Running head: PHYSICAL ACTIVITY AND WELLNESS Physical Activity and Wellness Timothy von Behren Concordia University PHYSICAL ACTIVITY AND WELLNESS 2 Physical Activity and Wellness There is an inextricable relationship between physical activity and wellness. As a prospective physical therapist, communicating this relationship is absolutely vital to the success of my future clients. The following two interviews illustrate how age may affect physical activity. The concept of wellness is truly a nebulous one and common definitions are quite arbitrary. Bearing this in mind, please note that these persons appear to be in a state of good health and were not aware of any underlying risk factors for disease at the time of the interview. My 79-year-old grandma reports that she engages in minimal physical activity (M. Eames, personal communication, 2014). She ambulates with a slight lateral sway and complains of ankle instability. Although she wears custom-made orthotics to alleviate some of the discomfort associated with walking, my grandma chooses to avoid physical activity that is not goal-oriented. She does enjoy the occasional early morning walk, but only when accompanied by a close friend with whom she can converse. These walks average around thirty minutes in duration and occur about five times per week, except in the winter months when the temperature and her walking frequency drop to zero. My grandma reports that when she was in elementary school, she was nicknamed “the deer” because of her unmatched sprinting ability as a softball player. I explained to her that her reduced ability to engage in high-impact physical activity could be compensated for through some form of resistance training, the goal being to increase bone mineral density. It is well known that bone mineral density has implications in falling. According to the Surgeon General (2004), “Muscle strengthening reduces the risk of fractures by improving balance, mobility, and speed of movement, each of which PHYSICAL ACTIVITY AND WELLNESS 3 helps to prevent or reduce the severity of falls.” After some further discussion, we discovered that she does engage in some form of resistance training. Using a push mower, my grandma cuts her own grass during the summer months, a precautionary step in fall prevention. In contrast to my 79-year-old grandma who exercises primarily to avoid the risks associated with the aging process, my 19-year-old brother engages in physical activity for reasons related to stress reduction and cognitive enhancement (D. von Behren, personal communication, 2014). He is a collegiate musician and has a tremendously demanding practice schedule and reports that there are some weeks where he feels too busy to exercise. However, he admits that he experiences an improved perception of self when he does engage in vigorous physical activity. Furthermore, he notes that intermittent exercise throughout the day in the form of running is especially effective for him when he is learning a new and difficult piece. According to the Centers for Disease Control and Prevention (2011), “You can break up your [physical activity] into smaller chunks during the day as long as your activity is being performed at a moderate or vigorous effort for at least ten minutes at a time.” Although he thoroughly enjoys running with friends, he values the positive physiological effect of running to a greater extent. As a prospective physical therapist, educating my clients of the importance of daily physical activity is more than just an adjunct to my prescribed exercise program, but is rather an essential component in their journey to attain optimal wellness. The gradual integration of specific exercises into natural physical activity serves to modulate the biomechanical execution and results in observable changes in movement pattern. Movement patterns both affect and are affected by thoughts and perceptions of reality. PHYSICAL ACTIVITY AND WELLNESS 4 From my own experiences and observations, I believe the crux of a successful physical therapy program to be the dovetailing of a sound body and a sound mind. Physical activity, irrespective of client age and execution intensity, is paramount in facilitating this integration. Frequency and duration are my primary focus from the rehabilitative perspective. It is this focus that moves both young and old toward the state of optimal wellness. PHYSICAL ACTIVITY AND WELLNESS 5 References U.S. Department of Health and Human Services. Bone Health and Osteoporosis: A Report of the Surgeon General | SurgeonGeneral.gov. (2004, October 14). Retrieved January 28, 2014, from http://www.surgeongeneral.gov/library/reports/bonehealth/chapter_6.html#KeyMessages Centers for Disease Control and Prevention (CDC). Physical Activity for Everyone: Guidelines: Adults | DNPAO | CDC. (2011, December 1). Retrieved January 1, 2014, from http://www.cdc.gov/physicalactivity/everyone/guidelines/adults.html