http://mindyourbodybook.com/

2009
09.13

It’s vital to understand that chronic inflammation puts the body in a constant state of crisis. Inflammation to the body is akin to weeds in a garden. The suffocating toxins, threats of injury, and challenged immune response jeopardize our seemingly effortless body functions.

An unhealthy diet and lifestyle only intensifies the inflammatory response. Red meat, omega-6 fatty acids, trans-fats, and high fructose corn syrup, all part of the typical American diet, actually encourages inflammation. These foods in fact trigger chemical pathways that cause a chronic inflammatory situation. Even obesity significantly contributes to a low-grade condition of chronic inflammation. Adipose cells release inflammatory proteins into the bloodstream, which increase the risk of cardiovascular disease. Obesity is also linked to higher C-reactive protein levels, produced by the liver.

Fortunately inflammation is reversible because diet and lifestyle are, for the most part, risk factors under our control. Eating foods that are unprocessed, substituting fish for meat, using olive oil or vegetable spread instead of butter, and consuming nuts and beans, which in fact have anti-inflammatory effects, is a start. Green tea, red wine, and many fruits and vegetables, especially berries, broccoli, tomatoes, and spinach all have anti-inflammatory properties.

It is important to treat any inflammatory conditions, especially those that are chronic.

Some suggestions:
Take care of yourself; manage your stress more carefully; get your blood pressure below 120/80; keep your HDL high and your LDL low; and find out your CRP levels.

Lastly, studies show regular exercise may help reduce inflammatory proteins. So GET MOVING! (Would you expect I say anything differently?)

Your body works hard all day trying hard to maintain a state of health. Eat well and live life fully. Your body will thank you.

2009
08.28

Degenerative Disc Disease

Degenerative Disc Disease

by Juli Kagan, RDH, M.Ed.

Dear RDH eVillage:

I am looking for information on degenerative disc disease and how it relates to hygienists, as well as more about chairs, loupes, catalogs, and occupational therapies.

Thank you!

What is degenerative disc disease?

When the intervertebral discs degenerate, the condition is called degenerative disc disease. Actually, it is a condition, not a disease, which can be painful. Fortunately, it is uncommon, especially among dental professionals. Our problems seem to be more on the lines with musculoskeletal disorders like such as chronic low back pain, tension neck syndrome, trapezius myalgia and rotator cuff impingement (see article by Bethany and Keith Valachi: JADA, Vol 134, No 10, 1344-1350).

Degenerative disc disease is a term that is used to describe the normal age-related changes that can occur in the spine, and can include loss of fluid in the discs and tiny tears or cracks on the outer layer of the disc. Interestingly, two people can have minor degenerative disc disease and one can be asymptomatic while the other person can feel debilitated. More often than not, the condition is brought about by changes in the discs and not from the mechanisms of musculoskeletal disorders, so often found in dentistry.

For more information, here are some references:

* http://www.webmd/cp,/bak-pain/tc/degenerative-disc-disease-topic-overview?
* http://en.wikipedia.org/wiki/Degenerative_disc_disease.com

Chairs, loupes, and other helpful information

There is as much information on this topic as there are styles and types of shoes (gosh, help us!). Below is a bit of information to help you make more informed choices.

Chairs

There are numerous differences in chairs and they are all dependent on you. Are you smaller, larger or just average in size? How about your height? Short, tall, or average? Consider a chair that is just for you. Like the three little bears.

* Do you sit in the center of the chair, or are you often perched? Sit in the center. No negotiating here.
* Consider shifting your vertical position from 90 degrees to slightly pitched forward, as if you are ready to play a sport. There is actually a seated position called the runner’s stance where one leg is forward of the other and you are slightly sideways of the patient.
* Clinical dental hygiene is an athletic event. If you don’t think so, don’t strengthen any muscles and see how you feel after working only a couple hours, let alone an entire day. Contraction allows for action.
* Move your patient. Don’t contort yourself!
* Sit on a chair that is about 25% larger than your bottom!
* Get a “wedge” if necessary to sit with your hips slighter higher than your knees (and to help you pitch forward).
* Consider toggling between standing and sitting. I often suggest for longer appointments, such as SRP, to sit for the maxillary and stand for the mandible.
* Consider ergonomic chairs; they may be a bit more expensive, but you’ll save your finances and body on the back end (pun intended!).
* Be sure your lumbar region is supported. Get a pad or cushion to help if needed. The chair should have it built in on higher end models.
* Consider a chair with arms, especially if you have neck issues. Learn how to use the chair.
* Consider fabric, which has texture versus slippery leather, which can make you work harder at balancing than necessary.
* Be ready to buy your own chair. It’s your body in the end. You are worth the investment.
* Test-drive the chair just as you would a car. And price point matters. More expensive may not always be better.

Resources:

* orascoptic.com
* rgpdental.com
* * From March 10, 2006, RDH eVillage

Loupes

Basically there are two types of loupes: through the lens (TTL) and flip-up. The difference between the two is night and day. Personally, I believe, if you can, splurge on the TTLs and consider them a gift to yourself. Your eyes, mind, and body will thank you.

Like a pair of socks or nylons you wear with your shoes, there are differences, both personal and functional.

Some notes of interest:

* Loupes can be expensive, but they are worth it!
* There is a learning curve which can be challenging at first. Stay with them!
* Your clinical dental hygiene will be higher quality. You will see why literally!
* You will be more efficient with your care and services.
* Your posture will improve, as long as your focal length and declination angles are correct.
* Your shoulder, neck and back muscles will seriously thank you!
* 2.0 to 2.5 magnification is often a good option for dental hygiene care.
* With increased magnification, your field size and brightness decrease.

Resources

* designsforvision.com
* orascoptic.com
* sheervision.com
* surgitel.com
* zeiss.com

Catalogs/Accessories:

* The Blue Boa suction device
* Instruments: different Handles, Sharpness, Double sided mirrors
* Ultrasonics: USI-top of the line, Slim-line inserts.
* Light, automatic handpieces

More ergonomic resources

* http://www.ada.org/prof/prac/wellness/ergonomics.asp
* http://www.rdhmag.com/articles/article_display.html?id=256863
* http://www.dentistrytoday.com/ME2/dirmod.asp?sid=&nm=&type=Publishing&mod=Publications%3A%3AArticle&mid=8F3A7027421841978F18BE895F87F791&tier=4&id=23CC77C3BD074F359214FD4F50FE605B

Occupational therapies

The primary occupational risk factors for MSDs discussed in the literature include: (1,2,3,4,5)

* repetition
* force
* mechanical stresses
* posture
* vibration
* cold temperature
* extrinsic stress
* precise nature of dentistry
* work schedule
* coping with patient anxieties

References

1. Herring SA, Weinstein SM. Assessment and Non-surgical Management of Athletic
2. Low Back Injury. In JA Nicholas, EB Hershman (eds), The Lower Extremity and
3. Spine in Sports Medicine. St. Louis: Mosby, 1995: 1171-1197.
4. Frymoyer JW. Back pain and sciatica. N Engl J Med 1988;318:291-300.
5. Cypress BK, Characteristics of physician visits for back symptoms: a national
6. perspective. Am J Public Health 1983;73:389-395.
7. Berquist-Ullman M, LarssonU. Acute low back pain in industry. A controlled
8. prospective study with special reference to therapy and confounding factors. Acta
9. Orthop Scand 1977;170:1-117.
10. Von Korff M, Deyo RA, Cherkin D, et al. Back pain in primary care. Outcomes at
11. 1 year. Spine 1993;18: 855-862.

Important considerations

* Operator positioning for wrist, neck and back positions
* Patient positioning
* Patient chair
* Lighting
* Work environment
* How tall are you? This is one of the major contributing factors for MSD’s in dentistry.

This list can go on and on (as a matter of fact it does, every month in RDH magazine by Anne Guignon in the Comfort Zone Column).

Finally…

Clinical dental hygiene is an athletic event! Train your body as if you had an endurance competition. You do! Everyday with all your patients!

Take time for yourself. Make an appointment in your calendar to care for you! Your patients will reap the benefits and more importantly, you will feel healthy, vibrant and strong! What more could you ask for?

When you’ve got your health you’ve got everything!

MIND YOUR BODY: Listen to what it is telling you and…
KEEP MOVING! Both throughout your day and in the gym, outdoors, on an elliptical machine, wherever!

Juli Kagan, RDH, M.Ed., is a certified Pilates instructor, and author, speaker, educator. Review her book, Mind Your Body at MindYourBodyBook.com. You can contact Juli at: Juli@MindYourBodyBook.com
Source:
DentistryIQ

2009
08.05

Getting your own ergonomically designed chair, THAT FITS YOU, is a strong consideration for anyone who sits for any extended period of time (um, who doesn’t?!):

When considering a chair: Try as many different styles as you see fit. See what “feels” good for you, being mindful of ergonomics: sitting with your knees at about 130 degrees, elbows comfortably bent (possibly supported with arm rests), ability to “pitch” forward in the chair. (BQ Ergonomics chairs do this). Consider a saddle vs a pan seat. Play with the chairs and then decide which one / and which company you felt most positive with. Order the chair with the understanding that it may need to be returned after a trial period.

Every BODY is different and every chair needs to fit you personally. What fits one may not fit the other. WHAT FITS YOU?

For dental professionals: while working, please consider standing for the mandible and sitting for the maxilla. And, keep moving around your patient

MOSTLY, KEEP MOVING- in and out of the operatory or work station.

There is a plethora of information about chairs out there. Read and research before making a decision, then it will be the best decision you ever made!

MIND YOUR BODY
& KEEP MOVING!

2009
07.12

If you haven’t had an opportunity to visit Hu-Friedy’s website now is the time!

Visit the “ERGODYNAMICS” section created by yours truly to access my exercises online.

Please join www.friendsofhu-friedy.com if you aren’t a member.

Friends of Hu-Friedy is a professional online resource for all dental hygiene professionals that offers not only product information and presentations, but a product evaluation program that you can earn free products quickly and easily. The Friends of Hu-Friedy community is continually updated with new features and programs, and is a great resource.

Here is a direct link to my program, Ergodynamics – http://www.friendsofhu-friedy.com/members/Ergodynamics.asp

If you are a member you will just need to login, and if you aren’t – the registration is quick and easy and you will receive Hu-Points just for signing up!

MIND YOUR BODY & KEEP MOVING!

Even in the Operatory!

2009
07.12

So I am wondering:

Since it is known that exercise increases blood flow, removes waste, and even INCREASES IMMUNE-SYSTEM RESISTANCE, do you think exercise could help in the prevention and/or treatment of periodontal disease, including gingivitis?

Your thoughts?

2009
07.12

This article is from IDEA and a reminder to KEEP MOVING!

Exercise can improve mood for up to 12 hours at a stretch.

The mood-enhancing effects of exercise are well documented, but a study presented in May at the 56th Annual Meeting of the American College of Sports Medicine (ACSM), in Seattle, suggests that the benefits may last much longer than previously thought.

The study enrolled healthy men and women to complete a survey about their mood states at 1-, 2-, 4-, 8-, 12- and 24-hour intervals following either exercise or rest. While previous studies have noted improvements in mood for up to an hour after exercise, this study found that benefits lasted as long as 12 hours following activity, compared with rest.

“These positive effects on mood occurred in all types of participants, regardless of age, gender or fitness level,” said lead author Jeremy Sibold, EdD, ATC. “In some cases, exercise may be able to complement other standard therapies as a cost-effective alternative in the treatment of mental health issues.”

Test subjects performed exercise at 60% of aerobic capacity, indicating that moderate-intensity exercise—like walking or light cycling—is enough to boost mood.

Because the mood-enhancing effects of exercise fade after more than 12 hours, it’s important to make physical activity a daily habit, says Sibold.

ACSM guidelines support the U.S. Department of Health & Human Services’ 2008 Physical Activity Guidelines for Americans, which recommend that adults participate in at least 150 minutes of moderate-intensity physical activity per week, which can be achieved in 30-minute segments over 5 days.

In other research, investigators have found that even major depression responds to consistent exercise.
IDEA Fit Tips, Volume 7, Number 7
July 2009

2009
07.04

This article came my way and wanted to pass it along. I thought it was excellent! ENJOY!

Mind Your Body and Keep Moving!

From yoga for gut pain to hiking for hypertension, how choosing the right exercise can cure your health problems

By Daily Mail Reporter
Last updated at 12:41 AM on 09th June 2009

We’re always being told that regular exercise is the best way to improve our health and stave off obesity. But did you know that specific types of exercise can help to reduce the symptoms of many common ailments?

Here we review the latest evidence to find out how you can ease health problems ranging from IBS to gum disease through the right choice of exercise.

IRRITABLE BOWEL SYNDROME
Researchers say mind and body therapies, like yoga, help relieve IBS and associated anxiety

THE CURE: Yoga.

HOW OFTEN: Four hours a week.

HOW IT WORKS: IBS is thought to affect around eight million Britons, although with no confirmed cause, diagnosis is tricky and treatment of the debilitating symptoms – which include abdominal bloating and cramping, diarrhoea and constipation – is even more difficult.

However, researchers are beginning to discover that therapies focusing on the mind as well as the body are helpful to sufferers. Gasteroenterologists at the University of British Columbia in Vancouver found the ancient practice of yoga to be particularly effective.

Subjects who were given a yoga lesson and then asked to do four hours of yoga moves a week at home, guided by an instructional DVD, had significantly fewer abdominal symptoms and less anxiety compared to a control group who stuck to their normal daily routine.

Another study conducted at the University of Birmingham found 30 minutes of activity (including yoga) five days a week reduced IBS problems.

So why should yoga be beneficial for IBS? As well as treating the body, yoga is thought to help treat the mind – the same reason cognitive behavioural therapy (or CBT) has proven to help IBS sufferers.

ALSO TRY: Swimming or Aqua-aerobics. Both are the kind of low-impact forms of aerobic exercise that have shown to be helpful when performed in moderation (3-5 times a week).

* Author Martina Cole’s tips to beat arthritis…fish oil, steamy saunas but skip red wine and tomatoes

BACK PAIN
THE CURE: Alexander Technique.

HOW OFTEN: A course of 24 lessons, then daily.

HOW IT WORKS: Regular activity has long been known to ease chronic back pain, but a study published in the British Medical Journal last year suggested the popular postural awareness therapy Alexander Technique could provide the greatest benefit.

Devised by Frederick Matthias Alexander, an Australian actor who suffered stressinduced breathing problems, this method re- educates the body to achieve postural harmony.

A teacher will assess your posture and how you move about. Then he or she will teach you how to sit up straight, walk without hunching over and other techniques to improve balance and co-ordination and relieve pressure on the spine.

Professor Paul Little, a primary care specialist who specializes in back problems, found that one year after the trial started, the average number of activities limited by back pain had fallen by 42% in the Alexander group, and the number of days in pain were only three a month, compared with 21 days in the control group. The Alexander group said their quality of life increased enormously as they were pain-free.

ALSO TRY: Pilates. This aims to strengthen the core muscles that support the spine; several studies have shown it significantly reduces chronic back pain.

GUM DISEASE

THE CURE: Aerobics

HOW OFTEN: Three classes a week of 45 minutes to one hour duration.

HOW IT WORKS: Until recently, good oral hygiene habits of brushing and flossing regularly were the only health behaviours identified as helping prevent gum disease.

But a study of more than 12,000 people published in the Journal of Periodontology revealed that regular gym-goers who did a range of aerobic classes were 40% less likely to develop periodontitis, a gum infection that can result in loss of teeth and lead to an increased risk of heart disease and diabetes.

Researchers from the Case Western Reserve University in the U.S. found that five or more moderate physical activity sessions or three intensive activity sessions a week combined with a healthy diet and oral health regime reduced the risk of gum disease.

ALSO TRY: Spinning, the high-intensitygroup indoor cycling class, could also help because the high effort it requires is similar to aerobics.

HIGH BLOOD PRESSURE

THE CURE: Hiking.

HOW OFTEN: 30-60 minutes at least three times a week.

HOW IT WORKS: Hiking on rocky or uneven stones has profound benefits for health. If you can find some cobblestones to walk over, even better. Physiologists at the Oregon Research Institute found cobblestone-walking, an activity rooted in traditional Chinese medicine, led to significant reductions in blood pressure and improvements in balance.
Hiking picture

Relief: Hiking on rocky surfaces is thought to lower blood pressure by stimulative acupressure points on the soles of the feet

It is thought that the uneven surfaces might stimulate acupressure points on the soles of the feet, thereby regulating blood pressure.

According to the theories of Chinese medicine, applying pressure to acupressure points around the body helps to clear blocked channels that can lead to illness and problems such as high blood pressure. Because it is challenging, it will burn more calories than walking on even ground.

In the Oregon study, which was published in the Journal of the American Geriatrics Society, Dr Fuzhong Li asked subjects either to take part in a 60-minute group session of walking on cobblestone mats or to take a walk three times a week for 16 weeks.

At the end of the study, mat-walkers had better scores on measures of balance, physical function and blood pressure than those in the conventional walking group.

ALSO TRY: Tai chi, the ancient martial art, has been shown to have benefits for several aspects of heart disease, including high blood pressure. A study presented to the American Heart Association showed that Tai Chi lowered blood pressure in older adults nearly as much as moderate-intensity aerobic exercise such as running.

OSTEOPOROSIS

THE CURE: Running.

HOW OFTEN: 30 minutes, three to five days a week.

HOW IT WORKS: Activities that are ‘high impact’ (which involve pounding on the ground) boost bone density and help to prevent the brittle bone disease osteoporosis, but running tops the lot, according to experts.

In a study published earlier this year, Pam Hinton, professor of nutrition and physiology at the University of Missouri, compared the long-term effects of running, cycling and weighttraining on bone density, and found that regular runners had the strongest spines. ‘Both weight-training and high-impact endurance activities will increase bone mineral density,’ Hinton says. ‘But a high-impact sport, such as running, appears to have a greater beneficial effect.’

She adds that those who do only non-weight-bearing exercise, such as cycling, swimming or rowing, should try to incorporate some runs into their fitness programme.

ALSO TRY: Tennis, basketball and skipping, because they each involve some of the pounding that is required for weight-bearing exercise.

DEPRESSION:

THE CURE: Kite Flying!
Researchers have found it works at reducing the signs of depression.

THE CURE: Walking.

HOW OFTEN: 30 minutes a day.

HOW IT WORKS: Feeling blue? Then ‘ecotherapy’ – walking in a park or the countryside – could be the key to boosting your mood. Several researchers have found walking to be the best way to banish mild to moderate depression.

Mental health charity Mind says the best places to walk are parks or the countryside. According to studies at the University of Essex commissioned by Mind, a walk surrounded by nature reduces depression whereas a walk in a shopping centre or city increases mood problems.

An earlier U.S. study found that three brisk, 30-minute walks a week had greater effects on reducing depression than antidepressant drugs.

Six months after 150 subjects had completed the 16-week walking program, only 8% saw their depression return. Ecotherapy works by boosting the feelgood hormones endorphins by walking and tapping into our instinctive enjoyment of Nature.

ALSO TRY: Gardening has also been shown to help.

DIABETES
THE CURE: Weight training for woman

Muscling in: Diabetics should try weight training as well as aerobic exercise, new research suggests

THE CURE: Weight-training.

HOW OFTEN: Twice a week.

HOW IT WORKS: People with Type 2 diabetes are usually advised to do more aerobic exercise (running, swimming and cycling, for example) to lower body fat and improve glucose control. But a recent study showed that adding weight-training to the mix could have positive results.

Professor Robin Marcus, of the American Physical Therapy Association, asked Type 2 diabetics to take part in a 16-week supervised workout programme.

Half of the subjects did only aerobic exercise for 30 minutes a day, five days a week; the rest did a combination of aerobic activity and twice-weekly weights performed using a leg-strengthening machine at the gym.

After three months, both groups had less body fat and improved glucose control. But those using the weights also had a decreased Body Mass Index, used as a benchmark for ideal height-to-weight ratio and stronger leg muscles.

‘Aerobic exercise should not be used in isolation,’ says Marcus. Adding resistance training to the mix increases the amount of lean muscle issue, which boosts metabolism and helps to control glucose levels, Marcus says.

ALSO TRY: Body Pump classes – a mix of weight training and aerobics – are an easy way to get the mix of exercise. Try two classes a week.

HEADACHES

THE CURE: Cycling.

HOW OFTEN: 30 minutes, three to four times a week.

HOW IT WORKS: For some people who suffer regular headaches, exercise can act as a trigger although no experts understand exactly why. Several researchers have suggested that endurance activities such as cycling and indoor rowing can be helpful, possibly because they raise the levels of feel-good hormones like endorphins that also act as natural painkillers.

A recent study published in the Journal of Head and Face Pain showed that indoor or outdoor cycling had reduced the frequency of attacks by 90%.

Dr Emma Varkey of the Cephalea Headache Centre in Gothenburg, Sweden, based her findings on a survey of 68,000 adults and showed that inactive subjects were 14% more likely to develop headaches over an 11-year period.

Cycling seems to help, Varkey says, because the continuous aerobic activity increases oxygen distribution. With cycling, there is also none of the pounding that comes with running, aerobics and power-walking that can sometimes lead to headaches.

Activities that place excessive strain on the body (such as weight lifting) should obviously be avoided.

It is worth noting that headaches that occur during a workout can be caused by dehydration or low bloodsugar (from eating too little carbohydrate prior to a gym session).

ALSO TRY: Regular yoga – at the University of California’s Davis Medical Centre, a study showed that 75 per cent of all headaches arise from muscle tension in the back of the neck, specifically the semispinalis capitis muscles, due to problems in posture. Yoga was found to correct this, reducing the frequency of headaches.

2009
06.17

img_0894

Presenting at the Bahia Mar, Ft. Lauderdale to the McCawley DeTure Study Group about Pilates and Stretches for the Dental Professional

 

img_0913
About 70 Dental Professionals experienced a Pilates Mat Class and learned, among other things, neutral spine and neutral pelvis while lying down.