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I would really appreciate any insight or ideas on how to train a specific client. Here is as much detail as i can think to include.
She is 70 years old,5'6" and 130lbs, with emphysema and COPD, osteoporosis, and is in a fairly acute state of deconditioning.
She uses oxygen virtually all the time.
Posture is poor, shoulders rounded forward, hip flexibility issues, and very weak abdominal area.
She has limited mobility and difficulty sustaining light activity for more than 5 minutes at a time, due to oxygen debt.
She has recently completed 6 weeks of rehabilition work stemming from the COPD diagnosis, which consisted primarily of treadmill walking under supervision, and some very light basic dumb bell work (overhead presses, step ups, arm curls). she is cleared (and encouraged) to continue this type of work on her own, by her Doctor.
Her diet is excellent, weight is not an issue.
Other issues affecting training possibilities include a fear of water, anxiety around travelling (all training will need to take place in-home with limited equipment).
Her goals are improved mobility and endurance, and improved posture and back support.
Thus far, since the rehab has ceased, we have continued the light treadmill walking (We are up to three rounds of 3 minutes at 2 mph, with 3 minutes of rest) twice a week, and light weight training (overhead press, step ups, curls, 3/4 upright rows).
With the weight training we have progressed to one set of 10 each exercise using 2.5lb dbs.
We are currently pursuing very small increments of improvement (10 seconds more a week on the treadmill, one additional rep on the exercises, until we can get to two sets of , when she feels that it is possible.
i am looking for any advice on how better to help her acheive postural improvement, back support, and endurance. Professional training is not realistic at this point, both from the standpoint of affordability and due to teh fact she has great anxiety about leaving her house .
I feel the most urgent need lies in core stability, which at this time is very poor and usually the limiting factor both walking and maintaining good form on the exercises.
Any help is greatly appreciated, its my Mother, and if it is to be, its up to me, but I have no experience working around so many issues.