• ### Client Assessment Report: Asya Guerrero

• #### Personal Information
  - **Name:** Asya Guerrero
  - **Age:** 45

• #### Medical and Injury History
  1. **Childhood to Adolescence (1-18 years)**
     - **Lower Back Pain:** Resulting from gymnastics falls.
     - **Right Knee Pain and Injury:** Due to Thai bow.
     - **Ankle Injuries:** Both ankles broken playing basketball.

• 2. **Young Adulthood (19-29 years)**
     - **Neck Pain:** Left side pain leading to numbness and pain down her arm and into fingers, caused by a behind-the-neck tricep extension exercise.
     - **Arthritis:** Developed in the neck and shoulder areas.
     - **Lower Back Pain:** Post-epidural from childbirth.
     - **C-Sections:** Two surgeries contributing to hip pain.
     - **Hip Pain:** Post-childbirth issues.

• 3. **Adulthood (30-45 years)**
     - **Chronic Back Pain**
     - **Carpal Tunnel Surgery:** Right wrist.
     - **Left Wrist Discomfort**
     - **Feet and Ankle Pain:** Continual issues.

• #### Current Conditions
  - **Fibromyalgia Diagnosis**
  - **Insomnia:** Resulting in poor sleep quality.
  - **Pain Priorities (from most severe to least):**
    1. Shoulder and neck area
    2. Feet
    3. Lower back
    4. Knees

• #### Lifestyle and Goals
  - **Current Exercise Routine:** Exercises 2-4 times a month at Planet Fitness.
  - **Exercise Goal:** Increase consistency, particularly with a workout partner.
  - **Specific Activity Goal:** Ride a bike more often and for longer periods, despite pelvic pain.

• #### Difficulties
  - **Writing:** Pain in her wrists.
  - **Standing Still:** Causes pain in her back and feet.

• #### Expectations from MAT
  - **Primary Goal:** Reduce pain in her neck, shoulder, back, and feet.
  - **Secondary Goal:** Improve overall well-being and self-perception.

• #### MAT Explanation and Plan
  - **Assessment Focus:** Review of her paperwork and introduction to Muscle Activation Techniques (MAT).
  - **MAT Goal:** Identify and strengthen weak muscles that are unable to support due to long-term inflammation affecting the nervous system's communication with muscles. Improve muscle contraction, stress tolerance, and create an environment conducive to healing and reducing inflammation over time.

• #### Homework
  1. **Inflammation Reduction Strategies:**
     - **Chemical Stressors:** Identify and limit foods and substances contributing to inflammation.
     - **Emotional Stressors:** Explore ways to manage stress and understand its sources.
  2. **Exercise and Movement:**
     - **Find a Gym Partner:** Increase exercise consistency.
     - **Create a Habit:** Integrate more movement and exercise that her body can tolerate and is beneficial for her.

• #### Conclusion
  This initial assessment lays the groundwork for Asya Guerrero's MAT program, aiming to address her pain, improve her quality of life, and support her in achieving her personal health and fitness goals.

Session Details:

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• Date: May 30, 2024

• Focus Areas: Spinal rotation and spinal flexion

• Actions Taken: Tested and treated the muscles responsible for both spinal rotation and spinal flexion.

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How These Motions Help:

• Spinal Rotation and Flexion: By working on spinal rotation and flexion, we aim to improve Denise's core stability and mobility, which can help alleviate her lower back pain. Improved spinal mobility can also support better posture and reduce strain on the shoulders and hips, addressing the discomfort she experiences in these areas. Enhanced spinal function will also contribute to her overall goal of increasing ease in daily activities and mobility, making walking and exercising more comfortable and effective.

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Reminder on Muscle Activation Techniques:

• How It Works: Muscle Activation Techniques (MAT) focus on improving the contractile capabilities of muscles through specific movements and exercises. By enhancing muscle function, MAT helps to restore balance, increase stability, and improve overall movement efficiency.

• Benefits: Improving muscle contractile capabilities through greater ranges of motion supports the body by increasing its ability to handle physical stressors, reducing pain, and enhancing strength. This process helps the body to heal more effectively, build resilience, and achieve better performance in daily activities and exercises.

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Exercises Prescribed (Videos and Instructions below):​

• Seated Trunk Rotation Isometric

• Supine Lower Trunk Rotation Isometric

• Supine Single Leg Posterior Pelvic Tilt Isometric

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Follow-Up Actions:

• Monitor pain levels and range of motion in the back, right hip and shoulder.

• Continue with prescribed exercises and note any changes or discomfort.