Chizuko Health History:

Breast cancer diagnosis 2001:

Right Mastectomy w/expander-implant

Right Axillary node dissection (lymphedema and axillary web syndrome risk)

Adriamyacin Cytoxin chemo (increased risk of heart disease, neuropathy, diabetes, osteoporosis, future cancers and a slight increase in lymphedema risk)

Tamoxifen for two years (forced menopause - osteoporosis risk)

2nd breast cancer diagnosis 2010 (same breast)

Remove the implant and have LAT flap (muscle will still function, but in breast now - still has an implant careful of rupture)

Left lumpectomy

Left sentinel node (lymphedema risk)

More chemo (COMPOUNDED - increased risk of heart disease, neuropathy, diabetes, osteoporosis, future cancers and a slight increase in lymphedema risk)

Radiation to left and right (lymphedema risk, heart/lung damage risk)

Tamoxifen for ten years (COMPOUNDED - forced menopause - osteoporosis risk)

POSTURAL ASSESSMENT:

• head slightly rotated toward the right
• right shoulder elevated and protracted
• head slightly forward
• slight winging left shoulder blade - slight to moderate on the right
• slight lateral flexion left hip
• slight hip rotation toward the right
• slight elevation of left hip
• Right knee laterally rotated w/slight hyperextension
• Right foot supinated and laterally rotated

Goniometer

Flexion L160 R155

Extension L39 R44

Abduction L146 R146

IR L66 R47

ER L40 R45