Course Description:

The goal of this course is to provide the participants with a knowledge base that is essential to the successful evaluation of the breast cancer survivor, from diagnosis to treatment, recovery, prevention of lymphedema and proper exercise guidelines and protocols. This course is open to physical therapists, occupational therapists, Pilates instructors, lymphedema treatment specialists, and nurses. Evidence based practice and integration of material from the areas of functional exercise, shoulder rehabilitation and Pilates exercises will be the emphasis of the lab sessions.

Course Objectives:

  • Demonstrate an understanding of the diagnosis and treatment of breast cancer
  • Demonstrate an understanding of the different surgeries, including breast reconstruction and the impact of these surgeries on physical mobility
  • Understand the signs and symptoms of upper extremity lymphedema and axillary web syndrome
  • Perform an upper quadrant screening and evaluation for the breast cancer patient.
  • Develop a comprehensive therapeutic exercise program using a Pilates-based approach including movement sequencing specific for the breast cancer survivor.
  • Develop Periodization Principles and the application of these principles to each survivor’s exercise program.


Online Instructor Training Course

Preview above.

  • Learn from home
  • 5 hours in duration
  • 16 Modules

Modules 1 through 4 are lecture modules with Quizzes.

Module One: Introduction/History of the Program/Organization of the
Course/Administrative Items
Module Two: Statistics/Profile of a Cancer Cell/Anatomy/Diagnostic
Techniques // QUIZ
Module Three: Types of Breast Cancer/Types of Oncology
Surgeries/Radiation/Chemotherapy/Hormone Therapy // QUIZ
Module Four: Breast Reconstruction/ Axillary Web Syndrome/Lymphatic System/
Lymphedema/Cancer-Related Fatigue // QUIZ

Modules 5 through 8 demonstrate and explain the exercise protocol.

Module Five: Phase One of 6-Week Therapeutic Exercise Protocol
Focus on scapula stabilization, chest expansion, and shoulder mobility.
Module Six: Phase Two of 6-Week Therapeutic Exercise Protocol
Focus on long-lever, shoulder range of motion, trunk rotation, lateral flexion, core stability and scapular stabilization.
Module Seven: Phase Three of 6-Week Therapeutic Exercise Protocol
Focus on full body integrated movements, including scapula, core and lower body.
Module Eight: Phase Four - Add on Exercises using Resistance Band to strengthen muscles of back, shoulders, arms and chest.

Modules 9 through 12 explain, demonstrate and apply therapeutic exercises to specific reconstruction surgeries.

Module Nine: Case Study 1 - Transitional Exercises for Implant
Module Ten: Case Study 2 - Transitional Exercises for TRAM Flap
Module Eleven: Case Study 3 - Transitional Exercises for DIEP Flap
Module Twelve: Case Study 4 - Transitional Exercises for LAT Flap

Modules 13 and 14 discuss the importance of Fascia stretch for improved healing and increased mobility and Rebounding exercise as it relates to lymphatic flow.

Module Thirteen: Case Study 5 - Rebounding for Health & Lymphatic Flow

Module Fourteen: Case Study 6 - The Importance of Fascia17:03
Module Fifteen: Marketing/Networking
Module Sixteen: References

Two-Day, In-Person Course Schedule

Day 1: Lecture

Introduction, Overview of Course Goals
& Objectives
15 min.
Breast Anatomy & Musculature30 min.
Types of Breast Cancer and Staging30 min.
Surgeries45 min.
Sentinel Node Biopsy15 min.
Adjuvant treatments: Chemotherapy, Radiation
Therapy, Hormone Therapy & Common
Adverse Effects
30 min.
Lunch Break60 min.
Breast Reconstructive Surgeries, Implications
for Exercise
90 min.
Lymphedema, Treatment and Implications for Exercise30 min.
Patient Assessments: Health History, QOL Survey30 min.
Latest Research Findings30 min.
Q&A20 min.

Day 2: Lab

Exercise Therapy Protocol
Phase One: Focus on Scapula
Stabilization and Shoulder Mobility
30 min.
Phase Two: Focus on Long Lever
Shoulder Range of Motion, Core Stability and
Scapula Stabilization
45 min.
Phase Three: Focus on Full Body Movements
Including Scapula, Core and Lower Body
45 min.
Break30 min.
Progression of Exercises to Include
Pilates-based Exercises
Utilizing Props: Stability
Balls, Bands and Foam Roller
90 min.
Case Studies45 min.
Marketing & Promotion20 min.
Q&A15 min.

Approved by American Council on Exercise Pilates Method Alliance