SWOLEREBRAL PALSY GEHAD QURAAN PARTICIPANT DEMOGRAPHICS Patient demographics

SWOLE-REBRAL PALSY GEHAD QURAAN

PARTICIPANT DEMOGRAPHICS Patient demographics • 19 year old male • Full-time student at Case Western University • Summer volunteer at Metro-Health and CC Main Campus outpatient Physical Therapy • Hobbies: Video Games, watching Cavs and Indians games with his super cool older brother

MEDICAL BACKGROUND History and Background • Height: 5’ 3 • Weight: 118. 5 lbs • BMI: 21. 7 , Bodyfat%: 18 • Blood Pressure: 125/78 • Medical History: Spastic hemiplegic Cerebral Palsy • Previous Treatment: L AFO, Botox injection at L gastroc, outpatient physical therapy

HEALTH BEHAVIOR Improving Exercise Habits • Participant reports that he has developed a very sedentary lifestyle during his freshman year at Case Western, after moving into a dorm on their campus. • Previously participated in a powerlifting program with an amazing coach, but lost motivation after moving out. • Reports exercising only 0 -1/week within the last 3 months, but would like to return to a stable regimen

TRANS-THEORETICAL MODEL • A framework developed to assist with healthy lifestyle changes • There are stages of change that occur and each has their own strategies and interventions. • Validated in clinical studies in facilitating lifestyle changes and decreasing of poor habits.

TRANS-THEORETICAL MODEL (CONT) • Individual strategies and interventions based on each stage. • Considers that individuals change behavior continuously • Principles include decisional balance and selfefficacy, which helps prevent relapse • Ignores confounding factors such as income or environment. • Motivation and self-efficacy of the individual may hinder progress if not already present

PREPARATION PHASE • The participant is ready to take action soon • He believes that a change is necessary and will lead to a healthier life • Patient plans to renew gym membership

GOALS • Will workout 3 x/week for at least 1 hour per workout session within 2 weeks • Demonstrate proper form with all upper and lower resistance exercises • Will workout 4 x/week for at least 1 hour per workout session • Participant identified goals: • Increase bench 1 RM by 20 lbs • Increase deadlift 1 RM by 30 lbs • Increase muscle size • Decrease fat

PLAN OF ACTION • Take baseline weight, bodyfat %, 1 RM of bench and deadlift • Introduction to program • Emphasize importance of form and safety • Demonstrating usage of mobile spreadsheet to track progress • Ramp up phase – increasing intensity • Increasing frequency to 4 x/week • Continue monitoring weight on a weekly basis • Continue tracking progress through spreadsheet • Retest baselines • Discuss progress and consistency • Discuss long-term success and the importance of remaining motivated

EDUCATION • Physical activity can help to improve mood and decrease stress levels • Physical activity can combat several health conditions and diseases • Progression can lead to higher self-esteem and confidence • Social interactions experienced when working out at a gym can have a beneficial effect on progress and motivation

OUTCOMES • • Weight: 118. 5 lbs Bodyfat%: 18% Bench 1 RM: 90 lbs Deadlift 1 RM: 160 lbs • • Weight: 120. 9 lbs Bodyfat%: 16% Bench 1 RM: 115 lbs Deadlift 1 RM: 215 lbs • Participant demonstrated improved internal motivation, consistency, self-efficacy, and overall independence with weight training. • After missing two training sessions within the first two weeks, the patient went on to complete all sessions for the remainder of the project. • Patient discussed taking advantage of Case Western’s rec center more when he returns to campus in the fall.

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