Have you lost your butt? Physical therapy for the Female Athlete.

February 16, 2018
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Part 2 of our interview with Nicole Debrie, PT and Pelvic Floor Specialist. Nicole focuses on common issues and injuries that can occur with female athletes and focuses on the need to strengthen our core muscles for recovery and better performance.

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  • Having a flat ass as a runner is pretty common. Our ‘bum’ as polite Nicole calls it, is part of our core system in our body and we do not have a sturdy base other muscles have to compensate. The muscles that make up our core are the diaphragm, the abdominal muscles and our pelvic floor muscles and glutes.

 

  • Pregnancy can exacerbate issues that you might not have had trouble with earlier, but occur after pregnancy and postpartum. Also, sports that can emphasise muscle definition ( the global muscles) over stabilization (the core muscles) can put the system as a whole at risk.

 

  • We can’t strengthen a muscle if our brain can’t find it! The brain nerve connection is an important aspect of physical therapy and how we can recover from an injury.                                                                                                

                                                                                            

So You Know She Is Legit...

 

Nicole DeBrie is a pelvic floor physical therapist in Kansas City, MO. She specializes in treating both males and females with pelvic pain, back pain, SI joint pain, urinary or fecal incontinence, bowel dysfunction, prolapse, pain with intercourse and pregnancy-related pain or issues.

Nicole studied at Kansas State University in Manhattan, KS, receiving a Bachelor of Science degree in Kinesiology in 2012. She then completed her doctorate of physical therapy at Rockhurst University in 2016. Nicole was drawn to pelvic floor physical therapy immediately upon being exposed to this population during PT school. She completed a full-time internship at Foundational Concepts (a clinic specializing in the treatment of pelvic floor disorders), receiving extensive training in pelvic floor physical therapy, before accepting a position there as a full-time physical therapist in 2016. She has continued to further her knowledge in pelvic floor PT through continuing education courses with the Herman and Wallace institute. Nicole is working towards obtaining her Women’s Health Certified Specialist (WCS) certification through the American Physical Therapy Association (APTA).

Nicole has a special interest in treating women with pre- and postnatal musculoskeletal conditions. She strives to help women during and after pregnancy maintain or return to their desired level of function or exercise. As an avid endurance runner and two-time Boston Marathon qualifier herself, Nicole feels she can relate with this active population. Nicole believes there is no “cook-book recipe” on the right way to recover from or navigate through pregnancy. She is devoted to working with patients individually to meet their unique needs and goals.

When not at work, Nicole enjoys running, hiking, traveling, brunching and doing all-things outdoorsy!

 

How to Connect with Nicole Debrie:     nicole@foundationalconcepts.net   Check out Foundational Concepts, for more information on pelvic floor dysfunction, recovery during pregnancy and postpartum and PT for the active woman. https://www.foundationalconcepts.com/

Getting a sniff of something special - Courtney Frerichs

February 9, 2018
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Courtney Frerichs shares her story of “Getting a sniff of something special” on PHIT for a Queen podcast:

  1. “I always dreamed of being an Olympian but in gymnastics”
  2. Coach encouraged her “Put yourself in a place to give yourself a chance.”
  3. Sometimes you just have to take the advice and trust your coach.
  4. Courtney believes 100% that the only way that her and Emma Coburn were able to accomplish gold and silver was they worked together as a team and not against each other.
  5. The body is physically able to do so much more than we give it credit for.

6.My multi-sport background helped me learn focus, time management and building different muscle groups that only helped me within my other sports.

7.The only way as women we're going to make progress is to lift each other up

You can follow Courtney’s career at:

https://www.courtneyfrerichs.org/about/

Courtney started an early age participate in track but spent most of her school-age career doing soccer and gymnastics. Then began her local track career at University of Missouri Kansas City (The Roos) where she was a five-time All-American. Courtney then transferred to University of New Mexico where she helped lead her school to a national cross country Championship, individual Steeplechase championship and set an NCAA record in the steeplechase.

Shortly after completing her NCAA eligibility, she signed a contract with Nike and the Bowerman Track Club.  In July of 2016, Courtney fulfilled her childhood dream of becoming an Olympian after finishing second in the 2016 U.S. Olympic Trials in the steeplechase.  She now trains at the Nike World Headquarters in Beaverton, OR, and is coached by Jerry Schumacher and Pascal Dobert.  

Courtney made history winning silver at the 2017 World Championship along with her teammate Emma Coburn!

 

Dr. Kathryn Ackerman, Expert on The Female Athlete

February 2, 2018
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The number of girls and young women in competitive sports has skyrocketed in the last few decades. At the same time, Boston Children’s Hospital Sports Medicine —the first pediatric sports medicine center in the U.S. — has grown and specialized to meet the unique needs of female athletes. Dr. Ackerman speaks on common issues that occur in active women and new developments coming out of the Female Athlete Program.

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  • There are some issues that are more common in women athletes than for men, and both genders do need to learn how to play their sports safely, athletic training for girls continues to lag, because coaches, parents and doctors are less familiar with girls’ distinct needs
  • Injury risks are increasing in And the risks are increasing as younger children — both girls and boys — focus on one sport, fail to cross-train, and play under tremendous stress.
  • Female athletes are more likely to suffer knee and shoulder injuries, ACL tears, amenorrhea, as well as eating disorders.                                                                                              

                                                                                            

So You Know She Is Legit...

 

Kathryn E. Ackerman, MD, MPH is a sports medicine physician and the medical director of the Female Athlete Program in the Division of Sports Medicine at Boston Children's Hospital. Her interests include female athletes, rowing injuries, endocrinology, female athlete triad, optimizing performance and health in athletes with diabetes, exercise-associated hyponatremia, and exercise and bone health in adolescents. Dr. Ackerman sees patients in Boston and Waltham. Dr. Ackerman interests in clinical care and education involve merging disciplines of sports medicine and endocrinology, while advancing the science and understanding of these interwoven specialties. She has presented locally and internationally about the female athlete triad as well as diabetes and exercise. Dr. Ackerman is a former national team lightweight rower, a team physician for US Rowing, and the course director for the Female Athlete Conference, held biannually at Boston Children's Hospital.

 

How to Connect with Dr. Ackerman and the Female Athlete Program

http://www.childrenshospital.org/centers-and-services/programs/f-_-n/female-athlete-program

Information on the Female Athlete Conference, Coming 2019!

https://bostonchildrens.cloud-cme.com/Aph.aspx?P=1&EID=333

The super woman of The Big Game - LISA KEARNEY

January 26, 2018
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Lisa Kerney “Four Kids, Family, Fearless Female and Football” She answers just that on PHIT for a Queen podcast:

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  1. “I always knew I wanted to be in sports in some capacity”
  2. Broadcasting was my calling. From a young age I told my family “I want to be on ESPN”
  3. Giving thanks to Women that broke into the Industry & paved the way- Hannah Storm & Linda Cohn
  4. Starting small opened big doors- From Butte, Montana to Seattle to now the Big Apple-New York
  5. To be able to be a Mom and a professional you have to have a partner that supports you.
  6. At the end of the day my family and my marriage are my pride & joy.
  7. Ultimate career goal is to flip the lights on at the Plaza- come on KC!!

Where you can find Lisa:

http://espnmediazone.com/us/bios/lisa-kerney/

@LisaKerneyESPN

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Her Journey to ESPN:

LISA KERNEY is currently a sports anchor/reporter at ESPN based in Connecticut. She anchors SportsCenter at 10am ET weekdays, Fantasy Football Now at 10am ETon Sundays during the NFL season and hosts ESPN's first ever internal podcast called "Stay Curious."

Kerney joined ESPN in February 2014 as a studio anchor, appearing on various shows across several ESPN platforms.

Prior to joining ESPN, Kerney had been at WCBS-TV in New York, serving as sports anchor for CBS 2 News This Morning since January 2012. While at CBS/WLNY, Lisa additionally co-hosted the morning show called "The Couch" from 7-9am covering the Tri-State Area (2012-2013). She had also been at MLB Network where she was a sports contributor/reporter (October 2010-December 2011). In 2012, she was nominated for an Emmy alongside her WCBS-TV team.

Previously, Kerney was at KING-TV in Seattle (October 2005-10) serving as weekend sports anchor and Northwest Sports Tonight host. She was also responsible for the national highlight segment of The Jim Mora Show, which aired after every Seattle Seahawks game.

 

Kerney began her career working as the sports producer/reporter/anchor at KXLF-TV (CBS-affiliate) in Butte, Montana (September 2004-05). She received the Montana Standard 2005 People's Choice Awards: Top Choice for "Best Sports Reporter," and "Best TV Personality."

A proud native of Kansas City, Kerney is a graduate of Lynn University in Boca Raton, Fla., where she majored in broadcast communications and was point guard and captain of the women's basketball team where she earned Female Scholar Athlete of the Year Honors in 2004. Her husband, Patrick Kerney, played for the Seattle Seahawks and Atlanta Falcons. They have three daughters and a son and reside in Greenwich, CT.

 

 

Redefining Motherhood with Adventure Mamas Initiative

January 19, 2018
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Just because you are a mother doesn’t mean you have peaked!  Justin Nobbe, Co-founder of Adventure Mamas Initiative joins us today to discuss that difficult balance of being a mother and taking that time to enjoy activity. She touches on those sensitive topics of motherhood guilt and shame and how to support each other!

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  • Adventure Mamas facilitate adventure, helps build community and provides inspirational and educational resources.
  • Motherhood guilt can come along with the job! It is multifaceted; coming from our own internal expectation as well as how motherhood is portrayed by social media.
  • How do you be a mom and stay involved in the activities you love? Justine encourages bringing the kiddos along for the ride and finding ways we can integrate our children as well as collaborating with our tribe to support each other.                                                                                                                                                                                                                          

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So You Know She Is Legit...

 

Justine Nobbe is the co-founder and executive director of Adventure Mamas Initiative: an NPO using adventure to support women's postpartum health. She is a writer, experiential educator, maternal wellness advocate, community builder, wife, and mama. Adventure has saturated both her professional and personal life, and she firmly believes in the growth, healing, and transformation that occurs when you pursue challenge in the wild.

 

How to Connect with Adventure Mammas:

http://adventuremamas.org

Is it in your Genes? Stacy Hunt

January 12, 2018
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Dr. Stacy Hunt “Epigenetics of mental health disorders including eating disorders and addictions”. She answers just that on PHIT for a Queen podcast:

  1. Her personal journey lead her to career that she shares a passion and common bond with her clients.
  2. Work with genetics has shown significant correlation with heritability and risk for eating disorders, & substance abuse.
  3. Personality traits put us at risk but the environment pulls the trigger.
  4. Looking at the triggers we face: athletic pressure, body image in media, & increased pressure to eat healthy.

 

Where you can find Dr. Hunt:

Main Phone Number: (267) 755-9333

 Newtown Therapy & Wellness Center

17 Barclay Street, Building A
Newtown, PA 18940

 (Mailing address only is 444 S. State St. Newtown PA 18940 Building A)

 Fax: (215) 550-6966

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So you know she is legit:

Dr. Stacy Hunt, Clinical Psychologist, is Co-Director at Bucks Support Service as well a Newtown Therapy & Wellness Center.  She holds a Ph.D. in Clinical Psychology from the University of Virginia. She earned her Bachelor’s degree from New York University and a Master’s in Clinical Psychology from the University of Virginia, as well as from California State University at Dominguez Hills.

 

Dr. Hunt is a member of the Psi Chi Honors Society in psychology, American Psychological Association (APA), Pennsylvania Psychological Association (PPA), and The Behavioral Genetics Association (BGA). She currently serves on the board for the Greater Philadelphia chapter of the International Association of Eating Disorders Professionals.  Several of her academic research papers have been published in peer-reviewed professional journals on various developmental topics.

 

In addition to her work with patients suffering from mood and anxiety disorders, Dr. Hunt specializes in eating disorders, substance abuse, ADHD, Sport and Performance Psychology, as well as working with people in the LGBTQI community.  She is trained in Dialectical Behavior Therapy (DBT), Cognitive-Behavioral Therapy (CBT), behavioral therapy, psychodynamic psychotherapy, solution-focused therapy, ego psychology, interpersonal therapy and relational therapy.  Dr. Hunt believes in finding the style of therapy that will most powerfully affect change for each individual, while building on the client’s own strengths and resources.

 

Dr. Hunt did her Doctoral Internship at Ewing Residential Treatment Center and The Department of Children and Families (DYFS) in New Jersey. She did her Post-Doctoral Internship at both Penndel Mental Health Center and at T.L.C. Associates in Newtown, Pennsylvania. Dr. Hunt has also trained at The Children’s Hospital of Philadelphia in the Adolescent HIV Initiative and in the Neuropsychology Department (Psycho-Educational Evaluations), at the Culpeper Juvenile Correctional Center (Virginia Department of Juvenile Justice) in the Behavioral Services Unit, and at the Mary D. Ainsworth Psychological Clinic at the University of Virginia.

Intuitive Movement in the New Year with Dr. Beth Hartman McGilley

January 5, 2018
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Workout because you love your body, not because you hate it.  Dr. Beth McGilley joins us in discussing this sometimes complicated relationship between exercise and our body image. Dr.McGilley shares her knowledge on eating disorders, exercise and the recovery process and the difference between mindless and mindful exercise.  

 

  • What is dysfunctional exercise?  We need to look at the quality of the exercise continuum: what is the driven quality, is it ritualized and rigid, is it only done to management negative mood and weight.   
  • Mindful Exercise is a way we can reconnect to our body and find joy in movement vs. it being a punishment. Dr. Beth McGilley shares her exercise mantras to help in recovery and changing that relationship

 

So You Know She Is Legit...

Dr. Beth Hartman McGilley,  is a Clinical Associate Professor, University of Kansas School of Medicine—Wichita,  is a psychologist in private practice, specializing in the treatment of eating and related disorders, body image, athletes, trauma, and grief. Her practice is informed by feminist, Health at Every Size, and social justice perspectives. A Fellow of the Academy of Eating Disorders,  and a Certified Eating Disorders Specialist, she has practiced for over 35 years, writing, lecturing, supervising, and directing an inpatient eating disorders program.  She’s a former advisor to Monte Nido and Affiliates and is on the Renfrew Conference Committee. She has published in academic journals and the popular media, as well as contributing chapters to several books. She is a former editor for Eating Disorders: The Journal of Treatment & Prevention, and co-editor for the book: Treatment of Eating Disorders: Bridging the Research/Practice Gap. She has presented extensively nationally  and internationally, as well as appeared on a variety of local and national news and radio outlets. In addition to her clinical work, Dr. McGilley has been a chair or member of 7 committees for the American Academy of Eating Disorders since its inception. She is the co-founder and Co-Chair of the AED Professionals and Recovery Special Interest Group. Other professional memberships include iaedp, NEDA, BEDA, Association for Size Diversity & Health  and American Psychological Association.

Dr. McGilley also specializes in applications of sports psychology and performance enhancement techniques with athletes of all levels. She was the sports psychology consultant for the Wichita State University Women’s Basketball team from 2005-2008. She co-founded and co-chaired the Association for Applied Sports Psychology (AASP) Eating Disorders Special Interest Group from 2007-2012.

        Dr. McGilley co-founded and for 12 years served as the President of the Healing Path Foundation, a nonprofit foundation dedicated to the prevention and treatment of eating disorders in Kansas. She was a 2008 graduate of the Kansas Health Foundation Leadership Fellows Training program. Her hobbies include competitive cycling, hiking, writing, and time with her therapy dog, Wheeler the Healer.

To Connect Further with Dr. Beth McGilley:

http://bethhartmanmcgilley.com/

 

Link to the Compulsive Exercise Test:

https://jennischaefer.com/wp-content/uploads/2013/05/Compulsive-Exercise-Test.pdf

Great Article with Further Information written by Dr. McGilley:

Intuitive Exercise

Beth Hartman McGilley, PhD, FAED, CEDS

Exercise as a way to liberate your life force ~ not to change your body. (Carmen Cool, 2014)

Ours is a culture equally obsessed with eating as with dieting, and exercise is extolled as the ultimate elixir for both. It is thus no surprise that exercise, once considered simply for its physical and psychological benefits, is now a multibillion dollar industry which promises to shape up the body of our lives as well. While the virtues of physical activity are indisputable, the tolls of dysfunctional exercise are equally noteworthy (Calogero & Pedrotty-Stump, 2010). Although this potentially deadly impact is most obvious in those who suffer with an eating disorder (ED), dysfunctional exercise is ubiquitous. Prevalence rates range from 33-80% depending on the definition of dysfunctional exercise used and the population studied (clinical vs. nonclinical samples). Within the ED population, dysfunctional exercise is associated with increased psychological distress and psychopathology, longer inpatient stays and higher rates of relapse (Naylor, Mountford & Brown, 2011).

The empirical findings on dysfunctional exercise are difficult to interpret due to discrepancies in terms and definitions used to describe it, variability in subject samples and settings, assessment measurements and length of follow up. At least ten different terms have been cited in the literature to describe exercise performed to the physical and/or psychological detriment of an individual (activity anorexia, exercise anorexia, anorexia athletica, obligatory exercise, compulsive exercise, exercise addiction, exercise dependence, exercise abuse, excessive exercise, dysfunctional exercise). Some terms imply psychopathology (compulsive exercise) while others do not (obligatory exercise). A consensus definition is vitally needed for effective prevention, identification of those at risk, and informed interventions for those already suffering from dysfunctional exercise (Meyer & Taranis, 2011).

In this article, dysfunctional exercise will be briefly described and the concepts of “intuitive exercise” (Hieber & Berrett, 2003) and “mindful exercise” (Calogero & Pedrotty-Stump, 2010) will be offered as new approaches to physical activity, both for those who compulsively exercise and for those who anxiously avoid it. Regardless of the term used to denote dysfunctional exercise, the various definitions used in the literature distinguish two related dimensions relevant to this discussion. The quantitative dimension refers to the physical aspects of the exercise activity—frequency, duration and intensity. The qualitative dimension refers to the psychological aspects of the exercise activity—the degree to which it is compulsive, driven, out of control, and/or ritualized. The frequently used term, “excessive exercise,” commonly refers to the quantitative dimension, whereas “compulsive exercise” is typically used in reference to the qualitative aspects. Research consistently indicates it is the compulsive quality of the exercise that is significantly associated with disordered eating pathology, not the frequency or duration of the exercise itself. This unexpected finding has important implications for the potentially positive role of exercise in the treatment and recovery process for those with EDs (Calogero & Pedrotty-Stump, 2010; Hausenblas, Cook & Chittester, N. 2007; Taranis, Touyz, La Puma & Meyer, 2011).

What are the specific components of compulsive exercise? Four key correlates have been identified and evaluated in the literature which appear to have empirical support (Goodwin, Haycraft, Willis & Meyer, 2011). The first is the driven quality of the exercise activity (e.g. exercising regardless of injury, weather, time demands). Secondly, the activity is undertaken in a ritualized, rigid fashion (e.g. exercising at the same time, in the same way, resistant to change). Thirdly, the exercise is performed predominantly to manage weight and shape concerns (e.g. exercise fanatically performed to offset food intake, to maintain leanness or solely for body sculpting purposes). Lastly, the exercise is undertaken to manage negative emotional states (e.g. exercising for the mood elevating effects or to avoid feeling guilty if it’s postponed or stopped).

It is the combination of these four elements, at the extreme, that comprise the clinically significant concept of compulsive exercise and which is associated with increased eating psychopathology. Health promoting exercise is also often performed in a routine manner, despite inconveniences, to support one’s health and to benefit from the mood enhancing effects. It is perhaps most instructive to think of healthy vs. compulsive exercise along a continuum, wherein the compulsive end is noted for the extreme guilt one feels if unable to exercise, and by the persistent, repetitive, and excessive nature of the behavior, even when contraindicated and in the absence of pleasure or reward. Readers interested in assessing the quality of their own or their client’s exercise activity can access the Compulsive Exercise Test (Taranis, Touyz & Meyer, 2011) online at Compulsive Exercise Test

Whether, when and how an actively recovering eating disorder client begins or resumes exercising remains a matter of professional debate, but there is mounting scientific evidence that when judiciously considered, in medically stable clients, exercise can actually facilitate the weight restoration process in anorexics, as well as proffer improvements in mood, body image and self esteem for all ED clients (Calogero & Pedrotty-Stump, 2010; Hausenblas et al, 2007; Taranis et al., 2011). Hieber & Berrett (2003) introduced the concept of “intuitive exercise” in an online newsletter rich with information on the physical, emotional, psychological, and behavioral signs of overtraining, descriptions of the qualities of healthy exercise and tips for becoming an intuitive exerciser. Guidelines suggested for becoming an intuitive exerciser are reprinted below:

Ø  Spend some quiet and quality time listening to your mind, heart, and body.

Ø  Respond to that self-understanding and approach exercise accordingly.

Ø  Respect your inner needs and consequent internal messages.

Ø  Respect and respond to your body, especially those messages of pain and fatigue.

Ø  Examine your motives for exercise.

Ø  Adjust your exercise as needed and develop the healthiest motives.

Ø  Reserve and make sacred the time you need to take care of yourself.

Ø  Find exercise and physical activities which are enjoyable.

Ø  Remove concepts of fat, calories, and size from your exercise thoughts and language.

Ø  Feed your body what it needs to assure nourishment and adequate fuel to burn.

                                                                    Hiebert & Berrett, 2003, p. 10

Calogero & Pedrotty-Stump (2010) use the term “negative exercise mindset” to refer to the qualitative or compulsive dimension of dysfunctional exercise. They further distinguish between mindful and mindless exercise as a tool for therapists and clients to develop a recovery supportive approach to exercise. As with intuitive exercise, mindful exercise is process vs. outcome oriented, geared to be internally and present focused, balanced with and supported by proper nutrition and rest, enjoyable and exhilarating.

Calogero & Pedrotty-Stump, 2010, p. 435

Lastly, the following are a few simple exercise mantras I’ve coined that may assist clinicians and clients looking for specific ideas on how to begin a new relationship with physical activity:

Ø  Take it outside! When we were young, we didn’t “work out” we played! Outside, in nature, where the wind in our hair, the sun in our eyes, the sounds of our playmates, and the smell of fresh cut grass enlivened our experience. Nature based vs. gym based exercise can help recovering clients to avoid the inclination to negatively compare or compete with others, and to get overly focused on the computer feedback on the equipment vs. their body’s internal feedback of the experience. Learn to assess and adjust the intensity of exercise by paying attention to your breathing (you should be able to carry on a conversation), and allow internal monitors and awareness to direct the effort and duration

Ø  Just “un-do” it! Reorient your activity to best suit your recovery needs at the current time (e.g. exercising solo/group, in/outdoors, headset/quiet, internal/external focus). If a specific compulsive exercise is part of your eating disorder, choose different activities to explore until you feel capable of resuming that activity with a positive exercise mindset. For example, if you compulsively attend fitness classes, at the same time, always occupying the same place in class, begin a walking program instead, and vary the times, location and whether you walk alone or with company.

Ø  Play it forward! Be purposeful, seek community and consider the social benefits beyond your own physical benefits. Sign up for a charitable run or bike ride, become a mentor in a youth based prevention program that includes physical activity (e.g. Girls on the Run), plan a hiking vacation with friends and train together, or join your local chapter of the Adventurous Babes Society!

Ø  Flexible Flexing! Whatever you do, avoid rigid or ritualistic routines-get jiggy with it!

Ø  Move as you’re moved! Think back to childhood. What kinds of movement gave you the greatest sense of joy, sourced all your senses, transcended awareness of time and calories burned? Find ways as an adult to recreate this kind of movement.

When appropriately timed and considered, intuitive and mindfully considered exercise can become a vital element in and beyond the recovery process. To become fully recovered from an eating disorder requires that we reestablish a relationship with our bodies that is life affirming, nutritionally balanced and fully integrated-meaning our mental, physical, psychological and spiritual states are operating in a unified, open, flexible and adaptive manner. When we are thus wholly embodied, exercise is no longer about calories burned, but about “liberating our life-force.”

References

Calogero, R. & Pedrotty-Stump, K. (2010). Incorporating exercise into eating disorder treatment and recovery. In Maine, McGilley & Bunnell (eds), Treatment of Eating Disorders: Bridging the Research-Practice Gap, pp. 425-441. Elsevier: NY.

Cool, C. (2014). Personal communication.

Goodwin, H., Haycraft, E., Willis, A. & Meyer, C.  (2011). Compulsive exercise: The role of personality, psychological morbidity and disordered eating. IJED, 44(7), 655-660.

Hausenblas, H., Cook, B. & Chittester, N. (2007). Can exercise treat eating disorders? Exer and Sport Sci reviews, 36, 1, 43-47.

Hieber, N. & Berrett, M. (2003). Intuitive Exercise. Center for Change: Hope & Healing E-Newsletter, 8(3), pp. 7-10.

Meyer, C. & Taranis, L. (2011). Exercise in the eating disorders: Terms and definitions. European Eating Disorders Review, 19, 169-173.

Naylor, H., Mountford, V. & Brown, G. (2011). Beliefs about excessive exercise in eating disorders: The role of obsessions and compulsions. European Eating Disorders Review, 19, 226-236.

Taranis, L., Touyz, S., La Puma, M. & Meyer, C. (2011). Loughborough Eating-disorders Activity Programme (LEAP). Group cognitive-behavioural treatment for compulsive exercise in the eating disorders: Therapist Manual.

Taranis, L., Touyz, S. & Meyer, C. (2011). Disordered eating and exercise: Development and preliminary validation of the Compulsive Exercise Test, 19, 256-268.

Suggested Reading:

Cook, B., Hausenblas, H. & Freimuth, M. (2014). Exercise Addiction & Compulsive Exercising: Relationship to Eating Disorders, Substance Use Disorders & Addictive Disorders. In Brewerton, T. & Dennis, A.B. (eds), Eating Disorders, Addictions and Substance Use Disorders: Research, Clinical & Treatment Perspectives. Springer: NY.

Friedman, P. (2009). Diary of an Exercise Addict. GPP Life: CT.

Powers, P. & Thompson, R. (2008). The Exercise Balance: What’s Too Much, What’s Too Little, and What’s Just Right for You! Gurze Books: CA.

Thomas, J. & Schaefer, J. (2013). Moving (or Not): What’s Best for You? In Almost Anorexic: Is My (or My Loved One’s) Relationship with Food a Problem? (The Almost Effect), pp. 179-203. Hazelden: MN.

Thompson, R. & Sherman, R. (2010). Eating Disorders in Sport. Taylor & Francis Group: NY.

Motherhood is an Action Sport! Interview with Courtney Wycoff from Momma Strong

December 1, 2017
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Motherhood is definitely an action sport! Courtney, Certified Personal Trainer and Corrective Exercise Specialist shares about her postpartum experience of injury and postpartum depression and how it led her to create the Momma Strong Program. Momma Strong’s purpose is to redefine the scope of prenatal and postpartum health through specialized intelligent fitness. Courtney openly discusses motherhood, self care and how showing up is good enough.

  • Our Pelvic Floor is super important to us as women. Your body cannot perform if the pelvic floor is not integrated. That is the root of all of your movement especially as a woman.
  • Our brain and body our ever connected and when we are struggling injury or pain postpartum than can affect our mood. Listen to the pain and be your own detective about your body.
  • Momma Strong is committed to the business of enoughism, which is the belief that you don’t need fixing, but that you deserve integration.
  • You don’t have time for anything extra and Momma Strong gets motherhood and gets that. Become stronger more effectively and efficiently with Momma Strong.

 So You Know She Is Legit...

Courtney’s exposure to biomechanics and rehabilitative exercise started in her early childhood, as an elite level gymnast, kayaker, and ballet dancer. At age 16, she left home to pursue her professional career with The Houston Ballet, where she remained for 5 years until a severe ankle injury forced her to retire.  After retirement, she transitioned immediately into a two-year course of study in rehabilitative exercise and Pilates, under the supervision of nationally renowned Pilates instructors Bryan Peters and James Harren, who had trained with the original colleague of Joseph Pilates himself. She then earned her certification through the Pilates Method Alliance and became a top-rated trainer for the following 6 years.  Following the birth of her first child, however, she began to suffer from injuries related to pregnancy and childbirth, none of which her prior core training was able to resolve. This realization led her to study with Thomas Myers, Yamuna Zake, Esther Gokhale, and Stuart McGill, all prominent leaders in the field of spine health and pelvic stabilization.  From there, Courtney became certified as a personal trainer through National Academy of Sports Medicine and soon after was granted their advanced certification as a Corrective Exercise Specialist. She also carries a Prenatal and Postpartum specialization from NASM and multiple certifications in pelvic rehabilitation, injury prevention, and activated release therapy. Her unique method as taught in MommaStrong is the product of this comprehensive background, helping mothers all over the world finely tone their body’s through clinically approved, and feasible workouts that instigate an adventurous life through strength that matters.

Additionally, Courtney has a BA from Lesley College in Social Change and the Arts and is currently embarking on a designation as a Licensed Chemical Dependency Counselor

To Learn More and Connect with Momma Strong:

http://www.mommastrong.com/

https://www.facebook.com/mommastrong/

What is this thing the pelvic floor, and ‘bouncing back’ after pregnancy with PT Nicole DeBrie.

November 24, 2017
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This is Part 1 of a 2 part interview with the lovely Nicole DeBrie, physical therapist to women. Today she speaks about the importance of the pelvic floor in women’s health and being active as well as what happens to our body when we carry and deliver a baby. Kara shares her story of the difficulty of ‘bouncing back’ after having a baby and returning to the running trails. 

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  • The pelvic floor is one important group of muscles for us women.

           Nicole describes what these muscles

           are and do.

  • Common issues that can occur with pregnancy that PT can help with: diastasis recti, pelvic girdle pain, urinary incontinence, bowel dysfunction, prolapse and swelling.
  • After your six week appointment with the MD and you are clear to go, but you feel differently. Some pain is not normal and we need to give ourselves time and patience to heal.

So You Know She Is Legit...

Nicole DeBrie is a pelvic floor physical therapist in Kansas City, MO. She specializes in treating both males and females with pelvic pain, back pain, SI joint pain, urinary or fecal incontinence, bowel dysfunction, prolapse, pain with intercourse and pregnancy-related pain or issues.

Nicole studied at Kansas State University in Manhattan, KS, receiving a Bachelor of Science degree in Kinesiology in 2012. She then completed her doctorate of physical therapy at Rockhurst University in 2016. Nicole was drawn to pelvic floor physical therapy immediately upon being exposed to this population during PT school. She completed a full-time internship at Foundational Concepts (a clinic specializing in the treatment of pelvic floor disorders), receiving extensive training in pelvic floor physical therapy, before accepting a position there as a full-time physical therapist in 2016. She has continued to further her knowledge in pelvic floor PT through continuing education courses with the Herman and Wallace institute. Nicole is working towards obtaining her Women’s Health Certified Specialist (WCS) certification through the American Physical Therapy Association (APTA).

Nicole has a special interest in treating women with pre- and postnatal muskuloskeletal conditions. She strives to help women during and after pregnancy maintain or return to their desired level of function or exercise. As an avid endurance runner and two-time Boston Marathon qualifier herself, Nicole feels she can relate with this active population. Nicole believes there is no “cook-book recipe” on the right way to recover from or navigate through pregnancy. She is devoted to working with patients individually to meet their unique needs and goals.

When not at work, Nicole enjoys running, hiking, traveling, brunching and doing all-things outdoorsy!

How to Connect with Nicole:

 Nicole is at Foundational Concepts, a specialty physical therapy group that specializes in the pelvic floor. Check out their website and blog for further information about pelvic floor and women’s health issues.

https://www.foundationalconcepts.com/

261- The fearless woman in the face of adversity

November 17, 2017
00:0000:00

Kathrine’s Switzer’s   Interview

Title: 261- The fearless woman in the face of adversity

Interview Description: Kathrine’s Switzer is an icon figure in women’s sports. Known for her entry into the Boston Marathon 1967 being the first woman to complete. In that race, the 1967 Boston Marathon, she was physically attacked by the race co-director for officially registering and running in what was then considered a men’s only race spurring her life long career of activism for females in sports.

Kathrine_Switzer_1.png

 

Show Notes:

  • Ran the Boston Marathon for her 50 year anniversary from her 1967 debut
  • “Running breaks down universal communication barriers”
  • “So many women are afraid to step out of their fearbox. Running allows us to take the first step”
  • Feels the shift in focus on health has helped women last longer in their running career
  • Running helps with mental health and busts the stress
  • 261- fearless in the face of adversity

 

 

Where you can find out more information on Kathrine Switzer

  • Kathrine’s website- http://kathrineswitzer.com/
  • Be sure to check out her book Marathon Woman- http://kathrineswitzer.com/store/
  • Become a 261 Fearless member- http://www.261fearless.org/about-261/
  • Hear Kathrine talk about her journey breaking the stereotypes of women runners-https://www.makers.com/kathrine-switzer

                         Kathrine_Switzer_2.png

 

So you know she is legit:

Author. Activist. Athlete.

President, Marathon Woman and AtAlanta Sports

Promotions, Inc.

Career Highlights:

  • Inducted into the National Women’s Hall of Fame in October 2011 for creating positive global social change
  • Winner, 1974 NYC Marathon
  • Broke Gender Barrier at 1967 Boston Marathon
  • Emmy Award-winning TV commentator
  • Author, MARATHON WOMAN (DaCapo Press), Running and Walking for Women Over 40, the Road to Sanity and Vanity (St. Martin’s Press), co-author 2 Marathon Stories (Rodale Press)
  • Founder, Avon Running Global Women’s Circuit
  • Winner of Abebe Bikila Award for Global Contribution to Sport of Running from New York Road Runners
  • First class of inductees into the National Distance Running Hall of Fame
  • Named one of the Visionaries of the Century (2000) and a Hero of Running (2012), and Runner of the Decade (1966-76) by Runners World Magazine

The Boston Marathon

Her work began accidentally 45 years ago when she was the first woman to officially enter the Boston Marathon when it was considered a men’s only race. She campaigned to make women official in the Boston Marathon in 1972 and later that year was one of the creators of the first women’s road race.

Switzer went on to run 39 marathons, and won the New York City Marathon in 1974. She ran her personal best in 1975, finishing second in Boston (2:51:33). She then put her substantial energies into creating the Avon International Running Circuit of women’s only races in 27 countries with over a million participating from 1978 to the present time. It was this series of events, which showed global participation and performances that largely convinced the IOC to include a women’s marathon in the 1984 Olympic Games.

TV Commentator/ Keynote Speaker

Switzer is now an Emmy award-winning TV commentator and has covered the Olympic Games, World and National Championships as well as the New York City, Chicago, Los Angeles and every televised edition of the Boston Marathon (36 consecutive years!).She has appeared on Oprah, Nightline, CBS Evening News, Tonight, Today, Good Morning America, the BBC, CBC, PBS, and many other electronic and print outlets.

Author

Marathon Woman, Switzer’s award-winning memoir, was first published in 2007. Her other books include 26.2 Marathon Stories, co-authored with her husband, Roger Robinson and best-selling Running and Walking for Women Over 40.

Still Running

Just completing the New York Marathon at age 70!