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Archive for category: Sports and Leisure

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Against the Odds

Julie Entwistle, MBA, BHSc (OT), BSc

Every day I witness how an accident or trauma can derail someone’s life.  And size does not always matter.  A small accident can have catastrophic results, depending on who it happens to.  My clients, searching for answers, often want dates and timelines to map out their recovery and to try and understand for how long their life might be disrupted.  They are often faced with financial hardship or ruin, jobs on the line, families that are not coping, and independence lost.  They need to emotionally prepare for the road ahead.

In physical rehab, answers are easier – doctors are skilled at predicting when people can weight-bear, when the cast might come off, when they might be able to return to some form of normal function.  But what is difficult to predict, always, is the emotional consequences of an injury, and the length and completeness of a cognitive recovery.

In my world, optimal recovery comes from the combination of many things:

1.    A body that is given the optimal fuel, resources and environment for healing.

2.    A motivated client.

3.    Funding for rehabilitation, including a supportive insurer.

4.    A lawyer (if present) that supports and fights for treatment approvals.

5.    An external environment that fosters recovery (family, friends, employers, financial security, and a suitable living environment).

If one of these things is lacking, the entire process suffers.  So, while I always want to provide hope and encouragement for people in their recovery, I cannot control any of these factors and they can mean the difference between weeks and years of disability.  For some, the odds of these factors aligning are often stacked too heavily against them and the outcome does not look good.

And then there are the people that surprise us all and beat the odds.  Those people that return to work more quickly than we thought possible, can walk when they were told this would be unlikely, and whose family unite and become stronger when faced with a challenge.

Right now we are in the middle of the Olympics.  I thought it would be appropriate to share some Olympic stories of athletes that overcame adversity to fulfill their Olympic dreams (revised from Oxygen Magazine, Winter Olympics Issue):

Betty Robinson was 16 when she competed and won gold in the first Olympics that allowed women to participate in track (1928).  In 1931 she survived a plane crash that left her in a coma for seven months.  It took her two years to walk again.  Yet, she returned to the Olympics in 1936 and won another gold.

Melissa Stockwell lost her left leg in Iraq while serving in the U.S. Army in 2004.  Four years later she completed in the Beijing Paralympics in swimming.

Quanitta Underwood suffered years of childhood abuse by her father.  At 19 she discovered boxing and went on to compete in the 2012 London Olympics.

Silken Laumann was an accomplished rower when she broke her leg badly months before the 1992 Olympics.  After five surgeries and three weeks in hospital, she returned to training six weeks later and captured bronze in the summer games that same year.

So, if you have been injured or endured trauma that has set you back, don’t ever count yourself out.   Odds are just odds…made to be challenged, defied and broken.  While I can’t control anything on the list of things that promote an optimal recovery, you can.

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Can Healthcare in Canada Learn From the Olympics?

We’ve waited four years for another winter Olympics and they are finally here!  For the next 2 weeks athletes from around the world will put it all on the line to strive to be the best in their particular sport.  How do they get there?  Through diligent physical and mental training and excellent coaching.  The following from the Hamilton Spectator has drawn a parallel to how Olympic athletes are coached and trained to how Canada can improve its healthcare system.  Read on and see if you agree that coaching may be the missing link to giving Canadians the best healthcare possible.

The Hamilton Spectator: Healthcare Improvement and the Olympics

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Stay Safe On The Slopes

Skiing and snowboarding are becoming more popular as a fun and healthy way to stay active in the winter months.  However, these downhill activities can lead to serious injury unless proper safety measures are taken.  To reduce the risk of injury, use proper equipment, always wear a helmet, have proper training, and participate only on the runs your experience can handle.  The following article from the Canada Safety Council discusses these and other ways to stay safe on the slopes.  

Canada Safety Council: Safety On The Slopes

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Winter Got You Down?

I made a Facebook comment after the Holidays that I was slowly recovering from Christmas Affective Disorder.  For me, Christmas is stressful, hectic and challenging.  I struggle with it every year.  After the seasonal rush, it takes me days, or even weeks, to get back to my normal equilibrium.  However, really, winter despair is not a joke and for some, can be debilitating.

In fact, some research suggests that up to 15% of people in Ontario experience the “winter blues”. These leave you feeling tired, groggy, and maybe even sad or irritable.  While this causes discomfort, it is not incapacitating.  However, a more serious form of the winter blues, known as Seasonal Affective Disorder (SAD), can be.  While occurring less frequently at 2-3% of the population, the symptoms can prevent individuals from leading a normal life.  Symptoms of SAD include decreased energy, changes in appetite, especially leading to cravings for starchy or sweet foods, oversleeping and weight gain, among other things.  If you feel this is you, talk to your doctor and have your symptoms investigated.

The problem is not always the blues, but how these create a negative behavior cycle.  When you feel down, you revert, avoid, or change habits.  This leads to feeling worse and the cycle continues.  Occupational therapists (OTs) recognize the importance of being engaged in activities that are meaningful, active and productive, and understand how these contribute to health and well-being. In fact, one of the best treatments for beating the winter blues involves just “keep on keeping on” by doing what you normally do every day.  Some tips include:

 1.       Use behavioral activation to keep your normal routine.  Make the bed, have a shower, prepare a decent breakfast, walk to the mail box.  Don’t change habits that are ingrained just because it is winter.  Never underestimate how damaging it can be if you avoid even small things that ultimately add up to a productive day.  Gradually try to get back to those important tasks if you have found that your daily behaviors have become unproductive.

2.       Stay active.  Those that love the winter do so because they get outdoors.  Walk, ski, skate, toboggan – something to help you appreciate how wonderful a change of seasons can be.  This is best facilitated by proper clothing that will keep you warm.  If exercise is tough for you, build it into your day by default – park farther from the door, use the stairs, make a few trips from the car with the groceries to get the blood flowing.

3.       Consider light therapy.  Sit by the window at lunch, get some fresh air when the sun is out, or consider purchasing an artificial light for your use at home.

4.       Up the nutrients.  When some bad eating habits creep into your winter these can be hard to break come spring, and only contribute to further mood declines.  Shop in the fruit and veggie isles, and avoid the isles that house the bad foods you seem to be eating too much of.

Finding ways to help you do the things you want to, need to, or enjoy, is at the heart of occupational therapy. While the winter months can be long, dark, and cold, ultimately how we adapt to the seasonal change is up to us.  If moving or going south is not an option, consider some of the above tips to make the winter bearable, or dare I say, even enjoyable?

Seasonal Affective Disorder. (Canadian Mental Health Association, 2013) http://www.cmha.ca/mental_health/seasonal-affective-disorder-sad/

Beat The Winter Blues (Readers Digest, no date) http://www.readersdigest.ca/health/healthy-living/beat-winter-blues

Kurlansik, SL & Ibay, AD. (2012). Seasonal Affective Disorder. Am Fam Physician. 2012 Dec 1;86(11):1037-1041.

10 Winter Depression Busters for Seasonal Affective Disorder (Borchard, no date) http://psychcentral.com/blog/archives/2012/12/30/10-winter-depression-busters-for-seasonal-affective-disorder/

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Baby It’s Cold Outside! Cold Weather and Your Health

Have you ever wondered if there’s truth to the statement that being exposed to the cold will give you a cold? Or if a hot cup of chicken soup is the miracle cure for the common cold? Is there any truth to this or is it simply an old wives tale? These any many other winter health myths are discussed in the following article from Woman’s Day Magazine.

Woman’s Day: 10 Winter Health Myths Exposed

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Heart Smart Snow Shovelling

Winter has just begun and if the predictions are right there is a long snowy season ahead! Shovelling snow is a necessity to ensure safety for yourself, visitors and passers by. It can be a great form of winter exercise if done properly, however, if you have a heart condition or are at risk for developing one, shovelling snow can pose many dangers. The following article from the Heart and Stroke Foundation discusses how to shovel safely.

The Heart and Stroke Foundation: Shovel Smart this Winter

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The Benefits of Yoga: Body and Mind

Yoga is a fantastic, low impact way to exercise and take care of your mind and body.  Its increasing popularity in the Western world has created many easy ways for you to get involved. Yoga is a great way to achieve balanced living as the principals of Yoga promote peace, kindness, and overall well-being.  The following infographic from the Huffington Post shows the impact yoga can have on your body and mind whether you try it once or practice for years.
Namaste.

 

Read the full article:

The Huffington Post: How Yoga Changes Your Body, Starting The Day You Begin

 

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Brain Health and Sports: Use Your Head… Don’t Abuse It

Earlier on the blog we discussed the dangers of concussions in both football and hockey; however, many across the world are now concerned about potential brain damage that can occur from other sports such as soccer and rugby.  Although these sports do not have as much hard contact as hockey or football, they are rough and knocks to the head are still likely to occur.  The following from Reuters Canada discusses the growing instances of head injury in sports other than boxing, football and hockey.  It is so important no matter what your sport to wear a proper equipment, and tknow the signs and symptoms of a concussion or brain damage.  Remember, play smart and play safe!   

Reuters: Brain damage concussion fears seep into rugby and soccer

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Occupation Is: Doing Fun Stuff

Remember:  Occupational Therapists define the word “occupation” as the way people “occupy” their time.  So, for us, this term actually includes all roles involved in living (again, therapy for living, who knew?).  In keeping with my theme for October, in celebration of OT month, I will continue to explore the journey of “occupation” from morning to night, highlighting how OT’s help when things breakdown along the continuum that is living.

So, what are your plans after work?  How do you like to spend your evenings?  What do you do for fun?  Given the choice, how do you spend free time?  While being productive is essential for the human psyche, so is being unproductive.  Well, sort of, because even a lack of productivity is productive.  Deep, I know.

Personally, I love a good funny movie, dinner with friends, time with nature, getting out with my kids, exercising, playing sports, reading, blogging, and going on vacation.  Those are my “fun”.  For others, this could be creative hobbies or outlets, museums, live theatre or music, antiquing, collecting, photography, being online, or a thousand other things that I don’t even know exist.

So what if I was injured, suffered from a mental health problem, have a medical issue, or brain injury?  Perhaps I would lack the ability to sit through a movie, or could no longer understand the nuances of humor.  Maybe my personality would change and my friends would have a hard time relating to the “new me”.  Or, I could no longer physically handle my nature walks, exercising or playing sports.  If my vision was impaired, I could not read anymore.  If I struggled with cognitive communication, or attention problems, putting together a blog article might also be off the table.  And vacations?  Those are incredibly difficult to plan and organize at the best of times.

Occupational therapists are very skilled at helping people resume the occupation of fun.  There are multiple ways we do this, as we recognize that our “fun” defines much of who we are, and why we work so hard in the first place.  For example, if I had to rehab myself from the problems above, I might start with suggesting sit-coms as these require less physical tolerances for sitting, and a shorter attention span.  I could view these with another person, and discuss the humor, sarcasm, and recall the best one liners.  Perhaps I would need education and support to understand how my personality changes are impacting my relationships, so I can try to make some changes.  If my physical abilities were limited, my OT could help me find new ways to enjoy nature (bird watching, photography as examples), and could help me discover new sports and forms of exercise within my abilities (yoga, Tai Chi, and many modified sports have become very popular for people with disabilities).  If I can’t read a standard book, maybe I could use an iPad or e-reader so I can change the font size, or switch to audio-books.  For my blogs, I could learn new ways to move from a blog idea to a full article, by breaking down the topic into paragraphs or chunks, or learning how to dictate if written communication is my challenge.  Vacations could take the form of day trips, short overnights, and eventually out of the country through the help of a travel agent that specializes in planning accessible vacations.  I would probably learn that in Canada my attendant can fly for free (with approved paperwork), and that many places (Disney included) are highly accessible.

So if a disability is stopping you from enjoying the occupation of fun, OT’s treat that.

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Make Sure to Make Time For Play Time

Looking to connect with your kids?  Then break out the dress up box and indulge them (and yourself) in a game of pretend.  Whether playing school, store, dressing up for a ball or to fight a dragon, pretend play can get imaginations flowing, help with emotional issues and strengthen the family bond.  Research has shown that especially for kids with special needs, pretend play is a must.  Whether you join in or simply encourage your child to play pretend on his or her own, stepping into an imaginary role can do wonders for your entire family!  And this does not include turning on the TV!

Everyday Family: How Pretend Play Helps Kids with Special Needs