By Deb Matsuura

Performance Plus Program

At Fukuji and Lum Physical Therapy Associates, we challenge ourselves to deliver fun, happiness, and compassion in serving our patients and the community. In doing so, we strive to support those in need of a higher quality of life, as a family. For 20 years, we have served the community in need of physical therapy, but have also branched out to address another need: maintenance after physical therapy. Thus, the Performance Plus Program (PPP) was created to help patients maintain and improve upon their levels of fitness after physical therapy is completed, and no prescription is necessary. The program is also offered to community members that want to improve on their fitness levels and achieve goals they never thought possible. 

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Here is a testimonial from one of our regular PPP clients at our WORC clinic who asked to remain anonymous.

    “I was in a fitness quandary. I quit the fitness club after 5 years. I was tired of fighting for the treadmill and bikes and didn’t want to compete with the jocks for the other machines. Everyone there seemed to have his or her own fitness agenda. My hairdresser spoke of the Fukuji & Lum YWCA location. She raved about the physical therapy she received there, and had continued with an exercise program after being discharged.

    I was not in need of physical therapy, but Fukuji & Lum did offer a Performance Plus Program, primarily for PT clients interested in continuing their therapy with an exercise regimen. So, I signed up for my first 8 sessions. My goals were to improve my strength and improve my conditioning. I was told I was in poor to fair condition; so much for the fitness club routine.

    Today, 2 years later and starting my third year, I have completed 200 visits; my health profile has improved and I am able to do exercises I never thought possible. The staff teaches me the correct way to do the exercises; always offering helpful tips to improve my technique and correcting my mistakes. The staff pushes me to do more so I can continue to improve.

    My overall health has improved; my doctor is happy; I’ve lost weight; gained muscle and toned my body. I’d say that I fixed my fitness quandary.”

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That testimonial is typical of a lot of our PPP clientele. No more fighting over equipment, as everyone is scheduled at flexible times to accommodate for overcrowding. Our land-based Performance Plus Programs are offered at our Honolulu clinic located in the Kuakini Physician’s Tower and WORC location in Kaneohe, and is also open to high school students with parental consent. We have also expanded our program to include an Aquatic Therapy Performance Plus Program, located at the Kokokahi YWCA. For questions or more information about our programs, please call our Honolulu Clinic at (808)521-4922 or our WORC clinic at (808)234-5353.

By Mark Yanai

Introducing Ashley

Embracing Change is one of F&L’s core values that we look for in each of our employees. Every six months we get a new set of students from Northeastern University and our entire organization embraces their presence and the responsibility to care for them. This fall semester we have four new students including Colby, which I wrote about in my last blog.

Since my first Co-op blog, I’ve always used the same format when questioning the students about themselves. In trying to keep things fresh and evolving, I gave each of the Co-ops the freedom to write whatever they wanted in introducing themselves as employees of F&L. Today, we get to meet Ashley. [one_third]

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Deciding to spend my first co-op in Hawaii is probably one of the better decisions I have made. From the first time I spotted the Hawaiian site for my Co-op I knew I wanted to apply to Fukuji & Lum. However, never in a million years did I think I would actually get the honor of working with such intelligent and caring people. Being a physical therapy major, there isn’t much time to travel during the six years that I am I student. I am truly lucky to have been given the chance to be able to move to Hawaii and immerse myself in its culture for six months. [/two_third_last]

Working at Fukuji & Lum has given me opportunities that I never imagined were possible. From getting grastoned to actually taking patients through their exercise programs, I have gained so much experience that will help me become a better therapist in the future. Every day I learn something new. The people I get to work with are the best in their field, always making sure they explain things to me and that I understand, and constantly improving themselves as well.

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Having the opportunity to work not only in a clinic, but a pool and front office, also gives me a chance to learn so many different aspects of therapy. Each job that I have is different and teaches me something new.

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Working in the office has taught me a lot about the paperwork aspect of therapy. Before this experience, I never knew how complicated insurance was and I have gained a lot of respect for the people who do those jobs. Being in the pool was something that made me very excited to work here. The pool is a very unique setting for therapy and one I always found fascinating. While in the pool I have learned an alternative to land therapy and it has taught me to think out of the box when it comes to coming up with helpful exercises.

So far two months (one-third) of my Hawaiian adventure has gone by and I couldn’t be more shocked. It’s hard to believe I have already spent so long in this incredible place, at a job that makes me excited to wake up every morning. It also scares me that in a few short months I’ll be heading back to freezing cold Boston in the middle of January! At least I’ll have a nice tan… I am so thankful for this experience and can not wait to use all I learned and all I will learn at Fukuji & Lum as a physical therapist one day! [/two_third]

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By Mark Yanai

The Awesome Experience of Finding Yourself

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One of the rewards of working with physical therapy students is being able to witness their amazing growth during their time with us. At the end of their internship, students normally see the success they accomplished with their work and have the realization of a learned skill. But with the Northeastern Co-Op students, it’s often a lot more than what happens in the clinical setting. They end up discovering their identity of who they really are and want to be in life.

While the experience of being in Hawaii for six months seems like an extended vacation, it is often much more than that. There’s a saying “You never leave a place you love, you take a part of it with you, leaving a part of you behind.” I find this is true for many of the Co-Ops, but much more so with Kara, one of our 5 Co-ops this past semester. When I first posted a blog introducing her back in Febuary, she wrote about her hopes to finding out what kind of therapist she could be. Six months went by fast and I could describe her tremendous growth in my words, but it’s more clear when you hear it from her.

My Co-Op Experience: Kara

So I guess now that I’m done with my first semester back I have no more excuses to not write this blog. It’s a big undertaking, however, because I am not particularly adept at putting my feelings and experiences into coherent thoughts. My usual encounter with anyone asking me how my 6-month co-op was in Hawaii might be something like this:

“So how was Hawaii?” Internal dialogue: ‘Ohmygosh it was so great I had so much fun I learned so much Fukuji and Lum is awesome they actually care so much about the co-ops and that we are having a good/educational time and the islands were great/magical/more than I ever imagined and I made friends and swam in the ocean with cute sea creatures and almost fell off a few mountains and ohmygosh I got so fit biking to work every day but it was scary in the rain and everyone was always so concerned and supportive of everything that we did and looked out for us like family wait what was I saying? What I actually say: “uhhhh…. Awesome?!?!”

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I’m pretty sure no one wants to hear me babble on like that, but that’s pretty much still all I can do.  I cannot describe what a great experience working for Fukuji & Lum was, or how much all of my amazing coworkers mean to me. It wasn’t just 6 months of sun and fun in a tropical paradise, although there was plenty of that, I was welcomed into the F&L family as a long-lost relative. The Hawaiian concept of Ohana is now engrained in me, not by being told the definition over and over, but by being shown over and over in the kindness and love of everyone I encountered.

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The experience I gained in the different clinics will shape the type of therapist I become. Up till now, being a physical therapist was a VERY distant dream. Being back from Fukuji and Lum and taking classes this summer, this is the first time I have actually felt this dream was attainable. Working as a therapist was something I wanted to do, but honestly up till now it was something I never actually felt I was capable of doing. I continued semester after semester with the growing feeling that I wasn’t good enough, that I wasn’t smart enough. The people at Fukuji and Lum have been great mentors, and the confidence they have shown in me has in turn made me more confident. Since returning from Hawaii I find I have been able to accept the fact that no, I don’t know everything, but that’s ok, that’s what the rest of my education is for.

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I am grateful for everything I came away from Hawaii having learnt and seen. In those magical 6 months I made lifelong friends, ate strange and delicious foods (does anyone want to send me some haupia?? no??), collected a hodgepodge of the culture and language, explored, learned much about myself, and fell in love…. with the Islands! So from the bottom of my heart, Mahalo Nui Loa!

By Deb Matsuura

Connor: My Co-Op Experience in Hawaii

 

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We are so fortunate in Hawaii to be blessed with such rich culture, beauty and love. Sometimes it takes others to remind us of how much we have as you listen to them reflect on their experiences in Hawaii.
It never seems to amaze me that the Co-op students, like Connor and Victoria, have such transformative experiences in Hawaii. I often forget how young these students are and how such an experience can set them up for not only a successful professional career, but a different perspective of life.

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For Connor, his stay in Hawaii was a life changing experience. He wrote to us about the opportunities he had to learn not only about physical therapy but the Hawaiian culture. It was a pleasure to get to know him during his brief stay and I wish him the best in his future endeavors as he continues on his path to become a PT.

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After moving back to Boston and settling into another semester of classes at Northeastern University, I look back at my six months in Hawaii, working at Fukuji & Lum Physical Therapy, with nothing but fond memories. It hasn’t even been a month, but I already miss the people, the sights, the weather, and the aloha spirit. Although I am sad it had to come to an end, I am forever grateful for the opportunity to work for such an inspiring company in such an incredible place. This experience taught me countless life lessons both in and out of the clinic.

My flight to Hawaii was my first flight alone and my first time traveling. I boarded the flight feeling equal parts excited and anxious. I was traveling to an island 5,000 miles away to live and work with people I had never met before. My worries quickly dissipated as I met Mark at the airport and was introduced to my host and the beauty of Kaneohe Bay. I still have vivid memories of my first morning in Hawaii; waking up to the sunrise and kayaking out into the bay.

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My first few days at W.O.R.C. were overwhelming, but I instantly knew I was surrounded by a team of positive, hardworking, knowledgeable, and caring staff. Mark, Woody, Jessie, Stacey, Ross, Lisa, Talon, and Ryan were all more than welcoming and helpful. My coworkers and patients did not take long to show me the true meaning of aloha. Working at F&L’s W.O.R.C. clinic was a unique experience.

From Graston to smashing, I was constantly learning new information and techniques that I wouldn’t have seen elsewhere. It was evident that I was not the only student in the room, as all of my coworkers were trying to become better therapists each and every day. This value on education and striving to be the best you can be, is what makes the F&L team so special.

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During my six months there, F&L went through some changes that opened up even more opportunities for me to grow as a future therapist. I saw Woody leave to start his own practice, which brought Jamie and Janie to W.O.R.C, exposing me to even more therapist styles and knowledge. F&L also hired Nicole, their first ever occupational therapist. I really enjoyed the inter-professional collaboration as patients transitioned from therapy to work hardening & conditioning.

Outside of W.O.R.C., F&L greatly expanded their aquatic therapy program. I was lucky enough to have the opportunity to work alongside Rachel, Joy, Jocelyn, Deb, Wes, Billy, and a fellow Northeastern student Victoria. Coming from the clinic, I once again had so much to learn. I was constantly impressed by the variety of patients benefiting from aquatic therapy, and the creativity of the therapists to accommodate each patient’s needs. The F&L team exposed me to so many different aspects of my future career and taught me that physical therapy and caring for patients is about more than just what you learn in a classroom.

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Of course, while in Hawaii, I did much more than just work for six months. The state of Hawaii is a one of the most unique and beautiful places. I was so lucky to spend my weekends at places like Lanikai, Waikiki, Mokapu’u, the North Shore, Volcanic Rock Gym in Kailua, and many more. Whether I was hiking mountains, kayaking around islands, learning to surf, climbing rock walls, or jumping off waterfalls, every day in Hawaii was a memorable adventure.

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I was also fortunate enough to take some time off from work to see the islands of Hawaii, Maui, and Kauai. I saw some of the most breath-taking views at Kilauea, Haleakala, Lahaina, Hana, Waimea Canyon, and the Napali Coast and experienced the thrills of swimming through underground lava caves, flying in a helicopter, and snorkeling with honu and tako.

The people and experiences of Hawaii opened my mind to so much and became a part of who I am. I cannot thank everyone at F&L and everyone else I met along the way enough. Despite the distance from my home, I have countless life-long friends in Hawaii who made me a part of their ohana. It’s not a matter of if, but when I return, I look forward to seeing you all again.

Aloha and Mahalo!
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By Mark Yanai

Happy Spring Break!

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Spring Break Fun

This week, thousands of college students will flock down to Fort Lauderdale, Daytona Beach, Lake Havasu and Acapulco Beach for an annual gathering of fun, sun, alcohol, and shenanigans. Where did this craziness originate?

According to a TIME Magazine article in 2009, it started with the Greeks and Romans, when they celebrated the arrival of spring as a time of fertility and awakening (read the article here). More recently, the tradition of going south to Florida started when college coaches held an annual gathering at the Casino Pool in Fort Lauderdale.

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The first Olympic-sized pool in Florida held the annual competition which began in 1938 and brought in over 300 competitors yearly. This continued to gain in popularity and in 1959 inspired the making of the movie, Where the Boys Are, which starred Connie Francis and George Hamilton.

By the 70s and 80s, the tradition of college students flocking to Florida became commercialized and MTV launched its first televised special from Daytona Beach, which still continues today. Spring break has spread beyond the Florida beaches and is celebrated in just about anywhere a beach can be found.

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At F&L, we celebrate Spring Break in our own, unique way. The past week we have themed dress up days, where employees AND patients are encouraged to celebrate this “break” from the status quo. Pajama, whacky sock, sports and favorite musician day allowed us to enjoy a little buzz in our clinics this week. The anticipation of seeing what each of us would wear and watching the reaction of our patients are priceless.

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This craziness will continue this week as we celebrate grandparents, rainbows, St. Patrick, bacon, and retro days. These activities are a part of our culture and our mission to “deliver fun and happiness”. At F&L, we practice creating an environment that generates joy, happiness, gratitude and fun. We want our patients to feel as if they are among family, albeit a whack one.

Feel free to join us in dressing up, we love it when patients participate. Keep track of our daily activities via Facebook and Instagram and let us know what you think.

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References

A Brief History of Spring Break. (2009, March 30). In TIME Magazine. Retrieved 19:02, March 15, 2015, from http://content.time.com/time/nation/article/0,8599,1888317,00.html

Where the Boys Are. (2015, March 11). In Wikipedia, The Free Encyclopedia. Retrieved 19:02, March 15, 2015, from http://en.wikipedia.org/w/index.php?title=Where_the_Boys_Are&oldid=650967306

Connie Francis. (2015, March 14). In Wikipedia, The Free Encyclopedia. Retrieved 19:08, March 15, 2015, from http://en.wikipedia.org/w/index.php?title=Connie_Francis&oldid=651385004

George Hamilton (actor). (2015, March 6). In Wikipedia, The Free Encyclopedia. Retrieved 19:08, March 15, 2015, from http://en.wikipedia.org/w/index.php?title=George_Hamilton_(actor)&oldid=650221082

MTV. (2015, March 14). In Wikipedia, The Free Encyclopedia. Retrieved 19:31, March 15, 2015, from http://en.wikipedia.org/w/index.php?title=MTV&oldid=651391806

By Mark Yanai

Indian Clubs

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Indian Clubs have made it to F&L

Indian clubs are a type of exercise equipment used for developing mobility, strength and cardiovascular endurance. According to Wikipedia, Indian clubs or meels “comprise of bowling-pin shaped wooden clubs, which are swung in certain patterns as part of an exercise program.” Clubs can vary in shapes and weights depending on the type of exercise they are intended for. Wrestlers in ancient Persia and Egypt originally used these clubs as training tools. British colonists erroneously referred to them as “Indian clubs” despite their Middle Eastern origin.

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Indian clubs have been used for over a century and have made their way to F&L’s WORC site. The clubs have recently become a popular exercise tool due to a recent trend of using unorthodox exercise equipment like kettlebells, swinging maces, and sandbags.  At WORC, we use them to improve shoulder and scapular mobility. Patients go through a series of movement patterns that emphasize scapular protraction, retraction, elevation, depression, and rotation. This prepares them for other movements that require full range of motion of the upper extremities. I’ve found them to be very effective as a warm up exercise that involves all of the scapular muscles including the rotator cuff. Learning the unique movement patterns of the clubs takes patience but once mastered, they can provide a great tool for rehabilitation and exercise.

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During a recent vacation to Tucson, Arizona, my father-in-law taught me how to use a lathe (machine tool below) and I attempted my first run at creating my own clubs. It was a fun experience and am so happy to see our patients using my creation as well as my father-in-laws clubs that he made for the clinic.

 

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References:
Indian club. (2014, December 2). In Wikipedia, The Free Encyclopedia. Retrieved 22:21, March 1, 2015, from http://en.wikipedia.org/w/index.php?title=Indian_club&oldid=636282157

 

By Mark Yanai

Happy New Year!

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HAPPY NEW YEAR FROM THE F&L OHANA!

As we ring in the New Year and recover from the holiday festivities, I look back at what was accomplished in 2014 in gratitude. This past year was a banner year for F&L with many blessings bestowed on our organization.

THE BIG MOVES:

– Our Nuuanu Clinic closed after 13 years of operation at the Pali Medical Arts Building and moved to two locations at Kuakini Plaza and Tower.

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– Our Kaneohe clinic closed after 15 years of operation on the corner of Kam Highway and Pua Inia St. and moved to join our Aquatic and WORC sites at the Kokokahi YWCA.

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NEW BEGINNINGS:

– In celebration of WORC’s first anniversary, we held an Open House at the Kokokahi site for the medical community in Worker’s Compensation to show them our facility and the services we offer.

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– A weekly WOD (work out of the day) at our WORC site for anyone who wants to learn new exercises, break a sweat, challenge themselves and have some fun!

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– A Caregiver Workshop at our Kailua clinic gave tips and instructions to teach families how to provide safe and careful ways to assist loved ones.

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– Our Mobile Therapy Program started in October to address a needed area of physical therapy for those who have difficulty with an outpatient clinical setting. More on this on my next blog!

VOLUNTEERS, PT STUDENTS, CO-OPS AND MORE:

– We continued our relationship with Northeastern University in Boston with our Co-Op Program with three outstanding students in Jessica, Ariel and Melissa. See our previous blogs for their experiences.

– This year we hosted more than 20 students from around the nation including Pacific University, Washington University, AT Still University, Loma Linda University, Montana University, and Northeastern University. We continue to have a strong commitment to Kapiolani Community College and their PT Assistant program as we provide clinical instruction for their students.

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– F&L hosted two NAIOMT courses this year and continued our intention to become a training site for mentorship of NAIOMT professionals.

– We are now certified providers in Graston Technique and FMS Assessments.

F&L’S HIGHER PURPOSE!

– As a Value-Based Organization, we continue to be involved in community activities such as the Arthritis Walk, School Supply and Food Drives, and Susan G. Komen Race.

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– Hope you were able to get your car cleaned at our annual FREE car wash! We appreciate the community’s support of our organization throughout the years!

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– Keep up with our monthly craziness at F&L! Check out and like our Disney-themed Physical Therapy Month on our FACEBOOK page. Click here.

– INSTAGRAM! Follow us on our new site to keep up with what’s new at F&L. Username: @fukujiandlum

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Halloween

We look forward to the new year and continuing to love and serve our community in 2015!

By Deb Matsuura

HAPPY DISNEY HALLOWEEN!

Throughout the month of October, Fukuji and Lum staff members showed off their Physical Therapy Month spirit by dressing up “Disney” style each week. From Lion King Day (animal print), Monster U (college spirit), Mad Hatter Day (crazy hats) and  Tweedle Dee and Dum Day (twins), Disney Adventure Day (Disney characters). Check out our FB or IG @fukujiandlum page for more Disney Halloween photos.

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By Mark Yanai

WORC Open House

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On June 6th Fukuji & Lum held the First Annual WORC Open House at Kokokahi. The event was to celebrate our first year at the YWCA in Kaneohe. Invitees were doctors and nurse case managers whom F&L works with on a regular basis to address work related injuries.

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Food was provided by Chris Okuhara of Miso and Ale, Urban Food Distributors.

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The event allowed F&L to show off the beautiful grounds of Kokokahi and the diverse setting of the Windward Occupational Rehab Center. Attendees were able to get a taste of the functional emphasis of the clinic that specializes in work hardening, FCEs, and aquatic therapy.

 

 

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Thank you to everyone who made this event possible. And to all those who attended, we hope you had a great time!

By Mark Yanai

What’s a WORC WOD?

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It’s 6:00 am…the Kaneohe roosters are crowing, the sun still sleeping and it’s the perfect time for a workout. Your body is fully charged from a good night’s sleep and you can’t wait to get to W.O.R.C., not because you like to work but because you love W.O.R.C. (Windward Occupational Rehab Center) where every Thursday, a group of die hards meet before the crack of dawn to get in a WOD (Workout of the Day). It all started on New Year’s Eve of 2013 with a group of guys who wanted to get in one last workout before the end of the year. Since then, the group has evolved to whomever wants to show up at early in the morning and start the day with some good ‘ol sweat.

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The format of the WOD changes every week. You never know what you’ll end up doing when you walk through the door. It’s not crossfit, but a blend of functional exercises that include TRX, kettlebells, sandbags, sleds, pulleys, medicine balls, etc. The workouts are usually high intensity interval training (HIIT) with some form of competition. We always include the competitive part which usually gives everyone a little more motivation to push themselves.

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The WOD means something different for everyone but the intent isn’t to lose weight or build muscle. The intent is to find out something about yourself. How do you control your emotions when you’re pushing yourself physically? How do you feel when you compete against others and especially, yourself? How much gratification do you get when you accomplish something as a team?

If you want to be a part of the WORC WOD, all you have to do is show up – Tuesdays, 6:00 am .  That’s the hardest part. Once you do, you’ll get to experience a great group of people who come together once a week and have a lot of fun.