Entry TypeAssessment
Client/GroupGM
Entry CategoryCase Study
Select your mentorSteffany Moonaz
Intake
Assessment
Proposed number of sessions8
Location of sessionsin person
Planned time per session90 minutes
Presenting ProblemThe client has been diagnosed with lumbar stenosis and has back pain and sharp and tingling pain from the left hip down the leg. He also has lost range of motion of the knees and hips
Physical

Back and hip pain that radiate down the left leg, reduce range of motion of the hips and knees, as well as tight hamstring.

Client/Group goalsTo reduce pain in the back and improve range of motion
Energetic

The client has low energy before the pancreatitis and gallstone episode. Now his energy level is better, although not quite at the same level as before.

Emotional

The client is frustrated that the pain has prevented him from doing yardwork, taking care of things around the house, and going hiking or engaging in outdoor activities as he did in the past. He is also worried about the future, mostly related to his health.

Spiritual orientation and needs

He believes that religion is important although he does not go to church or participate in any organized religious groups. He loves nature and believe that all being are connected.

Intellectual / Sense of self

He identifies with being active. In the past, he engaged in many outdoor activities.

Yoga philosophy/wisdom research reference(s)

During each session, I will introduce relevant yoga wisdom such as being in the present moment and experiencing the true self, ahimsa, non-attachment, klesha and Ishwara pranidhana.
1.Carrera, J. Inside the Yoga Sutra. 7th Satchidananda Ashram – Yogaville, Inc, Virginia, USA. 2006. 400 pp.
2. Rountree S., Desiato, A. Teaching yoga beyond the poses: a practical workbook for integrating themes, ideas and inspiration into your class. North Atlantic Book, Berkley, CA. 233 pp.

Scientific research reference(s), why chosen, how you plan to incorporate 1-3

The physical practice of the care plan will be based on a study that demonstrates that the relationship between degenerative lumbar spinal stenosis and the morphology of elector spinae, psoas and multifidus [1]. Asanas and subtle practices are based on a study by Saper et al. (2017) and Diez et al., (2022).
1. Li D, Wang L, Wang Z, Li C, Yuan S, Tian Y, Yu X, Liu X. Age-related radiographic parameters difference between the degenerative lumbar spinal stenosis patients and healthy people and correlation analysis. J Orthop Surg Res. 2022 Nov 3;17(1):475. doi: 10.1186/s13018-022-03374-0. PMID: 36329488; PMCID: PMC9632108.
2. Saper RB, Lemaster C, Delitto A, Sherman KJ, Herman PM, Sadikova E, Stevans J, Keosaian JE, Cerrada CJ, Femia AL, Roseen EJ, Gardiner P, Gergen Barnett K, Faulkner C, Weinberg J. Yoga, Physical Therapy, or Education for Chronic Low Back Pain: A Randomized Noninferiority Trial. Ann Intern Med. 2017 Jul 18;167(2):85-94. doi: 10.7326/M16-2579. Epub 2017 Jun 20. PMID: 28631003; PMCID: PMC6392183.
3. Diez GG, Anitua E, Castellanos N, Vázquez C, Galindo-Villardón P, Alkhraisat MH. The effect of mindfulness on the inflammatory, psychological and biomechanical domains of adult patients with low back pain: A randomized controlled clinical trial. PLoS One. 2022 Nov 9;17(11):e0276734. doi: 10.1371/journal.pone.0276734. PMID: 36350802; PMCID: PMC9645607.

Approval Notice
Your care plan should be approved by your mentor, with any amendments they suggested, prior to your remaining Yoga Therapy sessions.
Care PlanOutline 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),
  • balanced pranayama considering contraindications, meditation/centering.
  • 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),
  • Balanced pranayama considering contraindications, meditation/centering.
  • 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 ReportAfter 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 belowProgress toward wellness or worsening reported by the client/group or that you observed in the following areas
Additional Information
Personal reflection from doing client/group.
Notify Mentor?Do not notify Mentor (choose if you wish to continue working on this entry later)