The beauty of making your own snack bars is that you can control all of the ingredients that go into them. Many of the commercially available protein and energy bars have very high amounts of sugar. While they are marketed as health foods, they are no better than any candy bar. For that reason, I find it worth-while to make my own.
Ingredients:
2 cups of old-fashioned oats
1 cup of chia seeds
1 cup of raw pumpkin seeds (shelled)
1 cup of raw Sunflower kernals
1 cup of dried cranberries
4 tbsp of coconut oil
1/3 cup of 100% maple syrup (Grade A)
1/3 cup of almond butter ( I recommend Barney Butter with no sugar added)
Instructions:
Combine the oats, chia seeds, pumpkin seeds and sunflower kernals.
Spread mixture onto a cookie sheet and roast for 15 minutes in an oven that has been pre heated to 350 F.
Place the coconut oil, almond butter and syrup in a small pot. Heat and stir constantly over medium heat until all ingredients are melted and well mixed. Pour over the roasted oat and seed mixture, add dried cranberries. Mix all ingredients until well coated.
Pack ingredients into a 9-inch X 9-inch or similarly sized pan. Refrigerate 2-3 hours until they are set. Cut into 16 bars and serve. Bars will keep for several weeks in an airtight container.
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Fun facts about seeds and why you should eat them:
Chia seeds: contain more calcium than a serving of milk. They also contain high amounts of antioxidants, fiber, iron, and omega 3 fatty acids which fight inflammation and raise HDL (“good cholesterol”).
Pumpkin seeds: contain several minerals which are important for thousands of chemical reactions in your body including, magnesium, zinc, copper, iron, manganese and phosphorus. They are also high in vitamin K which is important for blood clotting and bone health.
Sunflower kernals: contain several minerals and vitamins that are needed for thousands of chemical reactions in the body that support metabolism and the immune system function. These vitamins and minerals include selenium (good for thyroid health), iron, folate, pantothenic acid, magnesium, manganese, copper, vitamin B6, vitamin E, niacin, and zinc.
“Somedays it takes me about 45 minutes to get on a pair of briefs”, said one of my patients with Parkinson’s Disease (PD).
As a physical therapist, I knew that we had to solve this problem. Spending 45 minutes of life donning clothing is no way to live.
If you are reading this and have PD, you may know what I am talking about. For those of you who are not as familiar with PD, this is a small window into the world of living with PD.
And when the problem of donning clothes reaches this level, it significantly reduces quality of life. It is not only the frustration that the patient with PD experiences, but the further drain on his or her already limited energy.
Without exception, the number one complaint I get from all of my patients with Parkinson’s Disease is fatigue. To those of us living outside of the PD world, we might think that the tremors and mobility impairments are the number one complaint—and they are a big deal. But the fatigue component trumps them all. Why? Because fatigue means that one can spend less time in life enjoying the company of others and engaging in activities that bring him or her joy and purpose.
Why can it be so hard to get briefs on when one has PD?
Stiffness and rigidity: PD causes stiffness and rigidity throughout the body, particularly in the spine and hips. This can make it difficult and/or painful to bend forward towards the feet or bring a knee up to lift a foot through the leg hole of a pair of briefs.
Motor initiation, planning, and sequencing: With PD, some of the tasks that one used to take for granted and didn’t even think about (i.e., putting on clothes, getting out of a chair) become very difficult. Sometimes getting the tasks started is the hardest part. And when a task involves a series of steps, such as putting on briefs (i.e., orienting the briefs properly, getting legs into the right holes), becomes very difficult.
Reduced amplitude of movement: Typically, once we learn how to do a motor tasks in our lives, we have an automatic program in our brain as to how much effort or force is needed to accomplish the task. For instance, getting into and out of a chair is easy because the brain “knows’ how much force should be put through the legs to rise from the chair. If the chair is exceptionally low, the brain knows that more force is needed through the legs vs. if the chair is a higher. With PD, people lose that sense of calibration and not enough effort/force is put into the movement and the task is not accomplished. Most of my patients come to physical therapy with complaints of falling back into a chair when they try to come to standing. Their brains have recalibrated the motor program for getting out of a chair. This recalibration occurs across all movements including fine motor skills, that are needed to handle a pair of briefs and orient them properly for donning.
Tremors: Tremors that are characteristic of PD obviously hinder motor tasks—especially fine motor tasks that take precise grip to open up and orient a pair of briefs for donning. And when a task becomes more difficult, people with PD often experience worsened tremors.
So what can a physical therapist do for a patient with PD who cannot get his briefs on? It depends on the individual’s characteristics, but what follows is an outline of the approach that I take:
Determine the patient’s primary limitations in putting on briefs. Some people exhibit stiffness and rigidity as their primary issue. If this is the case, we spend time working on mobility and stretching to regain range of motion in the spine, hips and other lower extremity joints. We make sure the motions of putting on briefs are possible. For other people, they have the available range of motion needed to put on briefs, but they are not putting enough effort or force in to make the task possible. For example, they cannot lift their foot high enough to get it into the leg hole on the briefs. For other people, it’s the fine motor skills that are the biggest limiting factor. Sometimes getting the briefs opened up and properly positioned to facilitate donning is the biggest problem. And sometimes, it’s a combination of all of these issues.
Design a rehab program that targets the biggest limitations and practices the skill of putting on briefs. More than likely, there is combination of limitations described above that need to be addressed. A comprehensive program might work on fine motor skills with one’s hands, mobility and flexibility and recalibration of force needed to accomplish the task of putting on briefs. For the latter, LSVT-BIG exercise is a well- researched exercise program that works very well for retraining the brain to initiate movements with greater force to make everyday tasks possible. LSVT-BIG is backed by over 25 years of U.S. National Institutes of Health research as being effective and can have long-lasting effects post physical therapy treatment. Weber Physical Therapy and Wellness is one of the only physical therapists in Southeast Idaho to offer LSVT-BIG treatment.
Take comorbidities into consideration that complicate one’s life with PD. In the life of someone with PD, PD often takes center stage. However, other health issues layered on top, may make things even more difficult. To maximize the benefit from physical therapy, these other problems need to be taken into consideration. For instance, it is common for people with PD to struggle with dementia, visual deficits, other orthopedic injuries/pain that exacerbate the issues that they already stem from having PD.
The patient quoted at the top of this article had a unique presentation in that it was actually his comorbidities that were limiting his ability to don his briefs. He saw double up close and had dementia that caused him to hallucinate at times. He had some motor planning deficits that would get him “trapped” in a position, bent over with the brief only around the tips of his toes. And that is where he would stay for 35 minutes. And that was after the 10 minutes it would take him to fiddle with the briefs to open them up and find the leg holes—seeing double makes this very difficult. As a physical therapist, I cannot fix someone’s vision, but I can adapt a task so that it might get around some of the problem.
I built this patient a dressing aid that holds his briefs open for him so he can easily see the leg holes. And since the device holds the briefs open, he doesn’t have to hold onto them and can focus on just getting his legs into the leg holes. Once his feet are in place, he just has to grab the waist band and pull up. That’s it.
This device allows him to get his briefs on in 3 minutes or less. Saving him 42 minutes to do things that he loves and make his life full.
Adaptive device for donning briefs, constructed for a patient with Parkinson’s Disease.
Adaptive Device holds briefs open, making it easier for a patient with Parkinson’s Disease to put them on.
If this story sounds similar to your situation or that of someone you love, consider physical therapy. As a physical therapist I provide tailored, one-on-one services for patient driven success. You can ‘wear the pants’ again.
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Carolyn F Weber, DPT, PhD is one of the only physical therapists in Southeast Idaho who is certified in LSVT-BIG treatment for Parkinson’s Disease. She provides one-on-one physical therapy and fitness programming for clients with Parkinson’s Disease in the comfort of their homes. Medicare of Idaho and Railroad Medicare insurances are accepted. You do not need a doctor’s referral to get started—just call or email Carolyn to set up your first appointment.
Carolyn also leads an exercise group on Wednesday’s at 5 PM at the River of Life Church located at 1211 S 5th Ave, Pocatello, Idaho 83201. This class is FREE, but space is limited. Email Carolyn for more information or to her know that you want to reserve your space in the class.
I am a hard-core introvert. I not only enjoy solitude, I revel in it. I love my work as a physical therapist, connecting with people, getting them back on their feet and helping them discover their potential. But outside of work, there is nothing like quiet time. On a run, on my bike, alone at my desk with my thoughts…. In fact, outside of work, I am almost ashamed to admit that the need to social distance during the pandemic, didn’t bother me much at all.
But I am far from anti-social. There is nothing I value more than connecting deeply with those I hold close to me. When I sit down at the table with someone, let’s pass up the conversational appetizers on celebrity twitter accounts and someone’s new eyebrow tattoos. I don’t care. Let’s get to the main course please. Like let’s talk about what rocks your world to the core, where you see yourself in 5 years, what your life’s mission is.
Someone once asked me what my most valued possession is. I said “time”. Time to spend wisely with people whose passions run deep and aren’t afraid to chew on an issue for a while with you. People who will share in your journey, listen to your best and worst ideas and kick your ass when you need it most.
I was accused by this Someone as being “deep”. Like it is a bad thing.
This is all to say that, I have had few experiences in my life when my soul has felt nourished… by people I felt were totally part of my tribe.
One of those few experiences was 9 years ago when I attended a Women’s Running Camp at Active at Altitude in Estes Park Colorado. This Camp is the genius of Terry Chiplin who moved to the U.S. from England with his wife Jacqueline to make highest runner’s high possible in the Rocky Mountains.
Running the trails of Rocky Mountain National Park with fellow Active at Altitude Campers in 2016.
Running camp includes several days of living in the Chiplins’ home with other campers, amazing food to fuel your running, running on the best trails that the Rockies have to offer, learning about injury prevention, training and the best part….comaraderie and developing a game-changing mindset.
They not only host Women’s Running Camps at three different levels (Beginning, intermediate and Advanced), they also host a Co-Ed Trail Running Camp—one in the spring and one in the fall. For complete information on the Camps, visit the Active at Altitude website.
Pre-run fun with fellow Active at Altitude Campers in 2016.
The entirety of the camp was invaluable, but the mindset piece was absolutely game changing for me and took me from running enthusiast to running the Boston Marathon and tackling challenging mountain races that I never dreamed of running. And meeting people who wanted to talk about all of those deep things on a run or in between was so amazing and therapeutic. I felt like I had finally arrived—this was the tribe I was missing my whole life! And this year—in 2021—- in a world that changes minute-to-minute, what is deep in us, our need to connect—our need to find our tribe doesn’t change. Especially after 2020, this type of experience may be exactly what you are craving. And this is why I am so excited to be returning to trail Running Camp in Fall 2021!
For those of you who have piqued interest, my complete reflections on my Camp experiences were captured in my conversation with Chiplin back 2016. I can’t say anything different or better today. An excerpt of this conversation follows.
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Chiplin: Can you tell us something about your running history prior to 2012?
Me: As a kid, I played a lot of team sports in which running was a punishment, so it wasn’t until college and graduate school that I took up running as a form of exercise and found that I enjoyed it. A friend convinced me to run a half marathon, my first race ever, in 2005. Between then and 2012, I ran several 5Ks, 10Ks and a few more half marathons. My race times were improving and I began to take running more seriously. I especially got a lot of enjoyment out of running after moving to New Mexico in 2009 and then Idaho in 2011 for professional reasons, as these regions introduced me to running at higher altitudes and I got my first tastes of trail running. However, I felt that my running had plateaued and, perhaps oddly, I didn’t truly feel like I could call myself a runner. In 2012, I felt like I needed something to bust down the wall that was preventing me from improving and I was also beginning to feel a bit beat up physically. Never having had any formal coaching, I suspected that my form was pretty inefficient and I wasn’t taking the right approach to training—at least one that worked for me. Although I couldn’t really articulate it at the time, I also felt that I wasn’t fully experiencing all that the sport had to offer. That’s pretty much what brought me to Active at Altitude in 2012.
Chiplin: You came to one of our Women’s Running Camps in 2012. What was your experience like?
Me: The Women’s Running Camp was exactly what I needed to elevate my running from the plateau that I had reached physically—but also mentally, which was a life-changing discovery for me.I came to camp mostly expecting to figure out what I needed to do differently to better approach the physical aspects of running—and there was certainly that! Through a video analysis I saw for myself that I was a profound heel-striker and had lots to work on there and I learned a tremendous amount about running work outs, cross training and proper nutrition, among other things. However, the real watershed moment for me at the Camp was discovering how far I needed to come mentally and that I would never become a runner if I didn’t first believe that myself! I was always told in high school that I was a terrible runner, but team sport coaches left it at that and never provided constructive criticism. During camp, I came to the realization that I had been letting other people’s criticisms define me and my potential even though I am a pretty independent person in most everything I do and I think I am fairly strong mentally. But I really realized that I could be stronger with a supportive network of people with whom I could safely share my aspirations for running—or anything in life….a network of people that provide a safe environment to dream big and serve as a sounding board. The Women’s Running Camp provided that network. To this day, I have stayed in contact with fellow campers from the 2012. This supportive atmosphere and community established by the Camp is a primary reason that I also came to Women’s Running Camps held in 2013 and 2014 as well as Trail Running Camp this year. The Camps also take place in an absolutely stunningly beautiful area of the country and provide a wonderful place to run with like-minded folks. The hospitality at Active at Altitude is amazing and meal times are always a highlight—they are really fun and provide great venues for laughing, dreaming, planning, mental training…they provide food for the soul as much as they do for the body.
Chiplin: What was your biggest take away from that camp?
Me: I think the biggest take away from Camp was a new mental foundation on which to build myself as a runner—or anything–as well as a new framework for living life. After Camp, I knew that I wanted to achieve new goals, but that the focus should really be primarily on the journey towards reaching those goals and that living life with gratitude was paramount. I also learned the power of visualization as a tool in realizing goals. Camp was my first real immersion in making mind-body connections and I was absolutely blown away. In 2014, I ran a personal best at the Missoula Half Marathon. At the time, I knew it was a bit lofty, but doable to run the race in 95 minutes. I did the math and knew what pace I had to hit. I had never run the course before, but had a map and course profile. Using only those three pieces of information, I visualized several times before race morning what it would feel like to run the race in 95 minutes—with gratitude for every step. I ended up finishing in 1:35:06 and almost couldn’t believe it.
Chiplin: You formed a close bond with your bunkroom buddies. What was special about this for you?
Me: Yes. My bunkroom buddies almost couldn’t have been more different than me in many ways—age, profession, ethnic background, religion, physical appearance…everything. But we were all united at Camp in the act of self-discovery and redefining ourselves as people. I have remained in contact with Mirabelle Tinio, one of my bunkroom buddies, who continues to be a fountain of inspiration in her dare to dream big back in 2012 and run with the Canadian Mountain Running Team—a goal that she once didn’t think was possible, but that she accomplished. Mirabelle represents boundless energy packaged in a frame that is just over 5 feet tall. At about nine inches taller, I have fond memories of she and I running the streets of Boulder, CO—we had a good laugh after I told her that we must look a bit like Penn and Teller to those we were passing by! In the last four years, I’ve only had a chance to see Mirabelle twice, but she remains a key person in my support network. Interacting with Mirabelle and others at the Camp made me realize that in today’s world, people tend to focus too much on what makes us different with respect to so many things– ethnicity, religion, gender, physical appearance, etc.—but we are all human beings—we all cry, sweat and bleed. We all have fears and doubts. We all also dream and have a tremendous amount of potential–more than we usually realize–to make those dreams a reality. Mirabelle is living, walking … running proof of that. With an environment created by a supportive network of people in which it is safe to dream and safe to take risks, we can accomplish what may have once seemed impossible.
Front row: Me and Mirabelle Tinio, taller and shorter … total opposites united in passion for running—with Active at Altitude Campers in 2016 (Co-ed Trail Running Camp).
Chiplin: Since camp you have also qualified for Boston twice. How important was your camp experience to helping you achieve this and what was your highlight from running Boston?
Me: Running a marathon, let alone qualifying for Boston, wouldn’t have been possible prior to coming to Camp—physically, but particularly mentally. During the Camp, I learned that I didn’t have to listen to the doubts and fears of others about something that I could and would do. While I was training for my first marathon in 2013, a coworker had learned what I was doing and said to me one day, “running a marathon is a really good goal to have even if you don’t finish it”. I learned that people commonly project these criticisms onto others, but they are really just the reservations that they have about themselves. My coworker was rudely surprised when I not only completed the marathon, but also qualified for Boston, undercutting the qualifying time by nearly 10 minutes.
After Camp, consciously running with a sense of gratitude became a practice for me that got me through the marathon. Before race day, I made a list of people that I was grateful for and, up until the last 5k of the race, I had this mental playlist of people and fond memories associated with them that I was flipping through. I dedicated the last 5k of the race to every person who ever cast a shadow of doubt on my running ability—turning their negativity in motivation to cross the finish. When I started the race that day, my goal had been to simply finish it; although the Boston qualification time was in the back of my head, it definitely wasn’t a focus. To BQ was just the frosting on the cake.
Boston 2015 was great, but 2014 will always have a special place in my heart. I was really nervous, of course, to run Boston as my second marathon ever, but it was also the year after the horrific bombings of 2013. I remember being at the Salt Lake City airport and when I arrived at the gate for the flight to Boston it was this sea of really fit people wearing the Boston jackets from years’ past and I instantly got really anxious. I started having a bunch of negative self talk run through my head—wondering if I was really worthy of running with seasoned Boston Marathoners, etc. I actually stepped away from the gate at one point. When I came back, a woman in her 60’s struck up a conversation with me and asked me if I was running. She explained to me that she had run Boston several years in a row and had planned 2013 to be her last go at it —she had had every intention of hanging up her shoes after running in 2013. But she said that after the bombing, she would absolutely not do that and that she needed to be part of the 2014 race that would take back the City and show people that we wouldn’t live in fear—that we must overcome. At this point, I realized that this was way more than a race and finish times. Boston represented so much more—it was all about overcoming. Another key moment in the race was during the latter half. We were running up hill and I was feeling less than fresh when some guy in the crowd shouted “Meb won! An American has won!” Those of us who were feeling the burn were instantly reenergized. It was amazing. Since Boston 2014, I have thought very differently about running. There’s always competition, but mostly running is about overcoming—it’s about the journey. It doesn’t matter how fast one is, but every one who toes the start line of any race had to overcome something to get there. Toeing the start line is a victory and crossing the finish is the celebration of a fantastic journey of overcoming.
