On the “Hedge” of madness!

 

School for just one day a week after the summer? Myself and Joe McHugh, the Minister of Education,  are going to fall out.  I’m not happy, I’ve started learning Danish on Duolingo, because we may be forced to emigrate for the sake of my sanity and the kids mental health. “Blended Learning” he called it … the only thing blended will be my brain. The truth is that a working parent trying to facilitate “blended learning” while answering emails at the kitchen table  is a poor substitute for the classroom. The reality is that many of us  parents may be forced to choose between our children’s education and our work. But for all our sakes Joe needs to start suggesting solutions rather than pointing out problems and barriers to returning to school.

When looking for ways forward, we should try to create solutions that focus not just on the maintenance of the bare minimum of education but on resolutions that allow children to truly flourish again. One way to do this is to take learning outdoors whenever possible. Outdoor-schoolMounting evidence suggests that  outdoor activities, whilst not completely safe, are safer when  compared to indoors when  it comes to transmission of covid-19 (Qian et al., 2020). Strangely this is nothing new. We’ve all learned about the Hedge schools, small informal illegal schools used in 18th- and 19th-century Ireland to secretly provide the fundamentals of primary education to children of the  ‘non-conforming’ faiths.  Even  in the early 20th century, open air schools became reasonably common in Northern Europe, originally designed to prevent and combat the widespread rise of tuberculosis leading up to the Second World War. Schools were built on the concept that fresh air, good ventilation and exposure to the outside were paramount! The open air school movement was introduced for healthy children too, encouraging all students to be outdoors as much as possible.  Classes were taught in the open, in forests and parks, which was believed to help build independence and self-esteem. But with the increased availability of antibiotics and the improvement of social conditions, open air schools were needed less and less after World War II and were gradually phased out.

After the sabbatical of our lockdown and the short break we gave our overused world,  we are surely beginning to recognize the rippling consequences on our own health. We spend much of our time confined, enclosed in vehicles, offices and schools, shuttled from one indoor activity to another – sometimes without even glancing up from a handheld screen. We panic at the thought loosing mobile phone coverage, spending less time than our parents did outside. Prisoners are entitled to at least an hour of fresh air a day under the UN rights for prisoners. The average Irish person gets less than this. There has been a fundamental shift away from nature to ‘videophilia’ (Pergams & Zaradic, 2006; Lougheed, 2008). We have moved away from traditional outdoor activity. Our connection to nature is not a replaceable convenience, it  is essential to our health, quality of life, and social well-being. Within minutes of walking into a forest our heart rate comes down, our breathing slows and levels of cortisol (stress hormone) are reduced  (Ulrich, 1991; Bowler et al., 2010; Mao et al., 2012).

We often reach for medication when we’re unwell, but exposure to health-promoting environments is increasingly recognised as both preventing and helping to treat disease. Time spent in and around nature – gardens, parks, tree-lined streets,  forested and agricultural lands is consistently linked to beneficial long-term health outcomes.. The diversity of conditions that benefit from interacting with nature is staggering – depression, diabetes, ADHD, cancer, obesity, cardiovascular disease, musculoskeletal injuries, migraines, and respiratory disease. Neighbourhood greenness has been consistently tied to life expectancy and all-cause mortality. The less green a person’s surroundings, the higher their risk of illness, disease and premature death (Kuo, 2015).  Roger Ulrich, Professor of Architecture at Chalmers University of Technology in Sweden, was one of the first to research whether recovering in a room with a window view of a natural setting might have restorative influences whilst recuperating in hospital. In 1984, Ulrich took advantage of a natural experiment created by a long hospital corridor. Half of the patients on this corridor had a view of a brick wall and half a view of trees. The patients facing the natural view improved more quickly and reported less pain than those facing the wall. They asked for fewer painkillers and complained of less complications like headaches or sickness (Ulrich, 1984, 1991)

 

Runners can testify that Ireland is cold, wet, windy and miserable for 6 months of the year.  Exercising in the cold and rain is hard,  so much harder! So why bother, why not just exercise indoors and pound the treadmill. A treadmill set to a 1 per cent incline can accurately simulate the demands of outdoor running (Jones & Doust, 1996). However, running on a treadmill changes running technique, it’s not the same as running on land (Nigg et al., 1995; Mooses et al., 2015). Treadmill running changes the foot position on striking the belt, thereby changing the natural stride length and cadence of the runner potentially leading to injuries (Fellin et al., 2010; Sinclair et al., 2013). But there are far more overwhelming advantages to getting outside to exercise, even when the weather is awful. It is more enjoyable. When tested, runners  scored significantly higher on measures of enthusiasm, energy, pleasure and self-worth and lower on scores of anxiety, depression and fatigue after exercising outside compared to indoors. Most discussions  about exercising outside concern the weather and the potential challenges it causes us. We have engineered our lives so that we rarely have to experience a pang of discomfort even when “exercising”.  The appeal of the gym is undeniable — climate-controlled, convenient and predictable. These comfortable temperatures are killing the planet, robbing us of some of the best experiences and benefits of exercising in natural environments which may well be killing us.

The wild child survey prepared for the Heritage Society of Ireland in 2010 showed that Irish children spend less and less time playing outside. They have become prisoners and their home is their new “exercise yard” (Carver et al., 2008). Falling off a tree used to be a lesson in picking yourself up and learning to climb better. Now fear of possible injury and litigation stops the child climbing in the first place. The obsession with children’s safety in every aspect of their lives has meant instead of letting them go outside to play, parents fill their children’s free time with organized activities. Their play has become so manicured, scheduled and planned. It’s clean and bleached, timed and measured. Maybe sometimes it just needs to be dirty, spontaneous and enjoyable. This fear may also be stopping us from exploring unique and inventive solutions to the opening of schools in September. It may be time for Joe McHugh to break down the walls of education, letting  our children’s imaginations breathe, to run further and have bigger ideas for the future.

 

References

Qian, H., Miao, T., Liu, L., Zheng, X., Luo, D. and Li, Y. (2020) ‘Indoor transmission of SARS-CoV-2’, medRxiv, pp. 2020.04.04.20053058.

Bowler DE, Buyung-Ali LM, Knight TM & Pullin AS. (2010). A systematic review of evidence for the added benefits to health of exposure to natural environments. BMC Public Health 10, 456.

 

Carver A, Timperio A & Crawford D. (2008). Playing it safe: the influence of neighbourhood safety on children’s physical activity. A review. Health Place 14, 217-227.

 

Dib MY, Smith J, Bernhardt KA, Kaufman KR & Miles KA. (2005). Effect of environmental temperature on shock absorption properties of running shoes. Clin J Sport Med 15, 172-176.

 

Doubt TJ. (1991). Physiology of exercise in the cold. Sports Med 11, 367-381.

 

Fellin RE, Manal K & Davis IS. (2010). Comparison of lower extremity kinematic curves during overground and treadmill running. J Appl Biomech 26, 407-414.

 

Jones AM & Doust JH. (1996). A 1% treadmill grade most accurately reflects the energetic cost of outdoor running. J Sports Sci 14, 321-327.

 

Kuo M. (2015). How might contact with nature promote human health? Promising mechanisms and a possible central pathway. Front Psychol 6, 1093.

 

Lougheed T. (2008). Wild child: guiding the young back to nature. Environ Health Perspect 116, A436-439.

 

Mao GX, Cao YB, Lan XG, He ZH, Chen ZM, Wang YZ, Hu XL, Lv YD, Wang GF & Yan J. (2012). Therapeutic effect of forest bathing on human hypertension in the elderly. J Cardiol 60, 495-502.

 

Mooses M, Tippi B, Mooses K, Durussel J & Maestu J. (2015). Better economy in field running than on the treadmill: evidence from high-level distance runners. Biol Sport 32, 155-159.

 

Nigg BM, De Boer RW & Fisher V. (1995). A kinematic comparison of overground and treadmill running. Med Sci Sports Exerc 27, 98-105.

 

Pergams OR & Zaradic PA. (2006). Is love of nature in the US becoming love of electronic media? 16-year downtrend in national park visits explained by watching movies, playing video games, internet use, and oil prices. J Environ Manage 80, 387-393.

 

Sinclair J, Richards J, Taylor PJ, Edmundson CJ, Brooks D & Hobbs SJ. (2013). Three-dimensional kinematic comparison of treadmill and overground running. Sports Biomech 12, 272-282.

 

Ulrich RS. (1984). View through a window may influence recovery from surgery. Science 224, 420-421.

 

Ulrich RS. (1991). Effects of interior design on wellness: theory and recent scientific research. J Health Care Inter Des 3, 97-109.

 

 

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I qualified with an Honours degree in Physiotherapy from Trinity College Dublin in 2004. Since graduating I have worked in St. James Hospital Dublin and have worked in all the areas of speciality within the hospital including cardiorespiratory, orthopaedics, rheumatology, care of the elderly, neurology, burns and plastic surgery among others . I have also completed a post graduate certificate in acupuncture in UCD 2009. The Physiotherapy Department in SJH has strong links with Trinity College Dublin (TCD) and I have supervised undergraduate and postgraduate physiotherapy students on practice placements and also delivered lectures on the undergraduate academic programme in TCD. I have a keen interest in all sports and currently plays with Cill Dara RFC 1st team squad, and Milltown GAA. I have previously worked as Physiotherapist to Co. Carlow Senior GAA Team, Milltown GAA, Leinster Junior Rugby Team and Cill Dara RFC. I am an experienced runner and competed in the Dublin City Marathon in 2002. I continue to participate in running events and multisport disciplines such as Gaelforce West, Gaelforce North and the Motivate Challenge. I have a particular interest in strength and conditioning. I utilise this knowledge of resistance training in the treatment of his clients. I am committed to continuous learning and development in order to ensure the optimal level of care is offered to my clients, and with this in mind I am currently undertaking a certification in Strength and Conditioning (CSCS) with the NSCA.

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