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Showing posts from June, 2020

EXERCISE PRESCRIPTION AND PROGRAMME FOR BACK PAIN

Medical History Mrs X is a 30-year-old personnel officer. She has had recurrent back pain since the age of 18.At that time she had an awkward fall while playing basketball in school. She was taken to health center inside the school, where she was given the diagnosis of muscle strain and treated with pain killers and muscle relaxants. Although her back improved very quickly, she feels that the pain never completely resolved. As she continued through her university days she had continuing periods of pain they seemed to be less severe when she was physically active. At age 24 ,she experienced another acute episode of back pain that began suddenly when she sat down on a couch. This time she did not seek medical help but treated herself with over the counter pain medication. The pain slowly resolved over several months and finally joined fitness exercise programme from my side. Diagnosis 6 months ago, she was playing basketball with her husband and she had a sudden onset of severe

GUIDED EXERCISE PROGRAMME FOR ASTHMATIC PATIENT DURING COVID-19 PANDEMIC

GUIDED EXERCISE PROGRAMME FOR ASTHMATIC PATIENT DURING COVID-19 PANDEMIC Medical History Ms. X is a 18 years old young lady. Throughout secondary school she was active in competitive sports in her school. On occasion throughout secondary school she would develop an increase in shortness of breath and a cough. Her doctor told her that she had bronchitis and that she should not worry about this. After a year she started with another symptoms of chest tightness, abdominal pain and shortness of breath. Her doctor prescribed medication for her and to monitor her to recognise another signs. After two months she was directed to me to give guided regular exercise that can help the lungs to work more efficiently. Diagnosis and Test Results A simple lung test called peak flow measurement and spirometry was conducted immediately measures the amount of air in lungs and how fast they can blow it out. I told her parents to go for X-ray, blood tests, skin test and test for allergies in or

EXERCISE FOR DIABETICS PATIENT

EXERCISE FOR DIABETICS PATIENT Medical history and diagnosis Mr X is 65 years old and was diagnosed with type 2 diabetes 6 years ago. Medication :Glucophage taken two times per day, captopril (for blood pressure control and protection of kidneys) and Lipitor for control of hyperlipidemia. Laboratory values : Last Hb 8.9%,cholesterol 201mg. dl, low density lipoproteins cholesterol 130mg. dl, high density lipoproteins cholesterol 36mg. dl, triglycerides 161mg. dl, Physical exam :blood pressure 132/82mmHg,resting heart rate 72 beats per minute, hight 5ft 12 inc, weight 232lb with 28‰ body fat Complications history :Acute periodic episodes of diabetes out of control but has never experienced hyperosmolar nonketotic syndrome or diabetic ketoacidosis. Chronic two vessels bypass surgery 6 years ago, moderate peripheral neuropathy, and early stage 3 diabetic nephropathy. Exercise Test Result No abnormal electrocardiogram changes, maximum blood pressure 179/82mmHg,maximum he

EXERCISE IMPROVE MENTAL HEALTH SURVIVORS IN COVID-19

Medical History and Diagnosis. Mrs x a 45 years old has been discharged from isolation center after tested negative for covid-19. She has been referred to an exercise programme for mental health risk reduction following a recent medical examination. She has a family history of depression and stress disorder. She is 5 ft 8 in. and weighs 200Ib, and her medical history is unremarkable. A fasting blood lipid profile was obtained during her medical examination and revealed the following : Total cholesterol is 226mg. dI-1 HDL is 30mg. dl-1 LDL is 164mg. dl-1 Triglycerides is 300mg. dl-1 She has a resting heart rate of 72 beats per minute and resting blood pressure of 130/90 Exercise prescription Initial exercise programme Frequency =2 days per week Intensity =100-12obeats/mi Rating of perceived exertion =5-10 Duration =5-10min Mode=walking Exercise progression (over first 6-12weeks) Frequency =3 days/ week Intensity =progress towards the upper end of intensity rang