Exercise Balls: Low Impact, High Yield

There’s something appealing about being able to sit down to exercise.  As the owner of two unused exercise balls, I realized that I could try some of the bounce exercises mentioned by Dr. Jonas (in a comment on a previous post) without an expensive trip to the store.  He’s blogged a bit about the exercises he’s been doing, and I’ve been intrigued.

First, since my exercise balls are two different sizes, I wondered if the size matters.  Yes, it does.  I checked a number of websites and all agreed that the size of the ball mattered; they even provided handy little tables where people can check their height and guess what size ball they might need.  There’s incongruity in giving height in standard units but ball size in metric units, yet that seems to be the norm.  Compiling data from many sources, here are the recommendations that all seem to agree on:

Sizing Exercise Balls

If you don’t happen to be a height that appears in the above chart, there is disagreement on what size ball might be right for you.  Much disagreement:

ExerciseBallSize

Since my height doesn’t appear in the upper (green) chart, I go with the bold column of the lower (blue) chart, since those numbers are from a physical therapist.  One would hope that PTs are making recommendations based on what’s best for a person’s health.  The other numbers are from companies trying to sell balls — probably not the best source of reliable health information.

HOWEVER, those numbers are just a recommended starting point.  Some people have long legs for their height, and others have short legs for their height.  People of equal heights weigh different amounts, thus will compress their exercise balls different amounts.  A variety of factors come into play when finding the right fit for an exercise ball.

The best test in finding the right size ball is to fully inflate the ball and sit on it.  Everyone agrees that thighs should be approximately parallel to the floor, and hips should be at or above the knee height.  Those who have a financial stake in getting you to buy a ball say not to worry too much about the size – just don’t inflate it all the way if the ball is too big.  The PT is most emphatic that people need to fully inflate an exercise ball to get maximum benefit from the exercises.

Once you have a ball, start bouncing.  It’s easy.  It’s fun!

Bouncing on an exercise ball is low impact – important for people with RA. There’s no rough pounding of knees, hips, and ankles (although my spine starts to feel it after a while).  Ski machines, elliptical trainers, and swimming are other low-impact ways to exercise, but a bounce ball is significantly less expensive and takes less space to store (I can deflate mine and store it in my sock drawer if space is an issue).

Initially I wasn’t sure how much exercise it would be to have fun bouncing on a ball like a little kid.  Then I remembered the hoppity-hop!  Oh, yes, bouncing on a ball counts as exercise.

Even better, these balls can be used for other exercises, too.  There’s a reason that physical therapy offices have an assortment of sizes to fit every patient who walks through the door.

Some exercise balls come with a chart illustrating possible exercises.  There are many websites & youtube videos with exercises.  Some are better than others. The only ones I’ve liked so far:

Whether you use an exercise ball or not, it’s important to do stretches and low-impact exercises to build/maintain muscle strength so that joints work as smoothly as possible.  I’ll check into some more resources, and see if I can find a good, RA-friendly routine.

________

Exercise balls are also called a Swiss ball, Swedish ball, bounce ball, core ball, body ball, physioball, therapy ball, stability ball, fitness ball, pilates ball, yoga ball…
________

What Can Rheumatologists Learn?

My youngest son’s best friend was diagnosed last week with type 1 diabetes.  I am amazed at the education and support the family is getting.  This won’t be a post about diabetes, though.  I’ve been thinking about the difference between how newly diagnosed diabetes patients are treated and how newly diagnosed RA patients are treated.

It’s pretty common for a primary care doctor to diagnose RA and write a referral to a rheumatologist.  Depending on the part of the country, there’s a 2-3 month wait until the rheumy has a new-patient appointment open (so much for early, aggressive treatment).  On the other hand, a kid diagnosed with diabetes is seen by a specialist within a few hours.  Obviously there’s a need for a new diabetic to be seen promptly, so doctors arrange their schedules accordingly.  Why can’t rheumatologists keep a few new-patient appointments open so that people can be seen and treated in a timely manner?

In theory, RA patients can benefit from physical therapists, occupational therapists, psychologists, podiatrists, and neurologists, but only learn about some of those options from online support groups, not from their doctors.  What a difference with diabetes!  At the hospital, a whole team of people introduced themselves, did some teaching, and explained how that particular specialty could be of assistance.  The family saw an endocrinologist, a psychologist, a diabetes educator, a nutritionist, and a slew of others, too.

understanding_diabetes_book3aThe diabetes educators wanted to talk to our friends’ entire family, and gave them a notebook to store all their handouts.  Our friends were given a little book to use for looking up the carb count on just about any food they might think of, and taught how to use it.  They were taught about diabetes and what they need to do to control it, then given a terrific book explaining all that information again so that the teaching gets reinforced.  On the other hand, RA patients receive… nothing.  Families are told… nothing.

Disease control is another area where there’s a huge discrepancy.  Diabetes patients are under control when they leave the hospital.  RA patients take 3-12 months, if they’re lucky, to get under control.

After my son’s friend left the hospital, he had a follow-up appointment at the clinic two days later.  The appointment was 3 hours long and provided additional education.  After an RA patient finally gets in to see a rheumatologist, follow-up is a 20 minute appointment in three months.

How easy is it for RA patients to contact their doctor with a question?  The endocrinologist seeing my son’s friend provided his business card with clinic and cell number on it, and emphasized that there is 24 hour support available; they’re to call any time they have a question.  The doctor explained clearly that after hours, there are nurses who stay up all night just to answer phone calls, and it is okay to call in the middle of the night.  There’s no need to wait for the office to open; just call.

Now, I understand that DKA is an emergency in need of immediate treatment; RA isn’t an emergency.  That doesn’t mean that RA patients don’t need and want information and some support to figure out how to deal with our new normal.  There are medicines that can help, and it is unconscionable to hand RA patients a prescription for something that might help in 3-6 months and tell us we’ll just have to suffer in the meantime.

I suspect there’s a lot that rheumatologists could learn from pediatric endocrinologists.  I also suspect that, in the long run, insurance companies would save money by funding education and prompt treatment.  What’s it going to take to make it happen?

Happy New Year!

CalvinAndHobbes

If only my name was Calvin.  Alas, there are days I feel more like Pigpen.

Resolved… I just can’t make a million resolutions that I’ll never keep.  How about just one:  I resolve to try to take better care of myself.  This body is the only one I get, so I need to take better care of it before it completely gives out.

Diet:  It matters what I put in my car’s gas tank, and it matters what type of fuel I put in my own body.  I resolve to pay more attention to using the best fuel.  This includes a good look at what goes into my garden so I can grow most of our produce.

Activity:  I hate “exercise” because it makes me think of running (which I hate), or gyms full of little kids doing jumping jacks (let’s not go there).  I’ll be teaching swimming lessons, and will try to do some laps between classes, but that’s not going to provide as much activity as I really need.  My home gym is great, but it’s in the garage, which is freezing cold this time of year (really, the refrigerator is warmer than the garage).  I’m considering developing a routine that can be done in the nicely heated house on an exercise ball. Dr. Synonymous’ mentions of his Get on the Ball exercise classes sound low-impact and warm, so I’ll look into doing something similar.

Weight:  Not going to worry about it.  Since my rheumy and PT both have said my weight is okay (I think they’re lying), I’m going to concentrate on eating well and getting at least 30 minutes of activity daily.  With any luck, gravity will lessen its hold on me, but I’ll quit worrying about it.

Meds:  After my horrid ordeal with pancreatitis and being off meds for three months for surgery & recovery, it was difficult getting back into the habit of taking all those pills & shots.  Add in a schedule change and additional prescriptions, and things have been less than ideal.  I resolve to resume taking all prescriptions exactly as prescribed.

The resolution is to try.  If I have an off-day, then I resolve to not give up but try again.  This should finally be a resolution I can keep.

Good luck with any resolutions you make!