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Depression, Illness Perceptions and Exercise

Jun 10, 2021

Many people experience a decline in their mental health following an injury. Surveys have shown that approximately 20 to 50 percent of people with musculoskeletal conditions show signs of elevated depressive symptoms. Depression has been identified as a risk factor for poor recovery outcomes, longer claim times and increased work absence after a work-related musculoskeletal disorder.

We tend to develop an idea about our injury to make sense of it and adapt to the difficulties that it causes, known as an illness perception. Illness perceptions are emotional and cognitive representations that you have around your injury and are not only based on symptoms, but also the injury-related consequences, past experiences, and related anxiety. Studies have shown that negative illness perceptions and the injured worker expecting a slower recovery is associated with increased depressive symptoms, reduced adherence to treatments, poorer treatment outcomes and longer claim times. It is possible that recovery expectancies are the vehicle by which depression influences return to work results in those with musculoskeletal injuries. Individuals who were 100 percent certain that they would return to work within 6-months have been found to be 4 x more likely to return to work during that time. Therefore, positive illness perceptions are important and result in improved health outcomes, quality of life, function, and emotional status.

Exercise and physical activity can provide numerous benefits for not only musculoskeletal injuries, but for depressive symptoms as well. For individuals who participate in regular physical activity, even at lower levels, they are at decreased risk of experiencing symptoms of depression and are less likely to experience future depressive episodes. Further, regular exercise can assist in weight management, improving diabetes control and decrease the impact of cardiovascular disease, which often occurs in those with depression.

Treating professionals should talk to their clients about an exercise regime that suits their personal preferences and circumstances. An Accredited Exercise Physiologist has specialized training in the construction and delivery of exercise and lifestyle interventions for individuals with work and non-work related chronic and complex illnesses, including depression. Illness perceptions often present as a barrier to commencing and maintaining an exercise routine. Thus, it is vital that the exercise professional has an in-depth understanding of the client’s condition and comorbidities to best assist in the individuals exercise and recovery journey.

Tiffany Mullins B.Sc, M.Clin.Ex.Phys

Accredited Exercise Physiologist

 

References

Berk, M., Sarris, J., Coulson, C., & Jacka, F. (2013). Lifestyle management of unipolar depression.  Acta Psychiatrica Scandinavica127 , 38-54. https://doi.org/10.1111/acps.12124

Carriere, J., Thibault, P., & Sullivan, M. (2014). The Mediating Role of Recovery Expectancies on the Relation Between Depression and Return-to-Work.  Journal Of Occupational Rehabilitation25 (2), 348-356. https://doi.org/10.1007/s10926-014-9543-4

Exercise is Medicine. (2014).  Depression and exercise  [Factsheet]. Exercise is Medicine Australia 2014. Retrieved 17 May 2021, from www.exerciseismedicine.org.au.

Mammen, G., & Faulkner, G. (2013). Physical Activity and the Prevention of Depression.  American Journal Of Preventive Medicine45 (5), 649-657. https://doi.org/10.1016/j.amepre.2013.08.001

Stanton, R., Happell, B., & Reaburn, P. (2014). The mental health benefits of regular physical activity, and its role in preventing future depressive illness.  Nursing: Research And Reviews , 45. https://doi.org/10.2147/nrr.s41956

Ünal, Ö. (2019). The relationship of illness perceptions with demographic features, pain severity, functional capacity, disability, depression, and quality of life in patients with chronic low back pain.  Turkish Journal Of Physical Medicine And Rehabilitation65 (4), 301-308. https://doi.org/10.5606/tftrd.2019.3248

 

By Alison Absolute Balance 24 Apr, 2024
The human body is designed to move in a three-dimensional plane divided into the following segments: Sagittal Plane: Cuts the body into left and right halves. Forward and backward movements. Frontal Plane: Cuts the body into front and back halves. Side to side movements. Transverse Plane: Cuts the body into top and bottom halves. Twisting/rotational movements. Too often we get caught training mostly in a sagittal plane, think running, squats, bicep curls etc. While these are all good exercises, in day-to-day life we don’t only move along a sagittal plane. What happens when you need to quickly get out of the way of the e-scooter flying towards you on the foot path or make a quick sidestep to avoid a pothole – these movements are along the frontal plane. While movements such as turning to check your blind spot while driving or turning to talk to the person next to us are in the transverse plane. When it comes to injury prevention and movement efficiency it is important to incorporate exercises from all planes of movement into training programs. Sagittal If a line ran down the middle of the body splitting it from left to right, movements parallel to this line are within the sagittal plane of movement. The sagittal plane is the most common plane of movement and is trained overwhelming more than the frontal and transverse planes of movement. Movements/exercises considered to be in the sagittal plane include running, squats, deadlifts and bicep curls. Now while all these exercises are good, with the way our lives having evolved into many desk sitting roles, driving from place to place etc, to then go to the gym and focus heavily on movements that are predominantly up – down, and forwards – backwards we can end up reinforcing these pathways and becoming somewhat robotic, heavily limiting our natural movements. Frontal If a line ran down the middle of the body splitting it into front and back, movements parallel to this line would be within the frontal plane of movement – essentially any movement that involves moving away from or towards the midline. Often neglected in strength programs, frontal plane exercises include Cossack squats, lateral lunges, and side raises. Transverse If a line split the body in half separating it into top and bottom with the pelvis being the point of division, any movement parallel to this line would be considered to be in the transverse plane of movement. Movement along/through a transverse plane is generally more rotational such as a Russian twist or trunk twist. By focussing largely on sagittal plane movements, we are risking developing muscle imbalances, limited mobility and uncoordinated movements in the neglected planes. Our body is designed to move on a 3-dimensional plane so make sure to train in a way that will allow it to move the way it’s supposed to. Katie McGrath Injury Prevention Specialist Injury Prevention Services
18 Apr, 2024
Stretching and mobility exercises are indispensable components of both injury prevention and recovery strategies. Incorporating dynamic stretches before physical activity can help prepare the body for movement by increasing blood flow to muscles and enhancing joint flexibility. This dynamic warm-up routine primes the muscles and connective tissues, reducing the risk of injury during subsequent activity. Furthermore, static stretches, performed after physical activity, helps alleviate muscle tension and improve flexibility, thereby minimizing the likelihood of strains and tears. In the realm of injury recovery, stretching and mobility exercises play a crucial role in rehabilitation protocols for individuals recuperating from various musculoskeletal injuries. Following an injury, muscles can become tight and weakened due to disuse or trauma. Gentle stretching exercises aid in maintaining or restoring flexibility, preventing muscle atrophy and contractures. Additionally, targeted mobility exercises assist in restoring range of motion and functional movement patterns, allowing individuals to gradually regain strength and flexibility while reducing the risk of re-injury. Moreover, stretching and mobility exercises promote tissue healing by improving circulation to the injured area. Increased blood flow delivers essential nutrients and oxygen to damaged tissues, facilitating the repair process and reducing inflammation. By incorporating a comprehensive stretching and mobility routine into their regimen, individuals not only safeguard themselves against future injuries but also expedite their recovery journey, enabling them to return to their activities with greater resilience and confidence. Mariah Adolphus Workers Compensation Specialist (AEP, ESSAM) Exercise Rehabilitation Services ‑ WA
05 Apr, 2024
Hey, my name is Blake, and I am an Exercise Physiologist, Workers Compensation Specialist and Clinical Team Leader at Absolute Balance. I graduated from Edith Cowan University in 2015 after completed my Bachelor of Science (Exercise Science and Rehabilitation). I grew up on a farm Northeast of Perth past Gingin with my parents and two brothers, both of which are back working on the farm, which has been in our family for generations. My love for sport and interest in the human body initially prompted me to complete my Bachelors in Exercise and Sports Science, and my initial thoughts on a career were either Physiotherapy or Phys Ed Teacher. However, this quickly changed when I commenced my first Exercise Physiology unit in my Sports Science degree as it opened my eyes to exercise rehabilitation, and how important it was to individuals with injuries. Having experienced multiple injuries personally playing football (AFL), basketball and tennis, I can fully empathise with how much injuries can impact your life. Being an EP and being in a role where I can make a positive and meaningful impact on individual’s lives who have sustained an injury is extremely important to me. This doesn’t only extend to the patients I see, but also the team members I lead within Absolute Balance. I guide a team of five in the Northeast region at Absolute Balance, assisting them with their own patients and leading them to grow as Exercise Physiologists and individuals. Although it has its challenges, leadership is extremely rewarding and has helped me grow both personally and professionally. Whilst I am not at work, I am spending my time at the gym, at football training and games during February-September (or in the car travelling to and from comes with the gig of country football), spending time with my wife and our dog Otis. I spend the other half of my weekend manicuring my lawn and watching good shows and sports. Blake Cocking Workers Compensation Specialist ‑ Team Leader North East (AEP, ESSAM) Exercise Rehabilitation Services ‑ WA
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