Jennifer's Assessment & Goniometric Measurements

45 y.o. (diagnosed at 29 with stage 2B)

HER2 +

CHEK2

Bi-lateral skin/nipple-sparing mastectomy w/ 6 nodes (right) 2018

Finished chemo TCHP (docetaxel, carboplatin, trastuzumab, and pertuzumab) 2017

Tamoxifen (completed)

2021 hysterectomy leaving ovaries

2022 breast cancer recurrence - METS throughout spine

Radiation to R breast

Chemo finished on 8/2021

Currently Herceptin/Perjeta ev. 3 weeks

Current - Anastrozole (aromatase inhibitor)

Current- Zometa (bone loss)

24% reduction fraction in heart

Brain fog

Implanted chemo port in chest

Has been teaching Pilates for 25 yrs., practices yoga, rides peleton 20-45 min. several times per week, and practices Chi Gong. NO MID-THORACIC LOADING due to METS.

POSTURAL ASSESSMENT:

Slight elevation of R shoulder

Slightly protracted R shoulder

Right hip slightly medially rotated

Slight anterior pelvic tilt

Medial rotation R knee

L/R feet pronate

SQUAT TEST

Right knee/ankle medially rotate - instability

MOD. THOMAS TEST

Quads and hip flexor tight on L side

Quads and ITB tight on R side

ROM

Conducted visual test without goniometer and everything was near perfect on both sides with the exception of IR and ER taken with goniometer

R ER 74

R IR 53

L ER 89

L IR 65

This is the Prescribed Workout developed during the Case Study class on Oct 31:

Begin with cardio workout

Lymphatic drainage exercises with emphasis on neck stretches (30-sec. min)

Supin chest flys w/isometric contractions or very light weight

Lat pull and row with very light weight or band

Ball massage on right QL

Short arc quad w/foam roller 3x 10 reps with 10 sec. holds

Butterfly stretch for adductors

Foam roll ITB

Black circular band leg abduction

Hip extension with very small extension movement and NO back arching using cable or band

Stretch peroneals and calves

ER/IR with dowel behind back