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Increased Precautions We're Taking in Response to the Coronavirus
As updates on the impact of the coronavirus continue to be released, we want to take a moment to inform you of the heightened preventative measures we have put in place at Structure House to keep our patients, their families, and our employees safe. All efforts are guided by and in adherence to the recommendations distributed by the CDC.

Please note that for the safety of our patients, their families, and our staff, on-site visitation is no longer allowed at Structure House.

  • This restriction has been implemented in compliance with updated corporate and state regulations to further reduce the risks associated with COVID-19.
  • We are offering visitation through telehealth services so that our patients can remain connected to their loved ones.
  • Alternate methods of communication for other services are being vetted and may be offered when deemed clinically appropriate.

For specific information regarding these changes and limitations, please contact us directly.

CDC updates are consistently monitored to ensure that all guidance followed is based on the latest information released.

  • All staff has received infection prevention and control training.
  • Thorough disinfection and hygiene guidance has been provided.
  • Patient care supplies such as masks and hand sanitizer are being monitored and utilized.
  • Temperature and symptom screening protocols are in place for all patients and staff.
  • Social distancing strategies have been implemented to ensure that patients and staff maintain proper distance from one another at all times.
  • Cleaning service contracts have been reviewed for additional support.
  • Personal protective equipment items are routinely checked to ensure proper and secure storage.
  • CDC informational posters are on display to provide important reminders on proper infection prevention procedures.
  • We are in communication with our local health department to receive important community-specific updates.

The safety of our patients, their families, and our employees is our top priority, and we will remain steadfast in our efforts to reduce any risk associated with COVID-19.

The CDC has provided a list of easy tips that can help prevent the spread of the coronavirus.

  • Avoid close contact with people who are sick.
  • Cover your cough or sneeze with a tissue and then immediately dispose of the tissue.
  • Avoid touching your eyes, nose, and mouth.
  • Clean and disinfect objects and surfaces that are frequently touched.
  • Wash your hands often with soap and water for at least 20 seconds.
  • Stay home when you are sick, except to get medical care.

For detailed information on COVID-19, please visit

Healthy Living Blog

Aqua Fitness

Aqua exercise is one of the best all-around exercise programs available today. The water enhances a vigorous workout as it protects against injury. Due to the water’s buoyancy, movement and flexibility are enhanced. The joints are supported and protected. This relative weightless feeling minimizes discomfort and cushions the body, allowing for aerobic movement that might otherwise be impossible (ex: jumping jacks). Due to the resistance of the water, muscles are strengthened and toned.

Every time you jump, the force of landing multiplies your body weight seven times. Jumping or jogging in the water produces only a mild impact on the joints, weight bearing bones, and the skeletal system. When standing in shoulder deep water, a person’s body weight is reduced by 90 percent. If a person is standing in chest deep water, it is reduced by 70 percent. If a person is in waist deep water, the impact is reduced by 50 percent.

The water produces a strengthening effect on the muscles because the water has 12 times more resistance than air. For example, a straight leg kick forces the leg to push against the water as it returns to a standup position so the resistance of the water is forcing the leg to work harder. Also, because of buoyancy, the kicking leg can kick higher and create more range of motion . The much increased reduction in gravity means that flexibility and range of motion are enhanced. This creates a great environment for the goal of improving flexibility.

The different properties of the water will thus create a perfect opportunity for cross training. For someone who is accustomed to doing cardiovascular training on land, the switch to aqua workouts will be a refreshing change. One will notice far less pain and injury. Blisters, foot problems, shin splints and other joint problems are greatly reduced. There also is a decreased risk of over-heating since the water acts as a natural coolant. Aqua exercise also promotes weight loss, deeper ventilation and blood circulation. People with injuries or special limitations, elderly, and pregnant women can especially benefit with this form of exercise. Athletes and exercisers will also see great benefits from working in this different environment.

When in the water, your heart no longer endures the same gravitational pull as land. Circulation is enhanced so that the heart is taxed differently. Due to the buoyancy of the water, heart rate charts will not be applicable. The best measure of intensity is perceived exertion. If the movement in the water feels too easy, try to move faster while still maintaining the control. Push through the water at a speed that will give you the perception of working harder.

The faster you attempt to execute an exercise through the resistance of the water, the more work output is required. The result is increased heart rate and muscle fatigue. If you tried to walk in the water at the same speed you walk on land, you will find that you will tire much quicker.
The supportive qualities of water can reduce the incidence of joint injury to less than 1 percent and can help increase joint range of motion. Long term effects of water workouts are a stronger cardiovascular system, muscle strength and endurance, and improved flexibility. Many people get their best workouts from working out in the water.

About Alicen Cisco, MS, ACE, AEA

Alicen has been in the fitness industry for more than 35 years. She conducts fitness evaluations, leads exercise classes, and works with individual participants to achieve a variety of health and fitness outcomes. Alicen holds a Master of Science in rehabilitation counseling from East Carolina University and completed her internship at Duke University. She is certified by the American Council on Exercise as a personal trainer and fitness specialist.

Alicen is certified and trained in Pilates equipment and mat Pilates and also holds certifications as a rehabilitation specialist, AEA aquatics instructor, yoga instructor, Zumba instructor, and Drums Alive® instructor. She has been a member of the Structure House fitness team since 1995.

View all posts by Alicen Cisco, MS, ACE, AEA

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