For anyone today living with one of many chronic life-changing clinical conditions – cancer, heart disease, diabetes, and menopause amongst them – recent advances in medicine mean that the focus today is as much on life after diagnosis as it is on treatment.
TenClinical exists to help maximise quality of life for clients living with these conditions, or their aftermath. We do this by providing bespoke, specialist, clinically proven and highly effective physical exercise sessions within a welcoming, inclusive and empowering boutique environment.
The evidence in support of this kind of exercise during and after treatment is overwhelming. And the benefits, both physical and mental, are huge.
Since 2012, Ten Health and Fitness has set out to bridge the gap between the fitness sector and the medical community.
TenClinical is the latest step in that process, providing bespoke exercise prescription for clients with an identified clinical need – specialising in those diagnosed with cancer, heart disease, diabetes or women’s’ health conditions. Through exercise therapy, we support the benefits of their treatment and improve the speed and quality of their recovery.
We have strong relationships with London’s leading hospitals, consultants, surgeons and clinical practices. Many of our clients are referred to us by them.
TenClinical exercise sessions are led by qualified and clinically experienced physical trainers, with fully integrated physiotherapy support.
Every client has a full clinical, functional and musculoskeletal assessment, which underpins the development of his or her individual programme. All sessions are closely monitored, with regular assessments to evaluate performance and measure improvement.
We’re also able to support referring surgeons, consultants and medical teams by providing them with detailed, quantified feedback on client progression and outcomes.
Outside their 1-1 sessions, clients have access to Ten’s in-house massage and physical therapy teams, along with nutritional guidance and mindfulness coaching to support them on their journey.
TenClinical is uniquely able to offer a rigorous clinical approach within a welcoming, supportive and empowering boutique environment, and, through our Circle of care, to enable clients to progress from illness through rehabilitation and clinical exercise to functional exercise and fitness.
No other fitness provider in London is able to offer a comparable service.
Mainstream gyms, personal trainers and fitness providers generally lack the capability to deliver Clinical exercise. Gym staff are not qualified in or capable of working safely with clients whose conditions require specialist skills and training. Designed for ‘DIY’ workouts rather than expertly guided sessions, gyms typically lack our sustainable approach to exercise, level of trainer expertise and in-house Physio and Massage therapy and rehab capabilities.
In contrast, Ten has a in-depth of experience providing expertly taught guided sessions (whether classes or 1-1), and we offer a uniquely integrated and in-house Circle of Care, to support our clinical capability, along with a significantly more expert, personal, inclusive, supportive and welcoming experience.
TenClinical is not the only provider of Clinical exercise in London; there are also a number of specialist single-clinic practices. While we share their rigorous clinical approach, ours is delivered within a welcoming and empowering boutique environment. In addition, for clients progressing from clinical to more functional exercise we have the ‘downstream’ skills in-house that they lack. In fact, we’re already providing 500 hours a week of expertly-taught, highly effective and sustainable exercise sessions to a broad range of ages and abilities.
Lastly, with 8 Studios throughout London we’re more readily accessible to clients wherever they live and/or work.
What’s Clinical Exercise?
Clinical exercise differs from standard personal training sessions in a number of ways, the most fundamental being that goals are dictated by the client’s needs rather than their wants.
So rather than being about aesthetics, weight loss or running the marathon in under 4 hours, the first priority is client safety, with sessions designed around proven scientific and medical principles to help clients manage a life-changing condition and improve quality of life.
Unlike normal personal training, collaboration and information sharing with the clients’ consultant is ongoing, along with frequent measurement and evaluation of baseline clinical indicators, especially blood pressure, resting heart rate, body weight/composition and blood glucose/cholesterol.
Each condition requires a different approach. For example:
- With cardiac issues, continual measurement – and more importantly, management – of heart rate is paramount, so it’s measured every 2 minutes during sessions.
- With oncology clients, there’s more focus on resistance work to build lean muscle, proven to improve resilience before, during and after chemotherapy and other treatments. In addition, session content and approach are tailored to fit the fatigue stages of treatment cycles.
- For clients going through or post menopause, key areas of emphasis are on blood pressure management, and on optimising the effectiveness of resistance work to combat the body’s reduced ability to generate lean muscle.
- For diabetes sufferers, there are strong links between diabetes, difficulty in managing weight and coronary heart disease. So for safety, glucose readings are taken at the start and finish of every session. Additionally, sessions are tailored to ensure that exercise is conducted in the ‘fat burning zone’ (utilising energy from fat lipids rather than glucose or glycogen). The higher body mass that frequently accompanies diabetes puts undue pressure on bones, ligaments and joints. As a result, sessions also focus on injury prevention - correcting compensatory movement patterns and encouraging safer, more functional patterns.
All sessions are totally bespoke in every detail.
Medication can affect the way the body tolerates exercise, so clients’ prescription, dosage, and frequency are incorporated into session planning and programming. As are external factors that can impact either clinical symptoms or physical capability - including client lifestyle, external stress levels, and mood.
Even environmental influences like music, lighting and behaviours are tuned to maximise the benefit from each session.
2.5 million people are living with cancer in the UK, with numbers predicted to rise to 4 million by 2020 (Source: Macmillan)
Studies show that prescribed physical exercise can reduce recurrence risk, decrease fatigue and improve physical fitness and quality of life in cancer patients throughout treatment and afterwards.
During cancer treatment, exercise releases endorphins which improves mood and as well as helping reduce some of the side effects of treatment. Afterwards, it can help to recover physical function as well as reducing the risk of cancer reoccurring, and other long-term conditions developing (heart disease being one of the more common), by 40% to 50%. (Source: National Cancer Institute).
7 million people in the UK are living with cardiovascular disease. Of those, 2.3 million people are living with coronary heart disease. Cardiovascular disease is responsible for 25% of all deaths per year. (Source: British Heart Foundation)
Hypertension (high blood pressure) is one of the most common medical disorders, associated with an increased incidence of cardiovascular disease.
Exercise is a cornerstone therapy for the primary prevention, treatment, and control of hypertension, particularly cardiovascular training. Aerobic exercise lowers resting blood pressure and heart rate for up to 22 hours post exercise as well as stimulating fat loss, which reduces strain on the heart and circulatory system, which can result in a reduction in prescribed medications.
In addition, a combination of aerobic exercise and resistance training helps to build muscle mass and boost metabolic rate, again aiding weight loss and reducing dependency on medication.
4.5 million people in the UK have diabetes, an increase of 60% in the last decade, with numbers expected to top 5 million by 2035. (Source: Public Health England, Diabetes UK).
Diabetes is now the fastest growing health threat of our time, and one of the top 10 causes of death in first world countries. However, more positively exercise has been proven to have both acute (short term) and chronic (long term) influence on those sufferers.
Whilst exercising, muscles require more glucose in order to continue working thus reducing blood sugar levels. Exercise also improves your insulin sensitivity i.e. how well your body responds to your own insulin. Over time, well-structured exercise can result in a reduction in diabetes-related medication as well as a reduction in the associated cardiovascular risk factors.
30% of the female population – that’s 13 million women in the UK alone - are going through or are in menopause. (Source: MenopauseUK)
A natural part of the ageing process, Menopause affects women in many different ways, some of the most common being hot flushes, difficulty in weight-management and increased levels of fatigue. It has also been associated with increased susceptibility to clinical disease.
Two major concerns are the rise in atherosclerosis (a narrowing of the arteries due to the build up of plaques that can result in coronary artery disease, stroke, peripheral artery disease or kidney problems) and increases in the body’s bad cholesterol levels (LDL) combined with a decrease in good cholesterol (HDL).
Exercise and nutritional focus have been seen to be beneficial by slowing such effects during the transition through menopause, and afterwards. It is particularly effective at lowering levels of bad cholesterol and triglyceride (fat molecules carried in the blood that can increase the risk of heart disease at high levels), along with supporting weight management and reducing waist-to-hip ratios.
Our Clinical Centres
2-4 Exmoor St
London W10 6BD
Map & directions
020 8969 9677
83 Great Titchfield St
London W1W 6RH
Map & directions
020 7637 0555
Meet the Team
ADAM HEWITT Clinical Lead
Adam comes to TenClinical with over 10 years experience in rehabilitation.
Underpinned by his academic qualifications (a degree in Sports and Exercise Science and a Masters in conditioning and rehabilitation), Adam has a depth of experience working with various clinical populations. He provides expert and bespoke exercise prescription for clients diagnosed with a range of life-changing conditions including heart disease, cancer, mental health, eating disorders and diabetes.
Having previously managed a leading Harley Street clinical rehabilitation company Adam is Clinical lead at TenClinical, building on already strong relationships with any of London's major hospitals and clinics, as well as with leading oncologists and cardiologists.
At TenClinical, Adam works hand-in-hand with physiotherapists, massage therapist and specialist trainers to ensure that the best care is provided, and leading to quality outcomes.
For Adam, working with clinical clients is as much vocational as it is professional. His approach is empathetic, positive and highly personal.
For him, it is crucial that whatever his clients are undergoing, that he is on their journey with them, and much of his personal motivation comes from having the opportunity to be a part of someone's rehabilitation through their toughest times.
FRANCES BOWDEN Clinical Trainer
Frances is a graduate of Loughborough University in 2015, with a degree in Sport and Exercise Science. Having always had an interest in the health and wellbeing side of the fitness industry, she tailored her degree to focus more on clinical populations and the benefits that structured exercise and training can have – in particular, its ability to improve both physical functionality and quality of life.
Frances went on to spend 18 months working in leading Harley Street and City clinics, where she saw patients with a range of diagnoses but focused on cancer and cardiac patients.
Qualified as a Level 4 cardiac exercise instructor, and accredited by the British Association for Cardiovascular Prevention and Rehabilitation, Frances is a firm believer in breaking down the mental barrier of ‘I’m sick therefore I can’t’ and using exercise to help a patient psychologically just as much as physiologically.
She joins the clinical training team at Ten, working alongside the physiotherapy and massage therapists to help clients manage the potential side effects of their diagnosis and treatment whilst building up their exercise capacity to improve their quality of life.
Frances’ favourite part of her role as Clinical Trainer is giving people the confidence in getting back to exercising post diagnosis and seeing the positive results that exercise can have on the side-effects of medications and cancer treatments.
When not in the studio Frances can be found on the hockey pitch, down on the beach or talking about her recent travels round New Zealand.
KIMBERLEE HANNESSEN Clinical Trainer
Growing up in Australia, Kim played any sport available, from tennis, basketball, calisthenics to athletics. At the age of twelve her mum made her choose two sports she enjoyed most to continue with long term, which ended up being softball and netball. A few years later, playing competitive level in softball she developed an awareness for exercise and rehabilitation and, it’s where her interest in anatomy and physiology started.
Kim completed her first degree in Human Movement and Sports Science in Adelaide. Her course provided valuable exposure to populations needing lifestyle modifications and health awareness, along with the opportunity to help them. The experience inspired Kim to complete a further degree in Exercise Physiology. She then worked for two years in Australia with a variety of populations suffering from chronic musculoskeletal and clinical conditions prescribing exercise to individuals with co-morbidities, including cardiovascular, metabolic and respiratory conditions.
Kim joins the TenClinical team after four years experience working in the NHS at Guy’s and St Thomas Hospital and brings a wealth of experience in clinical exercise prescription. This included specialised experience in diabetic populations, where she found particular satisfaction in helping her patients improve blood glucose profiles and reducing/prevent the need for further medication.
Kim loves helping her clients achieve their goals, big or small, and seeing the physical and mental differences these successes can make. She is massively client-focused and is an advocate of incorporating exercise into daily living whilst keeping it enjoyable. She enjoys nothing more that proving to people that you are never too young, too old or too ‘unfit’ to exercise.
CHEYNE VOSS Physio Director
Registered with the Health and Care Professions Council.
Cheyne graduated from Auckland University of Technology in 2004 and spent the next 5½ years practicing in the private musculoskeletal sector in New Zealand.
In 2008 he completed his post-graduate examinations to become a Credentialed Therapist in the McKenzie Method, a highly regarded and scientifically established spinal assessment and treatment technique. (There are currently only 5 other McKenzie Credentialed Therapists listed in the Greater London area.)
Cheyne joined Ten Health and Fitness in 2010, and has since built a team of some of the best Physiotherapists and Sports Massage Therapists in the country. He has extensive contacts amongst London’s leading hospitals, clinics Orthopaedic Surgeons and Sports Physicians.
Always targeting the cause of a patient’s problems, Cheyne focuses not only on easing the pain, but also on addressing the root cause, to ensure that neither the dysfunction nor the pain returns.
He has extensive experience treating all musculoskeletal disorders but has a particular interest in the management of lower back and neck pain including complex nerve root compressions (referred pain/sciatica/brachalgia) and sports injury management. He is vocal about the adverse impact that modern technology and today’s sedentary lifestyles are having on our bodies.
With his expert knowledge and experience of pre and post op conditions, coupled with the links he has with the Orthopaedic world, Cheyne is not only able to look after a patient’s Physiotherapy management, but is also able to offer advice on the need for - and timescales/likely outcomes of- further procedures, including injections and surgical options.
Cheyne has written a number of Physiotherapy-related articles, is regularly quoted in the press, and is a spokesman for the CSP (governing body of Physio in the UK).