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Real Life Fitness Questions Answered

Kelly Marshall
Fitness Consultant

Posted 26 Feb 12

What can I do given my physical limitations?

Hi I started to do the calorie counting with Nutracheck this week, when I put my details in to begin with the options were very limiting. I am a bi-lateral above knee amputee and am confined to a wheelchair. I used to go swimming 4 times a week until I had an accident which caused a rotator cuff tear in my right shoulder, which has stopped me from swimming. So, from the above, you can see that I am probably less active than what I could put into the iPhone app and exercise is difficult in general. I was hoping that maybe you could suggest some gentle exercise that would not impact on my shoulder. Many thanks

Our expert says...

Hi,

I would need to assess your shoulder myself in order to be able to provide feedback and recommend specific exercises that could be safely performed to help rehabilitate your shoulder and return it to its normal functioning state. However, I hope the following suggestions are helpful until your shoulder injury has fully recovered.

The key thing to remember is that no movement or exercise should cause pain in the shoulder, if it does you must stop otherwise you will delay your return to fitness. Upper body exercises are generally going to require stability through the shoulder joint, which is going to be lacking with your injury. However, through the process of trial and error you may be able to identify movements that work major muscle groups in the chest, back and core but don't cause you pain and will be appropriate for you to perform. Examples might be 1-arm dumbell shoulder press (with your un-injured are), or bicep curls with your posture set and shoulders still. When performing these exercises, use light weights and stop if you experience any pain.

On your return to exercise you need to incorporate upper body strength work into your routine to enhance stability and mobility through the shoulder joint and reduce your risk of re-injury. If possible get a physiotherapist or Personal Trainer who specialises in rehabilitation to provide specific exercises to develop shoulder strength and enable a return to optimum function.

For now, it is important you take your reduced amount of exercise into account and for you to tailor your calorie intake according to your current activity levels. This daily calorie intake can be adjusted as you begin to increase your activity levels.

Hope this helps,

Kelly
 

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