Make a Change in Childhood Obesity Rates, Refer to KidShape 2.0 at Exercisabilities

Childhood Obesity

Is a multifaceted problem that needs a multifacted solution.

Be a part of the solution

Did you know that the rate of US youths ages 2 to 19 who were obese rose from 14% in 1999 to 18.5% in 2015 and 2016, with the most significant increase among those ages 2 to 5?   These findings also showed a significantly higher obesity risk among Hispanics and African-Americans, compared with whites.  Obesity is on the rise, and so is the onset of Type II Diabetes (caused by poor lifestyle habits and is directly coorelated to obesity) in children as young as 5 years old.  Our youth are beginning a health decline at a younger and younger age and only a change in lifestyle habits will turn this dismal outlook around.

An apple a day keeps the doctor away.  Well, if only it was that easy.  Increasingly busy families are causing parents to put their own health on the back burner.  Lack of sleep, lack of exercise, greater number of jobs sitting at a desk, no time to properly grocery shop, meal plan, or cook…does this sound familiar?  What are these habits leading to?  Unhealthy families and unhealthy children.

Parents serve as the primary role models for their children.  But not only that, parents are the ones caring for the children, and what the parents are eating and what activities the parents are getting or promoting, is also what the children are eating or doing.  The correct approach to turn around the statistics on childhood obesity is to address the problems causing the issues with the entire family.  A well running family results most often in a healthy child.

Exercisabilities is here to help address childhood obesity with the entire family in our new KidShape Program!  KidShape is a comprehensive evidence-based pediatric weight management program for families with children ages 6-12 years of age that is proven to work!  When you need to help a family with an overweight or obese child, we are here to help!

Exercisabilities is Committed to Improving the Health of Olmsted County,

by starting with reducing childhood obesity. KidShape 2.0 includes interactive nutrition activities, with a family cooking program and physical activity education component as well.  It is delivered by a Registered Dietitian and a youth exercise specialist, utilizing the KidShape 2.0 curriculum, which is evidence based and developed by a team of experts which included dietitians, a professional chef, youth exercise experts, teachers, and behavior change psycholotherapists.  KidShape 2.0 includes:

  • Interactive family-based weight management lessons focus on eating healthy, moving more, and feeling good.
  • an initial individualized assessment
  • 6 interactive sessions which include nutrition games and activities, family cooking program, cognitive behavior modification, self-esteem and parenting support, fun physical activities, and more!
  • 8 ongoing monthly meetings with similar format
  • Adult and age appropriate color workbooks
  • Self-monitoring kid-friendly tracking tool

For more information, see our website www.exercisabilities.org

Medical, physical, or cognitive disorders welcome!

 

How to refer a family to KidShape at Exercisabilities

The KidShape 2.0 program, delivered by our registered dietitian, is potentially reimbursable by insurance as group medical nutrition therapy.  It does require a prescription from a qualified medical provider in order to be billed.  If you are not a medical provider, you can have the child schedule a visit with their primary care provider and send a letter to them indicating your recommendations.

Fax the signed prescription with diagnosis indicating the child’s percentile based diagnosis code (overweight or obese) and contact information, along with order specification for :

  •  1 Medical Nutrition Assessment
  • 16 group medical nutrition therapy sessions
  • Length of term- 1 year from start

We will take care of everything from there.  We will contact their insurance company to insure coverage and notify them of any potential out of pocket expense based on this analysis (co-pays or deductibles will apply).

Classes are for groups of 12 children and their families.  Classes are beginning May 2018 and will be rolling from then on.

Fax:  888-624-3107/ Phone:  507-259-7570

Address:

2530 Broadway Ave N

Rochester, MN 55906

Heart Healthy Diet

Heart Healthy Diet

Heart Healthy Diet

By Mackenzie Distad, EP-C, BS 

ACSM  Certified Exercise Physiologist/Exercise Specialist

Living a healthy lifestyle is the best way you can prevent or fight cardiovascular disease. Important components of a healthy lifestyle include regular exercise and physical activity, as well as eating a heart healthy diet. What you eat can increase or decrease your risk of heart disease. But which foods are good and how do you get started? It can be tough to change all of your eating habits at once so here are a few ideas to move you towards a more heart healthy diet.

Look at portion sizes

The amount of food you eat is just as important as the types of food you are eating. Have you seen the huge portion sizes served in restaurants!?! Meal portions are growing the in US, so it is important to examine how much you are consuming at mealtime. Try using a smaller dinner plate or bowl at home. If you eat out at a restaurant, box a portion of your meal up right away to take home. Try to practice mindful eating: Do not eat until you feel stuffed or very full; try to eat until you are satisfied and save the rest for later. It is also important to read food labels at the grocery store. Keep an eye on the portion sizes described on the nutrition facts panels.

Eat more fruits and vegetables

Fruits and vegetable are great sources of vitamins and minerals, are low in calories and high in dietary fiber. Eating more healthy fruits and vegetables can help to prevent cardiovascular disease and may help you avoid eating high-fat foods. Introducing or increasing vegetables and fruits in your daily diet can be easy: Keep them washed and cut in the fridge so they are easy to grab as a quick snack throughout the day. You can also mix them into meals, like in a stir fry, or use them as a side.

Whole grains

Try to make your grains whole grains. Whole grains are full of fiber and other nutrients that help to control blood pressure. Things to look for include whole-wheat flour, whole-grain bread, brown rice, whole-grain pasta and oatmeal. It is important to read the food labels with some of these foods. For example; when purchasing bread, make sure the first ingredient is whole grain or whole wheat flour – not enriched or refined flours. Starting to introduce these whole grains to your diet will help you to be living more heart healthy.

Limit unhealthy fats

Try to cut down on the amount of saturated and trans fats in order to lower your levels of bad cholesterol. High levels of bad cholesterol in your blood can lead to a buildup of plaques in the arteries – increasing your risk of a heart attack or stroke. When you do use fats in cooking, etc., choose monounsaturated fats like olive oil or canola oil. Polyunsaturated fats are also good choices for a heart healthy diet. These can be found in certain fish, avocados, nuts and seeds. It is important to remember moderation with all fats though. All types are still high in calories.

ExercisAbilities has an in-house Dietician who can provide one-on-one Nutrition Counseling.

Choose low-fat protein sources

Try to stick to consuming lean meat, poultry and fish, low-fat dairy products, and eggs. There is also protein in foods like legumes (beans, peas and lentils), soybeans and tofu that are low in fat. These are plant proteins that are lower in fat and bad cholesterol than animal proteins.

Reduce sodium consumption

Eating a lot of sodium can have a large impact on your blood pressure – a risk factor for cardiovascular disease. The American Heart Association recommends that healthy adults have no more than 2,300 milligrams of sodium a day (about a teaspoon). The easiest way to start reducing the amount of sodium you consume is to look at the food labels and reduce the amount of restaurant food you eat. The largest contributors to sodium in our diets is not what we add at the table, but is the sodium in restaurant and processed/pre-packaged foods.

Allow yourself an occasional treat

Allow yourself a treat every once in a while! A candy bar or a few potato chips won’t ruin your heart healthy eating efforts. Enjoy your special occasion dinners with family or friends – but don’t let it turn into a regular occurrence. If you start to incorporate these changes in your eating habits, you will find that eating a heart healthy diet is reasonable and can still be enjoyable.

LEARN TO BE FIT – Exercise and Diet Program

ExercisAbilities knows healthy eating is quite the change for some. That’s why we continue to offer our Learn To Be Fit program.  This year long program combines counsel on proper diet, peer support, accountability and exercise. It’s a great way to make a healthy lifestyle change. Check out the next Learn to Be Fit class on our webpage and get registered today!

For more information on heart health and heart healthy eating, check out the American Heart Association’s website www.heart.org or www.mayoclinic.org.

Symptoms of Heart Failure

Symptoms of Heart Failure

By Mackenzie Distad, EP-C, BS 

ACSM  Certified Exercise Physiologist/Exercise Specialist

Heart Health Month at ExercisAbilities

We’re right in the middle of Heart Month 2018 at ExercisAbilities and still striving to raise awareness on all things heart health related. Earlier this month, I wrote about the signs of a heart attack. Heart attack and heart failure are both heart related but two different things. Today, I want to talk to you about heart failure and the signs you may see as the heart muscle weakens.

Heart Failure is the term used to describe a heart that can no longer keep up with the needs of the body. The heart muscle is weakened and is not pumping out as much blood (or oxygen) as the rest of the body needs to function.

Symptoms of heart failure include:

  • Shortness of breath (even at rest)
  • nausea or loss of appetite
  • chronic fatigue
  • lightheadedness
  • confusion
  • chronic coughing/wheezing
  • high heart rate
  • build-up of fluid in body tissues (edema)

 

If you are noticing any particular symptoms of heart failure, take action and contact a healthcare professional. Certain tests and scans can be used to determine if you have heart failure and what stage it might be in.

Though heart failure is a chronic condition, the symptoms can be managed and you can live a full and enjoyable life with it. Along with medications, lifestyle changes such as eating a heart-healthy/low-sodium diet and getting regular exercise, can help to control symptoms and progression of heart failure.

For more information on heart failure, visit the American Heart Association website at www.heart.org where you will find additional, valuable resources such as the Self-check Heart Failure Management Guide.

 


You can help with our 2018 Goals: 200 Twitter followers and 800 Facebook followers!

Follow us on  Twitter @Exercisabilitie and  Facebook @Exercisabilities

 

 

Pediatric Therapy Program at Exercisabilities

Pediatric Therapy Program at Exercisabilities

Why a specialized pediatric program is important when a child needs therapy.

 

Tessah Skoog, PT,DPT

Doctor of Physical Therapy

Beginning in January 2018, Exercisabilities now offers a pediatric program to meet the needs of the children in our community.  This new program creates a continuum of care from infant to adulthood in one location.  Your child can grow with their therapy program instead of growing out of it.  With a team just for kids, we now provide speech, occupational and physical therapy. We your child to be as independent as possible!

Similar Goals, Different Paths

Treatment for our pediatric program is not significantly different than that of our adult population. However, there are many things to consider when treating a pediatric client:

  • What are their strengths and weaknesses?
  • What are the parents’ goals for their children?
  • How can we get a child to actively participate in “play” that is therapeutic and purposeful?
  • What if a child won’t do what I want them to? Can I alter each activity to make it skilled and appropriate?

With the adult population, it is easier to make a plan at the beginning of your session and follow it straight through. For example, you might have an adult who has a diagnosis of post stroke. The session will focus on stretching, cardiovascular training, functional activities with sit to stands, reaching or gait training. At the beginning of the session, the client is educated on how the course of the session is likely to go, they agree, and the session is over before you know it.

Pediatric Program Takes Creativity and Passion

With the pediatric population, we need a different approach. There needs to be a variety of activities planned for therapeutic play and the child often does not cooperate the entire time. It takes creativity, energy and passion to treat a pediatric client. With ages ranging from 0-18 (and sometimes older) the pediatric population can provide challenges with how to facilitate functional activities. If you want to get a child to roll, how can you activate the appropriate muscles on the floor, on a stability ball? Use of a variety or resources is needed. It takes more than just telling the child to roll; it involves play, demonstration, and clapping when the activity is completed appropriately.

Consider a child that needs to strengthen their calves.   You want them to reach over head and go on to their tippy toes. Well, you need a mirror, a shelf or something for them to reach for. It then becomes an activity that they don’t even realize they are doing! They are on their toes reaching for their favorite toy above them because they want it so bad! A pediatric session waxes and wanes, it’s a rollercoaster. You don’t spend 15 minutes on one activity, you’re lucky to get 5 minutes!

Team of Therapists

It also takes a team.  The needs a developing child can be very different from that of an adult.  Things like learning development, speech development, social interaction, and ability to play can be impacted by trauma, cognitive or physical impairments.  Exercisabilities has an experienced pediatric team of occupational therapy, physical therapy, and speech therapy to work on all aspects of recovery and development.

But what about school therapy, isn’t that enough or doesn’t the school have an obligation to provide therapy to all children in need.  Yes, school-based therapies are important.  The goals of school-based therapies are to insure that all children get equal access to and benefit from school education.  Often, it is not enough.  For recovery and improved development to occur, frequency of intervention is key.  Accessing an outpatient skilled therapy program in addition to your periodic school-based therapies is often essential for success to occur.

Early Intervention

The overall benefit of a utilizing a separate and specialized pediatric therapy program with early intervention is to promote a higher level of independence lifelong for your child. We want each child to do as much as they can! With regularly scheduled therapies available at younger ages, strength can develop earlier, contractures can be prevented, speech can be improved, social interaction will excel, strategies for families and school can be made, and necessary equipment discovered.  As the child grows, adjustments need to be made often to make for a successful overall plan.  Pediatric therapy is IMPORTANT! Exercisabilities wants to be a place that makes all things POSSIBLE for children (and adults)!

At the end of the day, pediatric or adult, the goals are the same: to help each person reach their full potential and to improve. How we reach our goals and get to our final destination looks VERY different. Age is a number, but we need to be mindful how we meet the needs of our patients at all ages.

 


You can help with our 2018 Goals: 200 Twitter followers and 800 Facebook followers!

Follow us on  Twitter @Exercisabilitie and  Facebook @Exercisabilities

Forever Strong – Post Rehabilitation Program

Forever Strong – Post Rehabilitation Program

Forever Strong

Post-Rehabilitation Exercise Therapy

 

So you’ve been to rehab. “Been there, done that” as they say. What’s next? Nothing? It can’t be nothing. Your rehab needs aren’t gone. You know you haven’t maximized your recovery ability.  There must be more.

Relax, there is.

Physical Therapy at ExercisAbilities

Continuum Health Care

The Forever Strong Program at ExercisAbilities is a one-of-a-kind program in Rochester MN, created to provide post-rehabilitation fitness and recreational services when the need for full rehabilitation services are over or no longer available to you. It is a continuum rehabilitation healthcare program.

Post-Rehabilitation

Your rehabilitation needs may never end, however, “skilled” insurance paid therapy by an occupational, physical, or speech therapist may end.   It may end because your insurance coverage for rehabilitation ends. It may end because the therapist determines your rehabilitation has plateaued and believes you may not see significant improvement going forward. At ExercisAbilities we know that your long-term health and wellness goals likely require ongoing treatment with assist by skilled practitioners, which we call Post-Rehabilitation.

Post-Rehabilitation may be the next step for you. Post-Rehabilitation allows you to continue with a healthcare program specifically designed for you, your needs, your medical condition and your fitness level. This may mean more rehabilitation or a transition to exercise therapy, recreational therapy and exercise classes. The post-rehabilitation program we design will be customized for you.

Forever Strong Post-Rehabilitation Program

At ExercisAbilities, the Forever Strong Program is our unique approach to your long-term wellness. This program provides a lifelong approach to your wellness in relationship to your medical diagnosis or physical limitation. After an initial assessment of your ability level, our staff will determine the next steps in a program specially designed for you. Your program will be modified to accommodate your physical and cognitive abilities and will focus on providing safe and effective post-rehabilitation recovery interventions. We have specially trained exercise specialists and therapeutic recreation staff to serve you and the program is provided in consultation with onsite licensed physical and occupational therapists.

Your individualized program may include physical therapy, occupational therapy, exercise therapy (specialized medical fitness), diagnosis specific exercises classes and more. Our services range from group therapy classes, such as our Stroke Recovery classes, to specific and individualized exercise therapy.

 

Who needs Forever Strong?

The Forever Strong Post-Rehabilitation Program will be advantageous for a large variety of situations and diagnosis. Physical Therapy at ExercisabilitiesIf you have graduated out of a recovery or rehabilitation program but know you need on-going treatment to reach your maximum potential, then this program is for you. If your insurance coverage is maxed out, no longer paying for your rehabilitation, this program is for you. If you want to be Forever Strong, despite your physical limitations, this program is for you. If you want to find the ability in your disability, this program is for you. Wheelchair users, Parkinson Disease, Stroke Recovery, Multiple Sclerosis, Cerebral Palsy clients and more will benefit from this program.

How Do I Get Started with Post-Rehabilitation?

Getting started is easy. Every new client at ExercisAbilities receives a free, individual health fitness assessment. New clients meet with an Exercise Specialist or Therapeutic Recreation Specialist. Our staff will assess your ability level and review your specific history to help them understand your needs and goals. Together, you will plan your Road Map to Health which will include recommended classes and services to meet your individual needs. Staff will also give you a free orientation of our facility, so you can see the available equipment and exercise rooms.

To get started, stop by our front desk to schedule your New Client Assessment or call 507-259-7570.  We do not require a medical provider referral.

How Much Does Post Rehabilitation cost?

The Forever Strong Post-Rehabilitation Program is customized per client, allowing us to design individualized post-rehabilitation programs for each client. Your custom program may include a variety of our services and thus there isn’t a set cost for the program.

As part of your New Client Assessment, you will meet with our business office staff to explore your payment options. This may include self-payment, waiver assistance with state funding programs, a sliding-scale payment or subsidized payments made possible by community donations to ExercisAbilities as we are a non-profit organization.

Because this is a post-rehabilitation program, most often used after prescribed rehabilitation or insurance payments have ended, it is unusual for formal medical insurance programs to cover the costs but check with your insurance company.

Forever Strong – A Lifetime of Health and Fitness

Being well is not a luxury, it is a need to which each person should have access. Massive amounts of research now point to activity and fitness as the primary factor in living a longer, healthier life. Don’t let your rehabilitation journey stop and risk going backward in your progress.

Call 507-259-7570 or stop by our office at 2530 N. Broadway to get started.

Keep gaining strength by joining our Forever Strong Post Rehabilitation Program today!


You can help with our 2018 Goals: 200 Twitter followers and 800 Facebook followers!

Follow us on  Twitter @Exercisabilitie and  Facebook @Exercisabilities