July 22, 2008

Adaptations Help to Meet Challenges

By Mary Ann Ford

BLOOMINGTON - Physical disabilities often present an exercise challenge, but an adapted exercise program still can bring results.

"We always start and maximize the function they have," said Katrina Hird, a physical therapist with BroMenn Regional Medical Center. "A huge component is looking at what is the task they want to do."



"Have the opportunity to cool off," she said. "Have cool rags and ice water available. Start in a place that's cooler or where there is air conditioning. Have a bike with a fan."



Other daily tasks also help build muscle strength. "Putting away groceries works the arms and the trunk," Hird said.

Exercise is no different.

"Start small and work on progressing up," she said. "Lie flat to do exercise, then work up to lying on your side and lifting your leg. Use gravity to your advantage."



Meanwhile, a food diary can help keep tabs on what McClintic refers to as "mindless eating."

"You don't realize how much you nibble or graze throughout the day," she said.

A food diary helps track emotional eating episodes. She suggests writing down what you eat, the time of day, the mood you're in when you eat and who is around when you're eating.


"Clean out a drawer, fold laundry, do your nails or brush your teeth," McClintic said. "Get sidetracked, and sometimes the urge will go away or be less."

Don't drink calories unless it's skim or lowfat milk, 100 percent juice or unsweetened tea. Water is the best choice.

"Eat as many fruits and vegetables as possible," she said.


But eating healthy shouldn't allow you to overeat - portion sizes still are key.

McClintic suggested looking at labels to determine serving sizes.

"If a boxed dinner says three servings per box, the box isn't just for you," she said.



