Jolie Bookspan, M.Ed, PhD, FAWMExercise and Fitness
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Beijing Olympics & Martial Arts Class Teach Common Sense Cooperation

Jolie Bookspan, M.Ed, PhD, FAWM

The opening ceremonies of the Beijing Summer Olympics were a quiet, powerful reminder of mutual cooperation as path to strength, beauty, and peace. Thousands danced in metaphor for healthy society - that we cooperate to create a masterpiece, and each individual is significant. Responsibility and support flow both ways.

Paul and I were in China in 2001 for a martial arts competition. I hope to post training stories with some of the motivating photos from there. Discipline and eagerness to do good were all around us. We haven't been back to China yet, although we live in other areas of Asia for part of each year. In many places where we live there, human, animal, and machine-powered vehicles of every description overflow the roads, in all directions at once, often with no traffic lights or signs to guide. Both lanes may flow in either or both directions at once. Turns occur any place needed at the moment. Problems are infrequent because people are taught cooperation from early age. It is an Eastern philosophy, way of life, discipline, and virtue. Words are not needed. Westerns who are not aware that cooperation and thoughtfulness is taking place mistake this highly evolved order for disorder. When tourists see someone coming their way, they may not not cede way or cooperate, but insist that others are in their way. Traffic accidents frequently involve tourists.

When I teach martial arts classes in the US, I teach beginning students something that startles them. If a blow is coming toward you, don't stand there and get hit. Move out of the way. Some students first insist on trying to bat my arm/leg/head out of the way with theirs. I tell them not to do that. If two arms hit each other, whose will win, theirs or the other person's? You don't know? Better to get out of the way instead. What if it is an incoming baseball bat. Or weapon. Or an opponent you have gravely misjudged,even if they only seem to be an old lady. In Zen the concept is called, "Don't be there." In common sense it is called "duck." Some beginners insist the air is theirs to stand in and they want to meet an incoming object with their body. Instead of ducking, or at the least, deflecting it without damage to any party (or maybe training some discipline and arm hardening techniques), they throw their arm up to meet mine, then depart class cursing and exaggerating to administration that they broke their arm, and that they were right to deliberately disobey the teacher who was teaching a valuable lesson called, don't hurt yourself or others. In class, I give the students a moving drill. They practice a specific footwork drill to keep them moving. I walk around the class - right in their way, one student at a time. They are confused. Some try to push or hit me to get me out of *their* way. Some try to stand still to resist, but get deflected off balance. This continues until one student remembers the point of the lesson. They get the smart idea to go *around* me. The message - polite, cooperation. No confrontation. No hitting someone in your way, or believing no one owns the ground but you. Just smile and say excuse me. It seems to be a titanic message to some.

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Click the arrow to watch group traffic cooperation in this short movie from a street in Vietnam.

Paul and I are comically (to locals in the street) co-occupying a tiny front basket of a bicycle rickshaw. Locals routinely travel by pedicab, but our height and Paul's epic shoulders blocking the driver's view and feet at the same time won us many new friends that day. The driver looked to weigh no more than 100 pounds (45 kilos), pedaling a steel bicycle weighting at least 200 pounds (90kg). In another post I will tell of Paul's and my ride on an Olympic bobsled on an actual competition track. A professional driver took first seat of the 4 man sled, and we put Paul in second seat, as it was the only place for his long legs. For new readers, Paul is almost 7 feet tall (2 meters, 13cm). We were supposed to have a 4G ride (4 times the usual pull of gravity on earth), but Paul's giant feet, it turned out, prevented the driver's elbows from moving enough to steer the 15 sharp turns. We got quite an extra ride. To be continued in a future post on g-forces.

China posts to come - Athletes are afraid of the squat toilets, why some Chinese citizens wear masks, Eastern societal practices that promote physical health through advanced age, answers to reader questions that pile in, and more on Olympics and human potential.

  • See if your questions are already here - Click the labels below for more posts on each topic.
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Movie © by Paul and Jolie

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Kettlebells Without Spine Injury

Jolie Bookspan, M.Ed, PhD, FAWM
Reader Dan wrote:
"Hello, I'm writing as someone who has incurred a training-related lower back injury and who has great interest in your words on hyperlordosis. I am hoping that you might shed some insight on how to achieve a neutral spine while doing "kettlebell swings." This is the exercise that has caused me back pain, and I would love to return to working out with kettlebells, but am not sure how to do so without creating too much lordosis. Any ideas? I appreciate any assistance you can provide and thank you for your contributions! Take care,
Dan L"
Kettle bells (also called kettle balls and many other names) are usually ball-shaped weights with a handle. A variety of sizes is shown in the photo below, along with a medicine ball for comparison. Kettle bells were long used in various martial arts and cultural festivals and contests before being rediscovered for modern weight lifting. In general, you lift, swing, and move them to do various weight lifting exercises.

When lifting and swinging kettlebells (and any weights) overhead, don't lean your upper body backward (photo below left). Leaning backward is often mistakenly done to "balance the weight" and make the lift easier. Another common body movement to make lifting overhead easier is changing the tilt of the pelvis (hip) so that it juts forward in front and outward in back (same photo below left). Leaning the upper body back and tilting the pelvis are not necessary to balance a load - your own muscles can hold the load, and in fact, that is the point of lifting the weights. Not only are they not necessary, they increase the inward curve of the lower spine. Increasing the small normal small inward curve (lordosis) to a large curve (hyperlordosis) increases compression on the joints (facets) and soft tissue of the lower spine. The same overarching is the hidden cause of back pain in women who lean back and/or tilt the hip trying to offset the load of a pregnancy - Back Pain in Pregnancy - and Why Men Can Get It.

The photos of spine position swinging the heavy medicine ball are from the book Healthy Martial Arts. My black belt student Christopher demonstrates. This is a similar overhead motion as swinging kettle bells by the handle. In the left photo, Christopher allows the hip to tilt forward in front (and out in back) and his upper body is tilting backward relative to the lower spine. In the right photo, he holds neutral spine. In the right hand photo you can see the change to reduce the overarching to neutral spine. The belt line changes from tipped downward in front to level.

Leaning backward and overarching are not helpful adaptations as sometime thought, are not unavoidable, and are not limited to pregnant women. Overarching (hyperlordosis) is a common bad posture, and an often missed source of back pain. It can be easily prevented by using your muscles to hold neutral spine. The post Prevent Back Surgery shows photos of hyperlordosis compared to neutral spine during many activities.

Neutral spine while exercising with kettle bells is the same as neutral spine during anything else - just hold your spine position. Holding neutral spine is the same as not slouching your shoulders or not letting your mouth hang open. You just voluntarily move to and hold desired position.

Neutral spine is not done by tightening or clenching any muscles. It is done by moving your hip and lower spine the same way you move your arm to scratch your nose - without tightening, just moving it to where you want it.

Helpful posts to see and learn neutral spine while swinging kettlebells, babies, and all other fun weightlifting:

The book Healthy Martial Arts (www.DrBookspan.com/books) has a section on lifting and swinging kettlebells, medicine balls, and other weights. Keep breathing, smiling, and have fun. You can swing weights to be stronger and healthier, without injury.


Kettlebell collection photo by maryspics
photo © by Jolie of Christopher Emmolo from the book Healthy Martial Arts



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Walk Lightly - Shock Absorption for Happier Joints

Jolie Bookspan, M.Ed, PhD, FAWM
"Your tread must be light and sure
as though your path were upon rice paper

"This rice paper is the test
Fragile as the wings of the dragonfly

"Clinging as the cocoon of the silkworm
When you can walk its length and leave no trace
You will have learned"
- Master Khan to Grasshopper in the 70's TV series Kung Fu


Walk, run, jump, and move lightly.

Banging down with each step is not good for your body. It increases risk of joint pain and plantar fasciitis.

I tell my students to stop banging and stomping when they walk and move and jump. One day, a student asked me "How?" Here are some things to try:

1. I asked the student to stomp his foot.
Then I asked him to place his foot down lightly. That is how.

2. Use an analog bathroom scale. Step on heavily and see the numbers go up high. Then step on again lightly and see that the last number reached is a lower number. In sports medicine, we use force plates to measure ground forces when an athlete jumps or runs by.

3. While walking, try not to make noise. It doesn't mean to tip-toe, but to walk with regular heel to toe gait, but lightly.

4. Try walking with a full-to-the-brim cup of hot coffee or any liquid. Don't tip-toe, just walk softly without spilling any.

5. Practice jumping in the air and landing softly. Bend your knees when landing. Increase the height of the jump, maintain soft landing. Work up to jumping down from increasing heights without making a sound, or much sound.


Photo by Jolie taken at a Malaysian backpackers hostel

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Muay Thai in Her 90's

Jolie Bookspan, M.Ed, PhD, FAWM
As you read this, we have been traveling for work and are again on several days of flights back to Asia, with a few errands on the way. For the next two months in Asia, I will check in and post from Internet cafes as we make our way through work and travel on overnight trains and ferries. Here is the link to the post and photos from last year on our way back.

I won't have access to Internet or e-mail for the next week. If you have questions, I won't be able to receive them until after that. Check for posts already here on Fitness Fixer. The post New Year's Resolutions Made Easy gave a list of labels that access all posts with each topic. I drafted a post on long sitting that Healthline staffer Jerry will post for you on Wednesday, thank you Jerry.

If you send photos, send small jpgs so that my e-mail does not fill, and so that I can directly upload them without finding a graphics program to resize them for posts.

Later this month, at the full moon, we hope to be learning more about wound healing at the Thaipusam. Then back to the north to the Muay Thai Monks on Horseback, and training at several places in Thai Boxing.

On our travels through Thailand we hope to see our friends, including an eagle who adopted me.







These ladies are in their 80's and 90's. Last year we all went to the King of Thailand's flower exposition. They wore their best clothes. When friends arrived with their truck, the ladies easily climbed up the tailgate over the side of the truck bed. I thought Paul and I should ride outside and let them sit inside. The daughter took my arm and said, "No. She stronger dan yooou!" They explained that the Grandmothers had sat outside all their lives, and walked before they had rides.





We will stay for some time at a school that has become a home to us. The cook there, named Ahn, escaped from desperate conditions in Myanmar (Burma). Earning a few dollars a day in Thailand, working long days without time off, is riches by comparison. One year I got her a children's ABC book to learn to read English. I was thrilled when she took the arm of another Burmese helper and sat with the book, writing in page after page. She worked on it for days. She proudly presented it to me - translated all in Burmese. She thought I wanted to learn Burmese and spent her only free time to do this as a present for me.

A few years ago, before leaving the US for Asia, some of my students asked if they could donate to help her. About 150 students enthusiastically agreed. They signed a card, that we translated into Burmese. They all put money in a hat, totaling strangely, only about $50. I matched it to make a $100 gift. This is more than a month's salary for Ahn. We could give her much, put her niece through school, with so little.

I put it in a drab little purse and wrapped it as a present. Ahn graciously received the gift of what she thought was an ugly cheap bag. She smiled and thanked us and bowed low. I told her, "Look inside later." The next year, we found that she donated the entire amount to the temple to ask for blessings - for us.

At the same school, the Grandmother there is a feisty funny lady. We came to love her quickly and look forward to seeing her every year. She is in her 90's. I am not sure exactly, but maybe more than 95. She loves to joke and tease. In the photo above she is sitting at lunch that Ahn brought. She sits easily in full squat and rises easily.

Once as we were entering the school, she squatted down fully to rummage through her purse to get her keys. I tried to get her photo. When she saw me raise a camera, she bolted up and ran to a table with Western style chairs, and sat there, upright, with legs crossed and hands on her knees. She said she didn't want her photo "sitting like a farmer." Nothing I could manage to ask in my best Thai convinced her to let me show the world how strong and great she is.

Last year, while visiting them, the subject of Muay Thai came up, a martial art which is the national sport. She once ran a Muay Thai school. The next thing we knew, she was giving us lessons. I trained and competed in Muay Thai in the Netherlands and Thailand, and know that she gave us all a tough training. Then she grabbed her friend, a lady in her late 80's and sat her on the floor for a lesson too. Look how easily they bend and sit on the floor in this photo.

Here is a short movie of the last 30 seconds of her giving a lesson. Click the arrow to play. Watch how easily they both rise to a stand at the end. We hope you feel happy and inspired by her, and try it too. Last summer, she passed away, strong to the last.




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Grunting and Exercise

Jolie Bookspan, M.Ed, PhD, FAWM

Grunting in the gym made recent news. A member was forcibly removed from a gym when others complained. The article told of factions arguing who was right if grunting and other loud vocalizations when exerting for exercise were helpful or needless annoyance.

Exercise is supposed to be healthy and build discipline of mind and body. Antagonism and disputes are not healthy for mind or body. Moreover, both sides have missed the point.

Breathing out, either quickly or slowly in coordination with effort can help. It can be done silently - by exhaling without vocalizing. You can have both, the exhale and the peace. This quiet but forceful exhalation practice is used in many high exertion fields from martial arts to warfare to meditation.

Fighting ninjas were legendary for both focused effort and silent tactics. No sense making a war cry until it was needed for its better purpose - to increase tendency to submission by the other party on the receiving end of the cry. In other words, to be scary.

For exercise, focused exhalation can increase acceleration at specific points of the move to increase power. For heavy moves, it can help lessen increases of pressure in the chest cavity and blood vessels, depending how it is done. Sometimes, people put so much pressure into the exhalation that they increase internal pressure instead of prevent problems. Done either quickly or slowly, it can be used to strengthen the move by including expiratory muscles. Often in martial arts and yoga classes, we (teachers) use noisy breathing just to remind students to breathe at all. It is a cue until they remember to breathe on their own (quietly) instead of holding their breath.

In the war dances and drumming in many countries, in martial arts, and in meditation arts, a concentrated exhalation coordinated with effort is variously called kiah, kiai, hihap, battle cry, and other terms. Each school is certain that their own different translation and beliefs about these terms is the "right one." The exhalation can be vocalized in a short yell, a loud breath, or silent. In group efforts, from martial arts to hauling sheets on tall ships, to chain gangs, to exercise classes, it helps unify mood or keep cadence. Done without coordinating effort, it is called yelling, and sometimes it is just vocalizing in corny ways.

More about breathing, the kiai exhalation and exercise for any sport are in the book Healthy Martial Arts.


Photo by djfrantic

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Rocky Movie Computer Fight Simulation

Jolie Bookspan, M.Ed, PhD, FAWM
The 2006 Sylvester Stallone movie Rocky Balboa featured a scene where a computer simulation estimates the outcome of a hypothetical fight. Stallone's character Rocky is a retired heavyweight boxer. While watching ESPN news, Rocky is startled by a broadcast. It features a computer simulation depicting a fantasy fight, and predicts the outcome of how he would have fought in his prime against the movie's present-day heavyweight champion Mason Dixon. A real pro boxer plays Mason Dixon's character. Antonio "Magic Man" Tarver is a southpaw from Florida, and former light heavyweight world champion.

Computer generated fights that generate real probable outcomes in real time 3-D are not yet possible outside the movie industry.

An actual "fantasy fight" computer simulation was done in 1970. It was the SuperFight between Muhammad Ali and Rocky Marciano. Rocky (Rocco) Marciano was heavyweight champion of the world from 1952 to 1956. Muhammad Ali was three-time World Heavyweight Champion in the 1970s. Marciano and Ali fought in different eras and never fought an actual bout.

To make the SuperFight, probability formulas were entered into a computer. No drawings, just numbers. Ali and Marciano met in real life on a filmset to film numerous short segments showing possible parts of a fight. Marciano was already retired 13 years and wore a toupee. The short segments were then spliced together to match the already done computer outcome to make a movie that looked like a real fight or computer-generation of one, but was not. The predicted outcome had already been generated by computer, but the fighters and movie were the real people, not computer generated. The outcome may or may not have reflected actual ability of the fighters or the real outcome.

In the mid 1980s, I was investigating which differences in human movement determined injury potential and athletic performance. In one study, I wanted to know what made the difference between the punch of a black belt martial artist and the same punch by an athletic person without training.

In present day, a camera can be hooked directly to a computer, which picks up the locations of the person's joints at each point in time, generating a computer image of the person as they move in real time. Software automatically calculates, draws, and records the image on the screen. When I started, we didn't have any of that. I did it all manually.

I filmed two subjects using 16mm high speed filming. An athletic man who had never done martial arts was subject #1. My husband Paul, who had earned his black belt a few years before that, volunteered as subject #2. I put markers over the center points of their major joints, and bands around joints which initially faced the camera but would rotate during the punch, so that the joint center would still be determined. Both executed a front reverse punch with their dominant arm. (Paul had to use traditional hyperlordotic position to match the untrained subject, rather than healthier neutral spine position, just for this comparison. We have done other studies comparing my neutral spine adjustment and found it to be a stronger punch - try it here.)

After waiting a week for film developing, I went into a darkened lab and used a film projector to throw the image of each of the thousands of frames, one by one, against a large computer digitizing tablet hung on a wall. I then digitized each joint point of each projected image, in each frame, of both subjects, frame by frame, with a digitizing Graf-pen. I sent data points from each frame by (300 baud acoustic coupling) modem to a text editor on a mainframe in another building at the University's new computer center. I wrote my own FORTRAN programs to generate data summaries and used packaged International Mathematical and Statistical Libraries (IMSL) cubic spline programs and subroutines for data smoothing. This was all to get each knee, hip, ankle, shoulder, wrist, elbow, neck and other filmed joint points into a computer to see exactly where and how fast they moved. Projecting each frame against the wall also allowed me to trace the subjects' outlines to make series of line drawings of their punch, and to make stick figures showing joint center placement. Here are some data and the actual drawings I made:













The untrained subject is at left. Paul is on the right. Paul is left handed so I had to reverse the images to make exact comparisons.
















Below are comparisons of the angular velocity (left) and acceleration (right) of each subjects wrist, elbow, shoulder, and hip














Below are some center of gravity calculations






















Not long after, with improvements in automating this process, action video games were flourishing. I was invited to a computer-generated imagery (CGI) development studio to be their "movement representation figure." They put the dots on my joint centers and filmed me using high-speed 3D computer graphics modeling as I did martial arts and tumbling moves. Not just one punch, painstakingly done, but jumping, spinning, flying all over the studio, and up and down walls.

The software automatically generated a mathematical, "wireframe" 2-D representation of my three-dimensional form. From it they animated a wild female warrior action figure for their fighting/mission genre arcade and video gameplay. They also used skeletal animation for when I would morph (on-screen) into various animal forms. I never got royalties but it was fun.

This is a big fun topic. For more about martial arts click the label under this post. I can post more about motion capture analysis of various sports if anyone is interested. The Great Muhammad Ali has been diagnosed with "Pugilistic Parkinson's syndrome" of tremors, muscle rigidity and slowness - with the possibility, still not fully determined, if due from the damage of a boxing career. See Rocky IV and Head Injury.



Photos and drawings © by Jolie

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Black Belt Hall of Fame

Jolie Bookspan, M.Ed, PhD, FAWM

This week is the 20th annual Eastern USA International Black Belt Hall of Fame event. Hundreds of martial artists and instructors will attend from all over the world. Soke John Kanzler and Kim Harper work all year to prepare each event. In the best spirit of the martial arts, they make a welcoming and healthful atmosphere of friendly learning. My husband Paul and I were honored to be inducted into the Black Belt Hall of Fame several years ago and have had the privilege to attend each year as teachers.

Seminar teachers come from all over the world. In the past there have been fearsome Russian techniques and calm Chinese ones. This year a grandmaster from Iceland will present on the national martial art of Iceland - Glima. The post Black Belt Hall of Fame - Black Belts and Black Tie tells about some of the seminars and events. The post International Martial Arts Association Weekend tells more about the Hall of Fame and their work.

Paul and I will be teaching The Ab Revolution core training, an entirely different concept in use of core muscles from conventional ab exercises. It uses no forward bending, which reinforces bad posture and is hard on the spine, and instead retrains all body movement using the abdominal muscles the way they actually function during movement in daily life and exercise.

A friend of ours will teach a seminar of a martial art that he developed. Sean Martin has developed a style he named Kagedo-Essensu, (Shadow Essence). Kagedo is a surprisingly effective new technique that does not require specific poses and positioning to master. I am a 4th degree black belt and spent years trying to understand some of the martial arts that claim to be "the weak over the strong," but when I try them I find they only work well if you are strong, or have no injuries, or learn painstakingly exact techniques. Master Martin has synthesized a highly workable system that, so far, anyone can apply quickly. For information about learning this effective technique, contact him at Sibilxvi@hotmail.com.

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World Vegan Day is November 1

Jolie Bookspan, M.Ed, PhD, FAWM

November 1 is World Vegan Day, and all of November is celebrated as Vegan month.

Vegans are vegetarians who don't eat, and often don't wear, any products from animals. The idea is no more unusual than not wanting to hurt, wear, or eat your pets. Vegan living can be healthier, and vegan diet can fuel both endurance and strength athletes.

Vegans and vegetarians have been found to have lower body fat on average than non-vegetarians, and lower risk of diabetes. A new study by The World Cancer Research Fund making big news as "a landmark study" found that keeping slim is one of the best ways of preventing cancer, and that evidence is stronger than previously realized that eating meat, and processed meats such as ham and bacon, increase risk of colorectal cancer. The report makes 10 recommendations including getting exercise every day, drinking water rather than sugary drinks, and eating fruit, vegetables, and fiber. There is no fiber in meat, dairy, or eggs. Vegan meals can provide enough calcium to prevent osteoporosis. See Exercise is More Important Than Calcium Supplements for Bones and Stomach Acid Drugs Increase Osteoporosis and Hip Fractures.

Vegans may promote farm sanctuaries and work for better ways than vivisection (hurtful testing on animals). The argument is not if you would rather that a child not get needed medicine rather than test on an animal, the quest is for neither to suffer, and find smarter, healthier ways for all. Significant examples exist of tests based on animal physiology that were ineffective or injurious when applied to humans in need.

Vegan bodybuilder Kenneth G. Williams is pictured above and at right. His web site is www.VeganMusclePower.org.




In the tradition of fighting monks, Chris Price is a vegan Muay Thai and mixed martial arts fighter. His web site is http://www.veganfighter.com/


Resources:
www.americanvegan.org for information about health, ahimsa, a celebration in New York City at Candle 79 Café Saturday Nov 17, and fun events including cooking classes across the U.S.
www.VeganHolidayFestival.com
www.WorldGoVeganDays.com
http://www.veganoutreach.org/whyvegan/

Recipes:
http://www.veganoutreach.org/
www.worldveganday.org has a nice summary of healthy vegan diet choices on their nutrition link.

Post link:
World Vegetarian Day October 1.

Helpful Book:
Healthy Martial Arts - Healthier training for all sports, featuring vegetarian and vegan athletes. Chapters on strength, endurance, speed, balance, nutrition, performance enhancement, injuries, building the spirit and the mind.

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Mischief is Not Good Exercise - Halloween Ahimsa

Jolie Bookspan, M.Ed, PhD, FAWM

The third harvest is here in the Northern Hemisphere. The Hunter's Moon is bright in the sky.

The last harvest of fall is a time of endings and beginnings. More than a commercial holiday of destruction and gruesome death, the approaching winter was historically a time to reverently mark departure of the living and life-giving fields, and be thankful for the harvests they gave. Revering of elders was observed in analogy.

The first and most important precept of thousands of years of yoga and martial arts is ahimsa. Ahimsa means non-violence, non-harm, non-destruction. Ahimsa was reaffirmed in recent times by the Mahatma Gandhi, and in the West by Martin Luther King, Jr. In all the classes I teach, I remind the students that ahimsa is something you incorporate in all your actions. Don't harm yourself by sitting in injury-producing bad slouching. Don't harm yourself with bad exercise. Don't harm yourself by destructive thoughts and actions. Don't harm yourself with unhealthful food and drink. Don't harm yourself by hunching your shoulders to stress through preparing meals, when you can relax your shoulders, straighten your back, breathe, and use each stoke of washing, cutting, and preparing food as beautiful meditation in the same amount of time. Don't harm others with spiteful words, deeds, and thoughts. Don't cause others fear or pain. Don't cause yourself fear and pain.

In many of the countries where we have traveled and lived, lovely short public service announcements occur daily with kind messages of doing good. Television and radio commercials are paid for with no other purpose than to give specific positive examples of helping each other for a better world. Where we have lived in the US, continuous messages of spiteful and worse behavior are common as entertainment.

Several centers in your brain process self-control. They need exercise like anything else. Studies of imaging these brain centers in people who overeat, showed that with retraining, the centers changed in level of activity when pictures of food were viewed. "Exercising self-control" is more than an expression.

Children, and even adults, need consistent positive examples. It is good and crucial exercise. It is easy to destroy, and takes (but also gives) energy to be good. Instead of "Mischief Night" tonight, do good. Instead of spending money on destroying property with thrown eggs and toilet paper, have fun learning a healthful recipe that you can enjoy for years to come. Learn to stand on your hands safely. Paint or draw a picture of a good wish. Talk about how it can come true. Design and construct inspired homemade costumes. Help the community. Volunteer at a shelter. Exercise your spirit. Develop a fun, beautiful positive public service announcement for your home, or a commercial project, that reminds to uplift spirit and behavior. Teach a child something. Don't wait until they are already doing bad. Teach them consistently, before they know to do either, so that they will more often know to choose good and why.

The average American spends nearly $15 on Halloween candy - more than $1 billion total on unhealthful refined sugar and hydrogenated fat candy - just for Halloween. This is not parental love. It is the same as giving them cigarettes or addictive drugs. Change that. Parental love is giving them beautifully functioning self-control brain centers. Halloween story and ideas in Exercise Common Sense Discipline - Turn Down Halloween Junk Food.

Positive behavior is too important to leave up to only the schools, the entertainment industry, the government, the Internet, the home. We all add ahimsa.

Many chapters of ideas for happy bountiful living are in the book Healthy Martial Arts.


Photos of Paul Creating Good on Halloween. Can you find Jolie in the photos?

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The Coming Two Weeks

Jolie Bookspan, M.Ed, PhD, FAWM

We leave in a few hours for Colorado and the Wilderness Medical Society Meeting.

For the next two weeks, I'll have uncertain access to Internet, mail, or messages, to read or answer comments. I stored some fun posts for you. New Healthline staffer Leigh is scheduled to put them online while we make our way 'out West' during the week before the meeting. Thank you Leigh.

With each trip out to this part of the US, we work to document and preserve various martial arts systems of Native American Indians, as much as they want us to have. Will also make our way through the Rocky Mountains.

For going off-trail, we don't carry a tent or sleeping bag, let alone a computer. Simpler. There are still things to carry. The post Healthier Backpack Carrying to Get Better Exercise and Stop Back Pain explained the role of using abdominal muscles to prevent one kind of back pain from carrying backpacks. It is not by tightening the ab muscles, but using them to position the lower spine forward enough to reduce an overly large lower back arch, and stand with neutral spine. Strengthening exercises, whether for abdominal or back muscles do not make the spine attain neutral position in place of overarching. That is why strengthening core muscles does not stop this kind of pain. You get better and more functional core exercise by preventing overarching when carrying loads than by doing crunches or exercises for any specific back muscles. When you hold neutral spine, a small inward curve remains, just not the large one with the "backside-stuck-out-in-back" tilt that damages the lower back.

The post Throw a Stronger Punch (or Push a Car or Stroller) Using This Back Pain Reduction Technique gives a quick effective way to feel how to move your hip and lower spine using your abs away from arching to neutral. This Friday's post should cover preventing upper back and neck pain when carrying backpacks.

In pretty much any terrain, we don't wear hiking boots or fancy cross-training shoes. I wear roomy, cheap (ten or fifteen dollar range), discount store sneakers (usually in tatters). A shoe should not be what holds your foot in position - it is better when your own ankle, leg, and foot muscles do that. For me, shoes are more to avoid hookworm, other parasites, tetanus, and bites. The posts
Arch Support Is Not From Shoes
and
Which Shoes Help Exercise, Fall Prevention, and Ankles?
show how to hold healthy foot and arch position, and give ideas for better gait and balance. In technical climbs, tight shoes are often worn. I'm not much of a climber, but decline tight climbing shoes for bare feet, and enjoy feeling the rocks. For daily wear, tight shoes are not healthful: See, Are Your Shoes Too Tight? My near-seven-foot-tall husband Paul does the same, in his size 17 sneakers or flip-flops (approx size 52+ European).

We don't bring "sports food," commercial hydration drinks, or energy bars and drinks. Refined sugar is not health food. Unfermented soy in many of these products is increasingly documented to promote unhealthy over-estrogenic effects for both men and women. The post Is Your Health Food Unhealthful tells hidden dangers to avoid. The posts Healthy Mother's Day and Independence Day for Fitness give a few quick, good-tasting, healthy foods and drinks to try instead. If you don't have a blender, mash ingredients by hand for arm exercise. Dehydration is important to prevent, and can be done with healthy food and drink.

We hope to arrive in Snowmass by Saturday for the toxicology symposium before the meeting. Then interesting lectures, my two workshops (come take them) and other workshops. The WMS will present the first Fellows of the Academy of Wilderness Medicine. I have been advanced to Fellow, along with Wilderness expert and Medicine for the Outdoors blogger Paul Auerbach, and others in the field. Dr. Auerbach could have easily been "grandfathered" to Fellow status for his stack of achievements, but he went through the exacting point system along with the rest of us. You set the bar high Boss, wow, thank you.

I will try to get to the conference Internet café during the meeting. For the week after, will again be outback without access. If you comment or e-mail, I may not have access to reply. Check existing replies to posts for answers already there. Look for fun posts until then. Hope to see you at the meeting.

"Utility is when you have one telephone; luxury is when you have two, and paradise is when you have none."

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Does Hyperbaric Oxygen Help Exercise Ability?

Jolie Bookspan, M.Ed, PhD, FAWM

Heavyweight boxing champion Shannon Briggs was in the Black Athlete Sport Network news for getting sessions in a hyperbaric oxygen chamber. According to the news, Briggs stated he believed the treatments would help him improve physically and get in better shape for his upcoming fight to undefeated heavyweight Sultan Ibragimov. What is hyperbaric oxygen treatment and what is the basis for use?

"Hyper" means more or above. "Baro-" comes from a Greek word meaning weight or pressure. Some words that use this word root are barometer, an instrument measuring atmospheric pressure, and bariatrician, which is a physician who manages obesity. In general, hyperbaric oxygen treatment consists of breathing 100% oxygen while inside a dry treatment chamber that is pumped to a pressure higher than you are breathing now.

Hyperbaric oxygen treatment is used to treat two kinds of scuba diving accidents - decompression sickness and air embolism, which can result from rapid pressure reduction if you come up too fast. Hyperbaric treatment has also been found effective for treating wounds that do not heal because they do not have enough oxygen, certain infections of problem wounds, diabetic ulcers, and other conditions to be covered in future posts.

Hyperbaric oxygen is a documented modality in treating problem wounds which have a poor blood supply (are hypoxic). Bringing additional oxygen to the deprived area makes the body better able to repair itself. There is no current evidence that hyperbaric oxygen speeds healing of normal injuries, sore muscles, or that it improves physical ability. In sports injuries there is no lack of oxygen. Often the opposite problem occurs. For example, an area that is hot and swollen may have plenty of oxygen and blood supply. Adding more oxygen would not make it heal faster. There are occasional debates about using treatment chambers for athletes. As evidence becomes available, I will add it here. There is heated debate whether hyperbaric treatment is applicable to conditions such as vascular headache, brain injury, neurologic conditions, and others.

For a sick patient with problem wounds, diving injuries, carbon monoxide poisoning, or gangrene, hyperbaric treatment can be life and limb saving. Regarding athletes who believe it will make them a better athlete, and feel they should use hyperbarics regardless of hard evidence, there are minor side effects to hyperbaric treatments. Without the ability to heal regular muscle soreness or improve athletic performance, the side effects would not be helpful, and could be potentially detrimental to the athlete.

One of many resources for information on hyperbaric treatment and chamber directories is the Undersea and Hyperbaric Medical Society UHMS. For books about hyperbaric chamber treatment, and becoming credentialed see my web site books page.

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Rocky IV and Head Injury

Jolie Bookspan, M.Ed, PhD, FAWM

The BBC news reported this week that, Kickboxing 'causes brain damage.' The news story stated that a recent study showed: "Kickboxing can cause damage to the part of the brain which controls hormone production." However, it is not kickboxing, but receiving blows to the head.

Recently I posted about the fun exercise training in the movie Rocky IV - Rocky IV and Healthier Exercise. After training to become healthier and stronger, the movie depicts Rocky sustaining severe head strikes as a symbol of determination or disciplined fighting ability. It is higher fighting skill not to receive these hits. It is hopefully not a surprise that it is also healthier not to get hit in the head.

The Turkish study that the above news item was based upon compared pituitary hormone function in twenty-two kickboxers who had boxed in national and international championships (16 men, 6 women) compared to controls of the same age who did not box. Levels were lower in the kickboxers (Tanriverdi F, Unluhizarci K, Coksevim B, Selcuklu A, Casanueva FF, Kelestimur F. Kickboxing sport as a new cause of traumatic brain injury-mediated hypopituitarism. Clin Endocrinol (Oxf). 2007 Mar;66(3):360-6). A previous study by the same group found the same results in eleven actively competing or retired male boxers (Kelestimur F, Tanriverdi F, Atmaca H, Unluhizarci K, Selcuklu A, Casanueva FF. Boxing as a sport activity associated with isolated GH deficiency. J Endocrinol Invest. 2004 Dec;27(11):RC28-32).

Studies like these, that compare groups, cannot tell if boxing lowered the hormone levels without measuring a "before and after" or including number and severity of head strikes sustained. Without more information, these studies would not be able to conclude if the boxing caused the low levels, head strikes caused the injury, or it was the case that the people started out with low levels then became successful competitive boxers. However, it is documented in the literature that head blows that lead to traumatic brain injury produce anterior pituitary dysfunction (Agha A, Rogers B, Sherlock M, O'Kelly P, Tormey W, Phillips J, Thompson CJ. Anterior pituitary dysfunction in survivors of traumatic brain injury. J Clin Endocrinol Metab. 2004 Oct;89(10):4929-36). The previously mentioned Turkish researchers had earlier reported on a case study where they observed a boxer who received a head strike then suffered specific anterior hormonal effects (Tanriverdi F, Unluhizarci K, Selcuklu A, Casanueva FF, Kelestimur F. Transient hypogonadotropic hypogonadism in an amateur kickboxer after head trauma. J Endocrinol Invest. 2007 Feb;30(2):150-2).

Previous studies looked at neurophysiologic and neuropsychologic function and did not find long term damage in these areas (Haglund Y, Eriksson E. Does amateur boxing lead to chronic brain damage? A review of some recent investigations. Am J Sports Med. 1993 Jan-Feb;21(1):97-109) so it is new and helpful to localize that hormonal damage may be occurring from head blows.

Growth hormone is one of the hormones affected. The post Human Growth Hormone shows how it works and how to boost your own levels naturally and safely.

Aerobic kickboxing is not the kind of kickboxing where the studies are finding brain damage. The issue is strikes to the head and subsequent brain damage. Blows to the head can happen in any contact-style martial art, not just kickboxing. Head injury is also an in issue in motor vehicle accidents, falls, and domestic violence to family members of any age.

I will write soon about avoiding head injury in boxing and fighting arts, and other exercise. I am glad that the top competitors I faced in the ring didn't manage to land any head blows during my own full-contact martial arts and kickboxing bouts (or none I remember :-). To their credit, they managed other worthy hits. It is still not known what damage choke holds may produce, and is a topic of ongoing investigation.

The idea of the martial arts is to get out of a fight not into one. Fighting arts, as sport or entertainment, can be done, and won, without permanent damage to the other person, if all understand and fight for a greater good.
"To win one hundred victories in one hundred battles is not the highest skill. To subdue the enemy without fighting is the highest skill."
- Sun Tsu, The Art of War


Photo by patrick denker

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Healthier Heart

Jolie Bookspan, M.Ed, PhD, FAWM

Scorn, anger, name-calling. Not good for the heart. The best warrior wins without hurting others or himself.

The Thais call it "jai yen" - cool heart. The secret is to not make anger a negative force. They keep kindness in their voice. Jai yen is central to Thai social and business interaction. It illustrates the mind and body of the experienced warrior. Jai yen is part of Muay Thai boxing training. In Thai martial arts, respecting teachers and elders is foremost. Every fight begins with the Ram Muay, a spirit dance to show respect and thanks to parents, and ask blessings from the Kruu Muay Thai - the teachers. In Japan it is "fudoshin" - unchanging heart. A person with fudoshin is more stable and light-hearted when things happen that they don't agree with.

How do you get good at being heart-healthy? Practice it like exercise. Unlikable things happen every day, so we all have the good luck to get much chance to practice. It's healthy exercise. In the novel Shogun, James Clavell, wrote:
"To think bad thoughts is really the easiest thing in the world. If you leave your mind to itself it will spiral down into ever increasing unhappiness. To think good thoughts, however, requires effort. This is one of the things that discipline - training is about."
Discipline is the mental exercise of self-control to direct your behaviors. With discipline you brush your teeth everyday, and do exercise, and refrain from bad habits, and breathe and smile when someone is rude. The other person may continue injuring their own health with negative behavior, but you won't sadden yourself and injure your body with the unhealthy chemicals generated that can hurt your health and heart. If your kindness and understanding calms and comforts the other person, that is twice healthy. Breathe. Get outside in the sunshine every day. Be happy.


Photo of respect as medicine by noii's photostream

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Muay Thai Monks on Horseback

Jolie Bookspan, M.Ed, PhD, FAWM

E-mails have come in since I posted that we were on our way to the Monks on Horseback in the northern Thai mountains. Readers wanted to hear about our stay.

We live in Asia part of each year. We traveled north to visit our friends and teachers who are relatives and former teachers of the Phra (monk) Kru Ba Neua Chai who heads the monastery. Our friends live in the village of Baan Mai Kom, not far from there, close to the Burmese border. We took the bus north to there. There is no station - the driver dropped us on the road after dark, and we walked into the cool night to the mountain.

Nearby in Myanmar (Burma), drug traffickers from ethnic and government groups move vast amounts of opium and heroin, and more recently, methamphetamine, into Thailand for local and world distribution. For generations they have torn through villages, murdering adults and forcibly recruiting children into their militias. Drug use in the area further damages and destabilizes families and lives through drug illnesses, kidnapping, prostitution, and land control.

Drug wars, shooting, bombings, terror, international involvement and dollars have not stopped the destruction. The Thai monarchy, caring for the welfare of all involved, started a program for poppy growers to have income from other crops and industries beside opium. Thai soldiers in the region asked local monks to combat the drug menace by taking dharma (duty to behave righteously) to the hilltribe villagers. One monk was Kru Ba, a former soldier and Muay Thai (Thailand style martial arts) champion, known to boxing fans as Samerchai, and graduate of Ramkamhaeng University in Bangkok. To serve his land better, he became a monk. Another Thai man who wanted to do good gave the monastery a horse. Kru Ba took in more horses and orphaned hilltribe boys, and ordained the boys as nen (novice monks). Many of the nen had seen their families murdered by drug guerillas. Kru Ba taught the nen discipline, calisthenics, caring for the horses and other living things, the life of doing and saying good, and Muay Thai martial arts.

Soon more fully ordained monks and nuns became part of the monastery. Then Kru Ba started new monasteries. Today he has 10 monasteries in the northern hills. Except during periods when monks observe certain restrictions, they train Muay Thai outdoors, in the jungle, or in their thatched boxing ring each early morning and night.

Khru Ba and the monks and nen ride through local areas to show traffickers and locals they can stop contributing to drug addiction. Khru Ba says, "When we meet the Wa (one ethnic group involved), I try to engage them in dialogue, 'Why do you do this?' I ask them. 'How would you feel if these drugs were being consumed by your own sons and daughters?'"