8/17/2017. King and Schneider 2012
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1 King and Schneider 2012 King and Schneider
2 Claudio Battaglini Carole Schneider & Reid Hayward Translational Research Dissemination 2017 Evidence is convincingly mounting.in the benefit of exercise Prevention During reducing treatment side effect decreases reoccurrence and over all mortality After Translational Journal of ACSM Volume 2 Number 15 August This article originally appeared in Curr. SportsMed.Rep. 2017; 16(4):
3 Physical Psychosocial Body Image Lymphedema Cardiotoxicity Cognitive Impairment Distress, Depression, Anxiety Fatigue Bone Health Musculoskeletal Health Pain & Neuropathy Infertility/sexual health Premature menopause Health Promotions Patient Education Obesity Physical Activity Nutrition Smoking Cessation Care Coordination Survivorship Care Plan Communication w/oncology Team Inclusion of Family National Lymphedema Network EXERCISE (2013) 3
4 Cardio/Cognitive Exercise Fatigue Peripheral Neuropathy Gut-Brain Axis Antibiotics Chemotherapy Alterations in gut absorption Bone Health Distress-Depression-Anxiety Vagus Nerve potential myofascial restrictions Distress-Depression-Anxiety 4
5 BranchesofVagusNerve.htm s/465projects15/vagusnerve/ Distress-Depression-Anxiety Physiological Consequences complicated by Chemotherapy Distress-Depression-Anxiety Pain and neuropathy Soft tissue issues** Lymphatic system* Joint?? 5
6 Mobility Stability Intrinsic/Extrinsic Trunk LPH Complex Scapulo-humoral Complex Foot Controlled Mobility Functional integration Coordination Kinetic chain considerations Functional Return Endurance Strength Symptomatic Complaints Don t ignore the obvious Soreness (ribs) Pulling (neck) Shrink wrapped (side) Posture Scar mobility Surgical repercussions Ports Radiation repercussions Tissue damage/repair Chemotherapy repercussions Peripheral neuropathy Tissue Healing Ice (sensory loss) Surrounding area Positioning Function 10# maximum lift Acupuncture after risk of infection Castor Oil Packs after risk of infection Scapula vs GHJ Fascial Slings Ribs/breathing Breathing/ Diaphragm Castor oil packs Gua Sha / Cupping Trunk Stability 6
7 Saturate the unbleached cotton flannelette with the castor oil, wrap with saran wrap and use a hot water bottle (Walmart; CVS; Rite Aid) see URL above Don t ruin it! Loss of scapula rotation Scapula elevation and/or protraction Compression of supraspinatus Protect the Rotator Cuff~Scapula Kinematics Glenohumeral Joint & Scapula kinematics Restoration of Force Couples Trunk Stability (Core) Intrinsic Extrinsic Wall Climb PROBLEMATIC: Scapula elevation Scapula protraction Rotator cuff impingement 7
8 Active Assist & Trunk Stability Alteration in tissue quality (permanent) Dry needling Hyperbaric Oxygen Form Closure Force Closure Reconstructions Latissimus dorsi Abdominals Pectoralis Major Other.. 8
9 Stability Biomechanical Form Closure Structural Stability Neuromuscular Force Closure Muscular Stability Fascial Stability Form Closure Biomechanical Structural Stability Kapandji Requires Neutral Posture Positioning Soft Tissue Muscles Ligaments Fascial Slings (Vleeming 4 major slings) Fascial Lines (Anatomy Trains) Critical kinetic chain influences 9
10 Transverse Abdominis Pelvic Floor Multifidus Diaphragm Lee 2004 p.47 10
11 Arms Ribs 11
12 Plays a limiting role in Mobility Stability Controlled Mobility ~ Function Creates a glass ceiling for progression of: Strength Endurance Function ~ (atypical) compensations Role in Lymphedema???? Shampoo Bottles Wet laundry Diswasher Pottery Vaccuming MOBILITY ~ MOBILITY ~ MOBILITY ALWAYS progress slower than you think you need to. Easier to add to program at each visit than to have to stop and deal with over use More positive psychological framework of progression for patient 12
13 Infertility Sexual health Premature menopause Health Promotion Patient Education Physical Activity Care Coordination Communication Oncology team*** Inclusion of family*** 13
14 Psychological Care Education/Support Groups Visualization Meditation Music Aromatherapy Massage
15 Totally disrupted Maybe a good thing?? Alternative Medicine/Meta-Physical Perspective: Women who give too much. BUT Need to establish a new and healthy Rhythm Need guidance and support to make the changes It is not about the Ribbon.. It is about the Rhythm!! 15
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