NIFS Healthy Living Blog

Parkinson’s Disease is a chronic neurological disorder that often causes muscle tremors, rigidity, balance issues, and loss of muscular control. For individuals living with this condition, maintaining a regular fitness routine is important—but equally important is incorporating mobility work into their daily lives. Mobility helps reduce the impact of these symptoms and supports success in both everyday activities and exercise routines.

Stretching is one of the most effective ways to promote mobility. It helps lengthen tight muscles and increases the range of motion in the joints. By decreasing stiffness and improving flexibility, individuals with Parkinson’s can more easily complete daily tasks and maintain a consistent fitness routine, ultimately enhancing their overall quality of life.

There are three main types of stretching that can benefit individuals with Parkinson’s: static, dynamic, and assisted stretching.

Static and Dynamic Stretching
Static stretching involves holding a position for a period of time without movement. It’s a safe and effective way to gently increase flexibility and is an excellent starting point for many individuals. Examples include a seated hamstring stretch, a wall calf stretch, or a gentle neck stretch. These stretches can be done independently and are generally low risk, making them ideal for people with balance concerns.

Dynamic stretching, on the other hand, involves controlled movement through a range of motion. These stretches are great for warming up the muscles and preparing the body for physical activity. Examples include bodyweight squats, modified push-ups, or resistance band movements. Like static stretches, dynamic stretches can be performed independently and can help improve functional mobility.

Assisted Stretching
While self-directed stretching is important, assisted stretching can have the most significant impact on mobility and joint health. This type of stretching is performed by a certified practitioner and often involves techniques like proprioceptive neuromuscular facilitation (PNF). PNF includes cycles of contracting and relaxing muscles, which not only helps lengthen the muscles but also improves the fascia and overall joint function. Additionally, this kind of guided movement helps activate areas of the brain associated with muscle control—an important benefit for individuals with Parkinson’s.

Parkinson’s Disease is a condition that affects the way people move, think, and feel. It’s progressive, which means it changes over time, and while there’s no cure just yet, there’s a lot we do know about it—and that knowledge can be powerful for prevention, support, and better care.

Causes and Risk Factors

There’s no single reason someone develops Parkinson’s—it’s usually a mix of genetics and the environment. Some people carry certain gene mutations (like LRRK2, GBA, or SNCA) that raise their risk. These can be passed down through families, but not always.

Environmental exposure matters too. Being around pesticides or heavy metals for long periods has been linked to higher chances of developing the disease. And as people age—especially past 60—the likelihood increases. Men are more commonly affected than women, and some research suggests that being overweight might also play a role.

Scientists have also been looking closely at a protein called alpha-synuclein. When this protein builds up in the brain and forms clumps (called Lewy Bodies), it interferes with how the brain works—and that’s a big part of what drives Parkinson’s.

Recognizing the Symptoms

There’s no magic cure yet, but there are ways to manage the symptoms and keep moving forward.

The most common treatments are medications that help boost dopamine in the brain—since Parkinson’s is tied to a drop in dopamine levels. For people dealing with intense tremors, some surgical options like Deep Brain Stimulation or MRI-guided ultrasound can really make a difference.

Therapies are also incredibly helpful. Physical therapy keeps the body strong and flexible. Speech therapy can help with communication, and emotional support—whether it’s through a counselor, a support group, or trusted loved ones—makes a world of difference.

Managing and Treating Parkinson’s

Unfortunately, there is no direct cure for Parkinson’s. However, there are some clinical options to help treat the effects of the disease. These include Dopamine medication, Deep Brain Stimulation Surgery for large tremors, MRI guided ultrasound for localized tremors, and long term physical, emotional, and speech therapy.

Can Parkinson’s Be Prevented?

While there are no direct cure’s for Parkinson’s Disease, there are some things you can do to prevent it. This includes regular cardiovascular training, maintaining a healthy whole food diet, maintaining a population average body fat percentage, and surprisingly, intaking some caffeine regularly to stimulate the neurons in your brain.

Parkinson’s Disease remains a complex condition with no one-size-fits-all path, but continued research and awareness bring hope. Whether you’re seeking to understand the risk factors, recognize symptoms, or support a loved one, knowledge is a powerful starting point. With the right combination of medical care, physical activity, and emotional support, individuals with Parkinson’s can continue to live fulfilling, active lives.

We often focus on heart health strategies during waking hours—exercising regularly, staying physically active, and eating nutritious meals. For instance, aerobic exercise strengthens the cardiovascular system by enhancing the heart's efficiency. With consistent training, the heart pumps blood more effectively, leading to benefits like increased left ventricle size, stronger contractions, and greater stroke volume. Similarly, limiting foods high in calories, saturated fats, and refined sugars helps reduce harmful byproducts like cholesterol, triglycerides, and excess sugar. But what about the hours we spend sleeping? Could your sleep habits be influencing your long-term heart health?

The Role of Sleep in Recovery:

Sleep plays a critical role in the recovery of muscles, tissues, and the central nervous system (CNS). During sleep, our brain cycles through non-rapid eye movement (NREM) and rapid eye movement (REM) stages, which are essential for overall recovery. A healthy sleep pattern also supports the body’s circadian rhythm—a natural, 24-hour cycle that regulates hormones, energy levels, and metabolic functions. For example, cortisol helps us wake up feeling energized, while melatonin prepares us for sleep as night approaches. Historically, circadian rhythms aligns with daylight, but modern lifestyles often disrupt these natural cycles.

Modern Sleep Challenges:

Today, many people work irregular schedules, leading to disrupted sleep patterns. In fact, about one in three adults struggles to get the recommended 7+ hours of quality, uninterrupted sleep each night. Without completing full sleep cycles, the CNS cannot fully recover, leaving the body in a heightened state of stress. This dysregulation affects hormones critical for the "rest and digest" functions, impairing recovery.

Consequences of Poor Sleep:

Chronic poor sleep impacts both mental and physical health. It diminishes cognitive function, causes fatigue, and can even lead to metabolic dysfunction. Sleep deprivation often results in less nutritious food choices, contributing to weight gain and a higher risk of obesity. Additionally, poor sleep disrupts metabolism, further compounding weight-related challenges.

Sleep and Heart Health:

Short sleep (<7 hours) has been linked to inefficient metabolism, reduced cognition, and low energy levels. It also keeps the body under prolonged stress, raising heart rate and blood pressure. Over time, these effects can harm cardiovascular health, increasing the risk of heart disease and cardiometabolic dysfunction. Combined with poor diet and low physical activity, chronic sleep issues heighten the likelihood of heart disease, diabetes, and vascular problems.

Tips for Better Sleep:

Improving your sleep environment and habits can significantly boost your sleep quality and heart health. Here are some actionable steps:

• Create a Sleep-Friendly Environment: Avoid screens emitting blue light before bed, reduce background noise, and keep your bedroom dark and cool.
• Time Your Activities: Avoid heavy exercise or large meals within three hours of bedtime.
• Stick to a Schedule: Consistent sleep and wake times help regulate your circadian rhythm.
• Exercise Regularly: Physical activity promotes better sleep quality.
• Optimize Your Diet: Eat nutritious meals and limit caffeine intake to 5–7 hours before bedtime.
  
  

If you’re struggling to establish healthy sleep habits, consider consulting a doctor or health coach for personalized guidance.

As we find ourselves halfway through the year, it’s the perfect time to reflect on our health and well-being. Many of us started the year with ambitious resolutions, particularly around fitness, nutrition, and overall wellness. But life can get busy, and it’s easy to lose sight of these goals. The good news is, it’s not too late to make significant changes and get back on track. Now is an ideal time to reassess and rejuvenate your commitment to a healthier lifestyle.

Reassess and Reset

First, take a moment to review the goals you set at the beginning of the year. Were they realistic? Are they still relevant? Adjusting your goals to be more attainable or aligned with your current lifestyle can make a huge difference. Remember, small, consistent changes often lead to the most sustainable results.

The Power of Nutrition

One of the most impactful areas to focus on is nutrition. Our dietary choices influence every aspect of our health, from energy levels and mental clarity to long-term disease prevention. This is where the expertise of a Registered Dietitian (RD) can be invaluable. An RD can help you navigate the often-confusing world of nutrition, providing personalized advice and strategies tailored to your unique needs and lifestyle.

Why Work with a Registered Dietitian?

Registered Dietitians are trained professionals who specialize in food and nutrition. They can help you develop a balanced eating plan that supports your goals, whether it’s weight loss, improved athletic performance, or managing chronic conditions like diabetes or heart disease. RDs consider your medical history, lifestyle, and preferences to create a plan that’s both effective and sustainable.

Moreover, RDs can provide ongoing support and accountability. Regular check-ins can help you stay motivated and make necessary adjustments to your plan. They can also teach you how to make healthier choices in various situations, such as dining out or managing stress-related eating.

Integrating Fitness and Nutrition

Fitness is another crucial component of a healthy lifestyle. Combining regular physical activity with a balanced diet amplifies the benefits of both. Whether you’re a seasoned athlete or just starting out, integrating fitness into your routine can improve your physical and mental health. Working with a professional, such as a personal trainer or an RD with experience in sports nutrition, can further enhance your efforts.

Start Today

Remember, it’s never too late to make positive changes. The halfway point of the year is a great opportunity to reassess, reset, and recommit to your health goals. By focusing on nutrition and fitness and leveraging the expertise of a Registered Dietitian, you can make significant strides toward a healthier, happier you. So, take that first step today. Reevaluate your goals, seek professional guidance, and make the rest of this year your healthiest yet.

Functional training is an excellent approach for longevity and maintaining a healthy lifestyle and functioning body because it emphasizes movements that mimic activities of daily living, enhance flexibility, and improve overall mobility. In this blog, you will learn about the different functional exercises that can contribute to your longevity, along with their benefits and daily function.

• Squats: Squats, part of the big three essential power lifts, are an ideal functional movement because they mimic the motion of sitting down and standing up repeatedly on a day-to-day basis. The benefits include strengthening the lower body (quadriceps, hamstrings, and glutes) and promoting improvement in ankle and hip mobility.
• Lunges: Lunges are used primarily to replicate the function of climbing stairs, stepping onto or over something, and catching oneself from falling forward or backward. The benefits include strengthening the legs, hips, and glutes, and improving balance and stability.
• Deadlifts: Deadlifts, as another part of the big three essential power lifts, are an ideal functional exercise because they simulate picking things up from the ground safely. This exercise targets the posterior chain, including the lower body, glutes, and hamstrings, which are all activated especially when lifting a heavy object.
• Push-ups: Push-ups are one of the most essential and common movements needed for the ability to lift our body from the ground or external obstacle. This exercise targets muscles of the chest, shoulders, and triceps, thus promoting upper-body function and strengthening.
• Pull-ups (or lat pulldowns): Pull-ups are another essential and common movement for the ability to lift oneself, like climbing a wall. A good alternative exercise is lat pulldowns, which simulate the same function.

One key piece of advice I would offer is to focus on proper form and start with the most appropriate intensity that is necessary for you and your fitness journey. Consistency is key, and as with any exercise program, it’s advisable to ask questions. Always consult the trainers and Health Fitness Specialists at NIFS. We would love to help you improve your form, give you exercise prescriptions, and make your fitness journey as comfortable as possible.

This blog was written by Deveon Martin, NIFS Health Fitness Specialist. To read more about the NIFS bloggers, click here.

Everyone needs strong hips. Athletes need them to perform a wide variety of movements within a given sport. Aging adults need them to help reduce the risk of falls. When we think about the hip, most people think about the glutes and abductors. You can look in any gym and see a handful of people with a band around their knees performing a plethora of movements working the glutes and abductors. However, the most neglected muscle is the one on the inside of the thigh: the adductor.

Anatomy and Function of the Adductor

The adductor muscle is situated in both the medial and posterior compartments of the upper leg. It attaches to the hip bone and to the linea aspera of the femur. The primary role of the adductor is to adduct and internally rotate the thigh at the hip joint. It also plays an important role in hip extension and stabilizing the pelvis along with the glutes and hamstrings.

Why You Should Be Training the Adductors

The adductors are a secondary muscle group that assists the larger muscle groups during compound exercises such as squats and deadlifts. However, there are important benefits to focusing accessory movements on the adductors. As I mentioned, the adductor plays a role in hip extension and stabilization of the pelvis. Hip extension is one of, if not the most powerful movements of the body. It is how we jump, stand, walk, run, and sprint. If we neglect the adductor muscles, we are missing out on added stabilization of the pelvis during all these movements.

Groin strains are the most common among athletes who are sprinting, cutting, and changing directions. Throughout these movements, the adductors take on a large load of eccentric forces. This means that just like the hamstrings during a heel strike, these muscles are force absorbers. A muscle is more likely to tear or strain if it is not strong enough to absorb an increasing amount of force. Strengthening the adductors can reduce the likelihood of a groin strain.

The adductors not only stabilize the pelvis, but they also control pelvic rotation. This is highly important for sports such as baseball, softball, golf, hockey, or tennis. All of these sports rely highly on the rotational power of your hips for swinging and throwing. Weak adductors will not help you hit farther or throw harder.

Movements for the Adductors

• Adductor Machine: Not all gyms or facilities have one of these machines. However, if you do have access to one, it’s the simplest way to directly train the adductors.
• Adductor Foam Roller Hold: Although you do not get the same overloading stimulus as the adductor machine, the foam roll hold could be a substitute for the machine. For this variation, all you need is a foam roller, or an object similar in width and it needs to be solid. In a seated or lying position, bend your knees to 90* and place the foam roller between your knees and squeeze. This is an isometric movement that you can make harder by holding for a longer duration. 
• Banded Adduction: For this you will need a super band and a place to anchor the band close to the ground. To perform this movement, you will be in a standing position with your side to the band. Wrap the band around the inner foot and step out until you feel tension on the band. From your starting point, let the band pull your foot away. Stand tall and bring your foot back to the center.
• Lateral Lunge: This is a great movement for any skill level because it can be progressed and regressed. To perform a body-weight lateral lunge, start with both legs together. Step one foot out and begin to bend that knee and start to sit your hips back. Push off that leg and bring both feet together. To progress this movement, simply add weight.
• Copenhagen Plank: For this movement you will need a bench or a box. You will start in a side plank position with your top foot on the bench and your bottom leg either straight or bent. From this position, you will pick your hip up and hold.
• Medicine Ball Scoop Pass: For the rotational action of the adductors, we will perform a rotational throw. With a medicine ball in both hands, shift your weight to the outside foot. From this position, push off the outside foot and rotate the hips, and then the shoulders, and throw the ball at the wall.

This blog was written by Evan James, NIFS Exercise Physiologist EP-C, Health Fitness Instructor, and Personal Trainer. To learn more about the NIFS bloggers, click here.

In this blog series, I have discussed the four movement patterns for building muscle and broken them down further with exercise examples you can add to your workouts. Then we discussed two upper-body movement pattens, the pull and the push. In this post I discuss the squat pattern, our first lower-body movement pattern.

The Squat Movement Pattern

The squat movement pattern is a compound movement that works the muscles of the upper legs including the quadriceps and glutes. The squat pattern is an essential movement for your activities of daily living. We use this pattern to sit, to stand, to pick things up off the floor, to walk up the stairs, and for many other activities. It is essential to train this pattern to maintain your lower-body strength as you age to maintain muscle mass and prevent falls. 

Training the squat movement pattern to a full range of motion can also improve your flexibility and bone mineral density. Learning how to squat properly, and to a full range of motion, is essential in a well-rounded training program. Within your training plan you can break this movement into bilateral and unilateral patterns. Bilateral means both legs working at the same time, and unilateral means one leg at a time. Utilizing both bilateral and unilateral patterns will ensure you are not creating any imbalances between your legs.

Squatting Variations

Bilateral

• Barbell Back Squat
• Barbell Front Squat
• Goblet Squat
• Leg Press
• Zercher Squat
• Hack Squat Machine

Unilateral

• Split Squat
• Rear Foot Elevated Split Squat
• Front Foot Elevated Split Squat
• Walking Lunge
• Step Back Lunge
• Step-Ups

Quadricep Isolation Movements

• Leg Extension
• Banded Terminal Knee Extension

Get Training Help at NIFS

For more information on how to properly progress and structure a training program, visit our staff at the track desk to schedule a private session. We are more than happy to help at any time, and as part of your membership here at NIFS, you receive complimentary workout programs. Our Health Fitness professionals tailor all programs to your fitness goals.

This blog was written by Evan James, NIFS Exercise Physiologist EP-C, Health Fitness Instructor, and Personal Trainer. To learn more about the NIFS bloggers, click here.

Can you believe that Halloween is here? Last week in the grocery store checkout line, I was gently reminded that it is that time of year again by the hoards of chocolate bars and candy corn on the counter. I thought back to what I did last year, besides the typical handing out candy and trick or treating at some friends’ homes, and remembered something I could share with you: A SPOOKY WORKOUT!

Here are the six “Halloween exercises” for your spooky workout!

Scary Black Cat:

• This is an exercise for the lumbar region of the back. Go down on all fours, being sure that your elbows and wrists are directly under your shoulders and your knees are under your hips. Arch your back upwards, hold for three seconds, then let the lower back sag and hold for three seconds as well. Do five in each direction.

    

• Starting on all fours in a high plank position, you will bring your right knee up and out toward your right elbow as your left hand extends forward. Try to stay low to the ground as you alternate sides.

      

Witch Ride:

• Start with your feet staggered and your back toe on the ground. Hold a resistance band (attached to something higher than the level you are standing at) with both hands. Descend straight down, bringing the “broom” (band) by your side. Repeat ten times on each side.

       

Full Moon:

• Take a medicine ball and slam the ball on your right side. Then you will lift the ball overhead and slam it straight down, and finish by slamming the medicine ball above your head down on your left side.

       

Pumpkin Swing:

• Hold the pumpkin (kettlebell) with both hands in proper swing form. At the bottom of the swing, your forearms should touch the quads, allowing the bell to almost hit you in the glutes. Keeping the core tight, thrust the hips forward and tighten the glutes at the end of the swing.

       

• Lay on your back with your hands by your side and your feet flat on the floor close to your butt. Squeeze the BOOty to lift your hips off the ground, making your body flat like a tabletop. Return to the starting position and repeat.

       

I hope that you are able to enjoy this SPOOKY Halloween workout! DO NOT BE AFRAID! ENTER THE HALLOWEEN WORKOUT ZONE IF YOU DARE! After a good warm-up, try going through each round three times, and finish with a cool-down.

While you're getting in the Halloween spirit, check out these other posts:

“How can I better utilize the landmine attachment?” This is a question we hear regularly, but are sometimes limited by our own fitness exercise library. The landmine is actually quite versatile and functional in nature. Here I explore the Landmine and some of the many exercises that link several facets of fitness into one unique experience. From functional movements to powerlifting accompaniment, the Landmine is sure to boost your workout with new approaches to old exercises.

What Is a Landmine Attachment? 

According to opexfit.com, “The landmine attachment is a piece of gym equipment invented by Bert Sorin of Sorinex. It’s an adapter that attaches to a weightlifting rack that holds a barbell in one end, leaving the other end free for loading and moving.”

Upper-body Exercises with the Landmine Attachment

For these exercises, you will need a 45lb Olympic bar, a Landmine attachment, and any additional weights to add (for increased difficulty). I suggest beginning with just a bar (remember, it does weigh 45lb!).

1. Two-handed Shoulder Press: With two hands, press the bar overhead.
   
2. One handed Bent-Over Row: With one hand, hinging at the waist, grab the bar and row upward.

Lower-body Exercises with the Landmine Attachment

1. Sumo Squat: With a wider than normal foot placement, hold the bar in two hands with arms extended. Do a squat pattern.
2. Single-leg RDL: While standing on one foot, bar in one hand, hinge at the waist, and then return to standing

Core Exercises with the Landmine Attachment

1. Trunk Twist: Standing in athletic position, make a “windshield wiper” while holding the bar overhead.
2. Half-kneeling Trunk Twist: This is the same as the trunk twist, except now you are in a half-kneeling position.
3. Half-kneeling Press: From the half-kneeling position, press upward (not unlike a shoulder press), press the weight up and slightly past the top position, achieving anti-rotational stability.

As you can see, the Landmine is a great, multifaceted tool for us to enjoy not only functional fitness, but also massive muscle “gainz”. All kidding aside, please explore the Landmine and its numerous features. Be creative and try new exercises. If you are getting stumped and need a fresh routine, look no further than a NIFS Health Fitness Instructor. We can help with all of your fitness needs including setting goals, benchmark fitness testing, exercise programming, and more! See you at NIFS!

This blog was written by Thomas Livengood, NIFS Health Fitness Instructor and Personal Trainer. To learn more about the NIFS bloggers, click here.

To potentially prevent future injuries, you can use prehab exercises to bomb-proof your body. The overall goal of prehab exercises is to increase durability in your physical activities with better-quality movements, which will improve your performance and overall health.

How Prefab Exercises Help

As a planned part of your exercise routine, prehab exercises will help with mobility, activation, and stabilization:

• MOBILITY is the process of collectively improving your flexibility.
• ACTIVATION is the process of causing controlled contractions or trying to “turn on” specific underactivated muscle groups to fire.
• STABILIZATION is the process of generating coordination, or to control movement.

Videos of Prefab Exercises

The videos I’ve added are a few of my favorite routines to do with athletes before workouts begin. The goal is to strengthen and mobilize joints (such as shoulders, hips, knees, and elbows) as well as help practice movements you do during workouts and everyday life. Depending on your workout for the day, I’ve included samples of full-body, upper, and lower routines that I use with athletes regularly.

Full-Body Prehab Exercise Video

Upper-Body Prehab Exercise Video

Lower-Body Prehab Exercise Video

Practice is the key to all these prehab exercise movements. Work on the exercises that you find the most challenging and develop a body that will be mobile, strong, and stable for many workouts to come.

This blog was written by Michael Blume, MS, SCCC; Athletic Performance Coach. To learn more about the NIFS bloggers, click here.