Problem
The client is a 45 y.o. female from Sitka, Alaska with a 14 year history of relapse-remitting MS. She is taking medication for spasticity and is very heat sensitive. She has no other significant past medical history. The patient was referred to a community-based wellness program for persons with chronic neurological disorders. She wants to be able to walk further without a cane, but is also afraid of falling due to ataxia.
Her laboratory data:
Height 5'5"
Weight 108 pounds
Resting HR 82 bpm
Resting Blood Pressure 100/81
BMI 18.5 kg/m2
VO2max: 24.3 ml/kg/min
Subject unable to balance on one foot for any length of time.Overall muscular strength was above average, but muscular endurance was poor in the lower body.
Instructions:
Answer the following questions on the case study above.
• Based on her information, what risk factor may she have that could have triggered her MS? Explain.
• Cardio: What mode and why? How can this help?
• Resistance training: Intensity?
• Flexibility: When?
• What are some precautions that will need to be taken into account to ensure safe exercise for her?
The response must include a reference list. Using one-inch margins, double-space, Times New Roman 12 pnt font and APA style of writing and citations.