Mucho Mike Presentation

Erica Axent-Hilton

Amy Collett

Sybil DeJonge

Corrin Porter

Lori Van Langen

Mucho Mike’s Profile Single male Age: 34 Height: 6 feet 3 inches

(190.5 cm) Weight: 235lbs (106.6 kg) BMI: 29.4 (overweight) Blood pressure: 130/90

• Systolic = Pre-Hypertension

• Diastolic = Hypertension LDL levels = 6 (in normal

range of 4 - 6)

Mucho Mike’s Activity Levels

Present activity level• Lifting, pulling, pushing

at work ; loads trucks with building material

• Mountain bikes with girlfriend (Beefy Betty)

• Walks his dog, Mucho Mutt

MUCHO MUTT

Mucho Mike’s Activity Levels

Past activity level

• Played defensive lineman on Football team

• Power lifted for 5 years

Mucho Mike’s Past Injuries

Dislocated his AC joint and tore surrounding soft tissue from football injury

Two years ago tore muscles in lumbar region and injured disc at L5-S1

Diagnosed with muscular tear in right erector spinae and a slight disc bulging at L4-L5

Has localized pain on the right side in region of muscle tear and experiences regular back pain at the end of the day

Family History

Intestinal and prostate cancer

Coronary heart disease

Osteoarthritis

Alcoholism (problem with both father and uncle)

Alcoholism

Defined as 4 or more drinks per day

Mike currently drinks 3 to 4 drinks per day (case of 24 a week)

Combination of alcohol with anti-inflammatory medications and muscle relaxants may have serious health effects

Medications

Prescription Medications• Treated with muscle relaxants and

anti-inflammatory drugs when injured his back

• Currently takes prescription medications for his back and shoulder pain

Proper Lifting TechniquesDos Place your feet and knees at least

shoulder width apart or front to back in a wide-step position.

Lean over or squat with the chest and buttocks sticking out, your back will be flat and your neck will balance in a relaxed neutral position.

Take weight off one or both arms if possible, use your hand or elbow as support on your thigh or any available structure.

Balance your load on either side if possible, or switch sides so that both sides are equally stressed.

Level the pelvis or tuck in your buttocks and suck in your abdomen, when reaching or lifting overhead.

Walk around and use backward-bending and/or stomach-lying positions before or after bending or heavy lifting.

Don'ts Lift things when your feet are too close

together, you'll have poor leverage, you'll be unstable, and you'll have a tendency to round your back.

Lift with your knees and hips straight and your lower back rounded. Twisting the trunk compounds the problem.

Tense and arch the neck when lifting. Lift and/or carry an unbalanced load. Lift and bend too much in a short period

of time. Lift objects that are too heavy for you. Lift heavy objects directly following a

sustained period of sitting Lift things overhead with your neck and

back arched, if possible.

Prescribed ExercisesSuperman Target area: back and abdominal

muscles Starting Position: Kneel on your

hands and knees with your hands squarely supporting your shoulders and knees comfortably under your hips.

Step #1: Raise left arm and right leg off of the ground extending them evenly with shoulder and hip.

Step #2: Lower your arm and leg back to the starting position rounding your back like a cat.

Step #3: Repeat this exercise by alternating sides to complete 1-2 sets of 10-15 reps for each side.

Prescribed Exercises

Cat Stretch Target area: Lower back Step #1: Get down on hands and

knees with back in a natural relaxed position (don’t let spine sag)

Step #2: Keep head straight, neck aligned with spine

Step #3: Hump back-tightening abdomen and buttocks and allow head to drop all the way down

Step #4: Gradually release back and raise head to original position

Step #5: Repeat several times

Prescribed Exercises

Back Extension Target Area: Lower back Step # 1: Standing or kneeling on

floor with hands on hips Step # 2:Slowly arch the lower

back and stick out the chest while slightly leaning backwards

A comfortable stretch should be felt in the lower and mid back area.

Hold this position for a count of 10 seconds.

Outlook for Mike’s Future

Angiogram is scheduled to diagnose level of blockage

May need cardiac bi-pass surgery

Will continue follow up with exercises and increase intensity, frequency and duration