- The New Normal in Internal Medicine and Exercise Therapy -.
'I'm diabetic, can I still exercise?'
I thought rest was your first priority because of your high blood pressure."
I'm worried about moving during cancer treatment..."
I'm on dialysis, but I don't want to lose my strength."
In response to these concerns, in recent years, the "Exercise, when properly assessed, is rather conducive to restoring health.The idea of "the world's first and only" has become the mainstream.
At Ikejiri-Ohashi Sera Clinic, even diabetes, high blood pressure, and cancer,Safe exercise therapy for a wide range of medical conditionsWe provide the following services.
In this issue, we would like to introduce our clinic's approach to exercise therapy, which is very important to us.
Why do we need to “exercise even if we are sick?
Exercise has the following benefits that cannot be obtained with drugs
- Improvement of insulin resistance (blood glucose control)
- Stabilization of blood pressure, reduction of cardiovascular risk
- Maintain bone and muscle mass and prevent falls
- Reduction of depressive symptoms and anxiety
- Improved immunity and sleep quality
- Prevention of cancer recurrence and maintenance of quality of life (QOL) during treatment
In other words, the positioning of "exercise as a part of treatment" is now strongly demanded in the medical field.
Exercise therapy at our clinic starts with an “evaluation of safety.
At our clinic, we begin the exercise process by firstThorough risk assessmentThe company is doing so:
- stress ECG testCheck for: myocardial ischemia and arrhythmias
- Fundus examination (for diabetic retinopathy)
- Blood tests (HbA1c, renal function, electrolytes, inflammation markers, etc.)
- Risk classification based on medical interview and ACSM guidelines
- Lifestyle guidance and drug adjustment by physician as needed
Through this process, exercise programs are individually designed after clarifying "what intensity of exercise is safe" and "whether there are any complications.
[By disease: our clinic's approach to exercise therapy
Diabetes
- Aerobic exercise (fast walking, bicycling, etc.) + resistance exercise (squats, etc.) is recommended
- Exercise 1-2 hours after a meal optimizes blood glucose control.
- For drug users at risk of hypoglycemia, blood glucose self-monitoring and CGM (Libre)
Hypertension
- Mainly aerobic exercise at about 60-701 TP3T of maximal heart rate
- Avoid strong breath-holds (Valsalva maneuvers) and high-load muscle training as a rule.
- Guidance with real-time monitoring of blood pressure and pulse rate
Cancer (during and after treatment)
- There is evidence of fatigue reduction, muscle strength maintenance, and reduced risk of recurrence
- Adjust content according to the side effects of anticancer drugs and radiotherapy
- Physicians and physical therapists work together to adjust load according to physical condition
[A feature of our clinic's exercise therapy].
- Based on a physician's evaluation.Individual Program Design
- Physical therapist supports exercise therapy once or twice a week(20 minutes of instruction + 20 minutes of aerobic exercise)
- Both self-funded and insured treatments are available
- Once a monthRe-examination, body composition measurement, review of goals
- Optional.Libre (blood glucose sensor), supplement guidance, and nutritional counselingalso possible
We also use a goal-setting sheet at the first meeting to help us think together about why we are moving and where we want to go.
Summary
Even in the presence of disease, "individualized exercise in a properly assessed and safe environment" is a cure itself.
At Ikejiri-Ohashi Sera Clinic, we provide support that will make you feel "glad to have moved" instead of "too anxious to move.
If you would like to start an exercise regimen, lose weight, or take a step forward in maintaining your health, please feel free to contact us.
“We support medical treatment that ”heals while moving.