To Life! HEALTH Strength Survive Exercise studio offers a new program to help breast cancer patients rebuild their lives. Instructor Gayle Eubanks demonstrates a stretch used in the Pink Ribbon Program. Diana Lieberman Special to the Jewish News raditionally, women recu- perating from breast can- cer surgery have been told to "take it easy" That's an instinctive reaction to the pain, anxiety, nausea and bone-deep exhaustion brought on by breast cancer surgery and the chemotherapy and radiation that frequently follow. But this is one case where your instincts may be wrong, said Nancy Hodari, owner and educa- T tion director at Equilibrium Pilates Studio. Guided exercise, undertaken with a doctor's approval, rebuilds not only wounded muscles but also wounded spirits, she said. The Bloomfield Township stu- dio is one of only eight facilities in the United States to offer the Pink Ribbon Program, a special- ized post-operative workout pro- gram for breast cancer survivors. "I first became aware of the program last year, when both my mother and sister-in-law were diagnosed and treated for breast cancer:' said Hodari, a Temple Israel member who lives in Bloomfield Township. "The Pink Ribbon Program was developed by Doreen Jones, an exercise physiologist who has a studio in New York. Four of my teachers wanted to do the train- ing, so it made more sense to bring her instructors here Woman can start the exercise regimen whether they've had breast cancer surgery last month or 15 years ago, Hodari said. The program is not covered by insur- ance. "My mother had breast cancer last year, and as soon as she woke up from surgery, she was asking, When can I play golf? When can I go on my treadmill?'" While an immediate return to golf may be a little extreme, you need to get out of the house and start to return to normal, she said. Equilibrium, located in a quiet single-story medical complex with plenty of parking, is an ideal first step, Hodari said. "We have women who come here straight from chemotherapy" Fine-Tuning Pilates Instructor Kimberly Kuncl of Rochester gets help on stretching from another instructor, Gayle Eubanks of West Bloomfield. October 27 . 2005 The Pink Ribbon Program is based on Pilates, a non-aerobic exercise method first developed in the 1920s by Joseph Pilates to improve strength and flexibility without creating bulk. Equilibrium teaches Stott Pilates, a version of the original method that incorporates more recent knowledge of physical therapy and exercise physiology. Jones developed the Pink Ribbon Program about four years ago to meet a specific need and soon learned its benefits firsthand. "As an exercise physiologist, I am trained to work with individ- uals who have specific medical limitations:' she said. "Several of my clients were breast cancer survivors. When trying to find existing protocols for the breast cancer survivor, I was shocked to find that there was no specific protocol for this particular popu- lation. "Then, as fate would have it, I was diagnosed with breast can- cer in May 2004;' she said. After her mastectomy, Jones used her program to rehabilitate herself. This experience also helped fine-tune the program, she said. "Having the personal experi- ence of going through the surger- ies and subsequent pain, loss of mobility in my affect arm, and psychological side effects has helped me truly understand the short- and long-term effects of breast cancer:' Jones said. "It also helps those who have been diag- nosed to feel confident in the Pink Ribbon Program because they know if has been designed by a survivor for survivors." Each of the four Equilibrium teachers who completed Pink Ribbon Program training last June as a Breast Cancer Post- Rehab Exercise Specialist is also a certified Stott Pilates teacher. Among them is Kimberly Kuncl of Rochester Hills. "People who go through breast surgery change their entire shoulder complex:' said Kuncl, who earned a master's degree in physical therapy from Duke University in Durham, N.C., and has extensive experience in orthopedics and sports medi- cine. Surgery affects the range of motion involving the chest, back and abdominal muscles as well as the shoulder, she said. "This gets the muscles moving again, in a carefully controlled way. "When you've had cancer, your energy is down; and you feel like you've had your control of your- self taken away;' said Kuncl. "This gives you back that con- trol." "I'm a cervical cancer survivor myself:' she added. "Now that I've been there, I'm especially aware of what women are going through." 0 Learn more about the Pink Ribbon Program at \www.equilibriumstudio.com & www.pinkribbonprogram.com 19