2018 NPAA Magazine 2018 NPAA Magazine - This is Our Sport | Page 38

Mind of a CHAMPION HOW OUR HEART AND TRANSFORMATION AWARD WINNERS MADE THEIR GOALS A REALITY Over the past few years, I’ve had the opportunity to work with various clients living with serious medical conditions or illnesses. A consistent characteristic among each of these women was that beyond their medical conditions, they were all young, relatively fit and otherwise healthy women. Each of these clients had expressed their fitness goal was to work towards entering a fitness competition with the Natural Physique & Athletics Association (NPAA). The ability to participate in a natural, drug-free environment was the obvious choice for these individuals in their quest to overcome significant health related challenges. I have always enjoyed the opportunity to work with any individual dealing with various medical conditions. Trainers need to ensure they fully understand any specific limitations or medical guidelines the client must adhere to. A strong understanding of the specific medical condition is an absolute requirement for any trainer working with these particular clients. After reviewing the thoroughly completed ParMedX form where medical clearance has been obtained, a fully customized plan is developed that takes into account any specific limitations or exercise and nutritional requirements. It is not simply a matter of distributing a 37. ‘one-size fits all’ training program to a client. The strength and courage demonstrated by these individuals has been truly inspirational. It’s been both challenging and yet fulfilling to work with individuals living with Multiple Sclerosis, Ankylosing Spondylitis or recovering from a serious stroke as they worked towards their goal of stepping on that wonderful NPAA stage. I began working with Neesha Jakubowski in December 2013. Neesha was diagnosed with Ankylosing Spondylitis. This is a genetic auto immune disorder that attacks the sacroiliac joints, eventually fusing them to the spine. Once these joints become fused, it then attacks the spine, knees, ankles, elbows and eyes. It is medically nicknamed “bamboo spine” because it eventually it fuses the whole spine encasing the body in its own mummified tomb. Following surgery that required dual hip replacements, Neesha started on her goal of ultimately entering a fitness show as part of her on- going mobility and strength training plan. Pain management and joint limitations caused some set-backs along with various medications aimed at reducing the fusing of her joints. Despite numerous physical challenges, Neesha achieved her goal by entering the November 2015 NPAA show. But it was not easy. Even posing was difficult due to the requirement of holding the required stances for extended periods. Her training was modified due to muscular fatigue or pain in her hips, knees and spine. Neesha was the NPAA Heart Award recipient in November 2015. Her challenges continued with hospitalization due to pneumonia where her bodyweight dropped to a mere 72 pounds. Being a fighter, Neesha has once again resumed her training and is back to 102 pounds. Her goal is to once again strengthen her body and walk across the stage within the next year. She feels her best when she is training and keeping her body strong. Developing a training plan that is well-suited to her physical limitations will always be the challenge as a coach, knowing that there is more at stake than just walking across the stage. Melissa Gramaglia had competed with the IDFA several years ago. During the final stages of her pregnancy, Melissa suffered a stroke just two weeks before the birth of her twins. In the two years following her stroke, Melissa worked hard to recover and had to re-learn the most basic motor skills such as talking and walking. Her goal was also to walk across the NPAA stage and she used this as her motivation. I was excited