Wendy Kennedy

Case Study 3:
Designing a comprehensive fitness program for Genevieve, a 50 year old female lawyer who is recovering from surgery.

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Objectives:

Making a comprehensive, efficient program design for the client profile below, taking into consideration all information gathered in the initial consultation.
- Determine nutritional advise
- Review postural analysis to determine necessary exercises to alleviate strain on m-s system
- Organize exercise progression for fitness goals based on client feedback, medical conditions, postural analysis (what not & what to focus on)
- Discuss fitness program and progression.

Background:

Genevieve, a 50 year old female divorce lawyer has suffered from a non-malignant brain tumor at the base of her skull. Part of the tumor could not be removed. The operation has left Genevieve with an inability to get on and off the floor easily, as the blood shunting to the brain when she tilts her head forward or backward (especially when descending or ascending the a laying position) leaves her with the room spinning and a pressure (or lack of when ascending) in the head. The operation has left Genevieve with very little balance and a poor self esteem, both of which she needs for the function of her job with clients and in the court room. Genevieve has a "flat back posture", and due to the lack of balance, she hinges at the hip and her center of balance is more over the ball of her feet than her ankles. This is causing a tension between her shoulder blades and in her lower traps Genevieve is beginning to feel tension building in her lumbar area, and her hamstrings feel slightly strained, especially at the back of her knees. Upon assessing her knee alignment, you find that when standing her knees are too extended, almost to the point of locking. Her internal hip rotators are weak, she favors the right leg, and her arches are collapsed. In addition, Genevieve would like to loose weight, approximately 40 lbs, has a resting heart rate of 75, normal resting blood pressure. What advise will you give her, what must you do prior to accepting her as a client and how will you design your program & why?