March 2010


rehab30 Mar 2010 12:30 pm

monkee walk
I got so much on my plate right now. I’m preparing the final edition of Reversal to go on Kindle, the Carlsbad 5000, national young adult cancer awareness week, prepping for a driving test, my own rehab, and finally setting up my 2010 book tour!

Today, I think we made a real break through in therapy. Axillary crutches are good for short distances, but my sequencing gets messed up for longer distances. Training to walk may be effective with what I like to call “buddy walking”. This is the type of walking reminded me of the Monkees walk I once saw on TV.  My problems with walking are: not enough weight bearing on my left leg, short step length on the right, and not enough forward motion of my hips. A therapist stands on my right side with a hand around my waist to stimulate correct hip positioning in left leg stance and left leg swing. I would then hold the waist of the therapist to feel more secure. Thank God my therapist is female because I would have felt a little awkward if I was working with a dude! j/k… HAHAHA! I definitely felt more secure putting weight on the left leg. It definitely stresses weight-bearing on the left. I can address push off on the left leg now. This theoretically, will make me faster. I probably looked a little weird but I thought it was pretty effective.

I’m getting pretty excited for the Carlsbad 5000! Bring it on!

Blog07 Mar 2010 04:58 pm

2009-06-15-8aad204

Ah… something has got me really curious… in PT school, my student research project was on the effects of moderate intensity exercise (walking program) on women undergoing radiation therapy for breast cancer. hmmmm… we looked specifically at white blood cell counts and determined that they were not negatively affected. Other blood tests and quality of life tests were addressed in other studies. Granted, it was a small sample size, but it does mean that potentially the white blood cell counts for women undergoing radiation therapy are not negatively affected and may safely reap the benefits of moderate intensity exercise. I’m just now getting caught up in the exercise and cancer literature. I am realizing that everyone is looking for conclusive evidence-based data to create protocols for any actions or positions on specific issues. The reality is that in brain tumor or cancer research, much of data is conflicting, have holes in the project structure, or it simply does not exist.  There are many smaller pilot studies, but it is very rare to find larger studies (randomized controlled studies) where definitive positions can be concluded.   Sadly, part of me thinks that there is no real incentive to fund research because many organizations or individuals have too much to lose if, God-Forbid, a “Cure” is found!  Because of this, I am pessimistically optimistic about finding a “Cure” anytime soon.  The science/resources are there, but the funding isn’t.  It seems like we have our feet on both the gas pedal (science) and the brakes (lack of funding) limiting progress in the war on tumors/cancer.  I’d like to see larger studies not funded by big companies that have a stake in the results.  The problem is… where to turn to for research funding?  When looking at research, I always try to find out who is funding it to see if there is any bias to the results.  Research is the KEY to progress in the war on tumors/cancer.  However, I think a different strategy needs to be implemented.   We should promote a more comprehensive strategy not just chasing the “Cure”.  I think there needs to be a more focused approach to attacking tumors and cancer, “the K.U.R.” (Knowledge, Unity, Research).  To combat these horrible diseases we need to: promote knowledge (preventative education and patient education); promote unity (build up support for fight against tumors and cancer); and finally support research that leads to:  more efficient diagnosis, efficient treatment, improved mortality rates, improved quality of life for patients, and diagnosis-specific symptom management.  We should not lose sight of “the Cure”.  “The Cure” is thrown around so nonchalantly. For years we were chasing a vague and complicated goal.  It is now time to fine tune the focus of “research” where we will be able to see measurable results.