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Tuesday, 13 July 2021

Think forward, walk backwards

  https://youtu.be/rMxGVVBUSIc

Walking Backward: Benefits for Mind and Body - Healthline

 
Several studies also show that walking backwards can boost memory power
 

 

Walking in reverse is less stressful on the joints and can add bouts of increased intensity, similar to a brisk walk or an easy run.

LAST month, I wrote about how it is not strictly necessary to walk 10,000 steps a day for better health (Walking 10,000 steps a day, Two Fit, StarHealth, June 13).

Due the way our human brains are wired, we all assume walking always refers to forward motion.

Today, on a reader’s request, I’m going to discuss the effects of walking backwards, also known as retro walking or reverse walking.

Walking as a physical exercise has plenty of benefits: it’s easily accessible (though not in all areas, such as those under the enhanced movement control order), doesn’t require registration fees, and can be done any time at your convenience, indoors or outdoors.

However, walking in reverse makes the heart pump faster and circulates more blood and oxygen to the muscles and organs, including the brain.

Because it places a greater challenge on your body, walking backwards gives you a better cardiovascular workout, and perhaps, faster weight loss if that’s what you’re aiming for, compared to walking forward.

Apparently, 100 steps of backward walking is equivalent to roughly 1,000 steps of conventional walking, which explains why you can burn calories quicker.

Walking backwards also heightens your sense of balance and hearing, as you cannot depend on vision alone to steer you.
 

It’s great for people involved in a sport where they need to change directions rapidly or run backwards.

If you notice footballers in training, their coaches will include drills that include backward running and jumping.

Backward walking training is becoming a popular treatment method for people with musculoskeletal disorders, Parkinson’s disease, multiple sclerosis and cerebral palsy, as well as post-stroke patients.

Brain and pain 

Basically, walking backwards helps fire up the neuromuscular pathways that tend to get sluggish as we age.

One way to keep these neural circuits active is to exercise and slow down the natural rate of their degeneration.

Tests with backward-forward walking are also used for diagnostic purposes as these tests show how well our brain and body can coordinate our balance and mobility.

In addition, geriatricians might use walking backwards as a diagnostic tool to predict the likelihood of a fall in elderly people and patients with dizziness.

By regularly walking backwards, you are exercising the same neuromuscular circuits that these doctors are checking with this test.

Ageing brings about a lot of challenges, especially to our natural ability to “automatically” do things.

You may have noticed older people appearing to concentrate as they lift their feet to walk; this is because it is more difficult for them to “walk without thinking”.

This happens to the best of us when we lose the automaticity of walking.

For those experiencing lower back and knee pain, backward walking is a good alternative as the motion places less strain on the knees.

It may be useful for anyone experiencing pain going up and down stairs, or doing lunges or squats.

Hikers can also give their overused muscles a break by trying something different.

According to a 2019 study published in the journal BMC Musculoskeletal Disorders, a six-week retro walking programme resulted in greater reduction in pain and functional disability, and improved quadriceps muscle strength and performance in individuals with knee osteoarthritis, when compared to the forward walking or control groups in the study.

The subjects completed 10 minutes of supervised retro or forward walking training, in addition to usual care, three days a week for six weeks.

In another study published in the Journal of Biomechanics ,itwas also found that reverse or backward running reduced anterior knee pain.

From heel to toe

During a forward walk, most people will begin with the heel first gait as it is more efficient in transferring stored energy into motion so that our muscles don’t have to do as much work.

With each step, some energy of motion is lost when your feet hit the ground.

When you walk on the balls of your feet, you lose more energy due to these “collision forces” than you do if you walk heel first.

On the other hand, toe-walking, often used by ballerinas, requires activation of certain calf muscles that don’t need to be used in heel first walking, as your weight is directly supported by your heel.

In backwards walking, the toes have to contact the ground first and the heel is lifted off the ground last.

So, even if you have long legs, your strides can’t be too long unless you’re accentuating the movement.

If you’re an early riser (unlike me), you might be able to catch some backward walkers in action at our public parks.

They usually belong to tai chi groups, and while they walk, they will clap their hands as traditional Chinese medicine practitioners believe the palms have many acupressure points that can be stimulated via clapping.

Improved memory

Several studies also show that walking backwards can boost memory power and take you “back” in time.

In 2019, psychologist Dr Aleksandar Aksentijevic at the University of Roehampton, United Kingdom, and colleagues published a study called It Takes Me Back: The Mnemonic Time-Travel Effect in the Cognition journal.

They asked 114 volunteers to watch a video in which a woman has her bag stolen by a passer-by.

Ten minutes after watching the video, the participants were split into groups: one was told to walk forward 10m and another backwards 10m, while those in the control group stood in one place.

They were then asked 20 questions about the events in the video.

It was found that the backwards walking group got two more answers correct on average than the forward-walkers and the non-walkers.

The researchers also did another variation of the experiment, which tested several groups on how many words the volunteers could remember from a list.

One group walked backwards, while other participants simply imagined moving forward or backwards, or watched a video filmed on a train, which created the impression of moving forward or backwards.

In all scenarios, the backwards group or those who imagined walking backwards got the most answers right.

You don’t need to spend a whole lot of time walking backwards to reap its benefits. Just slot it in as a one-minute interval during your regular workout.

Check that the area behind you is clear so that you can walk confidently without bumping into anything.

Or find a partner so that he or she can keep an eye out for potholes and uneven surfaces, as our public roads and parks are full of them.

Better yet, grab a stick and have your friend lead you.

As muscles work in pairs and walking backwards recruits a new pair, you’ll inevitably feel some initial adjustments.

An added bonus is that your posture also improves while walking backwards as you tend to stand taller – it’s practically impossible to slouch while in reverse gear!

Combine both types of walking and add in some lateral walking as well to give all your muscles a workout.

As you get stronger and more confident, try walking backwards on an incline.

Having balanced muscles goes a long way towards reducing joint pain.

Revathi Murugappan is a certified fitness trainer who tries to battle gravity and continues to dance to express herself artistically and nourish her soul. For more information, email starhealth@thestar.com. my. The information contained in this column is for general educational purposes only. Neither The Star nor the author gives any warranty on accuracy, completeness, functionality, usefulness or other assurances as to such information. The Star and the author disclaim all responsibility for any losses, damage to property or personal injury suffered directly or indirectly from reliance on such information.

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Stroke survivor Betty Ng (centre) being her usual active self at the Walk for Health event before the pandemic. Photo: Nasam   https:/...

 

Monday, 12 July 2021

Second chance at life after stroke

Stroke survivor Betty Ng (centre) being her usual active self at the Walk for Health event before the pandemic. Photo: Nasam
 
https://youtu.be/-Gv278vvA-A 

 Retiree Betty Ng, who turned 70 in June, has been a stroke survivor for seven years. On her birthday, she started a campaign to raise funds for the National Stroke Association of Malaysia (Nasam).

“It was at Nasam that I recovered from my stroke as I went through physiotherapy and rehabilitation. It was also here that I got my second chance in life and met new friends which made me happy just to be alive,” says Ng

But, for the past one year, the pandemic has somewhat impacted activities at the centre. Although Nasam is still open for one-on-one therapy, there are no in-person group therapy activities and social events which are a major part of a stroke survivor's recovery process, she says.

“Stroke rehabilitation can take a heavy toll physically and emotional on a stroke survivor and their family members. But Nasam has always been a safe space where they can go to for recovery, meet other survivors and be motivated to embrace life after stroke,” she says.

This is why Ng wants to help raise funds for Nasam, an NGO that relies largely on donations from the public to stay afloat during the difficult pandemic time.
Betty Ng excitedly checking up on her SimplyGiving fundraising site. Photo: NASAM
Betty Ng excitedly checking up on her SimplyGiving fundraising site. Photo: NASAM
 
“As an NGO, Nasam relies largely on public donations from members of the public – both corporations and individuals - in order to survive. So I hope that my initiative will help Nasam stay afloat during this time so that they can continue to serve the stroke community, ” says Ng.

The determined Ng, who suffered from a stroke in 2014 during surgery to remove a benign brain tumour, adds that she wants to be a motivator for all who have been stricken with stroke, because as a survivor herself, she understands what they’re going through.

After she had her stroke seven years ago, she could not stand, nor use her left hand or leg.

“I had problems eating, suffered from a slight speech impairment, couldn’t recall words and had difficulty completing sentences. I had to be bathed, dressed, and fed, and even to wear diapers,” she recounts.

“I felt really miserable because I couldn’t help myself. I wasn’t used to being dependent on anyone,” she says.

Ng was in hospital for six weeks and after she was discharged, she could walk with the aid of a quadripod walking stick, and was cared for by her daughter.

Determined to get back to normalcy quickly, Ng started exercising to strengthen her left arm and leg, and improve her speech.

“I pushed myself to the maximum as I was impatient to get back to as normal a life as possible,” she says.

Ng’s daughter would prepare her food and then go to work, but be back to help with Ng’s exercises in the evening.

“I was on my own the whole day, and would spend the time exercising, doing puzzles such as crosswords, and colouring to stimulate my brain.

“In the evenings, I would do my exercises – under the supervision of my daughter - which included walking up and down the stairs and to-and-fro without the walking stick,” says Ng.

Ng started rehabilitation daily at Nasam in Dec 2014, in addition to her rehabilitation at the hospital.


Fourteen months after her stroke (in Aug 2015), she was certified fit to drive.

“I was thrilled because it gave me so much more independence. The following year, my daughter bought me a car and nothing stops me now ... except the MCO,” she says.

But, since the pandemic, Ng’s group rehabilitation sessions at the centre have come to a halt.

“The MCO has made things difficult because I’m not able to move around freely and frequently," she says.



Before the first MCO last year, Ng used to spend a lot of time at Nasam and says it was “like a second home” for her and other stroke survivors.
Betty Ng (in orange) at The Stroke Games before the pandemic. Photo: NASAM
Betty Ng (in orange) at The Stroke Games before the pandemic. Photo: NASAM
 
“I would bring my 90-year-old mother and also sisters along for the social gatherings and outings organised by Nasam. It gave us the opportunity to bond and have fun together as a family,” she says.

Ng says that Nasam has helped her grow her confidence and self-esteem.

“I’ve been given the opportunity to reach out to other stroke survivors and their families and I’m grateful for the chance to help others,” says Ng who now is a Nasam ambassador and also on its mentor-mentee programme.

As an ambassador, she helps create awareness through speaking at public forums about stroke and the challenges to recovery. For the mentor-mentee programme, she counsels and motivates stroke survivors who are going through difficulties.

Betty is now a Nasam ambassador and also on its mentor-mentee programme. Photo: NASAM
Betty is now a Nasam ambassador and also on its mentor-mentee programme. Photo: NASAM
 
“I do this alongside Nasam’s founder and chairman Janet Yeo, who created and manages the platform,” she adds.

“Nasam has shown us that there is life after stroke by challenging stroke survivors to achieve a greater recovery by giving us so many wonderful experiences and opportunities like The Stroke Games, as well as social integration and empowerment to return to the community or back to work,” says Ng.



“I started the fundraising campaign, which will run until Jul 17, because Nasam is like family to me. I want to help stroke survivors and see them able to lead a better life,” she concludes.

For more info, visit: SimplyGiving: There is life after stroke

 Support for stroke survivors during the pandemic


 Nasam organises activities for stroke survivors such as The Stroke Games, before the pandemic. Photo: Nasam


Throughout the pandemic, the National Stroke Association of Malaysia (Nasam) remains open to serve stroke survivors and their families, who may need help with rehabilitation and support.

“Although we can’t conduct group therapy sessions nor have social activities – which are a very effective means of rehabilitation and psycho-social support for stroke survivors – during this time, one-on-one therapy sessions are still ongoing, ” says Nasam communications coordinator Vanaja Dhanan.

“Our group therapy sessions are now available on Zoom, ” she adds.

Creating public awareness
To motivate stroke survivors, Nasam also organises an annual Walk For Health event. Photo: Nasam
To motivate stroke survivors, Nasam also organises an annual Walk For Health event. Photo: Nasam
 
Nasam’s public awareness activities such as forums on stroke prevention and awareness, educational talks, and other such events, have also been shifted online during the pandemic.

“But even though we can do this through Zoom and other online platforms, there are certain segments of the community who have no access to online facilities, ” says Vanaja.

She adds that there has also been a decrease in participation in group therapy sessions as many stroke survivors can’t access the Internet because they don’t have device nor the support to do so.

“They may not have family members who are able to support them to get online at home. Some are also unable to follow these online sessions as they’re unable to process the information after their stroke, ” she explains.

And, although Nasam is open for face-to-face support during the various MCOs, following strict Health Ministry guidelines, there is still a lot of fear among the people to come out and seek support, she says.

“This too has impacted the recovery of stroke survivors, especially those with visual, spatial and cognitive issues, ” says Vanaja.

The rehabilitation of the stroke victims also centres around social outings and gatherings at Nasam, and these are also affected by the pandemic.

Nasam’s annual events such as The Stroke Games, Walk For Health and Food & Fun Fair, have all come to a halt during the pandemic.

Embracing the new normal

Nasam founder and chairperson Janet Yeo started Nasam in 1996 while she was recovering from a stroke. Photo: NasamNasam founder and chairperson Janet Yeo started Nasam in 1996 while she was recovering from a stroke. PhotoNasam>>:

During the various MCOs and lockdown, Nasam offers Telerehab via Zoom and WhatsApp both for group and one-on-one sessions, to support stroke patients going through rehabilitation. They also offer fun, recreational activities online such as cooking, crafting, karaoke and others.

There is also a Stroke Mentoring Facebook group, which is managed by Nasam founder and chairperson Janet Yeo who formed the association in 1996, when she herself was recovering from a stroke.

The mentoring group is supported by both Yeo and other stroke survivors who are able to counsel and help survivors going through difficulties because they themselves have gone through it before and understand what it involves.

Prevention is better than cure

Yeo highlights that that it’s very important for individuals in the high-risk group – smokers and those with conditions such as high blood pressure, cholesterol and diabetes – to lead a healthy lifestyle.

“There needs to be a balance between work and leisure. For those who are working from home, be sure to set clear boundaries – a time when you’re available for work and a time when it’s your free time,” she says.

“It’s also important to stay physically active and exercise regularly. Take your medications and go for your medical check-up as scheduled,” she adds.

“Stay physically and mentally active. And, most of all - seek help if you need it. Don’t go through it alone,” says Yeo.


Caregiving for a stroke survivor is no easy task and caregivers may often feel discouraged and alone. To help them, Nasam also has a Caregiver Support Group.

“Carers who are going through difficulties can be connected to a fellow caregiver or even a stroke survivor who is recovering well and able to help the family move ahead,” she says.

As an essential service, Nasam centres continue to operate throughout the pandemic, offering rehabilitation and therapy from Monday to Friday, 9am to 5pm. Stroke survivors or their family members can also call the Nasam Helpline at 018-222 1878 for support or help.

For more info, visit:nasam.org/ 

NASAM

 
 
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Why should investors get out of the stock market?

 

3 influential factors that can make or break your stock market investment

My sole intention for writing this piece is to prevent investors from losing more money in the stock market.

Allow me to tell you briefly my back ground so that you can accept my advice to ask you to cash out from the stock market.

Dato Yap Lim Sen, my collegemate and I were the original founders of Mudajaya, Gamuda, IJM, IGB, Rubberex, MBM Resources, major controlling shareholder of Perodua Cars.

I have been investing in the stock market for more than 50 years. This is the first time I have practically sold all my stocks holdings and cashed out.

When you buy a stock, you hope to gain from share price increase and also dividend yield. In Malaysia all listed companies give out very small dividend. On record, Public Bank gives out the best dividend yield of about 5% per year. So, unless the stock price goes up, investors cannot make money.

What pushes the share up?

Among all the stock selection criteria such as account balance sheet, cash flow, NTA, no debt or cash rich etc, profit growth prospect is the most powerful catalyst to push up share price. Never buy any stock that has no profit growth prospect.

Why investors must believe in price chart?

Price chart cannot lie because it is a record of the daily trading. Down trend means there are more sellers than buyers in most days. Never buy a down trending stock.

A stock price can only go up if the company has reported increased profit. But if it reports reduced profit, its share price would drop because there would be more smart sellers than stupid buyers.

In the last 6 months, almost all the listed share prices have been dropping as shown on the KLCI Chart below. Why?


 

There are 2 main reasons for the listed companies’ share prices to drop.

1 Covid 19 pandemic

Covid 19 pandemic frequent lockdown restricts people’s movement and all listed companies’ business operation. Workers cannot go to work and business activities are reduced. As a result, almost all listed companies cannot report increased profit in the next few quarters until Covid 19 pandemic is fully under control. Many medical experts predicted that the pandemic will not be under control for at least 1 or more years. That simply means our stock market will be depressed for at least 1 or more years. The above KLCI chart shows that it has been dropping for the last 6 months and it will continue to drop for another 1 or more years.

2 Political Uncertainty

Investors do not like political uncertainty. In the last general election about 2 years ago, Pakatan Harapan won the right to form the Government and Dr Mahathir became the Prime Minister. Within a couple of months, he resigned suddenly and Muhyiddin became the PM by the back door. Currently he is seriously terminally ill with cancer in KL Hospital. Apparently, he has pancreatic cancer.

Who will be the next PM?

As you know, Politicians make rules and regulations which often affect business operation and their balance sheets which is creating more difficulties in making investment decisions.

That is why many investors especially foreign institutional investors are constant net sellers and some of them have already left the stock market. 

Yesterday I posted my article namely “A safe strategy during the pandemic” in which I said the Covid 19 pandemic lockdown is affecting everybody’s movement. Workers cannot to go to work and all business operation will naturally slow down. Almost all the listed companies will not be able to report increased profit in the next few quarters until the Covid 19 pandemic is fully under control which will take at least 1 or more years.

For example:

All the steel products manufacturers have reported increased profit in their latest quarter due to the steel price increase. Currently, due to Covid 19 pandemic lockdown, workers cannot go to work to make steel products and construction workers also cannot go to work. Contractors will not require to buy steel products. As a result, all the steel products makers will report reduced profit in the next few quarters. Many smart investors already could foresee this situation. That is why Leon Fuat, the most profitable steel company price chart is showing down trend as you can see below.


 

Leon Fuat’s last traded price is 99 sen and its latest EPS for quarter ending March 2021 was 11.65 sen. Even if I assume its EPS for the next 3 quarters is the same as 11.65 sen, its annual EPS will be 46.6 sen. Leon Fuat is selling at PE 2.

Other Industries also suffer the same fate

In fact, almost all other industries also suffer the same fate as steel companies. For example, Supermax and Top Glove have to close down a few times because the government authorities found Covid 19 cases in their factories.

Supermax price chart below:

 

Investors must always remember price chart is the more important investment consideration than financial analysis. Down trend price chart means there are more smart sellers than stupid buyers.

Statistics shows that in the stock market, there are about 70 % of investors lose money, 10% of investors break even and only 20% of investors are real winners. But under the current condition all investors including myself are losing money.

All investors must examine their track record to their performance. Even if they have been winners, they should sell all their holdings as soon as possible before they lose more money and get out of the stock market completely.

My mistake

I must admit my mistake in recommending Leon Fuat recently because I did not foresee earlier how Covid 19 lockdown and our political uncertainty can cause serious damage to the stock prices. That is why I sold practically all my stock holdings and cashed out of the stock market.

A best strategy during the pandemic for all investors is to cash out because all listed companies will not be able to report increased profit in the next quarters..

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