Sophie History:

Multiple Myeloma (pg. 111/112 Module one) - 2023 now MRD

Discontinued: Revlimid, dexamethasone, Daratumumab and Velcade (look for chronic side-effects/exercise programming)

Ruptured disc and missing disc L5/S1

TIA stroke 12/2022

Neuropathy on L foot usually after 10k steps

Breast reduction 2018

Does Eccentrics 6x week (lots of cardio) no strength training

Wants to lose weight and has not been able to do so. Explore exercise, diet, previous meds.

Assessment(static):

forward head

rounded shoulders

elevate L shoulder

elevated right hip

anterior tilt

Knees laterally rotated (R more than L)

Refer to page 16/17 module two and suggested exercises pages 31-41

Squat test - due to back issues our group felt that Sophie was "guarding" and the test was not as accurate as we would have liked.

We did see her arms bow to side and fall forward, and a strong lean of her entire body to the right.

Refer to chart on pg. 25 module two

over the next week, start to formulate a workout for Sophie based on her weight loss goal, chronic side-effects of treatments, balance work (neuropathy/risk of falling), and correcting muscle imbalances. Remember SAFETY first!

We will discuss this on the 28th if we have time, or I will schedule another session for us.