Kelly is a 40 year old female with newly diagnosed, Stage 3 self detected L) breast cancer.
She received a L) mastectomy and axilliary node clearance 3 weeks ago and is now starting Anthracycline chemotherapy.
Kelly lives with her husband and two primary school aged children. She works full time as a police officer and is currently on sick leave. She is usually fit and well but did not participate in formal exercise prior to her diagnosis and currently is walking the dog for exercise.
Her job requires her to pass a fitness test to return to full duties.
Her goals are to have the energy to care for her children and to return to her previous fitness level so she can return to work.
Left shoulder reconstruction
6 Minute Walk Test: 571m, lowest SpO2 100%, BORG: 4
5 Times Sit to Stand: 6.65 sec
Bicep curl 10 Repetition Max: 4kg both arms
Timed up and Go Test: 9.5 secs
What side effects would you expect from the treatments Kelly is receiving and how would that affect your exercise prescription?
What education would you provide?
What type, level and duration of aerobic exercise would you prescribe at a baseline for Kelly?
What resistance (strength) exercises would you prescribe for Kelly? Draft a 4 week progression of resistance training for Kelly with respect to her goals.