some of you maybe interested in a more compact Kettlebell class on the weekend. Just because it's shorter doesn't mean it'll be easier. Beware! As of March 5th this is our new Saturday schedule:

9:30 to 10:45 Urban Warrior (Full body conditioning with torture technique of our choice)
11 - 12 Urban Warrior - Kickass Kettlebell

Reserve your space now for either of these cutting edge Urban Warrior classes by phoning 416.964.3309 or emailing help@urbanfitt.com

Pricing is as follows:

6 for $210
12 for $360
Or ask us about our ALL U CAN SWEAT membership for $249

SPRING SCHEDULE:


MONDAY:
NEW!!!!
URBAN WARRIOR
Kettlebell MMA as of March 7th
6:30 TO 7:45 pm (Sara-Clare)

TUESDAY:
FITT
12-1 (Jane)
6:30 pm Urban Warrior moved to Monday as of March 8th

WEDNESDAY:
URBAN WARRIOR
6:30-7:45 pm (Jane)

THURSDAY:
FITT
12-1 (Jane)
CORE TABATA
6:30 - 7:30 (Sara-Clare)

FRIDAY:
CORE BLAST (Jane)
12:15 - 1

SATURDAY:
URBAN WARRIOR
9:30 - 10:45 (Sara-Clare)

NEW!!!!
URBAN WARRIOR
Kickass Kettlebell
11-12 (Sara-Clare)

SUNDAY:
URBAN WARRIOR
9:30 to 10:45 (Jaimie)

(please note that instructors can change at last minute but we all rock)


START URBAN WARRIOR GROUP TRAINING NOW!

Urban Warrior is a pre-registered group training program where you commit to one or two regular days per week or take advantage of our ALL U CAN SWEAT membership option. You can join in anytime. If you buy packages of sessions, you have 6 weeks to use them up. Easy peasy.

No two classes are the same. No pink dumbbells. Urban Warrior is multi-level so get a proper start and you constantly progress. We pay very close attention to form and technique and ensure you build healthy movement patterns to improve structural balance. We get to know your body and it’s particular challenges and work with limitations or pre-existing injuries or conditions.

* High intensity interval training, full body conditioning with cutting edge tools of the trade, myofascial release, joint mobility, Yin yoga inspired stretching to tap into your ability to calm your nervous system.
* Kettlebell MMA involves fight sport specific warm-ups and conditioning drills including Kettlebell training, fight stances, footwork and shadow boxing instruction, striking techniques including punches, kicks, knees and elbows,Basic grappling, Jiu Jitsu and Muay Thai techniques


6 classes = $210
12 classes = $360
ALL U CAN SWEAT = $249 per month

Contact us to arrange payment. We have a liberal make up policy but do not offer carry forward credits for missed workshops.

help@urbanfitt.com or 416.964.3309

Sunday, February 13, 2011

Why crunches won't flatten your stomach


I wrote this a while back but thought it might be useful to re-post. It seems that crunches still haven't died the death they deserve. Maybe this will be the nail in the coffin of crunches for someone out there who STILL believes that crunches will flatten her belly...........

It would seem that the core training phenomenon has twisted the minds of many rational thinking and intelligent human beings. We all know that core strength is really important. We all talk about it at some point or another as something we feel we might need to improve. But what most people don't understand about core strength is that it's not something you do to flatten your gut and get rid of belly fat. The record needs to be set straight so we're all using trendy terms without making jackasses out of ourselves.

Core strength is really about how strong ALL of our muscles are in our ENTIRE torso, not just the muscles running down the front of our stomachs. Core training is far more than doing crunches. The muscles in our core include all of our abdominal muscles (rectus abdominus, transversus, internal and external obliques) but also our hip flexors, pelvic floor muscles, glutes, all of our back muscles, and muscles around the shoulder girdle.

So given the fact that core strength is about all of these muscles, why are we all still so obsessed with the standard crunch (AKA sit up) as a way to melt fat from our stomachs? How does it make any sense that lying down on our backs and crunching up repeatedly in one direction would convert fat tissue into muscle tissue and magically melt away all the extra calories we ate that set up camp on our bellies? Do you think maybe that we get belly fat not because our abdominals are weak but perhaps because we eat too much? Come on people.

Top ten reasons why doing crunches won’t flatten your gut:

1) The whole spot reduction idea is so old school in a bad way. Let it go people for once and for all!

2) Abs are made in the kitchen (at least 80% of how your abs look have to do with what you eat).

3) Doing an hour of core training every day would have less of an impact on your ab fat than chronic sleep deprivation. Being chronically under slept will make you store fat in your gut (aka visceral fat).

4) If you constantly stress about how much ab work you’re not doing you’re likely making your belly even bigger. Stress makes us release cortisol which makes our bodies store visceral fat yet again.

5) Building muscle all over our bodies helps us rev up our metabolisms. The more muscle fibres we have the less likely we are to store sugar as fat.

6) We burn more calories working big muscles groups or doing multi-joint exercises (i.e. squats, push ups, rows) than doing crunches. Getting rid of fat means creating a caloric deficit.

7) Whether or not you eat a breakfast high in protein has a bigger impact on ab fat storage than a set of crunches. Try it out.

8) Building abdominal muscle under fat will give you a wonderful six pack that no one can see. People have six packs because they are lean all over.

9) Excess fat storage around our middles has more to do with hormonal imbalances and overall fitness than whether or not we can do 200 crunches in a row.

10) If you have lordotic posture, (i.e. sway back) your belly is going to spill over your hips and make your gut look bigger. If you don’t fix your alignment you’ll always look like you have more of a gut than you really
do.

So learn how to flatten your stomach the holistic and effective way!
Give us a call 416.964.3309

Jane Clapp

Sunday, February 6, 2011

Our presentation to Oncologists at Sunnybrook

Last Thursday Sara-Clare, Lisa (one of our clients dealing with cancer) and I went to speak to a group of oncologists at Sunnybrook regarding our experience working with people dealing with cancer.
We put much thought and energy into our presentation and truly hope that somehow we can influence the future of exercise as it applies to cancer patients. I could just burst at the seams in terms of my belief that regular exercise tailored to the individual can be a determining factor in someone's response to treatment and prevention of recurrence.

Over the next few years we are going to be seeing a major paradigm shift in the way people deal with treatment. The idea that people dealing illness in treatment should rest is being tossed out the window. This following is taken from an article last June 2010.

"New guidelines are urging survivors to exercise more, even -- hard as it may sound -- those who haven't yet finished their treatment.

There's growing evidence that physical activity improves quality of life and eases some cancer-related fatigue. More, it can help fend off a serious decline in physical function that can last long after therapy is finished.

Consider: In one year, women who needed chemotherapy for their breast cancer can see a swapping of muscle for fat that's equivalent to 10 years of normal aging, says Dr. Wendy Demark-Wahnefried of the University of Alabama at Birmingham.

In other words, a 45-year-old may find herself with the fatter, weaker body type of a 55-year-old."

So when I called Dr. Ellen Warner at Sunnybrook and told her what we were offering at Urbanfitt, she was gracious enough to invite us to speak. Dr. Warner headed up a study that looked at the impact of monitored exercise programs on people during treatment. Can't wait until those results are published! Apparently, the prelim very positive.

Here's a summary of our presentation for those of you interested in what we talked about.

WARRIOR WITHIN: fitness professionals' perspectives on exercise during treatment and bridging the gap between the medical community and the fitness industry

Exercise guidelines during and after treatment from June 2/10 AGM lead by Kathryn Schmitz, Ph.D., M.P.H., FACSM, associate professor of Epidemiology and Biostatistics and a member of the Abramson Cancer Center

1) Cancer patients and survivors should adhere to the 2008 federal Physical Activity Guidelines for Americans, which recommend at least 150 minutes
per week of moderate-intensity aerobic activity.
2) Clinicians should advise cancer survivors to avoid inactivity, even for patients with existing disease or who are undergoing difficult treatments.
3) Exercise recommendations should be tailored to the individual cancer survivor to account for exercise tolerance and specific diagnosis
4) Clinicians and fitness professionals should pay close attention to cancer survivors responses to physical activity, in order to safely progress exercise programs and avoid injuries.
5) Although more research should be done on the effects of strength training on cancer survivors, the practice generally appears to be beneficial.

Barriers to exercise for cancer patients

Fear of engaging in activity that might compromise treatment and old paradigms regarding exercise and illness
Physician concerns regarding liability (PAR Med ex can cover liability both directions)
Accessibility: LOCATION, income, lack of specialized classes and coaching in mainstream fitness environments
Lack of coaching and lifestyle change support in health care system: services exist but people don’t know about them
Lack of collaboration between medical community and fitness professionals

Our approach to exercise for cancer patients


Upper body joint mobility and fascial stretching before and after surgery
Myofascial release to relieve pscyhosomatic tension and calm the CNS - assist with sleep issues
Proprioception to keep neural pathways strong - chemotherapy can impact/damage proprioception
Light strength work to prevent osteoporosis
Create an opportunity to connect the mind and body and feel WHAT IS WORKING WELL IN THE BODY

What we have witnessed

Help clients manage potential depression during treatment and forget about their illness
Women in their 60s doing pull ups post treatment and hanging onto bone density
Even people undergoing chemo can maintain fitness levels
Cancer survivors feel more in control of their destiny and reach remarkable levels of fitness post treatment

Case in point - Sara-Clare and her client Lisa

Pre treatment phase
Treatment phase
Post treatment phase

The future of exercise during cancer treatment

Blue skying it
:

Build more opportunities within health care system to capitalize on the window of receptivity to lifestyle change. When someone becomes ill, they are more likely to be motivated to make changes to their lifestyle habits.

Exercise coach on staff that is included in treatment plan (cheaper than docs and with different skill set in terms of lifestyle change management)

Every patient with some form of monitored exercise program


That's the general framework of what we talked about. It is clear that the fitness industry is at the early stages of understanding how to work with cancer patients in mainstream environments. Ultimately, we feel that we have been applying very effective exercise prescription for our clients with cancer that helps them move through their treatment and recovery with hope, combat the effects of chemotherapy on the body and ultimately empower people to feel more in control of their future health.

And to those of you in the fitness industry who are afraid to work with people in treatment, it's time to stop being so chicken shit about it. They are people with limitations who need help more than the people looking to get nicer bums and flatter stomachs. One of the docs at the presentation shared a story about a few patients actually getting turned away from their regular gyms. The gym requested a detailed explanation of the members' limitations out of fear of getting sued for what exactly? Ever heard of a Parmed X people? Not to mention it's just very short sighted to be afraid of working with people dealing with an illness. If anyone would be willing to invest in their fitness and health, it's someone who is faced with their mortality.