Exercise Diary - Active Against ...
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Welcome This exercise diary has been created to guide and support you through your journey with Active Against Cancer, and to help keep you active when you are not with us. Exercise should be safe, effective and fun. Whether you are exercising at home, in class, or both, everything you need to know is contained within these pages. Please give it a good read and speak to a member of the team if you have any questions. The Active Against Cancer Team :) WARNING: EXERCISE HAS BEEN KNOWN TO CAUSE HEALTH AND HAPPINESS
Contents Introduction The benefits of exercise..................................................................04 Break the cycle of tiredness or fatigue...........................................05 How often should I exercise?..........................................................06 How should it exercising me feel?..................................................07 How to exercise safely....................................................................08 What equipment do I need?...........................................................09 Exercise Guide How oftern should I do a session?.................................................10 Warm Up........................................................................................12 Shoulder Shrugs. Knee Lifts, Toe Taps, Marching on the Spot Resistance exercises.....................................................................17 Heel Raises/Calf Raises, Seated Leg Extensions, Shoulder Rotations/ Upper Back, Front Arm Raise, Shoulder Press, Bicep Curl, Chair Dips, Wall Press, Sit to Stand/Squats, Lunge, Shoulder/Back/Rotator Cuff Balance exercises..........................................................................29 Side Walks, Grape Vines, Heel-to-toe walk, One Leg Stand Aerobic exercises...........................................................................34 Walking, Step-Ups, Star Jacks, Marching on the Spot, Shadow Box- ing - jabs and upper cuts, Cool Down......................................................................................40 Shoulder/Tricep Stretch, Chest Stretch, Calf Stretch, Quad Stretch, Hamstring Stretch, Torso Stretch, Seated Glute Stretch Over to you… Notes................................................................................................51
01 The benefits of exercise Exercise is good for everyone... Improves physical wellbeing Improves mental wellbeing Improves sleep Improves fitness ... but also has lots of specific benefits for those living with or beyond cancer: Builds physical resilience Reduces the chance of surgical complications Reduces the impact of the side effects of treatment Supports recovery Reduces the chances of recurrence
02 Physical activity or exercise can help break the cycle of tiredness or fatigue. You feel unmotivated and fatigued You do less physical activity You get more breathless and unfit Your muscles weaken c y cle he E Your fitness level re ak t ERCIS B EX with decreases
03 How often should I exercise? Healthcare professionals recommend that all adults, including those over 65, should do this much exercise every single week. at least at least 150mins 75mins Moderate Intensity Vigorous Intensity per week per week SWIM BRISK WALK CYCLE RUN STAIRS SPORT MUSCLE MOBILITY STRENGTHENING STRENGTHENING EXERCISES EXERCISES 2 DAYS a week 2+ DAYS a week GYM BOWLS TAI CHI YOGA CARRY HEAVY BAGS DANCE
04 How should exercising make me feel? It is completely normal to experience your heart rate, breathing and temperature changing whilst exercising or being physically active. Use this page to help you assess how hard you are working! MEASURE LIGHT MODERATE VIGOROUS EXERCISE OR EXERCISE OR EXERCISE OR PHYSICAL PHYSICAL PHYSICAL ACTIVITY ACTIVITY ACTIVITY Will feel… … easy … Somewhat hard … Very hard Your … May not change … May begin to … May become deep breathing… quicken and deepen and rapid and you may feel breathless Talk test… Possible to talk or sing Possible to talk but Only possible to say not sing a few words Sweating… Not unless it is hot or … May begin after 10 … May begin after 2 humid minutes minutes For example… • Casual walking • Brisk walking • Football • Hanging laundry • Gardening • Running • Yoga • Cycling • Dancing Try the talk test yourself. Can you say or sing... This exercise programme is going to do me good!
05 Exercising safely… Always warm up before and cool down after exercising Wear loose and comfortable clothing Eat lightly and drink plenty of water STOP If you suddenly experience: Chest pains or tightness Joint or muscle pain over and above the level of exercise you are doing. Dizziness or nausea All little muscle ache is good. Clamminess or cold Feeling overly tired Increasing wheeziness/ shortness of breath
06 What equipment do I need? You have everything you need to complete these exercises already within your home… A dining room chair A clear wall Some arm weights (water filled plastic bottles, tin cans A clock or watch A clear area to exercise in and clutter free Resistance band (provided by AAC) A Step or stairs Remember that any exercise is better than no exercise
How often should I do a session? If you build your session in this way, you will incorporate all of the recommended elements of exercise. You should aim to do this often enough to meet the time targets shown on page 2. We would suggest building up to 3 - 4 sessions a week, including the ones you do with us. Enjoy! LEVELS explained: Level 1 Level 2 Level 3 Beginner Intermediate Difficult REPS explained: SETS explained: Reps or repetitions describes the Once you have completed your reps, number of times you are doing an take a short break and then go again. exercise without stopping. For each The number of times you complete exercise we have suggested a range the reps-rest cycle in the number of of reps. Aim for somewhere within sets completed. For each exercise we the range that starts to make your have suggested a range of sets. Aim working muscle ache. for somewhere within the range. Low High Low High 6 reps 9 reps 12 reps 1 set 2 sets 3 sets
Warm Up Ok, let’s get you moving. The warm-up does exactly what it says, warms your muscles and cardiovascular system. It is important to warm up gradually, every time you exercise. The benfits of warming up: Reduces the chances of getting injured Can improve your range of movement Counts towards you physical activity totals (see page 3) How much? Follow the programme you have been recommended by one of the Active Against Cancer team.
UPPER BODY WARM U Shoulder Shrugs PREPARES BODY FOR EXERCISE 6 x2 WARMS JOINTS AND MUSCLES REPS SETS EQUIPMENT GENTLY RAISES HEART RATE EXERCISE PROGRESSION Slowly lift your shoulders backwards and Hands on shoulders and circle upwards towards your ears, then forwards the elbows. and downwards, in small circles. Change direction. Extend the arms and circle the full arm. Tip: Stand with you back against a wall to learn the movement
LOWER BODY WARM U Knee Lifts PREPARES BODY FOR EXERCISE 6 x2 WARMS JOINTS AND MUSCLES REPS SETS EQUIPMENT GENTLY RAISES HEART RATE EXERCISE PROGRESSION STARTING POSITION: Sit, engaging your Start in a standing position. core and with you back off the backrest. Slowly lift one knee up to hip level, then lower again. Repeat with the other leg. Tip: Always make sure you have a chair, counter top or perhaps a wall to help keep you steady
LOWER BODY WARM U Toe Taps PREPARES BODY FOR EXERCISE 6-8 x1 WARMS JOINTS AND MUSCLES REPS SETS EQUIPMENT GENTLY RAISES HEART RATE EXERCISE PROGRESSION Sit towards the front of your seat and engage Start in a standing position. your core. Put your right leg out to the side and tap your toe on the ground. Bring this leg back to the centre and then repeat with your left. Try to avoid leaning with your upper body. Tip: Draw in your stomach to create a stable base
FULL BODY WARM U Marching on the Spot PREPARES BODY FOR EXERCISE 1 min x1 WARMS JOINTS AND MUSCLES REPS SETS EQUIPMENT GENTLY RAISES HEART RATE EXERCISE PROGRESSION Sit with you feet hip width apart, your back Start in a standing position. off the backrest and engage your core. Keep elbows and knees bent to 90°, and Only if you have done so in class, march on the sport for 1 minute without take it into a run. stopping. Repeat for up to 1 minute without stopping. You can do this every day. Tip: If you feel yourself getting out of breath really quickly, build up 10 seconds at a time
Resistance Exercises Resistance exercises use some form of resistance, this could be a band, body weight or a weighted object, to build muscle. In this diary there are a combination of exercises designed to work all of the major muscle groups in the body. Building strength means: It is easier to carry out daily tasks such as carrying the shopping or gardenI Increasing muscle or lean mass which is often lost with chemo or radiotherapy How much? Follow the programme you have been recommended by one of the Active Against Cancer team. When performing resistance exercises it is normal to feel a burning or aching sensation in the working muscle, and it may feel stiff or sore one to two days after exercising. Build up the number of reps and sets gradually and take rests if your muscles are overly sore. You can also increase the resistance or weight to make them harder.
LOWER BODY RESISTANC Heel Raises/Calf Raises STRENGTHENS LEGS 8-12 x3 IMPROVES BALANCE REPS SETS EQUIPMENT ASSISTS WITH DYNAMIC STABILITY EXERCISE PROGRESSION Use the back of a chair or wall for balance. Rise up on both feet, take one Place your feet hip width apart with your foot off the floor and lower on toes facing forwards and legs straight. one leg. Complete on one leg, repeat on the other side. Brace your stomach and raise slowly up on to your toes, pause and lower back to the floor. Tip: Use a chair or wall for stability until you become more confident
LOWER BODY RESISTANC Seated Leg Extensions STRENGTHENS LEGS 6-12 x3 IMPROVES BALANCE REPS SETS EQUIPMENT GENTLY WORKS CORE MUSCLES EXERCISE PROGRESSION Place your chair on a non-slip floor or with Hold each leg and squeeze at the back legs pressed against a wall. Start the top of the movement for 3 seated with a straight back towards the edge seconds. of your chair, holding the handles adjacent to your hips. Try lifting both legs at the same With one leg at a time, lift your foot off the time. floor by bending at the knee and straighten your leg out in front of you. Squeeze your thigh for a moment and then lower back to down. Repeat with the other leg. Tip: Draw the stomach in to stabilise to avoid leaning back
UPPER BODY RESISTANC Shoulder Rotations/Upper back STRENGTHENS UPPER BACK AND SHOULDERS 6-12 x3 IMPROVES POSTURE AND SHOULDER MOBILITY REPS SETS EQUIPMENT WORKS ABS & CORE EXERCISE PROGRESSION In a seated or standing position hold your Pull the band tighter for more resistance band in both hands with your resistance. palms turned upwards and your arms straight out in front of you. Pull your Slow it down – 3 seconds out and shoulders down towards the floor. Keeping 3 seconds in. you arms straight and pinching your should blades together, pull the ends of the band apart. Pause out wide and then slowly return your hands back to the starting position whilst resisting the tension of the band. Tip: Brace your stomach at all times to stop yourself swaying backwards. Try and stop your shoulders rising up towards your ears.
UPPER BODY RESISTANC Front Arm Raise STRENGTHENS ARMS & SHOULDERS 8-12 x3 IMPROVES POSTURE REPS SETS EQUIPMENT WORKS ABS & CORE EXERCISE PROGRESSION Sit towards the front of your seat, with the Start the exercise in standing to resistance band under one foot. create more resistance. Grip the band tightly at each end with your hands just in front of your hips. Keeping your Create even more resistance by arms straight, raise them to shoulder hight, placing both feet in the band pause and then lower back down slowly shoulder width apart. resisting the tension on the band. Tip: 3 seconds up, 3 seconds down
UPPER BODY RESISTANC Shoulder Press STRENGTHENS SHOULDERS 6-12 x3 IMPROVES POSTURE AND SHOULDER MOBILITY REPS SETS EQUIPMENT WORKS ABS AND CORE EXERCISE PROGRESSION STARTING POSITION: In a seated position Perform the exercise in a place your resistance band under one foot, standing position to increase holding on to the ends with each hand. Bring the resistance. your hand up to your shoulders with your elbows bent and pointing forwards. Slow it down – 3 seconds up and From this point lift your arms above your 3 seconds down. head until your arms are straight, pause, and then lower your hands back towards your shoulders whilst resisting the band. Tip: Brace your stomach at all times to stop yourself swaying backwards
UPPER BODY RESISTANC Bicep Curl STRENGTHENS ARMS 6-12 x3 IMPROVES POSTURE REPS SETS EQUIPMENT WORKS ABS & CORE EXERCISE PROGRESSION Start seated towards the edge of your chair Pull the band tighter for more with your feet under your knees hip width resistance. apart. Place your resistance band under both feet and grip the band tightly at each end. Complete in standing. Bend your elbows and bring your hands towards your shoulders, keeping your elbow tucked in as you move. Pause at the top and then slowly lower your hands back down, resisting the tension of the band Pause, and then lower your hands back to your starting position. Tip: Brace your stomach at all times to stop yourself swaying backwards
UPPER BODY RESISTANC Chair Dips STRENGTHENS ARMS & CHEST 6-10 x3 IMPROVES POSTURE REPS SETS EQUIPMENT WORKS ABS & CORE EXERCISE PROGRESSION Place your chair on a non-slip floor or with Hover on the seat between reps the back legs pressed against a wall. Start seated towards the edge of your chair. Holds the handles of the chair, with your hands Bring your feet forwards and adjacent to your hips. lower infront of the chair seat Draw your stomach in and push against the arms of the chair lifting your body off the seat. Attempt to straighten your arms and then slowly lower yourself back into the chair. Tip: Keep your stomach braced at all times
UPPER BODY RESISTANC Wall Press STRENGTHENS ARMS & CHEST 6-10 x3 IMPROVES POSTURE REPS SETS EQUIPMENT WORKS ABS AND CORE EXERCISE PROGRESSION Start stood roughly two steps away from a Stand a little further away from clear wall, with your palms on the wall at the wall and slow it down. roughly shoulder height and width. Slowly lower yourself towards the wall by Stand further away from the bending your elbows until your forehead wall, place your hands closer reaches the wall. together, and keep your elbows pointing downwards. Pause and slowly push yourself back to your starting position. Tip: Keep your stomach braced at all times
FULL BODY RESISTANC Sit to Stand/Squats STRENGTHENS’ LEGS & BUM 6-12 x3 IMPROVES BALANCE, STRENGTH & MOBILITY REPS SETS EQUIPMENT WORKS ABS & CORE EXERCISE PROGRESSION Place your feet just behind your knees, flat Hover on the seat between reps. on the floor around hip width apart. Point your toes out ever so slightly. Loose the chair completely, start Lean forwards and with your nose over your standing and squat. toes stand up slowly. When standing, lower yourself slowly back to the chair to the starting position. Tip: When starting this exercise hold your arms out in front of you to act as a counter balance. Try and rely less on this when you become more confident
FULL BODY RESISTANC Lunge STRENGTHENS LEGS AND BUM 4-8 x3 IMPROVES BALANCE AND STABILITY Both Legs REPS SETS EQUIPMENT IMPROVES SINGLE LEG STRENGTH EXERCISE PROGRESSION Stand up straight with your feet hip width Drop your trailing knee closer to apart and your toes pointing forwards. the floor. Take a large step backwards with one leg and gently lower your knee to the floor. Pull yourself back to the starting Making sure you front knee doesn’t extend position using your front leg forwards beyond your toes. rather than pushing off with your back leg. Pause at the bottom and then push off with you back leg to return to standing. WARNING – THESE ARE A MORE ADVANCED EXERCISE AND SHOULD ONLY BE ATTEMPTED WHEN INSTRUCTED BY YOUR AAC PHYSICAL TRAINER Tip: Use a wall or chair for balance
UPPER BODY RESISTANC Shoulder/Back/Rotator Cuff STRENGTHENS ARMS 6-12 x3 IMPROVES POSTURE REPS SETS EQUIPMENT WORKS ABS & CORE EXERCISE PROGRESSION In a seated or standing position hold your Hold for 15-30 seconds. resistance band in the palms of your hands approximately shoulder width apart. Your palms should be facing upwards and your elbows bent to 90 degrees just in front of your ribs. From this point, rotate your hands out to the side, keeping your elbows bent and tucked into your side. Pause, and then return to the starting position whilst resisting the band. Brace your stomach at all times to stop yourself swaying backwards. Try and stop your shoulders rising up towards your ears
Balance Exercises Balance comes more naturally to some of us but these exercises are designed to help everyone improve their core strength and balance. Building strength means: Reduced risk of falling More control when performing daily activities such as cleaning or carrying shopping More control when completing the other exercises in this diary! How much? Follow the programme you have been recommended by one of the Active Against Cancer team.
FULL BODY BALANC Side Walks IMPROVES BALANCE 3-5 x3 WORKS ABS & CORE REPS SETS EQUIPMENT IMPROVES KNEE & HIP MOBILITY EXERCISE PROGRESSION Stand with your feet together, knees slightly The slower you do this exercise, bent. the harder it will be. Step sideways in a slow and controlled manner, moving one foot to the side first. Move the other foot to join it, go for 5 paces then back the other way. Tip: Use your arms for balance and avoid dropping your hips as you step
FULL BODY BALANC Grape Vines IMPROVES BALANCE 3-5 x3 WORKS ABS & CORE REPS SETS EQUIPMENT IMPROVES KNEE & HIP MOBILITY EXERCISE PROGRESSION Stand with your feet hip width apart. Cross The slower you do this exercise, your right foot over your left so you are the harder it will be. standing crossed legged, then uncross your legs by bringing your left leg behind your right so you return to the starting position. Go for 5 paces, then back the other way by bringing your left leg over your right. Tip: Put your finger tips against a wall for stability
FULL BODY BALANC Heel to Toe Walk IMPROVES BALANCE 3-10 x3 WORKS ABS & CORE REPS SETS EQUIPMENT IMPROVES KNEE & HIP MOBILITY EXERCISE PROGRESSION Stand upright and place your right heel on The slower you do this exercise, the floor directly in front of your left toe. the harder it will be. Take a step forward and place your left heel directly in front of your right toe. Tip: Use a wall for stability until you become more confident
FULL BODY One Leg Stand IMPROVES BALANCE 3-6 x3 WORKS ABS & CORE REPS SETS EQUIPMENT IMPROVES KNEE & HIP MOBILITY EXERCISE PROGRESSION Stand near a wall with your feet hip width Rely less on the wall for stability. apart. Try and only use your fingertips for support. Hold the lift for longer, aiming for Lift your left leg, keeping your hips level and 10 seconds. keep a slight bend in the supporting leg. Pause with you left knee bent and then gently lower your foot back to the floor. Repeat with the other leg. Tip: Use a chair or wall for stability until you become more confident
Aerobic Exercises These are exercises which increase your heart rate, breathing rate and may make you sweat! Building aerobic fitness means: the body will become more efficient at delivering and using oxygen over time this reduces the likelihood of getting out of breath meaning you could walk further and do more How Much? Follow the programme you have been recommended by one of the Active Against Cancer team. You can do this in as many small chunks as you like, whatever works for you and your schedule. If you become breathless very quickly, try building up the duration of your exercise gradually.
FULL BODY Walking STRENGTHENS’ LEGS 10-20 IMPROVES BALANCE WORKS HEART AND LUNGS MINS SETS EQUIPMENT EXERCISE PROGRESSION Walk on the flat at a rate that increases you Increase your speed, duration breathing rate for 10-20 minutes. Gentle and incline. strolls don’t count as a training walk. Further increase your speed, duration and incline. Tip: Take any inhalers or medical spays with you Get outside to improve you mood Wear appropriate footware and clothing Wait 1 - 2 hours after a large meal Have fun
FULL BODY AEROBI Step-Ups STRENGTHENS THE HEART AND LUNGS 1 min x1 IMPROVES BALANCE REPS SETS EQUIPMENT IMPROVES KNEE AND HIP STABILITY EXERCISE PROGRESSION Stand tall with your feet hip width Using any step available to you, stand apart. with your feet hip width apart in front of your step. Take a step forwards and quickly bring your trailing foot to the same Lift one foot on the step and then bring position. the other foot to join it. Return the first foot to the starting position followed by Repeat in reverse. the second foot. Repeat up to 1 minute without stopping Tip: Start with small steps at first and gradually increase. Use a chair or wall for stability until you become more confident
FULL BODY AEROBI Star Jacks STRENGTHENS THE HEART & LUNGS 1 min x1 IMPROVES BALANCE REPS SETS EQUIPMENT IMPROVES KNEE & HIP STABILITY EXERCISE PROGRESSION Stand up straight with your feet hip width Start in a standing position. apart and your hands by your side Simultaneously extend your left lag and Hold a light weight in each hand arm out sideways, tapping your foot on the whilst doing the exercise. ground. Return to your starting position and repeat the exercise on the opposite side. Tip: Start slowly and work on coordination
FULL BODY AEROBI Marching on the Spot PREPARES BODY FOR EXERCISE 1 min x1 WARMS JOINTS AND MUSCLES REPS SETS EQUIPMENT GENTLY RAISES HEART RATE EXERCISE PROGRESSION Sit with you feet hip width apart, your back Start in a standing position. off the backrest and engage your core. Keep elbows and knees bent to 90°, and Only if you have done so in class, march on the sport for 1 minute without take it into a run. stopping. Repeat for up to 1 minute without stopping. You can do this every day. Tip: If you feel yourself getting out of breath really quickly, build up 10 seconds at a time
FULL BODY AEROBI Shadow Boxing - jabs and upper cuts STRENGTHENS HEART & LUNGS 1 min x1 IMPROVES BALANCE WORKS THE ABS AND CORE REPS SETS EQUIPMENT EXERCISE PROGRESSION In a seated position sit towards the middle start in a standing position. of the chair with your hands up and fists clenched like a boxer. hold a light weight in each hand Jabs - using alternate hands simulate whilst doing the exercise. punching out in front at a roughly shoulder height. Upper cuts – using alternate hands simulate punching upwards from your hips. Tip: Brace your stomach at all times to avoid excessive swaying from side to side
Cool Down These are exercises for the end of each session. Performing a cool down helps gradually lower your heart rate, breathing rate and body temperature back to normal. Benefits of cooling down: Cooling down gradually gives your body chance to remove any acid that has built up in the muscles during the session It reduces the chance of being stiff and achy after exercising How much? You must cool down after every session. Complete every exercise at least once, and if you have had a hard session the whole cool down can be completed up to three times.
UPPER BODY COOL DOW Shoulder/Tricep Stretch GENTLY LOWERS HEART RATE 10-30 x2 HELPS MUSCLES RECOVER FASTER HELPS PREVENT MUSCLE SECONDS SETS EQUIPMENT SORENESS EXERCISE Raise one arm out in front with your hand at shoulder height. Draw the arm across your body. Use the opposite arm to pull the other further towards your body. You should feel the stretch across the outside of your shoulder and across the back of your upper arm. Tip: Relax your shoulders down towards the floor
UPPER BODY COOL DOW Chest Stretch GENTLY LOWERS HEART RATE 10-30 x3 HELPS MUSCLES RECOVER FASTER HELPS PREVENT MUSCLE SECONDS SETS EQUIPMENT SORENESS EXERCISE Place your hands on your lower back with your finger tips on your belt line pointing to the floor. Squeeze your elbows towards each other behind your back. You should feel the stretch across the front of your chest. Tip: Breath deeply and the Increase the intensity of your stretch on your ‘out’ breaths
LOWER BODY COOL DOW Calf Stretch GENTLY LOWERS HEART RATE 10-30 x2 HELPS MUSCLES RECOVER FASTER HELPS PREVENT MUSCLE SECONDS SETS EQUIPMENT SORENESS EXERCISE PROGRESSION Stand facing a wall with one foot forwards Widen your stance whilst keeping and palm flat on the wall back heel on the floor. Bend the knee on your front leg and move your weight forwards. Keep your back leg straight with the heel on the floor. You should feel the stretch on the back of your straight leg below the knee. Tip: Use a chair or wall for stability
LOWER BODY COOL DOW Quad Stretch GENTLY LOWERS HEART RATE 10-30 x2 HELPS MUSCLES RECOVER FASTER HELPS PREVENT MUSCLE SECONDS SETS EQUIPMENT SORENESS EXERCISE PROGRESSION In a seated position sit towards the edge of Do this stretch in standing. the seat and twist to the left. Take your right Have a wall or chair to assist ankle with your right hand and pull the foot with balance. towards the seat whilst bending the knee. You should feel the stretch in your thigh. Tip: When seated allow your bent knee to drop towards the floor to get maximum benefit from the stretch
LOWER BODY COOL DOW Hamstring Stretch GENTLY LOWERS HEART RATE 5-10 x2 HELPS MUSCLES RECOVER FASTER HELPS PREVENT MUSCLE SECONDS SETS EQUIPMENT SORENESS EXERCISE PROGRESSION Start seated with a straight back towards the Lift your toes on your straight leg front of a chair with your knees bent. up towards the ceiling to further increase the stretch. Slide the heel of one leg out until the leg is straight. Place both hands on the thigh of your straight leg and slowly slide your hands down your leg towards you toes. You should feel the stretch on the back of Tip: Start gently, it can your straight leg. feel very painful if you stretch too far, too soon. Keep your head up when you lean forwards
MIDDLE BODY COOL DOW Torso Stretch GENTLY LOWERS HEART RATE 10-30 x2 HELPS MUSCLES RECOVER FASTER HELPS PREVENT MUSCLE SECONDS SETS EQUIPMENT SORENESS EXERCISE PROGRESSION Start seated with your feet should width Look further behind and hold apart. the stretch for longer Place you left hand on the outside of your right knee. Gentle turn to look over your right shoulder. Repeat on the other side. Tip: Use the back of the chair for support
LOWER BODY COOL DOW Seated Glute Stretch GENTLY LOWERS HEART RATE 10-30 x2 HELPS MUSCLES RECOVER FASTER HELPS PREVENT MUSCLE SECONDS SETS EQUIPMENT SORENESS EXERCISE PROGRESSION Start seated with your feet shoulder width Slide your left foot back to the apart. starting position. Allow you left foot to slide out in front. Lift you right ankle onto your left knee. Allow your right knee to gentle drop towards the floor. Tip: Sit with your back against a wall until you become more confident
Notes
Contact 01423 557924 info.activeagainstcancer@nhs.net www.activeagainstcancer.org.uk
Core Exercises These exercises are to improve your core stability (the muscles around your stomach, pelvis and lower back). Tip – Your core muscles are different to your breathing muscles. Make sure you keep breathing when doing these exercises Building a stable core means: Your balance will improve You are able to improve your general mobility Providing protection for your lower back when carrying out everyday activities How much? Follow the programme you have been recommended by one of the Active Against Cancer team.
MIDDLE BODY CORE EXERCISE Pelvic Tilts STRENGTHENS CORE 5-10 1-3 IMPROVES BALANCE AIDS GENERAL MOBILITY REPS SETS EQUIPMENT EXERCISE Start in crook lying (laid on back with knees bent). TIP Brace stomach, tuck tail bone between legs Remember to always breathe and flatten back onto mat. - do not hold your breath. Pull tummy button gently Hold for 1 second and return to start position. inwards and upwards. Arch low back off the mat, tilting hips forward. Hold for 1 sec and return to start position.
MIDDLE BODY CORE EXERCISE Knee Rolls STRENGTHENS CORE 5-10 1-3 IMPROVES BALANCE AIDS GENERAL MOBILITY REPS SETS EQUIPMENT EXERCISE Start in crook lying. TIP Roll knees to right side and pause. Remember to always breathe Brace stomach and roll knees back to start - do not hold your breath. position. Pull tummy button gently Repeat to left side. inwards and upwards.
MIDDLE BODY CORE EXERCISE Four Point Kneel STRENGTHENS CORE 5-10 1-3 IMPROVES BALANCE AIDS GENERAL MOBILITY REPS SETS EQUIPMENT EXERCISE Start on hands and knees (hands underneath shoulders, knees underneath hips). TIP Remember to always breathe Brace stomach, tuck tail bone between legs - do not hold your breath. and lift rib cage. Hold for 1 second. Return to start position.
MIDDLE BODY CORE EXERCISE Abdominal Curl Ups STRENGTHENS CORE 5-10 1-3 IMPROVES BALANCE AIDS GENERAL MOBILITY REPS SETS EQUIPMENT EXERCISE TIP Start in crook lying. Remember to always breathe Hands by sides. - do not hold your breath. Inch finger tips towards heel whilst lifting Pull tummy button gently head and shoulders off the mat tucking chin inwards and upwards. into chest. Imagine peeling your spine Hold for 1 second. off the mat one vertebra at a Return to start position with control. time.
MIDDLE BODY CORE EXERCISE Abdominal Oblique Curls STRENGTHENS CORE 5-10 1-3 IMPROVES BALANCE AIDS GENERAL MOBILITY REPS SETS EQUIPMENT EXERCISE Start in crook lying. TIP Hand on opposite hip. Remember to always breathe Inch finger tips towards heel whilst lifting - do not hold your breath. head and shoulders off the mat tucking chin Pull tummy button gently into chest. inwards and upwards. Hold for 1 second. Return to start position with control.
MIDDLE BODY CORE EXERCISE Bridging STRENGTHENS CORE 5-10 1-3 IMPROVES BALANCE AIDS GENERAL MOBILITY REPS SETS EQUIPMENT EXERCISE TIP Start in crook lying. Remember to always breathe Hands by your side. - do not hold your breath. Lift hips towards the ceiling Squeeze buttocks together and push through and push through feet. heels to lift pelvis off the mat. Challenge yourself by Hold for 1 second. bringing your heels closer to Return to start with control. your buttocks and feet closer to each other.
Shoulder mobility These exercises can help you regain arm and shoulder movement after surgery. They are also good to help maintain good arm and shoulder movement. Tip – Keep your shoulders as relaxed as possible and keep breathing throughout the exercises. Good shoulder mobility means: The ability to carry out everyday activities with ease and pain free Reducing the risk of developing long term shoulder problems and lymphoedema How much? Follow the programme you have been recommended by one of the Active Against Cancer team.
UPPER BODY SHOULDER MOBILIT Shoulder Shrugs REGAIN ARM AND SHOULDER MOVEMENT 5 1-3 PREVENT LONG TERM SHOULDER AND ARM STIFFNESS REPS SETS EQUIPMENT REDUCE RISK OF LYMPHOEDEMA EXERCISE PROGRESSION Slowly lift your shoulders backwards and Hands on shoulders and circle upwards towards your ears, then forwards the elbows. and downwards, in small circles. Change direction. Extend the arms and circle the full arm. TIP Remember to keep shoulders relaxed and breathe whilst doing these exercises. They may feel a little uncomfortable but should not cause you pain.
UPPER BODY SHOULDER MOBILIT Shoulder Circles REGAIN ARM AND SHOULDER MOVEMENT 5 1-3 PREVENT LONG TERM SHOULDER AND ARM STIFFNESS REPS SETS EQUIPMENT REDUCE RISK OF LYMPHOEDEMA EXERCISE Start with arms loose and relaxed by your sides in a seated position. Shrug shoulders up towards your ears, then circle them back down. TIP Remember to keep shoulders relaxed and breathe whilst doing these exercises. They may feel a little uncomfortable but should not cause you pain.
UPPER BODY SHOULDER MOBILIT Bent arm elbow lift (front) REGAIN ARM AND SHOULDER MOVEMENT 5 1-3 PREVENT LONG TERM SHOULDER AND ARM STIFFNESS REPS SETS EQUIPMENT REDUCE RISK OF LYMPHOEDEMA EXERCISE Bend your arms and rest your hands lightly on your shoulders. Raise both arms forward so they are at right angles to your body. Lower your elbows slowly back to the start position. TIP Remember to keep shoulders relaxed and breathe whilst doing these exercises. They may feel a little uncomfortable but should not cause you pain.
UPPER BODY SHOULDER MOBILIT Bent arm elbow lift (side) REGAIN ARM AND SHOULDER MOVEMENT 5 1-3 PREVENT LONG TERM SHOULDER AND ARM STIFFNESS REPS SETS EQUIPMENT REDUCE RISK OF LYMPHOEDEMA EXERCISE PROGRESSION Bend your elbows and rest your hands lightly on your shoulders. Raise both arms out to the sides so they are at right angles to your body. Lower elbows slowly back to the start position. TIP Remember to keep shoulders relaxed and breathe whilst doing these exercises. They may feel a little uncomfortable but should not cause you pain.
UPPER BODY SHOULDER MOBILIT Back scratches REGAIN ARM AND SHOULDER MOVEMENT 5 1-3 PREVENT LONG TERM SHOULDER AND ARM STIFFNESS REPS SETS EQUIPMENT REDUCE RISK OF LYMPHOEDEMA EXERCISE Hold your arms out to the sides and bend your arms at the elbow. Slowly reach up behind your back to your shoulder blades. Slowly lower your arms back to your sides. TIP Remember to keep shoulders relaxed and breathe whilst doing these exercises. They may feel a little uncomfortable but should not cause you pain.
UPPER BODY SHOULDER MOBILIT Shoulder wings REGAIN ARM AND SHOULDER MOVEMENT 5 1-3 PREVENT LONG TERM SHOULDER AND ARM STIFFNESS REPS SETS EQUIPMENT REDUCE RISK OF LYMPHOEDEMA EXERCISE Place your hands behind your head with your elbows pointing forward. Bring your elbows back so they are pointing out to the sides. Return to the starting position. TIP Remember to keep shoulders relaxed and breathe whilst doing these exercises. They may feel a little uncomfortable but should not cause you pain.
Breathing Exercises These exercises can help you to prepare for surgery and reduce the risk of a chest infection pre and post operatively. They are also a good way to help you to relax. Tip – keep shoulders relaxed throughout.
WHOLE BODY Breathing exercises These exercises can help you to prepare for surgery and reduce the risk of a chest infection pre and post operatively. They are also a good way to help you to relax. EXERCISE 1. Sit upright in a supported chair. 2. Breathe in and out normally. TIP 3. Take a slow deep breath in through your Keep shoulders relaxed nose (if able) so that your ribs expand throughout. sideways and your lungs fill up with air and then exhale through your mouth. 4. Take a slow deep breath in and expand your lungs, hold that breath for three seconds and then slowly exhale. 5. Repeat 3-5 times.
Pelvic floor These exercises help to improve your pelvic floor strength Tip – keep breathing throughout whilst doing these exercises. Good pelvic floor strength means: A reduced risk of developing continence issues A support structure for your abdominal contents
PELVIC FLOOR Pelvic Floor Exercises FOR WOMEN What are the PELVIC FLOOR MUSCLES The pelvic floor forms a sling of muscles that are attached to the pubic bone at the front of the pelvis and the tailbone (coccyx) at the back. There are three passages through the pelvic floor muscles; one at the front from the bladder (urethra), one in the middle from the birth canal (vagina) and one at the back from the bowel (rectum). What do the Pelvic Floor Muscles do? The pelvic floor muscles are made of two types of muscle fibres: 1. Slow twitch muscle fibres have constant tone in them (even when you are asleep). They support your pelvic organs inside and work to keep urine inside your bladder until you find a suitable place to pass it. 2. Fast twitch muscle fibres contract strongly and quickly to prevent leakage of urine when there is extra pressure on the bladder e.g. when you cough, sneeze, laugh or lift something heavy. Learning to do the Pelvic Floor Exercises Sit on a firm chair or stool with your knees slightly apart in good posture: TIGHTEN the ring of muscle around your back passage (anus) as though preventing a bowel movement or wind escaping. At the same time TIGHTEN the muscles around your front as if you are stopping yourself passing urine. LIFT the muscles up inside, HOLD, then…RELAX slowly. Remember to keep your buttocks and thigh muscles relaxed. Try to breathe normally throughout. The pelvic floor muscles work with your lower abdominal muscles. Therefore as you draw up your pelvic floor muscles, you may feel your lower abdomen draw in slightly.
PELVIC FLOOR Pelvic Floor Exercises FOR WOMEN The Exercise Programme 1. Slow contractions First determine your “starting block” 1. TIGHTEN your pelvic floor muscles as described above. 2. HOLD for as many seconds as you can (up to a maximum of 10 seconds). 3. RELAX the contraction and REST for 4 seconds. How long can you HOLD the contraction for? seconds How many times can you repeat the contraction? times So, your “starting block” becomes e.g. 2 seconds 4 repetitions 2. Fast contractions 1. Now quickly tighten your pelvic floor muscles and then relax the muscle completely. 2. How many quick contractions can you do? 3. Aim to increase this number (up to a maximum of 10). 4. It is important to do both these exercises 3-6 times a day, gradually building up the amount of each exercise that you can do. It can take between 3-6 months to develop enough strength in the muscles to reduce your symptoms. Updated by the Specialist Continence Service Dec 2017 If you require this information in an alternative language or format (such as Braille, audiotape or large print), please ask the staff who are looking after you.
PELVIC FLOOR Pelvic Floor Exercises FOR MEN Introduction Many men experience problems with their urinary system, leading to unwanted leakage of urine. Some also have difficulty controlling wind or leakage from the bowels. Often this is due to a weakness of the muscles of the pelvic floor, which play an important role in preventing these troublesome conditions. These pelvic floor muscles can be strengthened by regular exercises like any other muscles. What are the PELVIC FLOOR MUSCLES The pelvic floor forms a sling of muscles, which are attached to the pubic bone at the front of the pelvis and the tailbone (coccyx), at the back. A man’s pelvic floor supports the bladder and bowel. The pelvic floor muscles play an important role in bladder and bowel control and have a role in maintaining sexual function. Why the pelvic floor muscle get weak. • Surgery for an enlarged prostate • Constipation - repeated straining to empty the bowels • Persistent heavy lifting • Chronic cough • Being overweight • Lack of general fitness
PELVIC FLOOR Pelvic Floor Exercises FOR MEN Learning to do the Pelvic Floor Exercises Sit on a firm chair with your knees slightly apart, TIGHTEN the ring of muscle around your back passage (anus) as though preventing wind escaping. At the same time TIGHTEN the muscles around your front as if you are stopping yourself passing urine. You should feel a slight lift of the scrotum as your muscle contracts and the base of your penis moves towards your abdomen. LIFT up inside, HOLD , then…RELAX slowly. You may feel your lower tummy draw in as you pull in your pelvic floor, this is due to the fact that the muscle work together. It is important to keep your buttocks, and thighs relaxed and to breathe normally. These exercises can be done in any position. If you can, practice them standing up. The pelvic floor muscles have two types of muscle fibres in them. It’s important to exercise both. Slow twitch muscle fibres have constant tone in them (even when you are asleep!). They support your bladder and bowel and help you to hold on when you can’t get to the toilet immediately. Fast twitch muscle fibres contract strongly and quickly to prevent leakage of urine, when there is extra pressure on the bladder e.g., when you cough, sneeze, laugh or lift something heavy.
PELVIC FLOOR Pelvic Floor Exercises FOR MEN The Exercise Programme 1. Slow contractions 1. Hold for as many seconds as you can (up to a maximum of 10 seconds). 2. How long can you HOLD the contraction for? seconds 3. RELAX the contraction and REST for 4 seconds. 4. How many times can you repeat the exercise? repetitions (up to a maximum of 10) 2. Fast contractions 1. How many fast contractions can you do? 2. Aim to increase this number (up to a maximum of 10). Take your time ensuring you rest briefly between contractions. 3. It is important to do both these exercises 3-6 times a day, gradually building up the amount of each exercise that you can do. It can take between 3-6 months to develop enough strength in the muscles to reduce your symptoms. These exercises may be used on their own or in conjunction with other strategies such as bladder training to improve control of urgency and frequency. If you would like further information or speak to your GP or specialist physiotherapist or continence nurse.
Contact 01423 557924 info.activeagainstcancer@nhs.net www.activeagainstcancer.org.uk
Aerobic Exercise Record Use this table to record your daily aerobic exercise Day: Monday Day: Day: Day: Day: Aerobic Activity Date: 01/01/20 Date: Date: Date: Date: Walking 25 mins (continuous) Step ups 2 mins Star Jacks 2 mins Marching on the 3 mins spot Arm Punches/ 1 mins Shadow Boxing Total 33 mins
Exercise Record Use this table to record your daily exercise Day : Monday Day: Day: Day: Day: Activity Date : 24 Date: Date: Date: Date: Warm –up 10 mins Main Session Sit To Stand/ Squats 3 x 10 Chair Dips 3x6 Wall Press 3x8 Lunge - Seated Leg Exten- sion 3 x 12 Arm Curls 3 x 10 Calf Raises 3 x 10 Cool Down 5 minutes
Overcoming obstacles Use this table to record....xxxxx Things which get in the way How can I overcome or of exercising minimise the effect Bad weather again Have the right clothing or plan an
Prepare to succeed We all set out with the best of intentions, however there may be occasions where things just get in the way. It could be the weather, family commitments or feeling unwell. Have a think about what may prevent you from exercising and formulate a plan to overcome these.
Here are some tips to help you succeed. Make a plan – try and plan in your exercise as part of your daily routine, so you know what you will be doing today, tomorrow... Find an exercise buddy – having a friend or family member to exercise with makes you more likely to stick to the plan. Have a bad weather plan – if the weather takes a turn, make sure you have an indoor alternative or the right clothing to get outside regardless Vary your workouts – you have lots of exercises to choose from, so be creative and vary the order and content to make it more interesting Complete this diary – this will help you track your progress and reinforce how well you’re doing (or give you a little reminder if you’re letting yourself off the hook) A little is better than nothing – Even 5 minutes of exercise is better than nothing, with that in mind, ‘time’ should never be an excuse again Enjoy it – Do the things which are fun
You will need... Remember that any exercise is better than no exercise
You will need... Remember that any exercise is better than no exercise
1 Walking • Walking is a good way to start your aerobic exercise and can easily be incorporated as part of you daily routine so you could do this every day. • Simply walking around your home and garden is a good start before you venture beyond. • Warm up by starting your walks slowly and then gradually build your speed up. Aim to walk at speeds which make you moderately out of breath. When you become more experienced Increase your distance and speed or incorporating short hills as part of your route will make your walks more effective. Walking Do’s • Take any inhalers or medical spays with you • Get outside to improve you mood • Wear appropriate footware and clothing • Have fun Walking Dont’s • Walk after a very large meal • Count a gentle stroll as a training walk • Push yourself too hard so you feel ready to drop
02 Physical activity or exercise can help break the cycle of tiredness or fatigue. You feel unmotivated and fatigued You do less physical activity Your muscles weaken Your fitness level le... cyc decreases he e a kt Br You get more breathless and unfit
07 Creating An Effective Work-Out Here is how to put it together an effective session… 1 2 Warm-Up Main Session • The warm up is a very important part of your This is where you can start and get creative work-out and should not be RESISTANCE missed. Simply, follow all the warm-up exercises as • Choose 1 upper body (for arms and shown in the diary. shoulders) card and 1 lower body (for legs) card. If you are planning a longer workout you can repeat the • Complete one set of reps for your upper warm-up up to three times. body exercise, then one set of reps for you lower body exercise. You can repeat this up to three times depending on how hard you found it. We would recommend… depending on the level of classes you are attending with us. Flip your cards over and repeat with the exercises on the back. BALANCE • Choose 1 card and follow the exercises LEVELS explained: Perform at least one set of each exercise building up to a maximum of three sets of each. Level 1 - Beginner AEROBIC • Choose 1 card and follow the exercises Level 2 - More challenging Perform at least one set of each exercise building up to a maximum of three sets Level 3 - More demanding of each.
3 Cool Down • The cool down is very Tip: Try and build up to 3-4 important and should always sessions per week (including be completed after your those you are doing with us!) and work out. Simply, follow all vary the exercise cards each time the cool-down exercises as so you get a varied workout. shown in the diary. You can run through the cool down up to three times after your session. REPS explained: Reps or repetitions describes the number of times you are doing an exercise. We will suggest a range for each exercise, but within that do enough so that you can start to feel an ache or burning sensation in your working muscle. As a starting point this is what we would expect if you are coming to classes on site… Low High 6 reps 9 reps 12 reps SETS explained: The number of sets is how many times you complete your repetitions. We will suggest a range for each exercise but try and build up to three for everything. As a starting point this is what we would expect if you are coming to classes on site… Low High 1 set 2 sets 3 sets
07 Creating An Effective Work-Out You can use the exercises in this diary to put together your own sessions. Every session should follow the same structure... 1 Warm Up You need to warm up at the start of every session. The longer or harder the session you are planing, the longer your warm up should be. 5 - 15 minutes 2 Main Session The main body of your session should include a mix of resistance, aerobic and balance exercises - pick a couple of exercises from each category. You can complete these in any order, but try to alternate between upper body and lower body exercises to give your muscles enough rest. 10 - 30 minutes 3 Cool Down You need to cool down at the end of every session. The longer or harder the session you’ve done, the longer your cool down should be. 5 - 15 minutes
LEVELS explained: Level 1 Level 2 Level 3 Beginner Intermediate Difficult REPS explained: Reps or repetitions describes the number of times you are doing an exercise without stopping. For each exercise we have suggested a range of reps. Aim for somewhere within the range that starts to make your working muscle ache. Low High 6 reps 9 reps 12 reps SETS explained: Once you have completed your reps, take a short break and then go again. The number of times you complete the reps-rest cycle in the number of sets completed. For each exercise we have suggested a range of sets. Aim for somewhere within the range. Low High 1 set 2 sets 3 sets How often should I do a session? If you build your session in this way, you will incorporate all of the recommended elements of exercise. You should aim to do this often enough to meet the time targets shown on page 2. We would suggest building up to 3 - 4 sessions a week, including the ones you do with us. Enjoy!
Nutrition “What Should I Eat During My Cancer Diagnosis and Treatment?” Since your cancer diagnosis, you may have considered “should I be doing anything differently with my diet?” “are there any foods I should be avoiding, or indeed are there any foods which I should be eating more of which might help my treatment ?” Of course, diet may also be one of those things which you may have put to the back of your mind during this challenging time, here is some simple advice which may help you during your treatment and rehabilitation with Active Against Cancer. Firstly, it is important to stress, this is general advice which may not be suitable for every individual. If you have been given specific dietary advice from your clinical team, please speak to your Cancer Nurse Specialist. You must continue to ‘eat well’ and choose well-balanced meals. This will help you feel better and keep your energy levels up. This is especially important if you are exercising with Active Against Cancer. Building muscle and strength will help you through your treatment but this will only happen with good food and exercise. So, our advice is “EAT WELL”
“What should i eat during my cancer diagnosis and treatment” Eat regularly throughout the day and choose a variety of foods. Use the table below to help you plan your meals. TYPES OF WHEN OR WHAT ? WHY FOOD HOW OFTEN Bread Gives you energy Pasta Provides fibre Starchy Potatoes and Every meal Carbohydrates Cereals Essential vitamins Rice and minerals Dairy Milk & Cheese Good source of Or Yoghurt protein 2-3 portions per day Dairy Soy Products Provides calcium Alternatives and vitamins Meat Important source 2 portions per day Fish and Eggs of protein 2 portions of fish Beans and Legumes Provides vitamins Protein per week Meat alternatives and minerals like (1 oily like salmon) like Quorn and Tofu iron and vitamin B12 So important Choose a wide 5 portions per day for vitamins and variety and try to Fruits and (minimum of 3 minerals, energy include a green Vegetables vegetable like vegetables) and essential fibre to keep your broccoli bowels moving
Weight is important and there may be circumstances where your clinical specialist has advised you lose some, generally however, it is not encouraged at this time. If you are overweight, weight loss should only be attempted with close clinical supervision. There may be times when you experience a loss of appetite caused either by your cancer or the treatment you are receiving. Please consult with any Active Against Cancer staff member or your Cancer Nurse Specialist who can help sign-post you to further support and advice. Exercising requires more calories and your body prefers carbohydrate for its energy source. Aim to eat a high carbohydrate, low fat snack or small meal 1 ½ - 2 hours before you exercise. A small banana on toast, jacket potato with beans or a small bowl of rice with peas will give you the energy you need. Re-charge your energy stores after exercise with a protein rich snack which will also help to build and repair your muscles. Scrabbled eggs on toast, a tuna sandwich or just a glass of milk are good choices as are nuts, seeds and yoghurt. Limit the amount of high fat and high sugar foods you consume. Foods such as cakes, biscuits, sweets and soft drinks contain little or no protein, vitamins or minerals and should only be consumed in small amounts. Other high fat foods such as butter, margarines and oils which are high in calories should also be limited. Liquid essential for both physical and mental performance. Ensure you are well hydrated throughout the day by drinking 6-8 cups of water or clear teas per day. Remember, if you are exercising that day or doing vigorous activity such as gardening or housework you will need even more. At least one extra cup per hour of exercise. If you feel thirsty, drink some water. For more advice on healthy eating please consult with the following : https://www.nhs.uk/live-well/eat-well/the-eatwell-guide/
100 calories = 11 minutes 20 minutes of 22 minutes of of jogging gardening brisk walking 10 minutes 30 minutes 60 minutes of dancing of general of sitting housework 100 calories = 1 large apple 3 ½ squares of 2 small slices milk chocolate of bread (NO spreads) 5 Tangerines/ 1 ¼ chocolate Lightly buttered clementines Hob Nobs slices of toast x2
07 Creating An Effective Work-Out You can use the exercises in this diary to put together your own sessions. Every session should follow the same structure... 1 Warm Up You need to warm up at the start of every session. The longer or harder the session you are planing, the longer your warm up should be. 5 - 15 minutes 2 Main Session The main body of your session should include a mix of resistance, aerobic and balance exercises - pick a couple of exercises from each category. You can complete these in any order, but try to alternate between upper body and lower body exercises to give your muscles enough rest. 10 - 30 minutes 3 Cool Down You need to cool down at the end of every session. The longer or harder the session you’ve done, the longer your cool down should be. 5 - 15 minutes
FULL BODY AEROBI Step-Ups STRENGTHENS THE HEART AND LUNGS 1 min x1 IMPROVES BALANCE REPS SETS EQUIPMENT IMPROVES KNEE AND HIP STABILITY EXERCISE PROGRESSION Using any step available to you, stand with Increase the length of time your feet hip width apart in front of your step. Use a slightly higher step Lift one foot on the step and then bring the other foot to join it. Return the first foot to the starting position followed by the second foot. Repeat up to 1 minute without stopping Tip: Use a chair or wall for stability until you become more confident
The grid below shows you which exercises to do on which day. Your AAC instructor will go through this with you. CARDIO- SESSION STRENGTH/ SHOULDER VASCULAR/ BREATHING CORE BALANCE /DAY RESISTANCE MOBILITY AEROBIC 1 √ √ √ √ 2 √ √ √ √ 3 √ √ √ √ 4 √ √ √ √ 5 √ √ √ √ 6 √ √ √ √ 7 √ √ √ √ 8 √ √ √ √ 9 √ √ √ √ 10 √ √ √ √ 11 √ √ √ √ 12 √ √ √ √ 13 √ √ √ √ 14 √ √ √ √ Resistance exercises 1. Squats 5. Band bicep curls 6-12 reps 10-15 reps 2. Wall press 6. Chair dips 6-12 reps 6-12 reps 3. Band shoulder abduction 7. Lunge/split squat 4. Standing calf raise 6-10 reps 6-12 reps
The grid below shows you which exercises to do on which day. Your AAC instructor will go through this with you. CARDIO- SESSION STRENGTH/ SHOULDER VASCULAR/ BREATHING CORE BALANCE /DAY RESISTANCE MOBILITY AEROBIC 1 √ √ √ √ 2 √ √ √ √ 3 √ √ √ √ 4 √ √ √ √ 5 √ √ √ √ 6 √ √ √ √ 7 √ √ √ √ 8 √ √ √ √ 9 √ √ √ √ 10 √ √ √ √ 11 √ √ √ √ 12 √ √ √ √ 13 √ √ √ √ 14 √ √ √ √ Resistance exercises 1. Seated leg extension 5. Seated band bicep curls 6-12 reps (each leg) 6-15 reps 2. Seated shoulder press 6. Seated calf raises 6-12 reps (each arm) 6-15 reps 3. Seated band shoulder abduction 7. Chair dips 6-12 reps 6-12 reps 4. Sit to stand 6-12 reps
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