Does nature restore you? – Part 1
A few years ago now, I moved to London and one of my concerns about moving to London was that I would loose easy access to open green spaces. I have always found that walking through natural green spaces which feel very open have always had a restorative affect on my mental health and general sense of well-being. I know that now I live in London I am very lucky to live within walking distance of Blackheath, so I can still get my “nature top up”. My reaction to nature, made me wonder if their is any scientific evidence of the benefits of nature on health.
A narrative review from Mount Royal University in Canada looked at how contact with nature could help the emotional & mental well-being of cancer survivors. Researches were encouraged by findings that concluded nature could have a positive impact on the well-being of cancer survivors.
Gladwell et al show that lunchtime walks in nature-based environments may provide a greater restorative effect and may improve essential recovery during night-time sleep, potentially enhancing physiological health. While it may be difficult to take a nature-based walk at lunchtime, it is much easier in the summer to take one in the evening.
For those of you that may be thinking, “walking through parks is all very well for you Joanne, but where am I going to find the time for that!”. Please read on…
In 201o researched in the UK looked at evidence from 1,250 people in 10 studies and found fast improvements in mood and self-esteem from green exercise. (Green exercise is defined as activity such as walking, cycling, running, climbing etc in nature). The study found the strongest impact was in young people and just five minutes of green exercises can boost mental health.
References
Ray H and Jakubec SL (2014) Nature based experiences and health of cancer survivors, Complementary Therapies in Clinical Practice 20(4): 188 – 192
Gladwell, V.F.; Kuoppa, P.; Tarvainen, M.P.; Rogerson, M. A Lunchtime Walk in Nature Enhances Restoration of Autonomic Control during Night-Time Sleep: Results from a Preliminary Study. Int. J. Environ. Res. Public Health 2016, 13, 280.
Barton J and Pretty J (2010) What is the Best Dose of Nature and Green Exercise for Improving Mental Health? A Multi-Study Analysis Environ. Sci. Technol., 2010, 44 (10), pp 3947–3955
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Build your resilience
This week it has been widely reported in the press that Hector Sants is taking time off to recover from stress and exhaustion. While it is fantastic that he is getting the time and space he needs to recover his health, it reminded me of the importance of looking after ourselves. So today I wanted to share my top tips for building your resilience. I say building resilience, as the key to good stress management is to build the emotional and mental strength to know that you are OK, even if you don’t feel fully in control of your situation. While I encourage everyone to manage their time effectively, take control of what you are able to, there are times when we simply have to accept there are things we can’t control. I was reminded of this myself this week when my landlady told me she would like me to move out by the end of the year, so her spare room is available for her cousin in case he needs it. This came as a big shock given that I only re-located to London in August. So while yes it was a shock, it is annoying to have to move again so quickly, I am very aware that I have the resilience to cope with moving again. So what helps build resilience?
- As I already said taking control of what you can control and accepting what you can’t control.
- Building a supportive network of friends to who are able to listen when you need support is essential, the old adage a problem shared is a problem halved is true.
- Be active, whether it’s simply going for a walk in the park or going to the gym. Physical activity helps us feel mentally stronger and helps clams us emotionally so we are able to see the root cause of our problems so we are able to find effective solutions. I find going for a walk in a park, clears my mind and gets my creative juices flowing so I can calmly deal with my problems.
- My next tip may seem rather strange but volunteer or do some kind of community work. Being around people who have more challenges helps us put our problems in perspective. For example talking to someone who is dealing with the challenges of cancer really put my needing to move again into perspective.
- When we feel really in a rush and under pressure it is very tempting to reach for alcohol, coffee or chocolate, but in the long term these don't offer real solutions.
- In the spirit of keep it simple, stupid, always remember that deep breaths helps the body to relax and help you to let go of whatever mental angst is going on. When you get busy or anxious it is common to breath very rapidly from the top of your chest. Putting your hand on your belly, and try breathing in for a count of three and then breath out for a count of three - with the aim of seeing your hand move as you breath deeply enough.
- Remember Reiki is great if you feel all over the pace and jaded, while massage helps release all those tight achy shoulders.

Reflexology and Pain Management – Part 3
In previous posts in this series I have discussed the nature of pain, and how is evidence for the reflexology can be used for acute pain. In this article I want to discuss reflexology and chronic pain, as back pain is the most common chronic pain and it effects 8 out of 10 people in their lifetime, I will focus on studies that have looked at chronic lower back pain. An initial pilot study was carried out entitle Reflexology in the management of low back pain: a pilot randomised controlled trial by F Quinn, CM Hughes and GD Baxter. the results of which was published (see Complement Ther Med. 2008 Feb;16(1):3-8. doi: 10.1016/j.ctim.2007.05.001. Epub 2007 Jun 27.) Participants suffering from non-specific lower back pain were recurited and randomly assigned to a reflexology or sham group. Each patient received either a 40 minute reflexology treatment or a sham treatment according to which group they were in once per week for 6 consecutive weeks. The key measure of success was the measurement of pain on the visual analogue scale supplemented by the McGill pain questionnaire, Roland-Morris disability questionnaire, and SF-36 health survey. Outcome measures were performed at baseline, week 6, week 12 and week 18. The results incidicated that reflexology may have a positive effect on Lower Back Pain. This initial trail was followed up by a more comprehensive study of times were nurses were the patients, nursing is in the top ten professions for high incidence of lower back pain. Again this study was a double bind trial, and the same measurements of pain were used as in the trail. The study recruited 50 male and 50 female nurses with chronic lower back pain to take part in the trail. 40 minute sessions of reflexology or sham treatements were performed three times a week for two weeks. The study concluded Reflexology can be effective in reducing the severity of chronic back pain, i.e. it is able to reduce pain from moderate to mild. (see The Irainian Journal of Nursing Times (reference Iran J Nurs Midwifery Res. 2012 Mar-Apr; 17(3): 239–243.), focused on back pain in nurses) In conclusion it is clear that while the number and size of the studies are small there is a clear trend which demonstrates the effectiveness of Reflexology in helping to reduce pain levels especially in cases of lower back pain. Remember I offer a 15 minute taster Reflexology session for anyone who would like to try reflexology.

How can Sports Massage help Runners?
I may be biased but I believe sports massage should be part of every runner's training program. Sports massage offers runners three benefits
- Performance enhancement
- Injury Prevention
- Injury Rehabilitation
- Back and shoulder problems
- ITB syndrome
- Shin splints
- Achilles problems
- Plantar fasciitis

