Oct 28 REPLAY - (2 hr) Case Studies - 12:00pm - 2:00pm Pacific Time
Oct 28 - (2 hr) Case Studies - 12:00pm - 2:00pm Pacific Time
HOMEWORK - For Nov 15
Hello Everyone,
What a great session with Bobby! YOu will have until 11/15 at midnight to email your case study results to [email protected]. If you were not on "live", you will absolutely need to watch the 2-hour webinar recording to understand the assignment.
Here is what we KNOW about Bobby:
64 year old male
Family history of heart disease, diabetes, stroke, high cholesterol and high blood pressure (HBP) (Bobby has heart disease and HBP)
(R)bicep attachment 2012 and (L)broken shoulder 2020
L4-5 slipped discs (avoid rotation & loading)
Walking currently on the treadmill used to do weight training
Renal cell carcinoma – no removal of kidneys – kidney transplant in front right side 14" horizontal scar
(8/24/2019) - 3.5 years on peritoneal dialysis
(2015) Finished chemotherapy/radiation to kidney
Robotic (5 incisions)retropubic radical prostatectomy (8/2021)
2 lymph nodes removed on left side
5mg prednisone 1 x /day
500mg CellCept (Anti-rejection) 2 x /day
1.2mg. Prograf(immunosuppressant)every 10 days
Nexium
Vitamin D•
__________________________________________________________________
Postural Assessment Results:
Moderate forward head - "shifted" slightly to the right side
Elevated R shoulder
Both shoulders protracted (more on right side)
Moderate winging of Left scapula
Hips level w/moderate anterior tilt and slight medial rotation of left hip
Knees both laterally rotated
Right foot severely externally rotated - left slight/moderately
Both feet supinate
Squat Trest Results:
Arms fall forward and collapse
Bends forward at hips
Instability and medial rotation of knees
Instability at ankle complex/difficulty with dorsiflexion
Goniometer Results:
LEFT RIGHT
Flexion
________________________115____ 131__
Abduction
________________________121____ 118__
Extension
________________________49_____ 37___
Internal rotation
________________________25_____ 45___
External rotation
________________________25_____ 54___
LEFT RIGH Flexion
REMEMBER THE FOLLOWING WHEN WRITING UP YOUR CASE STUDY:
- R.O.M. trumps strength training. He must have 90% or better of the lowest ROM norms prior to adding resistance or even holding a yoga pose
- Consider all of the acute and chronic side-effects of his surgeries and treatments (you can simply bullet point them)
- Consider the side-effects of his medications and how they will affect EXERCISE (one's that don't affect exercise are not our concern per se)
- Use the charts in module 3 to help you to identify which groups of muscles need stretching/strengthening and decide what exercises he would be doing. You can use ones in the book or your own that "do the same thing". I don't need to know the names - simply what it is you are trying to do ie: stretch pecs /strengthen rhomboids.
- Spend time going through the side effects of the various procedures and treatments so that you don't miss anything
Create a workout that includes frequency, intensity, and duration. How and when will you progress? This is a tough one! Feel free to start a chat in the Fb group. I will schedule a follow-up ZOOM after 11/15 for us to discuss results.
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