Growing pains
Second, the group offers support and opportunities to socialize. growing pains Bicep-pain. Many of these programs can be found in health clubs, community recreation centers or YMCAs. The Arthritis Foundation maintains listings of a variety of 6-8 week programs offered in your area. Programs include stretching and strengthening (P. growing pains Rheumatoid arthritis diet. A. C. E: People with Arthritis Can Exercise), water aquatics, and others. growing pains Arch pain. If individuals are reluctant to join a class, videos that demonstrate safe exercises to do at home can be rented from local chapters of the Arthritis Foundation. Visit their website at: http://www. arthritis. org/offices/saz/programs/z. asp(top of page) Keeping It Going: Exercise Supervision and Training Some individuals may benefit from a referral to a health care provider with expertise in exercise supervision and training. Physical Therapists and Exercise Scientists with additional training in working with persons with arthritis may play an important role in helping these individuals become more physically active. Physical therapists (PTs) are optimally trained to develop and evaluate the appropriateness of physical activity programs in persons with arthritis. PTs can carefully assess joint motion, muscle strength and endurance, and performance of activities of daily living. Education about energy conservation, modification of daily tasks, and joint protection is emphasized. PTs can also develop an individualized therapeutic exercise program that individuals can perform at home. Frequently, health insurance programs will reimburse, in part, the services of physical therapists. Recently, a new type of exercise specialist has emerged to bridge the gap for individuals who have completed a program of physical therapy (or received clearance from their physician) but lack the skills or confidence to continue exercising independently. Clinical Exercise Specialists can play an important role in helping individuals with arthritis become or remain more physically active. While most exercise specialists have the training and skills to work with apparently healthy individuals, Clinical Exercise Specialists have additional training and experience that enable them to work with persons with arthritis and other chronic medical conditions. This advanced training is broad in nature and includes an emphasis on exercise physiology, motivation, goal setting, biomechanics, exercise technique and the needs of individuals with chronic medical conditions. While health insurance programs generally do not reimburse the costs of the Clinical Exercise Specialist, often their fees are set at a lower level to encourage ongoing use of the trainer's services. Clinical Exercise Specialists can often be found in hospital-based wellness settings. Many provide services to clients in their own homes to make exercise more convenient and less burdensome. Currently, several organizations certify exercise scientists who have undertaken additional training and experience working with individuals who have chronic medical conditions.
Growing pains
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