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Exercising for Mental Health....and how it saved me!

April 26, 2023

Life can be a lot sometimes. To cope with the normal stressors of life, it’s important to maintain good mental health…. but what does that even look like? Mental health is a state of wellbeing that affects how you think, feel and act. It influences how you handle stress, how you relate to others and how you view yourself and the world around you. When left unchecked, you can develop mental health conditions and disorders like anxiety and depression. Over 2 in 5 Australians aged 16-85 have experienced some sort of mental disorder in their life. A person doesn’t need to meet the criteria for a mental disorder to be negatively affected by mental health though, and maintenance of our mental health should be equally as important as our physical health. It’s well known that regular exercise has many positive health outcomes for the body and our physical health, but what’s often overlooked is the impact exercise has on mental health. I have always been a bit of a fitness fanatic, but it took hitting rock bottom to truly understand the role exercise could play in my life.


Two and a half years ago, my life was turned upside down when we welcomed two identical tiny humans into the world. With no family support in the country, we knew parenting would be hard – and it was - but no one prepared me for the unavoidable chemical changes your body sustains with being a new mother. Regardless of how much support or how many babies you have, the hormonal changes are inevitable. Now add sleep deprivation, identity crisis and a global pandemic and you have a pretty good recipe for mental health issues. These were the darkest moments of my life. I had never felt so alone, incapable, overwhelmed and just immensely sad. All.of.the.time. Exercising at that point seemed impossible, let alone desirable like it once was. 2 months into my parenting journey (in the middle of a Covid lockdown) I was admitted into the MBU (Mother & Baby Unit) at King Edwards Hospital for 3 weeks, where I was diagnosed with post-natal depression, anxiety and attachment disorder. Fast forward a week into my treatment, I was told for about the 20th time that unless I started taking medication (anti-depressants), my condition wouldn’t improve. I fully support medication as a means of treating mental illness, but knowing my body and predisposition prior to having children, I knew this wasn’t my way out. I could tell my resistance to treatment was getting frustrating for all involved and I began feeling a bit hopeless.


One day, a nurse suggested working exercise into my care plan. Exercise? I had completely forgotten that word even existed. 30 minutes of exercise a day was worked into my routine and that same day she arranged for someone to care for my children while I went outside for a run. In my current state of mind, going for a run (or going outside for that matter) was the last thing on the planet I felt like doing. I still remember the exact moment I started running when something in my brain clicked – this was exactly what I needed. Unfortunately, depression can have somewhat of a paralytic effect. I knew I needed this exercise, but certainly wasn’t prepared to do it of my own free will. It took someone practically pushing me out the front door to get going. Each day though, it became easier for me to put my shoes on and head out by myself. After just a week of my new regime, I was reassessed and found to be less reactive and more positive throughout the day. Don’t get me wrong, it wasn’t an instant fix. It wasn’t until 6 months later I finally noticed I was actually looking forward to things and enjoying activities again.


Fast forward again to today – I live an active and healthy lifestyle with my husband and two crazy toddlers, I love my job and find myself surrounded by positive people. Most importantly, I now have the capacity to enjoy all of the little thing's life throws my way. I know without a doubt that exercise was the catalyst that drove my recovery.

It’s no wonder running had such a big impact on my mental health. Exercise releases mood-improving chemicals in your brain such as endorphins and serotonin. It can also help reduce feelings of loneliness and isolation by getting you out and interacting with other people. Practicing mindfulness while doing exercise has also been shown to reduce stress and improve mental health.


As depression most often makes you feel very tired and unmotivated, it can be hard to get started. One strategy is starting slow and setting small goals for yourself. This could be making sure your dog gets a daily walk, or taking the stairs at your office and giving yourself a mental high five when you get to the top. I promise you that achieving those small goals will feel good. If you need some support, ask friends or family members to help motivate you and keep you on track. Alternatively, there is a range of health professionals that can help – including exercise physiology.


Exercise physiologists specialise in delivering exercise, lifestyle, and behavioural programs in order to prevent and manage chronic conditions and injuries, including mental health conditions such as depression and anxiety. They can help set your goals and keep you accountable in a safe and supportive environment. Most exercise studies have shown a significant reduction in depression after eight weeks or more.


Whatever your exercise intensity – every little bit counts. You must start somewhere, and a great place to start is by chatting with your preferred health provider. Most importantly, talk about it! Share your story like I have. Invite your friends to join you on your exercise journey. The more people who know, the more support you’ll have…and before you know it, you’ll be inspiring others to do the same!


About mental health | Australian Government Department of Health and Aged Care

Managing-depression-with-exercise.pdf (blackdoginstitute.org.au)

National Study of Mental Health and Wellbeing, 2020-21 | Australian Bureau of Statistics (abs.gov.au)

Mental Health Benefits of Exercise: For Depression and More (healthline.com)



Carly Saunders

Administrative Assistant

Absolute Balance Exercise Physiology Group

     

By Michael Andrews February 20, 2025
The Role of Load Management in Rehabilitation: A Framework for Returning to Function, and Injury Prevention. Load management is often associated with high performance sport, but its principles are just as critical in rehabilitation. Whether guiding injured workers back to work, older adults to independent living, or patients recovering from injuries, progressively and systematically managing load is essential for recovery, injury prevention, and long-term function. A major challenge in rehabilitation is balancing workload progression to optimise adaptation without overloading healing tissues. Sudden spikes in training load or returning to full activity too soon significantly increase the risk of re-injury. Exercise physiologists can use load monitoring, periodisation, and predictive planning to ensure a structured and safe return to work, life, or recreational activity. Understanding Load and How to Monitor It In rehabilitation, load refers to the total amount of mechanical and physiological stress placed on the body. This includes external load; the measurable work performed (e.g., weight lifted, steps taken, distance covered, time spent in physical activity), and internal load; the body’s physiological and perceptual response to that work (e.g., heart rate, rate of perceived exertion (RPE), pain, fatigue). Both external and internal load must be monitored to ensure that rehabilitation is progressive yet not excessive. One of the most useful frameworks for load management is the Acute: Chronic Workload Ratio (ACWR), which helps determine whether a patient is progressing at a safe rate or at risk of overload. A sudden spike in acute load (ACWR >1.5) increases injury risk by 2-4 times in the following week. Therefore, a gradual increase in chronic load (≤10% per week) is essential to build resilience and capacity. - Acute Load = The total workload over the past week. - Chronic Load = The rolling 4-week average of workload. - ACWR = Acute Load ÷ Chronic Load. Patients often underestimate how small spikes in activity (e.g., resuming full work shifts after time off, or inconsistent engagement in their self-management plan) can lead to flare-ups or re-injury, and by tracking ACWR, we can educate the patient accordingly and prevent excessive acute spikes while ensuring a steady increase in chronic workload, reducing the likelihood of setbacks and ensuring a progressive return to function. To apply these principles effectively, we need accurate and practical ways to measure and track load in real world rehabilitation settings. Unlike athletic settings, maximal strength testing (1RM) is often inappropriate in rehabilitation. Alternative methods include volume-based and time-based load tracking, perceived exertion and fatigue monitoring, and functional testing. - Monitoring total weight lifted per session (sets × reps × resistance). - Measuring time under tension for endurance-based activities. - Using exercise RPE and session RPE to gauge effort. - Reassessing movement capacity, endurance, and strength progression over time. Using subjective feedback alongside objective load tracking allows for better exercise prescription and progression. Asking the right questions can guide real-time modifications: External Load Questions: - How much activity did you complete this week? - How does this compare to last week? - Did you struggle with any tasks or exercises? Internal Load Questions: - How fatigued do you feel after sessions? - How long does it take you to recover? - Are you experiencing pain or discomfort, and how does it change with activity? Structuring Load Progression for Long-Term Success Periodisation is the planned progression of training load over time, ensuring continued adaptation without excessive strain. While typically used in athletic settings, structured periodisation is just as valuable in rehabilitation, helping prevent stagnation by adjusting workload over time, ensuring progressive overload while respecting tissue healing and recovery rates, and guiding return-to-work planning by matching rehabilitation loads with real-world demands. A structured approach allows us to compare a patient’s current workload tolerance to their end goal and reverse-engineer a safe progression plan. If a patient needs to tolerate X hours of work or Y level of activity, we can use their current capacity and reverse-calculate a safe, gradual progression timeline and by maintaining consistent, small increases in chronic workload, we minimise setbacks and ensure safe long-term recovery. Linear Periodisation is best suited for straightforward recovery cases with minimal variability in symptoms. While, nonlinear periodisation may be more practical for rehabilitation, as symptoms and capacity can vary day-to-day. - Linear Periodisation: Steady, predictable increases in intensity, volume, or duration over time. - Nonlinear (Undulating) Periodisation: Load fluctuates based on recovery, pain, and function. Applying Periodisation to Rehabilitation Planning Step 1: Establish a Baseline Identify current weekly workload (e.g., hours of tolerated activity, steps, resistance training volume) and functional deficits (e.g., strength, endurance, movement capacity). Step 2: Define the End Goal What workload is required to return to work, sport, or daily function? This could mean sustaining an 8-hour work shift, lifting a certain weight, or tolerating daily activities without pain. Step 3: Plan a Safe Progression Gradually increase chronic workload by ≤10% per week. Avoiding acute spikes (ACWR >1.5) to prevent setbacks. Monitor pain, fatigue, and function to guide daily and weekly adjustments. By integrating load monitoring, periodisation, and predictive planning, exercise physiologists can create safe, structured rehabilitation programs that optimise recovery, prevent re-injury, and guide patients back to work, sport, or daily life with confidence. Key Takeaways for Exercise Physiologists - Load management is essential in rehabilitation, not just in sports. - Acute vs. chronic load balance is key. Avoiding acute spikes prevents injury, while gradual increases build resilience. - Tracking external and internal load ensures a data-driven approach to exercise prescription. - Periodisation structures rehabilitation progression, ensuring steady gains without excessive strain. - Patient education on workload progression improves compliance and reduces re-injury risk. References Impellizzeri, F. M., Menaspà, P., Coutts, A. J., Kalkhoven, J., & Menaspà, M. J. (2020). Training load and its role in injury prevention, part I: back to the future. Journal of athletic training, 55(9), 885-892. Gabbett, T. J., Kennelly, S., Sheehan, J., Hawkins, R., Milsom, J., King, E., ... & Ekstrand, J. (2016). If overuse injury is a ‘training load error’, should undertraining be viewed the same way?. British Journal of Sports Medicine, 50(17), 1017-1018. Windt, J., & Gabbett, T. J. (2017). How do training and competition workloads relate to injury? The workload—injury aetiology model. British journal of sports medicine, 51(5), 428-435. Jildeh, T. R. (2024). Editorial commentary: load management is essential to prevent season-ending injuries in the National Basketball Association. Arthroscopy, 40(9), 2474-2476. Bache-Mathiesen, L. K., Andersen, T. E., Dalen-Lorentsen, T., Tabben, M., Chamari, K., Clarsen, B., & Fagerland, M. W. (2023). A new statistical approach to training load and injury risk: separating the acute from the chronic load. Biology of sport, 41(1), 119-134. Williams, S., West, S., Cross, M. J., & Stokes, K. A. (2017). Better way to determine the acute: chronic workload ratio?. British journal of sports medicine, 51(3), 209-210. Carey, D. L., Ong, K., Whiteley, R., Crossley, K. M., Crow, J., & Morris, M. E. (2018). Predictive modelling of training loads and injury in Australian football. International Journal of Computer Science in Sport, 17(1), 49-66. Impellizzeri, F. M., Shrier, I., McLaren, S. J., Coutts, A. J., McCall, A., Slattery, K., ... & Kalkhoven, J. T. (2023). Understanding training load as exposure and dose. Sports Medicine, 53(9), 1667-1679. Lorenz, D. S., Reiman, M. P., & Walker, J. C. (2010). Periodization: current review and suggested implementation for athletic rehabilitation. Sports Health, 2(6), 509-518. April Hawser Exercise Physiologist Exercise Rehabilitation Services – NSW
February 7, 2025
How would I rehabilitate a wrist, hand or finger injury? Rehabilitating a hand injury is challenging due to the hand's essential role in daily tasks, including heavy lifting and precise movements. So, what are some key focuses to prioritise with rehabilitation of the hand and wrist? Understanding hand anatomy is essential. The hand consists of 27 bones: 8 carpal bones (wrist base), 5 metacarpals (palm), and 14 phalanges (fingers), all connected by ligaments and serving as tendon attachments. When an upper limb injury occurs, immobilization is necessary for recovery. This leads to reduced upper limb use, resulting in muscle atrophy, decreased strength and feelings of tightness or stiffness, along with discomfort. Not every movement requires a 'power' grip for strength and endurance restoration. Rehabilitation stages may involve using various objects to challenge the grip, facilitating a transition to dynamic everyday strength. The hand, as the most proximal structure of the upper limb, is crucial for daily tasks and fine motor control. A little tip that can help improve someone’s rehabilitation is implementing exercises that can incorporate a ball, broomstick or even different types of stationary! Rehabilitation for fingers, hands, and wrists varies for each individual.  A tailored approach, sometimes requiring minimal intervention or creative solutions, can lead to optimal outcomes. Afiq Jackson Workers Compensation Specialist ‑ Team Leader North West (AEP, ESSAM) Exercise Rehabilitation Services ‑ WA
January 31, 2025
Joining a sports club or team provides an opportunity to integrate into a community where you can forge lasting relationships. This experience can offer a sense of purpose and belonging. Below are three separate occasions that illustrate how joining a rugby club and a squash club positively influenced my life: Occasion 1: I began my university journey in a new city, knowing only a few friends from school. After taking a gap year in New Zealand, my school friends had already formed new connections at university, having started a year before me. One sunny morning at the beach, I was invited to join a touch rugby game with people I had never met. Fast forward three years, and the new acquaintances I made that day had become lifelong friends through my involvement at the local rugby club they played for. Participating in that touch rugby game allowed me to connect with like-minded individuals, which led to me joining the rugby club and giving me a sense of purpose and direction during my early university years. Occasion 2: After graduating from university, I relocated to a new city to embark on my first real job. Drawing from my past experiences, I sought out the nearest squash club, having given up rugby due to an injury. Just like before, within two days of becoming a member of the local squash club, I received invitations to lunch and social gatherings at the homes of fellow players. Along with connecting with a wonderful group of individuals, the regular exercise and my commitment to a team that I had to show up for each week provided me with a similar sense of purpose I had experienced during my rugby club days. This experience was essential in helping me become the best version of myself. Occasion 3: The final and perhaps the most significant moment to reflect on was when I relocated to a larger, busier city to advance my career. During this transition, I reconnected with an old friend from a previous club who had taken up running. Naturally, I joined him for a few runs, quickly bonding with the running group. After a year, I became involved in this running community, which ultimately resulted in my moving into a new home and meeting my now-wife! To sum up, the potential that sports and exercise offer is limitless. In any setting filled with like-minded individuals, the possibilities are endless! I hope this blog inspires you to finally join that gym or sport you've been interested in for all these years! Michael Andrews Business Development Manager
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