Low back pain almost daily. Tight IT bands with pain (3/10) everyday. Soreness / stiffness on the right side around kidney and hip. Low back pain worse with sitting and better with exercise.
Physical
Tall, long legs and arms, medium build body type
Trouble doing balance poses w/o touching a wall.
Mild scoliosis - “S” curve in back, no particular pain with scoliosis. Feels comfortable doing twisting poses.
Arthritis in 3 of the lumbar spine
Low back pain (for 6 years), worse with sitting for a long time and long travel
Tight IT band with pain
Soreness / stiffness on the right side around kidney and hip
Stomach pain(28 years) with gut biome bacteria imbalance.
Stomach and back hurt more with stress
Sedentary desk job
Can’t lift heavy weights ~ 30 pounds
Can’t drive or sit in a plane for a long time more than 2 hours
Exercises daily for about an hour. Enjoys walking, road and mountain biking. Occasionally swims. Does light weightlifting 3 times a week
Eats a balanced diet
Has high metabolism and eats a lot
Feels gassier than average
Client/Group goals
Increase flexibility help with body aches. More mental calm & clarity improved mind-body connection. Improve mindfulness. A routine to keep his lower back healthy
Energetic
High energy levels
Energetic in the morning and afternoon
Low energy levels at night
Feels tired by 9pm
Goes to bed at 11pm
Sleeps from 11pm to 7am
Usually has a good night sleep and can’t sleep well on the days missed doing the exercise or has low back pain or stomach pain
On the first try on his breath assessment, he and I noticed only his belly moving up and down and his chest was still, couldn’t see any movements in the chest
In the second run, I guided him through the “breath awareness” practice and then he was able to feel his chest moving and he couldn’t tell whether his abdomen moved or not. But, I am able to see the movement of his chest and abdomen and I can see the movement of the abdomen first and then chest on inhalation and reverse on the exhalation
He has a tight chest
Maybe a shallow breather(?)
Emotional
Showed interest in improving his health conditions
Open to physical, mental, emotional and spiritual guidance
Inattentive ADHD
Anxiety from work and raising children
Working on withdrawing taking medication for ADHD
Has moderate stress level
Spiritual orientation and needs
Not active with any faith community but open to learn about yogic practices, philosophies and spirituality
Has a good support from family, friends
Feels connected to the world when he works in his garden, pond, and when riding bike outdoors
Playing games, talking with family and working on his hobbies brings joy and meaning to his life
Good friends, supportive extended family and getting professional therapy from a psychiatrist are his social support system
Intellectual / Sense of self
Plays complex board games
Reads book
Likes to talk to smart friends
Plays strategy video games
Teaches his kids financial responsibility, how to fix things, how to drive
At work, teaches peers how to do complex programming stuffs
Likes to learn and teach about mindfulness
Yoga philosophy/wisdom research reference(s)
Stress Management
Koshas
Avidya
Practice and non-attachment
Gunas
Ahimsa
Satya
Santosha
Brahmacharya
Scientific research reference(s), why chosen, how you plan to incorporate 1-3
Serial case reporting yoga for idiopathic and degenerative scoliosis: https://pubmed.ncbi.nlm.nih.gov/25568820/
Yoga for the Management of Attention-Deficit/Hyperactivity Disorder: https://pmc.ncbi.nlm.nih.gov/articles/PMC8760933/
What to Keep in Mind While Doing Yoga with Scoliosis: https://health.clevelandclinic.org/yoga-for-scoliosis
Two Isometric Yoga Poses Reduce the Curves in Degenerative and Adolescent Idiopathic Scoliosis: https://www.researchgate.net/publication/320641297_Two_Isometric_Yoga_Poses_Reduce_the_Curves_in_Degenerative_and_Adolescent_Idiopathic_Scoliosis
Isometric Yoga-Like Maneuvers Improve Adolescent Idiopathic Scoliosis—A Nonrandomized Control Trial: https://pmc.ncbi.nlm.nih.gov/articles/PMC7917413/
https://pubmed.ncbi.nlm.nih.gov/36350802/
Yoga Therapy and Polyvagal Theory: The Convergence of Traditional Wisdom and Contemporary Neuroscience for Self-Regulation and Resilience : https://pmc.ncbi.nlm.nih.gov/articles/PMC5835127/
Contraindications:
Back-bending
Bending rib cage
Twisting the torso against pelvis
Yoga Flow:
Centering:
Body awareness
Eye movements:
Vertical
Horizontal
Warm-up:
Joint Freeing practices for All
Side-angle stretch
Side-lying pose
Supported Downdog version 1 and 2
Modified cat/cow without curving the spine
Poses:
Pelvic stabilizer
Side plank moderate variation
Mountain pose with block
Wall sacral strengthener
Kneeling plank
Yoga Nidra
Breathing techniques:
Breath awareness with long exhalation
Squeezing and relaxing each fingers while breathing
Lion’s pose with breath
Meditation:
“Sohum” breathing with arm movement
Approval Notice
Your care plan should be approved by your mentor, with any amendments they suggested, prior to your remaining Yoga Therapy sessions.
Care Plan
Outline should be a practice adapted to the needs of that client/group, including:
Check in, centering, balanced hatha yoga set considering contraindications, relaxation (with imagery as appropriate),
Please include at least one suggestion from Karma, Bhakti, Raja, or Jnana Yoga tailored for this client/group.
Over time, we want to see something from each branch, selected, adapted and re-framed appropriately. Tools from each module should be used (not on each client/group – but overall)
The outline should show the sequence of practices as you plan to offer them. Your care plan proposal should be approved by the mentor before session 2 if possible, or 3 if approval is delayed by mentor.
Session
Session Instructions (Not Mentoring)
Your session outline should be a practice adapted to the needs of that client, including:
Check in, centering, balanced hatha yoga set considering contraindications, relaxation (with imagery as appropriate),
Include at least one suggestion from Karma, Bhakti, Raja, or Jnana Yoga tailored for this client.
Over time, we want to see something from each branch, selected, adapted and re-framed appropriately. Tools from each module should be used (not on each client – but overall)
Final Client/Group Report
After seeing your client/group (for at least 4 sessions including interactive intake)
Please remember practicum is a learning experience. You’ll learn more from sharing what’s accurate than from what might “look good”. Things you did well, not so well, problems and questions are all valid and useful tools to teach you. We can’t serve you to become the best clinician you can be if you don’t share your challenges and mistakes. Success is anything from which you learn. You can continue to add Session entries after submitting this Final Client/Group Report.
Report briefly on each Kosha below
Progress toward wellness or worsening reported by the client/group or that you observed in the following areas
