Sit and be fit!

Regular exercise is crucial for leading an active, healthy, independent and happy life. When we think about exercise, the first thing that comes to our mind is going for a walk or the standing routines. However, for many elderly this could be a challenge for various reasons like limited mobility, arthritic pain, loss of balance or a recent surgery. Because of this, most of  the seniors hesitate to exercise and even in those who start there is a  poor compliance. But what if you could be active while still sitting? Chair exercises are a boon for seniors. Chair exercises prove to be vital in giving our body the much needed benefits and at the same time preventing any further injuries.

Now the next question arise, can you get fit from your seat? Yes, indeed, chair based exercises prove to be a great blessing for seniors especially for those with limited mobility, balance issues and joint issues. For an older adult, in a dilemma between preventing the pain and the pain due to exercise, chair exercises are the best solution. Believe it or not, chair exercises are a great way to incorporate low impact movement into your daily routine without any fear of falling or injuring the joints. Just because it is seated does not mean that you won’t sweat! They allow older adults who otherwise would not be able to exercise consistently to improve their strength, cardiovascular fitness, and mobility—without the high risk of injury present during traditional exercise routines. Seated exercises are gentler on the joints and will reduce pain, not add to it.

Strength Training in Sitting

 Benefit of chair exercises:

Chair exercise encompasses far more than just movements. Chair exercises offer all the benefits of standing routine without any risk. It improves the joint range of movement and increases flexibility, strengthens and stabilizes muscles, reduces joint pain and stiffness, improves heart and lung health, boosts your mood and lowers stress levels. Improving the muscle strength and joint flexibility would indirectly contribute to improved balance as well. Thus an overall improvement in health and fitness can be observed.

Improvement in balance, gait speed, grip strength and several other physical measurements has been documented in individuals who engaged in chair based exercise. These findings further prove that it is particularly important for those who are currently inactive, and as such, chair-based exercise can be promoted as a safe and progressive mode of activity for those who may be frail or deconditioned.

How are chair based exercises better than the standing routines?

  • The major benefit of chair exercises is the reduced risk of falling.
  • Chair exercises are equally challenging to the upper body and abdominal muscles compared to standing routine.
  • Chair exercises minimizes load bearing on the joints and hence less pressure on the weak and painful joints.
  • It increases the confidence in those unable to perform free standing exercises.
Cardio-Pulmonary Training in Sitting

When to consider chair-based exercises?

Chair Based exercises are beneficial for those with

  • Poor balance, and a higher risk of falling during exercise
  • Joint pain that makes standing painful and difficult
  • Limited range of motion or poor mobility
  • Recovering from a surgery or an injury
  • Beginning a routine and need to start slow and work up to standing exercises

What type of exercises can be done in sitting?

It is very important to incorporate the three types- cardiovascular, flexibility and strengthening exercises in your routine.

  • Cardiovascular- Getting tired on walking for a distance? Panting while climbing a few stairs. This is a common experience by most of the elderly and the culprit is poor cardiovascular-pulmonary health. Chair aerobics can effectively increase your heart rate and endurance which makes your everyday routines easier.
  • Strengthening- Unable to carry your grocery bag home? Unable to walk for longer distance? The reason could be weakened muscles. You can exercise using dumbbells, Thera bands, weighted cuffs or even isometric exercises in sitting for upper extremity and lower extremity can help you. Core strengthening exercises play a major role in keeping the back pain under control and also improve balance. These exercises can be comfortably done in sitting.
  • Flexibility: Flexibility exercises help enhance your range of motion, prevent injury, and reduce pain and stiffness. These may include stretching exercises.
Flexibility Training in Sitting

How to start Chair Exercises?

Ready to get started with seated exercise? All you need is a chair, a positive attitude and a strong desire to stay healthy!

Pick out a good chair. It should be a sturdy chair with a straight back . Don’t use the rolling chairs. A wooden chair is a good option.

Keeping your body agile remains a cornerstone in healthy and graceful ageing. Now that we know, there is a way to exercise keeping the pains, imbalance and limited mobility at bay, there is no real excuse to offer to miss exercising. Regular physical exercise is the key to staying fit even during old age. Chair exercises allow seniors to easily perform workout routines, despite their weakened physical strength.

Sunandha
Sunandha

Masters in Physiotherapy,
Wellness Coach for Seniors

Get Your Balance Right!

couple practicing yoga
Photo by Marcus Aurelius on Pexels.com

Did you know that while standing, staying upright and walking may look a simple act, at the background our body systems have to perform a complex integration to make it into a successful action! The fear of fall is the main reason cited by seniors for limited mobility and independence. Studies have proved that exercises to improve balance can reduce the rate of fall by 36% in our elderly population.

How do we manage to balance?

Balance is all about maintaining our Centre of gravity over the base of support! And to achieve this, we need 3 systems to work together:

  1. Sensory input from the eyes
  2. Sensory input from the ears i.e the vestibular apparatus
  3. Sensory input from the muscles and joints

The input from all these three sources are integrated in our cerebellum and the command is passed to the muscles to stay upright.

Why does balance reduce as we age?

When the sensory input from any of the three systems is affected or there is a decline in the function of the cerebellum or the muscles are weak to respond to the command from the brain, balance gets affected.

However, the most common reason is, NOT CHALLENGING THE SYSTEM ENOUGH! If poor balance is associated only with old age, then all seniors will have balance problem. However, we see many seniors taking up a sport/ dance after they age. If we don’t regularly put ourself in situations where we need to use balance, our sense of balance diminishes with disuse. As we age, there is a drastic reduction in the physical activity, which reduces the challenges that is posed on the system and over a period of time, there is a gradual decline in the balance.

Can we regain the balance?

The answer is YES, improving the upper and lower body strength along with challenging the balance system daily with activities that require the use of all the three systems will improve balance to a great extent.

Some quick tips to do balance activity at home:

  1. Check with the doctor, if there is a more serious balance problem like vertigo, ear infections, chronic dizziness, Meniere’s disease or drug interactions.
  2. Get the advice of a physiotherapist to learn the exercises and do it the right way!
  3. If you are very poorly balanced, ensure that a care giver is always next to you when you exercise.
  4. Always use a sturdy chair for support. Initially hold with two hands, and when comfortable move to single hand support and then with fingers and slowly remove your hand from the chair.
  5. Avoid fast movements.
  6. Be aware of your posture.
  7. As the base of support reduces the challenge also increases. Start with a wider base and slowly reduce the base of support.
  8. Progress the exercises, when the previous exercise becomes comfortable and you are confident of doing it without assistance.
  9. Begin the training with eyes open, and gradually progress with eyes closed as it is more challenging.
  10. If you are under any medications, ask the doctor if there are any side effects which may cause light headedness or decreased balance.

Start slowly and become used to the new experience of stressing the balance system. Our body follows a simple mantra, “Use it or lose it”. Doing balance exercises regularly, has many benefits like, reducing the risk of fall, more independence, involving in activities we love, better reaction time, increased coordination and many more.

Don’t take your balance for granted! Challenge your body and regain the balance and a much deserved independence!

   
Sunandha Sampathkumar
Sunandha Sampathkumar

Co Founder, Growing Young