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     Healthy-Steps Newsletter for the public
                                                                Volume 1, Number 1, November '2009
In This Issue
Message from Dr. Marc Lebed, Medical Director
Message from Amoena
Message from Juzo
More About LYMPHEDEMA
Published article by Julia Williams
NEW LEBED METHOD STUDY
 
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Join Our Mailing List
Quick Links
 
 
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 DID YOU KNOW?

The Lymphatic System is part of our immune system so everyone needs a good operating Lymphatic system. You can find Healthy-Steps/ Lebed Method Lymphatic opening exercises for everyone on: YouTube.com/lebedmethod
 s it!
 
GroupExercise
  

 

  • The Lymphatic system is a complex system of fluid drainage, transport, immune response and disease resistance.

 

  • Fluid that is forced out of the blood stream during normal circulation is filtered through lymph nodes to remove bacteria, abnormal cells and other matter.

 

  • The Lymph nodes and Lymph System help prevent infection and help drain fluid from your arms and legs. If bacteria and waste stay in your tissue, rather than draining away, they have time to grow and become infection.

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About Healthy-Steps  
 
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Healthy-Steps, Moving You to Better Health with the Lebed Method, is a therapeutic exercise and movement program with wonderful music designed to help you thrive! Offering wellness programs for everyone, from young adults to seniors, regardless of health, age or ability level, the Healthy-Steps program improves overall wellness, range-of-motion, balance, strength and endurance, as well as emotional well-being and self-image. A specialized program for children, "Creative Rhythms", is even available to serve the needs of children with Cancer or other chronic illnesses or medical conditions.
 
Healthy-Steps is offered in over 700 locations worldwide.
Join us today, and take a step towards a healthier life.
 
Find an instructor near you for a Healthy-Steps / Lebed Method class in your area by going to our website and click 'find a class'.  
 
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    MESSAGE FROM SHERRY
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Hello Healthy-Steppers,
 
I would like to welcome you to our first Healthy-Steps Newsletter for the 'general public'. We hope you will enjoy it
and let us know what you would like to see more of.
 
 
btnClick to Contact Us with any suggestions or comments

Here you will find a few articles, messages from our Medical Director, our sponsors Amoena and Juzo, as well as some special announcements for you that we hope you will find beneficial.
 
Our Lymphatic opening is now on Youtube.com/lebedmethod
Don't miss it and also my blog which I would love for you to join in at: www.gohealthysteps.blogspot.com  and www.twitter.com/healthysteps, and of course our chat room on our website at www.gohealthysteps.com
Plenty of places for you to go and find out great information, so what are you waiting for?!!!
 
As the holidays approach don't forget to visit our store on our website at www.gohealthysteps.com. They make great gifts for the ones you love and want to keep healthy.
 
Check out our calendar and see if I am doing any presentations in your area by clicking here for our calendar - they are FREE to the public. Everything is color coded so you can see all our training locations and my presentation locations as well.  If you find a presentation in your area you would like to attend, email me at sld@lebedmethod.com and I will tell you how to register. 
 
btnClick for our training Calendar
If you see a training that you would like to attend and have questions or would like to receive our training packet, email me as well for that.  I would love to hear from you, I love questions!! 
 
Enjoy our newsletter and let me hear from you about what you would like to see next issue.
 
MagazineCoverBreastCancer
 
My breast cancer survival story is being featured in the next issue of The Breast Cancer Wellness Magazine. This magazine is free for all breast cancer patients and survivors. To receive your free subscription, go to www.breastcancerwellness.org and sign up to have it send directly to your home.
I wish you a happy Thanksgiving and Healthy-Stepping,
 
Sincerely,
Sherry
 
BECOME A HEALTHY-STEPS / LEBED METHOD INSTRUCTOR
Presentation
Want to improve the lives of others, while improving your own life and financial well-being? Then becoming a Healthy-Steps/Lebed Method Instructor is for YOU! This program is a perfect addition for medical centers and hospitals, exercise and fitness centers, dance and yoga centers, etc.
 
Healthy-Steps certification provides you with access to everything you need to begin and grow a successful a Healthy-Steps program.
 
Click Here for our FREE informational packet.
MESSAGE FROM DR. MARC LEBED, HEALTHY-STEPS MEDICAL DIRECTOR
 
Mark & Sherry
                                                                   October 22, 2009
"Healthy Steps" (previously known as "The Lebed Method"), is a program of movement and dance that has been actively practiced for thirty years and that has benefited thousands, internationally. The program is designed to aid in the recovery and maintenance of patients, adults and children, living with chronic illnesses (including cancer and Lymphedema) and surgical complications. In addition, those not so afflicted (e.g. seniors, pregnancy) widely benefit from the Program and the sense of community that it engenders.
 
"Healthy Steps" is specifically designed to allow individuals who are restricted to sedentary lifestyles or who are otherwise unlikely to participate in traditional programs to benefit from a program of exercise and socialization. The program, initially created for breast cancer survivors, has been modified and expanded to incorporate all individuals experiencing chronic disease. "Healthy Steps" was created by a dance specialist and two physicians and represents a medically sound, safe and productive medium for the improvement of participants' physical and emotional health.
 
The Program has been supported by myriad health care institutions, support groups, and allied health care associations. There have been, to date, two peer review publications associating The Lebed Method with improvement of Lymphedema. In addition, the Program is presently the focus of a study being performed in conjunction with Yale University. The benefit of exercise in chronic disease has been well substantiated in the medical literature and has been supported by health care professionals and institutions universally. The Program has stood the test of time and continues to evolve and flourish.
As the Medical Director for "Healthy Steps", I fully support and promote the Program as a substantiated therapeutic option for all patients living with infirmity. "Healthy Steps" is an excellent adjunct to traditional physical, occupational and Lymphedema therapies. The Program is clearly superior, for its target population, to most if not all traditional exercise programs and its movements are documented to be safe and productive for the physical and emotional health of all participants, including the chronically ill. Finale05
MARC R. LEBED. MD, MDR
Medical Director, Healthy-Steps

 

 
MESSAGE FROM AMOENA
 
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Hello to All Healthy Steps Family!
 
 
We are very proud and so excited to announce to you our new sponsor: Amoena the leader in Breast form Prosthetics and a wonderful addition to the Lebed Method. You will be receiving their fabulous magazine which we would like for you to look at, read, and see if you would like to order more to give out to your class members.  If so, please email us and we will have packets sent you for distribution.  They contain great information for you, your classes and patients.  Another wonderful thing about Amoena is their informational Breast Cancer website: TheBreastCareSite.com, please visit this site and see what I mean, it is awesome! 
 
Who is Amoena?
Amoena is a Latin word meaning "The Beautiful the Lovely"
 
Amoena is the world wide leader in post-breast surgery products.  They have been leaders in breast form innovation for over 30 years, designing products to fulfill the ever-changing needs of women after breast surgery.
Amoena's mission is to provide a better quality of life for women following breast surgery by fulfilling their need for femininity, to restore a positive body image and renew confidence and self-esteem. Their innovative products help restore balance, symmetry and confidence after any type of breast surgery.

Amoena's product line includes breast forms for mastectomy, partial shapers for lumpectomy or reconstruction, intimate apparel and swimwear; all specially designed to hold a breast form or symmetry shaper in place.
The product line also includes an innovative post surgical camisole with drain management properties. It is designed to help the patient feel more comfortable, confident and secure when leaving the hospital and for the first weeks after breast surgery.
 
 
Amoena Coupon 07.15.09
 

For great articles for you to read:
 
MESSAGE FROM JUZO
 
Juzo logo 
For the past several years Juzo has been a proud sponsor of the Lebed Method. Our sponsorship of the Lebed Method has allowed us to partner with you in creating awareness in the prevention and management of lymphedema through the use of compression garments. Unfortunately many patients that develop lymphedema as a result of a mastectomy or lymph node removal don't realize and are not thoroughly educated on how proactive they can be in managing this condition.  Once lymphedema develops many are in denial about this life-long condition and often don't wear their compression sleeve or stocking until  their condition gets worse. 
 
As a family owned manufacturer of medical compression garments for almost 100 years, and with one of the founders having been dependent on a daily living aid, we understand the difference a quality product can make.  That is why all of our garments are produced using the highest quality materials and the latest technology to assure not only therapeutic effectiveness, but the utmost in wearing comfort, durability, and ease of care, with stylish options for every day and every occasion. We even have armsleeves and gauntlets available in seasonal and fashionable colors to add  fun to compression therapy!  
 
For more information about Juzo products, go to www.juzousa.com or www.mylymphedema.com
More About LYMPHEDEMA from "A Cancer Journal for Clinicians"
WHAT IS LYMPHEDEMA?
       
Lymphedema is swelling of a body part caused by a build up of lymph fluid. It usually occurs in an arm or leg.

Our bodies have a network of lymph vessels that carry lymph fluid to all parts of the body. These lymph vessels are connected to lymph nodes, which are small bean-sized collections of immune system cells. The lymph fluid and lymph nodes both contain white blood cells that help the body fight infections. If the lymph vessels are not working well, lymph fluid can build up in body tissues; this is called lymphedema.
Many people with cancer have treatments that involve lymph nodes and lymph vessels. Surgery that removes lymph nodes or radiation treatment to areas that contain lymph nodes can increase the chance of having lymphedema. Having both surgery and radiation increases the chance even more. Having a few lymph nodes removed is less likely to cause lymphedema than having many nodes removed. Sometimes, the cancer can cause a blockage of the lymph system and result in lymphedema.

Lymphedema is most often linked to treatments for breast, prostate, uterine, vulvar, or cervical cancers, sarcomas, and melanoma. If lymphedema occurs after breast cancer treatment, swelling can affect the arm on the side of the breast cancer. After treatment for cancer in the abdomen or pelvis, lymphedema may occur in the lower part of the body including the legs.

WHAT ARE THE SIGNS AND SYMPTOMS
OF LYMPHEDEMA?
 
The signs and symptoms of lymphedema may include:
  • a full or heavy feeling in the arm, leg, or genitals,
  • a tight feeling in the skin of the arm, leg, or genitals,
  • less movement or flexibility in your hand, wrist, or ankle,
  • trouble fitting into clothing or jewelry in one specific area, such as one sleeve of your jacket being tight.
Early on, lymphedema may be relieved by raising the affected limb.
 


HOW CAN LYMPHEDEMA BE PREVENTED AND CONTROLLED? 
 
There is no cure for lymphedema, so we try to prevent it from starting. If it has started, then we try to improve the symptoms and prevent them from getting worse. Most experts suggest basic steps (listed below) to lower your chance of developing lyrnphedema or to help delay its start.
 
 
Protect the Arm or Leg From Injury 
 
Protect the arm or leg nearest where the cancer was treated from any burns or injury. Your body responds to an injury by making extra fiuid. When lymph nodes and vessels have been damaged or removed by cancer treatments, it is harder to get rid of this extra fluid. This can trigger lymphedema.
  • Keep the arm or leg (on the side of the cancer
    treatment) clean.
  • Keep your skin and cuticles soft and moist by regular use of a lotion or cream. Do not cut or clip cuticles.
  • Use an electric shaver for removing underarm and leg hair instead of a blade razor or hair removal cream.
  • Use an insect repellent and sunscreen to avoid bug bites and sunburn.
  • Avoid extreme heat or cold.
  • Use standard first aid measures to treat any cuts, scrapes, burns, insect bites, hangnails, or torn cuticles. Ask your doctor or nurse team if you are unsure about what to do. Watch for early signs of infection, such as pus, redness, swelling increased heat, tenderness, chills, or fever. Call your doctor right away if you think you have an infection.
  • If your arm is affected, try to avoid blood drawing, IVs, or shots on that side. Tell all health care workers that you are at risk for lymphedema. Wear protective gloves when doing household chores and yard work.
  • If your legs are affected, always wear well-fitting, closed shoes instead of sandals or slippers. Wear soft protective socks. Do not go barefoot.
     

        
    
        Messages from Healthy-Steps Instructors
miss CT 
My experience as Miss Connecticut: by Ashley Glen
 
From the moment I was crowned Miss Connecticut my life shifted into high gear.  My dreams as a little girl become a reality, I was going to Miss America.
 
During my first month as Miss Connecticut I was amazed at the number of opportunities set before me. My platform, Healthy-Steps, reached an entirely new audience and touched the lives of breast cancer survivors across Connecticut. I have met and worked with so many incredible people over the course of my year as Miss Connecticut who reminded me every day of why my job was so important. 
 
Sherry&AshleyGlen Sherry & Ashley Glen
 
Being Miss Connecticut was never about the credit or the glamour.  It was about doing what feels good for my community and the people I love.  I am so grateful for my relationship with Sherry Lebed Davis. It was an honor to promote Healthy-Steps and show everyone what they are missing!
 
 
Kindly,
Ashley Christina Glenn
Miss Connecticut 2008
 
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Message from Kat, Healthy-Steps Instructor from the UK:
 
We all know that Lebed is more than dance or exercise, it really changes people's lives. I had a powerful reminder of this the other day.
 
I have a young twenty-something girl in my class who was diagnosed with Chronic Fatigue Syndrome some years ago. She gets very tired and her whole body aches - so much that she cannot drive and cannot even take public transport. Since her diagnosis she has relied on her parents and friends to drive her wherever she needs to go. She is a very joyful person and used to do a lot of dancing before she became ill. So you can imagine how much she loves Lebed! As I drive more or less past her house, I have picked her up for class. However, in one month the class will be moving to another time and day and I cannot pick her up anymore. The other night I got a phone call from her. She was very excited and told me that I did not need to pick her up the next morning - she was going to make her own way to class on the bus. She had already tried it the day before to see whether she could do it - and she did it! Of course, she was tired and achy afterwards but most of all she was happy. She was starting to do some 'normal' things, things that we all take for granted: leave the house and take the bus. This little incident has given her the confidence to plan other excursions: She is even planning to go to a Salsa class! And all because she is determined to come to Lebed!
 
As an aside, the class have set up an 'emergency pick-up' for her, so that, on bad days -and recovery also includes those, unfortunately- when she cannot take the bus she can phone someone to ask for a lift.
  
Lots of love,
 
Kat  

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Message from JoAnn Rovig, Healthy-Steps Instructor and Lymphedema Therapist :
 
I'm sure that all of us, as cancer survivors, sweat out every new pain or abnormality in our over-all health - fearing the worst - a re-occurrence. 
 
As a Lymphedema therapist and patient educator, a cancer survivor and someone who has more curiosity than a cat I've asked myself the question . . . over and over . . .  WHY?   Why cancer, why Lymphedema and why are we all just getting sicker?  These are the questions that drove me back to school (at age 67) to study nutrition.
 
As I got deeper into the complexities of human chemistry, the more confused I got and the deeper I dug for answers.  However, as the fog cleared away, it's all began making sense.  This information has been kept away from us for years . . .  and it would almost seem the health of our economy is more important and in complete disproportion to our overall physical health. 

There is hope, however.  Thanks to the internet and the masses of people who are asking the same question . . . of all the industrialized nations in the world, why are Americans the unhealthiest?  So, finally, the cat is working its way out of the bag, and we are hearing about Omega 3's, antioxidants, free-radicals, enzymes, and the importance of exercise.  We're learning about chronic inflammation, the basis of nearly all degenerative disease, and the culprit is our Western (or American) diet!
 
The comment that a cancer survivor should stay away from all fat" is ludicrous.  In fact, it's a good example of the hogwash we've been listening to for years.  Let's differentiate, however, between good fats and bad fats.  There is no question, we should all avoid hydrogenated oils and Tran's fats, but we HAVE TO HAVE the Omega 3's.  These are considered essential fatty acids.  They are anti-inflammatory and are essential to cell membrane integrity, brain function and optimal health.  And, no, these fats don't make us fat! The first 64 pages of Sally Fallon's book, "Nourishing Traditions", are very helpful in getting this into perspective.
 
During the time when our ancestors were hunters and gatherers, the ratio between anti-inflammatory (Omega 3) and inflammatory (Omega 6) foods was 1:1.  Now, with our modern diet of refined flour and sugar, processed foods, and bad fats, that ratio is 1:20.  For fast food eaters it's 1:40.  And we wonder why we are ALL suffering from chronic inflammation?!  Some of us may last longer, thanks to 911 and advanced life-saving technologies, but as we move into our senior years, crippled by degenerative disease (arthritis, diabetes, Alzheimer's, cancer and coronary artery disease), our quality of life is a disaster. 
 
Changing one's diet and life-style is not an easy transition, but once we make the commitment and experience the difference in the way we feel, we quickly discover we have a whole new life ahead of us. And as we realize the value of sound nutrition . . . . . the possibility of a re-occurrence pales into insignificance.  For cancer patients we need to be reminded . . . it's not about the tumor . . . . It's about the terrain.
 
My recommendations for anyone troubled by re-occurrence concerns are as follows:
1)     Read "The Inflammation Syndrome" by Jack Fallan
2)     Stop eating ALL refined sugar and white flour
3)     Understand that you CANNOT have a healthy lymphatic system, without a healthy gut!
4)     If you have to take antibiotics, be sure you understand the need to follow up with pro-biotic.
5)     Try to maintain a balance between Omega 3 and Omega 6 fatty acids.
6)     Learn about the importance of enzymes - as they are responsible for every chemical reaction in the body.
7)     Understand the value of anti-oxidants and understand how they protect us from free radicals. 
8)     If you are not digesting well, your body is not receiving the nutrients, including minerals; it needs to support your immune system.
9)     You must stay hydrated - with filtered water we hope.  (If chlorine kills the bugs in the water, why wouldn't it kill the friendly bacteria in your gut?
10)  Remember that Coffee is not a substitute for water.  In fact, it's a diuretic.  And if you just have to drink it, NO artificial sweeteners - PLEASE! And compensate by matching every 4 ounces of coffee with 8 ounces of water.
11)  Limit your intake of (or better yet, eliminate) processed foods.  They only provide excess calories, minimal nutrition and rob you of your natural enzymes.   (Note:  Putting whole unprocessed food into your microwave will also destroy the enzymes.)
 
There are a lot of nutritional websites out there, from which I have gleaned much of this information.  They are written by Doctors who have the courage to tell the truth, and I'm sure the Food Giants who have led us astray all these years would love to string them up by their toes.
 
JoAnn Rovig,
Healthy-Steps Instructor and Lymphedema Therapist 
 
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Healthy-Steps: Moving to better health with The Lebed Method
by Julia Williams
Published in "Chronic Oedema", April 2009

Julia Williams is a Lebed Method Instructor and Trainer
Email: julia-lebed@tiscali.co.uk

The Lebed Method (TLM) focuses on healing
through movement and dance. It is a therapeutic
exercise programme for people who have had
breast surgery, node dissection, radiation, chemotherapy, lymphoedema, or who suffer with chronic conditions.
 
The Method was designed to help people:
  • Regain range of motion
  • Increase flexibility in frozen shoulder
  • Work with physical balance issues
  • Help reduce swelling from lymphedema
  • Improve depression
  • Improve self image
  • Help stabilize weight.
The Lebed Method
 
TLM (Lebed-Davis, 2002) uses exercises in a particular sequence that will open the lymphatic system helping to reduce the risk of lymphoedema developing after cancer treatments and also reducing the swelling caused by lymphoedema.This group of upper body exercises, known as lymphatic opening, starts every class. The style of movement is slow, smooth and with very slight resistance, no more than 4 repetitions of each movement are carried out on either arm at one time. This lymphatic opening
emulates manual lymphatic drainage (MLD). The classes have been designed to promote a person's physical and emotional health.

A further group of exercises can follow the lymphatic
opening session, particularly when lower limb lymphoedema is present. These exercises are performed seated and aid the flow of lymph by pumping and releasing the inguinal glands. Simple movements such as seated marching, leg raises and leg opening exercises complete the routine. The body's lymphatic system is then ready for further movements.

Although TLM was originally developed for breast
cancer patients, it is now used for any type of cancer or chronic condition including motor neurone disease, multiple sclerosis and fibromyalgia, and has now been established in palliative and hospice care throughout the UK.

The unique aspects of the programme-such as using
props-provide fun and a distraction from the discomfort
of exercise which means that participants can enjoy the class. A goal of the class is to feel good mentally as well as physically and to improve energy levels (Sandel, 2005).
Education and social support are also main components of the class, enabling people to connect with each other and share information.

Post surgery body image is addressed during the dance routines, which may use props such as feather boas and glittery hats alongside movements that encourage a positive feeling about one's body. The aim of this approach is to promote a sense of joy and laughter in the participants. Fun is a core element of TLM. Patients don't wish to be reminded of their ill-health label but wish to move forward in a safe and supported way.

 
TLM and Lymphoedema
 
It is recommended to use a compression sleeve and a hand gauntlet during a Lebed Method class, to encourage lymphatic flow, for those with lymphoedema.
 
Fourie (2008) referred to the development of lymphatic
scarring and secondary lymphodema which can develop after surgery or radiation treatment due to:

  • Soft tissue fibrosis
  • A deficit in muscle strength and flexibility
  • Lymphatic insufficiency
  • Neural hypersensitivity.
 He identified that transient lymphostasis may become
chronic and can progress to secondary lymphoedema.
Indeed, Bouffard et al (2008) identified that measured, dose specific exercise-brief stretches, started early and gently-beyond the habitual range of motion decreases the risk of fibrosis and improved lymphatic circulation in animal models; TLM works on the same principle and provides a good chance of improving lymphatic circulation.
 
Supporting evidence
 
Sandel et al (2005) carried out a pilot study using TLM
in the treatment of breast cancer survivors. The study
used a randomized controlled cross-over design. Women treated for breast cancer in the previous 5 years were recruited and randomly allocated to a 12 week exercise programme or a waiting list for 12 weeks, followed by the programme. The results collected at baseline, week 13 and 26 indicated that quality of life (measured using FACTB version 3) and shoulder movement were improved in both groups. The authors recognized that the sample size was small (n=32) but felt there was sufficient evidence to encourage further research.
 
Hospice care
 
Williams (2008) identified that mixed classes of men and women of varied ages and health conditions have benefited both physically and mentally by attending TLM classes. The emphasis on slow smooth movements, with a lot of awareness on good breathing techniques and balance has identified, by self report, that patients have improved mobility, quality of life, and more self confidence. This has meant
patients have remained independent in their own homes.
 
The classes held at Trinity Hospice in London have
included a variety of health conditions including, prostate, lung, ovarian, breast and
bowel cancer. Feedback always mentions the feel good factor experienced and the friendships that are made alongside the physical improvements.
 
The classes at Trinity Hospice are currently being monitored by Measure Yourself Concerns and Wellbeing documentation (Patterson, 2003).
Trinity Hospice is not the only one using this model of
supportive care, it has also been taken up by many other hospices and hospitals in the UK and Ireland. Recently St. Mary's Hospice, Ullverston in Cumbria supported 12 nurses and therapists to train in TLM to deliver classes not just at the hospice but also within their rural
community.
 
TLM can be taken into the community through
patient support groups, health centres and doctor's surgeries. Carers are encouraged to participate in classes, helping to reduce their own stress levels, providing positive encouragement for patients to exercise and keeping their own bodies supple and strong to deal with the demands of their role.
 
Importantly, the Fountain Centre, Royal County
Surrey Hospital, has funded the training for 8 MLD practitioners and therapists in order to fully integrate TLM into their service for cancer patients.
 

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References:

Bouffard NA, Cutroneo KR, Badger GJ et al (2008)Tissue stretch decreases soluble TGF-beta 1 and type-1 procollagen in mouse subcutaneous connective tissue: evidence from ex vivo and in vivo models. J Cell Physiol 214(2): 389-95
Fourie W J (2008)
Alternative Pathways; Lymphatic scarring and secondary lymphoedema post breast cancer treatment British Lymphology Society Conference, BLS, Belfast Lebed Davis S (2002) Thriving after Breast Cancer, Broadway Books, New York
Paterson C, Thomas K, Manasse A, Cooke H (2003) Abstracts of the 10th Annual
Symposium on Complementary Health Care, London
Sandel S, Judge J O, Landry N, Faria L, Oulette R and Majczal (2005) Dance and Movement program improves quality-of-life measures in breast cancer
Cancer Nurs 28(4): 301-9
Williams J M, Giovino M, Wilkinson J (2008) Living every moment at Trinity
Hospice - The Lebed Method of Movement and Dance: Improving quality of life in palliative care. End of Life Care 2(2): abstract 70
Williams J Lebed (2008) -Thriving not just surviving. Hospice Information Bulletin
6(3): 58

3 photos update

SPECIAL ANNOUNCEMENT -  THIS IS OUR THIRD LEBED METHOD STUDY

 "The Effects of Lebed Method Exercise on Nurses' Depression, Anxiety, and Stress." 
        
  BY:     Choi, Kum Hee - Team Leader, Department of Nursing, Busan St. Mary's Hospital
              Yu, Young Soon - Team Leader, Department of Nursing, Busan St. Mary's Hospital
              Park, Yun Hee - Unit Manager, Department of Nursing, Busan St. Mary's Hospital
              Lee, Ji Won - Professor. College of Nursing, Busan Catholic University
 
Published in the Journal of Korean Clinical Nursing Research.

Purpose: This study was aimed to investigate the effects of Lebed method exercise (LME) on nurses' depression, anxiety and stress. The LME is a therapeutic exercise and movement program developed by Sherry Lebed Davis and expected to lessen the stress level of nurses and enhance the nursing job's satisfaction and efficiency. This study was utilized a non equivalent control group pre-post test design.
 
Method: The subjects were 36 nurses in total;18 in experimental group and 18 in control group. The data were collected from March to August, 2008. For the experimental group, 8 hour-long lectures on stress management and LME were given for 12 weeks. For the control group, only lectures on stress management was given. Depression, anxiety, perceived stress, and heart rate variability were measured on the subjects in both groups as pre- and post tests. The data were analyzed by Kolmogrov-Smirov test and P-P plot, t-test and x2-test using the SPSS program.

Results: As proposed in the hypothesis, the subjects in the experimental gr.oup experienced less depression (t=2.286, p=.029), less anxiety (t=3.319, p=.002) and less perceived stress (t=2.862, p=.007) than those in the control group.
 
Conclusion: The LME is considered an effective exercise to improve depression, anxiety, and to lessen stress for the nurses. The LME program has potential to be one of the effective stress management interventions for nurses in the future.

Corresponding author:
Choi, Kum Hee
Department of Nursing, Busan St. Mary's Hospital
583-41, Yonghodong, Namgu, Busan 608-838, Korea
Tel: 82-51-933-7038, E-mail: imgumhee@hanmail.net
                                                                      

Congratulations way to go!!                             

LAUGHTER HAS THERAPEUTIC VALUE
cat
  • A good gut-buster not only helps the spirit, it gets the blood pumping....just like jogging!

  • Activates the Thoracic Lymphatic drain and enhances the immune system

  • Promotes a sense of well being

  • Increases endorphins, therefore, helps reduce PAIN!

wig joke
"Darn... I knew I should have worn a chin strap."

From the American Diabetes Association:
Regular exercise is important for everyone-but it is especially important if you have diabetes. Regular exercise helps control the amount of sugar in the blood and increases levels of HDL (good) cholesterol. It also burns excess calories and fat to help you achieve optimal weight. Keeping a healthy weight is an important part of taking care of your diabetes. The journey of a thousand miles begins with a single step. Exercise works the same way. Taking that first step can be hard, especially if you've been diagnosed with diabetes. Remember - it's never too late. You can always improve your level of fitness.
Doctors
Healthy-Steps is a great program for those with diabetes as it is easy, fun, slow and can be done sitting or standing.  It is a wonderful program to get started with regardless of your fitness level.  You need to exercise to keep your sugar level under control it cannot all be done with just diet and/or medication.  Visit us for classes in your area today!                            
JOIN A HEALTHY-STEPS CLASS IN YOUR AREA TODAY, DO NOT WAIT!!!

dog

Sherry Lebed Davis
Healthy-Steps
Moving you to better health with THE LEBED METHOD

14418 47th Place West | Lynnwood, WA 98087
425.745.0842 | Toll Free 877.365.6014 | Fax 425.742.6873
info@lebedmethod.com | WWW.LEBEDMETHOD.COM/ WWW.GOHEALTHYSTEPS.COM
"You can choose to sit it out, or you can choose to dance with us"