SPECIAL POPULATIONS

03 November 2020
Special populations are always a tricky topic - especially if we aren’t fully qualified, or prepared, to work with them.  
When I became a personal trainer I discovered that special populations were the clients that gave me the most satisfaction to work with, as my training could have a significant impact in their lives.
If you are a trainer or wanting to become one, special populations are a subject that needs more study and dedication, as there is often not enough information regarding the care and needs of clients with specific conditions.

Let’s talk about clients with Osteoarthritis: what do we know about them?

Osteoarthritis is a widespread condition which can affect any joint in the body. It is most likely to affect the joints that bear most of our weight, such as the knees and feet. Joints that we use a lot in everyday life, such as the joints of the hand, are also commonly affected.

It’s quite common to think that people with Osteoarthritis aren’t able to perform exercises, but this is because we don’t know what they can or cannot do. 

Also, many people worry that exercising will increase their pain and may cause further joint damage. However, while resting painful joints may make them feel more comfortable at first, too much rest can increase stiffness.

As a trainer, we need to give clients with Osteoarthritis faith in us to demonstrate that they shouldn’t be afraid to use their joints. If pain makes it challenging to get started with exercise, you could advise your client to take a painkiller, such as paracetamol, beforehand. And if you feel your client has overdone things a bit, you might advise applying warmth to the painful joint – or if it is swollen, applying an ice pack may help.

If your client has not done much exercise for a while, you might want to get advice from a physiotherapist. They will be able to help you work out a programme that works for your client. The most important thing is to start gently and build up gradually.

Exercise is considered the most effective, non-drug treatment for reducing pain and improving movement in patients with Osteoarthritis. Multiple studies show that mild to moderate exercise is beneficial for people with arthritis. However everyone's circumstances are different, so discussing exercise with your doctor or physical therapist is essential. Together with your client’s health care team, you can design an exercise plan that is best for them.

If you’re still unsure of which exercises can help a client with Osteoarthritis, here are some basic examples of exercises you could include in their fitness program:

Range of motion or flexibility exercises

‘Range of motion’ refers to the ability to move your joints through the full movement they were designed to complete. These exercises include gentle stretching, and movements that take joints through their full span. Doing these exercises regularly can help to maintain and improve flexibility in the joints. 

Aerobic/endurance exercise

These exercises strengthen the heart and make the lungs more efficient. Aerobic exercise also reduces fatigue and builds stamina, while helping control weight by increasing the number of calories the body uses. Examples of this type of exercise include walking, jogging, cycling, swimming, or using the elliptical machine.

Strengthening exercises

These exercises help maintain and improve muscle strength. Strong muscles can support and protect joints that are affected by arthritis.

As trainers we need to keep ourselves updated with new research and training styles. Studying throughout our careers helps us to improve our knowledge, and become more prepared to train special populations and give ourselves some points of differences in the industry.

I could keep writing about special populations ( for example obesity or diabetes); instead, I’ve kept this article simple and precise. Maybe in my next education article, we can discuss the rest of the topic - stay tuned!

Back to Articles

https://www.versusarthritis.org/about-arthritis/conditions/osteoarthritis/

https://www.arthritis.org/health-wellness/healthy-living/physical-activity/getting-started/benefits-of-exercise-for-osteoarthritis